Public Health Commons^™

Effectiveness Of Telemedicine In Diabetes Management: A Retrospective Study In An Urban Medically Underserved Population Area (Umupa), Lisa Ariellah Ward, Gulzar H. Shah, Jeffery A. Jones, Linda Kimsey, Hani M. Samawi

Department of Health Policy and Community Health Faculty Publications

This paper examines the efficacy of telemedicine (TM) technology compared to traditional face-to-face (F2F) visits as an alternative healthcare delivery service for managing diabetes in populations residing in urban medically underserved areas (UMUPAs). Retrospective electronic patient health records (ePHR) with type 2 diabetes mellitus (T2DM) were examined from 1 January 2019 to 30 June 2021. Multiple linear regression models indicated that T2DM patients with uncontrolled diabetes utilizing TM were similar to traditional visits in lowering hemoglobin (HbA1c) levels. The healthcare service type significantly predicted HbA1c % values, as the regression coefficient for TM (vs. F2F) showed a significant negative association …

The Learning Agenda 2.0: An Approach To Facilitate Systems Change, Laura M. Lloyd, Melissa Alperin

Georgia Public Health Association Annual Meeting and Conference

Background: The public health (PH) workforce is currently facing many complex challenges that stand at the root of community health issues (e.g., racism, poverty, mental health). Existing PH workforce development models focus largely on improving individual competency, but individual competency alone cannot address these complex challenges at the individual, organizational, community, and systems levels. Developing the necessary cross-cutting skills (e.g., systems thinking, persuasive communication, problem solving) requires a new approach to training and learning.

Method: The Public Health Learning Agenda for Systems Change (PHLASC) helps public health organizations and their partners use transformative, collective learning as a driver for systems …

Tele-Mental Health Services: Addressing Healthcare Needs For Rural Population, Foram Patel, Samuel T. Opoku

Eagles Talking About the Public’s Health

No abstract provided.

Alpha-Gal Syndrome: The End Of Red Meat Consumption?, Checkwube Obianyo, Marina Eremeeva

Eagles Talking About the Public’s Health

No abstract provided.

Improving Cervical Cancer Screening In Sub-Saharan Africa, Nigeria: Reaching Levels Of Cervical Cancer Prevention In Developed Countries, Chigozie Alexandra Ogwara, Biyi-Olutunde Olusegun, Yelena Tarasenko

Eagles Talking About the Public’s Health

No abstract provided.

An Eviction Notice: Why Increasing Rates Of Elective Cesarean Deliveries Are A Cause For Concern, Jessica Guerrette, Amber J. Culpepper, Logan Cowan

Eagles Talking About the Public’s Health

No abstract provided.

Tuberculosis: Screening, Treatment, And Eradication Battles Among Foreign-Born Residents In Georgia, Foram Patel, Linda Kimsey

Eagles Talking About the Public’s Health

No abstract provided.

Identifying Dekalb County’S Disparities In 2022 Mpox Cases Versus Vaccination Rates To Achieve Vaccine Equity, Lucas O'Reilly, Rosa Fowler

Georgia Public Health Association Annual Meeting and Conference

Background:

Black/African-American communities are disproportionately affected by detrimental social determinants of health, which increases adverse health outcomes among these groups. In DeKalb County, the mpox outbreak predominantly affected Black/African-American residents, particularly those in the LGBTQ+ community.

Methods:

DeKalb County case data for 6/12/22 to 12/7/22 were obtained from the State Electronic Notifiable Disease Surveillance System. JYNNEOS vaccination data for 7/11/22 to 12/2/22 were obtained from the Board of Health’s electronic medical records. RStudio was used to analyze data by gender identity, HIV status, and race.

Results:

Overall, 414 mpox cases were reported, of which 97.1% identified as male, 47.8% were …

Fighting For The Public’S Health: Challenges And Opportunities To Reinvigorate Public Health Advocacy, Madeleine S. Frey

Georgia Public Health Association Annual Meeting and Conference

Background

Covid-19 shed a painful light on racial health disparities. As health officials asserted their public health authority to stop the pandemic and promote health equity, elected officials moved to limit their ability to do so. Without strong advocacy infrastructure, public health has struggled to defend its legal public health authority, support the workforce, and ensure equitable health outcomes for everyone.

Methods

Fighting for Public Health, a 2022 Feasibility Study from the Network for Public Health Law, assessed what’s happening in public health advocacy, and what’s needed to strengthen it on state and national levels. With funding from Healthcare …

The Lifecourse Perspective Theory As A Strategy For Improving Maternal Mortality In Georgia, Joanne Chopak-Foss, Alisha Riggins

Georgia Public Health Association Annual Meeting and Conference

Background: Maternal mortality and morbidity outcomes in Georgia are among the highest in the United States, with women of color experiencing higher rates of morbidity and mortality compared to their White counterparts. Public health policies such as Medicaid expansion have been suggested as one method for improving maternal mortality. In addition, the Life Course Perspective or Theory approach to maternal and child health suggests a complex interplay of biological, behavioral, psychological and social protective factors contributes to health outcomes across the span of a person’s life.

Methods: Using the Lifecourse Theory Perspective/Theory along with current maternal health policies the presenters …

Evolving Roles And Responsibilities Of Public Health, Allison Foster

Georgia Public Health Association Annual Meeting and Conference

Since 2008, over 10,000 public health professionals have become Certified in Public Health (CPH). Periodically, the NBPHE conducts a Job Task Analysis survey to gain an understanding of the roles and responsibilities of the public health workforce. With that information, the main areas of focus on the CPH exam are updated.

