Medicine and Health Sciences Commons^™

The Social Determinants Of Health And Genocide: Towards A Public Health Integrated Framework Of Genocide And Mass Violence, Sian Persad, Cheng Xu

Genocide Studies and Prevention: An International Journal

This paper makes a normative argument about transformations of public health as a necessary condition required in any transitional justice process. We seek to bridge the gap between the fields of genocide and public health to understand the recursive relationship between genocide and the social determinants of health. We show that structures and institutions established during genocide create enduring impacts on the public health outcomes of victim and survivor groups even after the ousting of the original perpetrators. Our comparative analysis of the Rwandan Genocide and the colonial genocide of Indigenous communities in Canada surveys the available public health literature …

Student Perceptions Of The Nonmedical Use Of Prescription Stimulants And Preferences For Health Education, Ana Gutierrez

USF Tampa Graduate Theses and Dissertations

Nonmedical use of prescription stimulants (NMUPS) for the purpose of improving academic performance is a growing concern among the college population. According to the Substance Abuse and Mental Health Services Administration in 2020, rates of NMUPS were highest among 18–25-year-olds attending college. There are several adverse health outcomes associated with NMUPS, including cardiovascular damage, seizures, psychosis, and dependence. Given the rising rates of NMUPS in this group, and the negative health outcomes associated with NMUPS, it is vital to employ health education that allows students to make informed decisions about behaviors that impact their health. The purpose of this study …

The Influence Of Psychosocial Factors On Opioid Decision-Making For Cancer-Related Pain Among Breast Cancer Survivors: A Mixed Method Study, Melody Nichole Chavez

USF Tampa Graduate Theses and Dissertations

Introduction: Breast cancer is the most frequently reported malignancy among women in the United States. Cancer-related pain is highly prevalent occurrence and is often the most fearful side effect following curative intent treatment. Opioid pain management is considered a standard of care and can be of great benefit to treat moderate to severe pain. However, undertreatment of pain remains a significant issue affecting the patient’s physical function, psychological well-being, and overall quality of life. Barriers to adequate pain management are multifactorial and often attributed to patients’ beliefs and attitudes revolving around opioid pain management. In addition, the opioid epidemic has …

“I Was Doing The Best With What I Had”: Exploring Student Veterans’ Experiences With Community Reintegration, Food Insecurity, And Health Challenges, Jacquelyn N. Heuer

USF Tampa Graduate Theses and Dissertations

Food insecurity is a concern for many populations, including college students and military veterans. The impacts of food insecurity on student veterans are understudied, especially in relation to community reintegration and health. Employing the theoretical frameworks of structural violence and embodiment, this dissertation explores how community reintegration, food insecurity, diet quality, and health interact and influence one another among post-9/11 student veterans in Florida. In doing so, this dissertation considers how the experiences of student veterans are shaped by social inequities (i.e., structural violence) and how these experiences become embodied, thereby shaping student veterans’ health outcomes.

Utilizing findings from surveys …

Use Of Silica Dust And Lunar Simulants For Assessing Lunar Regolith Exposure, Layzamarie Irizarry-Colon

USF Tampa Graduate Theses and Dissertations

The utilization of the lunar regolith holds immense potential for future space exploration, but the potential health risks associated with lunar regolith are a significant concern. This literature review seeks to critically assess the use of silica and lunar simulants standards and permissible exposure limits (PELs) to evaluate the adverse health effects of lunar regolith. The literature review covers an extensive analysis of existing research, health risks, toxicological properties, and physical and chemical composition associated with silica, lunar simulants, and lunar regolith by using three main sources: regulations, scholarly articles, and Kennedy Space Center (KSC) discussion. This comprehensive analysis forms …

Entanglements Of Teenage Food Security Within High School Pantries In Pinellas County, Florida, Karen T. Díaz Serrano

USF Tampa Graduate Theses and Dissertations

Food insecurity has the ability to shape an individual’s or a family’s everyday life and take emotional, psychological, and physical tolls. Among adolescents, not having access to nutritious food could lead to physical effects during growth and development. Moreover, the stress and anxiety of not knowing where their next meal is coming from and the social stigma associated with being food insecure can have negative effects on mental health. A recent solution to these issues is locating food pantries in high schools. Purpose: This exploratory study examined how high school students in Pinellas County, Florida perceive the use of a …

Gender Differences In Episodic Memory In Later Life: The Mediating Role Of Education, Sara Robinson

USF Tampa Graduate Theses and Dissertations

In the United States (U.S.), 14 million individuals aged 65+ are expected to be diagnosed with dementia by 2060, and women are nearly twice as likely to be diagnosed. Low education is a well-established risk factor for dementia and is hypothesized to partly explain the gender differences in late-life cognition. However, few studies have investigated education as a mediator of these gender differences. This study aims to investigate education as a mediator of gender differences in episodic memory using longitudinal data from the U.S. Health and Retirement Study (HRS). I used a sample of 35,721 respondents (20,190 women and 15,531 …

Restrictions Are Lifted: The Effect Of Risk Perception Of Covid-19 On Future Travel Intentions Of Dutch Travellers, Rami K. Isaac

Journal of Global Hospitality and Tourism

This study aims to understand better the psychological impact of COVID-19, the risk perception, travel and destination risks of Dutch travellers and their intention to travel when travel restrictions due to COVID-19 are lifted. This study takes a step toward closing the gap in the literature as it provides new insights into the risk perceptions regarding COVID-19 and the travel intentions of Dutch travellers now that travel restrictions are lifted. This study employed a quantitative approach to market research. Questionnaire research was applied. The questionnaire is created with the web-based survey tool Qualtrics. 343 respondents filled in the questionnaire. The …

Reframing Resistance, Resilience, And Racial Equity In Maternal Health: A Mixed Methods Exploration Of Paternal Involvement And The Racial Disparity In Severe Maternal Morbidity, Marshara G. Fross

USF Tampa Graduate Theses and Dissertations

Background: The preventable, persistent racial inequity observed in maternal and infant death has lasting impacts on African American communities and families. Fathers, partners, and co-parents are important supports during the sensitive and vulnerable perinatal period. Emerging research has begun to demonstrate a concerted effort to move beyond the sphere of medicine and quality improvement, towards exploring and integrating social factors into targeted intervention strategies to address racial inequality in health outcomes. However, sparse literature concentrates on understanding the role of fathers and partners in peripartum care and maternal health outcomes. This study aimed to explore, understand, and describe the role …

A Healthcare Claims Investigation Of Parasomnia Epidemiology, Associations With Attention Deficit/Hyperactivity Disorder, And Rem Sleep Behavior Disorder Correlates, Anh Thy Ha Nguyen

USF Tampa Graduate Theses and Dissertations

Parasomnias, such as sleepwalking and nightmare disorder, are abnormal behaviors and emotions emanating from sleep or wake to sleep transitions. Parasomnias can lead to significant adverse outcomes – sleepwalking can result in injuries and hospitalizations, frequent nightmares are associated with self-harm and suicidal thoughts, and rapid-eye movement (REM) sleep behavior disorder (RBD) is linked to neurodegeneration. Despite a history of fascination with abnormal sleep behaviors in the general and medical communities, epidemiologic understanding of parasomnias remains limited, in part due to their amnestic nature and presumption that they are benign childhood problems. This work used the MarketScan® Commercial Claims and …

Assessment Of Iso Heart Rate Method To Estimate Metabolic Rate, Karl Williams

USF Tampa Graduate Theses and Dissertations

Thermal equilibrium is primarily maintained by the body’s ability to dissipate internal heat generated during muscle contraction. A number of methods have been used to quantify this thermal burden such as charts and observation of workplace activities and behavior, however these have varying levels of validity. ISO 8996 defines a more accurate method of metabolic rate estimation that uses heart rate and maximal work capacity (MWC); however this requires the use of laboratory settings and equipment that are rarely available in the field. Equations such as the ACSM metabolic equation for the total energy expenditure of walking, hereafter referred to …

Evaluation Of Two Methods To Estimate Wet Bulb Globe Temperature From Heat Index, Stephi Pofanl

USF Tampa Graduate Theses and Dissertations

The Wet bulb globe temperature (WBGT) is a common method to evaluate environmental factors that contribute to occupational heat stress. The Heat Index (HI) is readily available as an alternative to exposure methods. They both assess the most important contributors that are air temperature and humidity. WBGT also includes radiant heat and air motion. To account for radiant heat and/or air motion, some investigators have suggested adjustments to HI. The purpose of this study is to explore two methods to estimate the usefulness of WBGT from HI.

WBGT data were collected in a variety of locations that included direct sun …

Development Of A Ddpcr Multiplex To Measure The Immune Response To Borrelia Burgdorferi., Kailey Marie Mccain

USF Tampa Graduate Theses and Dissertations

Zoonotic diseases account for a significant proportion of emerging infectious diseases (EIDs), with their dynamics being heavily influenced by the environment. While the effects of the environment on population-level disease dynamics have been extensively studied, there is limited research investigating the impact of the environment on individual-level disease susceptibility and transmission. This study aims to fill this gap by creating a tool to examine the variation in immune response to Borrelia burgdorferi, the causative agent of Lyme Disease, in two competent host species, Peromyscus leucopus and Peromyscus maniculatus. Two triplex droplet digital polymerase chain reaction (ddPCR) assays were developed to …

An Analysis Of State Sex Education Policies To Explore The Inclusiveness Of School Based Sex Education, Amarah Scott

USF Tampa Graduate Theses and Dissertations

The purpose of this study was to analyze state policies related to sex education proposed between 2018 and 2022 to determine the extent to which sex education needs of LGBTQ youth were being addressed. Previous research has shown that, on average, both abstinence-only and comprehensive sex education curricula do not include information that is relevant to LGBTQ youth. Much of the information included in sex education curricula such as pregnancy prevention and the benefits and disadvantages of condoms are most relevant to youth who identify as heterosexual. Not receiving relevant and accurate sex education puts LGBTQ youth at risk for …

Variability Of Air Sampling Results Using Air-O-Cell Cassettes, Christina M. Haworth

USF Tampa Graduate Theses and Dissertations

No current federal or state standards for mold exposure exist, partly due to the lack of accurate methods for assessing fungal exposure. Exposure to airborne fungal spores can result in several symptoms such as allergic rhinitis, coughing, and fatigue. Non-industrial occupational settings are common and fungal exposures may occur in these environments. The purpose of this study is to evaluate the meaningfulness of fungal spore trap results from samples collected in both a corporate office and a university classroom. Air-O-Cell cassettes with a Zefon Bio-Pump were used to collect one outdoor and three indoor samples at each location on three …

The Physical Activity Of Spanish Speleologists: Accomplishment Of Recommendations And Differences By Sociodemographic Variables, Miquel Pans, Laura Antón-González, Maite Pellicer-Chenoll

International Journal of Speleology

Outdoor adventure activities are becoming more popular due to their potential health benefits, although there is little scientific information on speleology as a physical activity (PA). The purpose of this study is to expand the scientific evidence in this field in two ways: (a) describe the PA performed by speleologists, taking into account the variables of interest such as gender, age, education, speleological level, participation in ‘Alpine’ explorations and body mass index (BMI) and (b) identify how far the World Health Organization’s (WHO) PA recommendations were accomplished (i.e.,150 min of moderate-intensity aerobic PA or 75 min of vigorous-intensity aerobic). A …

“They’Re Still Trying To Wrap Their Head Around Forever”: An Anatomy Of Hope For Spinal Cord Injury Patients, William A. Lucas

USF Tampa Graduate Theses and Dissertations

This dissertation draws on ethnographic data to investigate the nature of spinal cord injury (SCI) rehabilitation in Central Florida, using participant observation and interview data to understand how people with SCI (pwSCI) conceptualize their own disabilities after experiencing such radical alterations in their subjectivities. Using case studies and ethnographic vignettes, it argues that the extreme double binds in which pwSCI find themselves (where they are personally ordinarily disabled and socially extraordinarily novel; and where they are enabled resources to pursue “hopeful” therapy modalities while being designated as hopelessly disabled) is further polarized by the various legislative regimes of truth in …

Intimate Conversations: A Mixed-Methods Study Of African American Father-Adolescent Sexual Risk Communication, Shanda A. Vereen

USF Tampa Graduate Theses and Dissertations

Background: Approximately 50% of African American (AA) high school students are sexually active and a large proportion of sexually active AA students report engaging in sexual risk behaviors such as not using condoms at last intercourse. Consequently, AA adolescents in the United States experience outcomes of risky sexual behaviors at high rates. Evidence shows parents have an effect on shaping adolescent attitudes, values, and beliefs regarding sex through sexual risk communication (SRC). Although parent-adolescent SRC is associated with reductions in sexual risk behaviors among AA adolescents, research has primarily focused on mothers. While parents acknowledge that SRC is traditionally viewed …

Relationships Between Leading And Trailing Indicators At Construction Sites In Yanbu Industrial City, Saudi Arabia, Anas H. Halloul

USF Tampa Graduate Theses and Dissertations

Statement of Purpose: This study sought to assess the relationship between leading and lagging indicators in construction safety Management in the Kingdom of Saudi Arabia. In particular, it sought to determine whether construction sites with higher leading indicators predicted fewer incidents/accidents.Rationale for Study: Construction safety management is a critical occupational health concern globally. Scholars have researched approaches to improve safety measures and performance in construction sites. However, there is little discourse assessing the relationship between the leading indicators and the occurrence of incidents and accidents in construction sites. General Methods: A quantitative analysis was used in this study. Data were …

Diet And Salivary Microbiome On Cardiovascular Risk And Glycemic Control In Participants With And Without Type 1 Diabetes: The Cacti Study, Tiantian Pang

USF Tampa Graduate Theses and Dissertations

Introduction: The prevalence of type 1 diabetes mellitus (T1DM) has been increasing drastically in the United States. People with T1DM are at a higher risk of developing diabetes-related complications, including cardiovascular disease (CVD). Diet is one of the most modifiable factors and healthy eating could reduce CVD risk among individuals with T1DM. The current 2015-2020 Dietary Guidelines for Americans focus on overall healthy eating patterns rather than individual foods and nutrients. A healthy dietary pattern or high-quality diet can be measured by diet quality indexes, and generally contains minimal ultra-processed foods (UPF). Although substantial evidence has linked poor diet quality …

Natural Disasters And Human Capital: Empirical Evidence From Indonesia, Lei Lv

USF Tampa Graduate Theses and Dissertations

In developing countries, natural disasters could destroy physical capital and adversely affect human capital accumulation by disrupting individual decisions. Such decisions play a critical role in determining individuals' human capital accumulation process and have a lifelong effect on their happiness and economic prosperity. To better understand how natural disasters affect human capital in developing countries, this dissertation uses the earthquakes in Indonesia as a natural experiment to study how this earthquake affects health, child marriage, and education. For the first chapter, I study how the 2006 Yogyakarta Earthquake a affects water-related acute disease symptomsin the short and long run. By …

Using The Genetic Counseling Skills Checklist To Characterize Prenatal Genetic Counseling, David A. Cline

USF Tampa Graduate Theses and Dissertations

Genetic Counseling relies on communication skills to help patients understand and adapt to a genetic disease or risk. However, little is known about which skills are most commonly used or the extent to which genetic counseling sessions vary. A novel process measure titled the "Genetic Counseling Skills Checklist" (GCSC) was developed in a prior pilot study and includes 8 broad categories each consisting of 5-8 skills. This study is the first to apply the final GCSC to characterize 20 mock prenatal sessions conducted by 5 genetic counselors (GCs) for 2 prenatal indications using 3 trained actors as patients. Two experienced …

Hiv Stalks Bodies Like Mine: An Autoethnography Of Self-Disclosure, Stigmatized Identity, And (In)Visibility In Queer Lived Experience, Steven Ryder

USF Tampa Graduate Theses and Dissertations

This dissertation examines self-disclosure of Human Immunodeficiency Virus (HIV) status within the context of communication between long-standing friends. For the purposes of my study, I define this type of friendship as those who have known me for at least two years and with whom I communicate regularly. These are friends who tend to know a variety of personal details about me, ranging from superficial to private and trivial to essential. I use autoethnography to ground the study in my lived experience. By doing so, I present intimate accounts of my communication with others across my lifespan to function as background …

The Invisible Victims Of Commercial Sexual Exploitation: Boys And Their Barriers To Access To Services, Amanda L. Connella

USF Tampa Graduate Theses and Dissertations

While there has been a large body of research conducted on girl (under the age of 18) victims of commercial sexual exploitation, boy (under the age of 18) victims do not seem to receive the same attention. From the few studies that have been conducted, boys and young male victims of commercial sexual exploitation have been shown to have gender specific barriers that prevent them from getting help, yet not many papers explore this unique problem. Using survey data from key providers that work in programs that serve commercially sexually exploited boys, the present study fills this hole in the …

Evaluating The Effect Of Public Health Governance Structure And Public Opinion On Covid-19 Disease Control Interventions, Daniel Chacreton

USF Tampa Graduate Theses and Dissertations

Background

Since the start of the COVID-19 outbreak, the responses to the pandemic varied greatly from nation to nation. In the US, state-level variance in responses has likely contributed to the disparate COVID-19 infection-related state-level outcomes such as incidence and case fatality rates. The large variances in national and sub-national responses to COVID-19 when combined with the abundance of factors that influence disease transmission rates has created a number of important research opportunities.

Methods

In this vain, this research study aims to describe the relationship that exists between public health governance structure and public sentiment and COVID-19 control measure effectiveness …

Assessment And Prevention Of Bacterial Regrowth In Stored Household Water In Eastern Coastal Madagascar, Lauren Judah

USF Tampa Graduate Theses and Dissertations

As of 2020, diarrheal diseases were the leading cause of death in Madagascar. A major cause of diarrheal illness is contaminated water, and one crucial aspect of preventing contaminated water is safe household storage. Bacterial regrowth between point-of-collection and household storage has been well established in literature. A frequently implicated source of regrowth is the storage container’s biofilm, which is a community of varying bacteria enclosed in a “slimy” extracellular polymeric substance that forms on surfaces in wet environments and anchors bacteria to those surfaces. The overall goal of this thesis was to quantify and control bacterial regrowth in household …

Exploring Parenthood And The Influence Of Lived Experiences On Parenting Behaviors Among Child Welfare-Involved Adults, Veronica Howell

USF Tampa Graduate Theses and Dissertations

The World Health Organization asserts the healthy development of children is essential. Cases of violence and maltreatment impede the development of children worldwide. Six in 10 adults in the general US population have reported at least one adverse childhood experience (ACE), while vulnerable populations, including child welfare-involved adults (i.e., parents and caregivers), often report more. This history is associated with higher morbidity and mortality rates alongside higher economic costs; therefore, preventing ACEs and promoting safe, stable, and nurturing relationships between parents and children is critical. The purpose of this exploratory qualitative study was to understand the meanings and responsibilities associated …

A Convergent Approach To Aqueous Lead (Pb) Mitigation Of A Supplemental Self-Supply Shallow Groundwater Source Accessed By Handpumps In Madagascar, Adaline Marie Buerck

USF Tampa Graduate Theses and Dissertations

The World Health Organization (WHO) has consistently listed lead (Pb) as one of the ten chemicals of major public health concern. Though the toxic nature of lead has been known since the 20th century it is still utilized in a wide variety of products due to its favorable properties. Exposure to lead still accounts for approximately 900,000 deaths annually and disproportionately impacts those in low- and middle-income countries (LMIC) due to a variety of reasons such as poverty, malnutrition, and lack of knowledge on the toxic nature of lead. Lead exposure routes include air, soil, dust, diet, and water. Though …

Examining The Relationship Between Racial Respect Among Black Early Childhood Professionals And Their Perceptions Of Black Children, Kayla Nembhard

USF Tampa Graduate Theses and Dissertations

Black children are exposed to the highest rates of negative teacher perceptions and punitive consequences. Healthy People 2020 acknowledges the significance of the first five years of child development and the various factors that promote or hinder health outcomes during this time. Furthermore, it highlights the significance of quality relationships between children and their caregivers, including their ECE teachers. Overall, Black children tend to fare better academically when they are able to engage with Black educators and other ECE professionals. However, there is recent evidence Black educators in ECE settings, specifically, also uphold racialized negative perceptions of Black students that …

Nonparametric Estimation Of Transition Probabilities In Illness-Death Model Based On Ranked Set Sampling, Ying Ma

USF Tampa Graduate Theses and Dissertations

The ranked set sampling (RSS) design is applied widely in agriculture, environmental science, and medical research where the exact measurements of sampling units is costly, but sampling units can be ranked by a correlated concomitant variable. RSS is usually a cost-efficient alternate to simple random sampling (SRS) for selecting more representative samples. This study presents a novel methodology to investigate the nonparametric estimation of transition probabilities in illness-death model using the RSS design. We study the Aalen–Johansen estimator of transition probabilities in illness-death Markov model based on RSS design under random right censoring time and propose nonparametric estimators of the …