In the summer of 2022, the National Board of Public Health Examiners launched a newJob Task Analysis process. The comprehensive set of responses will demonstrate the scope of public health responsibilities on a region-by-region basis.

Current domains of the CPH exam are: Communications, Leadership, Law and Ethics, Public Health …

Heavy Metals In Baby Food: It’S Time For Public Health Researchers To Wake Up, Sarah Sejoro, Atin Adhikari

Eagles Talking About the Public’s Health

No abstract provided.

Addressing Racial Disparities In Maternal Health Through Policy, Alexandria Alford, Alisha Riggins, Joanne Chopak-Foss, Sarah Sejoro, Tobi Oloyede, Mambwe Mutiti

Eagles Talking About the Public’s Health

No abstract provided.

Perinatal Mood And Anxiety Disorders: Exploring The Care Deficit, Alexandria Alford, Joanne Chopak-Foss, Alisha Riggins, Tobi Oloyede, Emmanuela Nwaonumah, Sarah Sejoro

Eagles Talking About the Public’s Health

No abstract provided.

A Breakthrough In Accessibility: Over-The-Counter Oral Contraceptives, Alisha Riggins, Emmanuela Nwaonumah, Tobi Oloyede, Joanne Chopak-Foss, Logan Cowan, Elizabeth Olayinka

Eagles Talking About the Public’s Health

No abstract provided.

Addressing Sexual Violence On College Campuses—A Brief Review Of Existing Policies, Naa-Amy Wayne, Jackie Mesenbrink, Bettye Apenteng

Eagles Talking About the Public’s Health

No abstract provided.

Healthcare Price Transparency In The U.S. – A Panacea?, Foram Patel, Linda Kimsey, Melvin Lamboy-Ruiz, Yelena Tarasenko

Eagles Talking About the Public’s Health

No abstract provided.

The Role Of K-12 Schools As Essential Public Health Partners, Wendy Kutten, Naa-Amy Wayne, Samuel T. Opoku, Bettye Apenteng

Eagles Talking About the Public’s Health

No abstract provided.

A Refreshing Change: Safeguarding Mothers And Children From Pfas Exposure, Emmanuela Nwaonumah, Alisha Riggins, Emmanuel Azu, Oluwatoyin Ayo-Farai, Joanne Chopak-Foss, Logan Cowan, Atin Adhikari

Eagles Talking About the Public’s Health

No abstract provided.

Accessibility And Comprehension Of United States Health Insurance Among International Students: A Gray Area, Queeneth C. Edwards, Stacy Smallwood

Eagles Talking About the Public’s Health

No abstract provided.

Jiann-Ping Hsu College Of Public Health Magazine, Georgia Southern University

Jiann-Ping Hsu College of Public Health Magazine

• Message from the Dean: Stuart H. Tedders, PhD
• Remembering Dr. Evans Afriyie-Gyawu
• Exploring Research Focus Areas
• Alumni Feature: Overcoming Hurdles
• Research Feature: It's a weighted issue.
• Research Feature: The effectiveness of lactation cookies
• Period Equity Movement Earns National Recognition
• Leaving Her Mark
• Georgia on Our Mind
• Center for Addiction Recovery: Transforming Lives through Comprehensive Support
• Center for Public Health Practice and Research: The LEAD Academy: A Hospital Leadership Training Program
• Office of Practice and Research: Continued Engagement in Practice and Research
• Office of Teaching and Learning
• Office of Health Equity and Community: Engagement Continued Engagement in Practice and Research
• Awards, …

Knowledge Of Pregnancy And Postpartum Complications Up To One Year Postpartum Compared By Rurality, Evelyn Frances Fagan, Alisha Riggins, Ariel A. Alston, Mario Keko, Ana M. Palacios, Helen Bland, Joanne Chopak-Foss

Georgia Public Health Association Annual Meeting and Conference

Introduction: Georgia has one of the highest maternal mortality rate in the U.S. at 46.2 maternal deaths per 100,000 live births, disproportionately affecting Black and rural populations. This study sought to 1) assess knowledge of Georgian adults about complications and urgent warning signs both during pregnancy and up to 1-year postpartum, and 2) characterize knowledge within rural and urban population.

Methods: As part of a larger study, an online survey with previously validated questions was distributed to Georgia residents through social media and email. Data was grouped into 2 different categories: 1) pregnancy warning signs and 2) post-partum warning signs. …

Hospitalizations And Mortality ​With Alzheimer’S Disease And Related Dementias Diagnosis In Georgia, 2020, Chloe Hale

Georgia Public Health Association Annual Meeting and Conference

More than 6 million Americans aged 65 and older are living with an Alzheimer’s disease or related dementia diagnosis (ADRD) in 2022. Data from the 2019 Behavioral Risk Factor Surveillance System report that in Georgia, 1 in 9 people aged 45 and older experienced confusion or memory problems that have been getting worse over the past year.

Georgia Department of Public Health Injury Prevention Program creates a healthy Georgia through conversations and collaborations for change using data driven program building. The programs utilize Georgia’s established infrastructure, clear priorities, and the dynamic network of partnerships guided by a robust network of …

Covid-19, Health Inequities, And Behavioral Health Issues Facing Children, Gulzar H. Shah

Department of Health Policy and Community Health Faculty Publications

No abstract provided.

Assessment Of The Utilization Of Healthcare Services Specific To Pregnancy-Related Complications In Rural And Medically Underserved Georgia, Diana L. Aguirre

Electronic Theses and Dissertations

Maternal mortality is a continuing issue, with rates for the state of Georgia (3.7 per 100,000 live births) are higher than that of the US rates (2.9 per 100,000 per live births) (Centers for Disease Control and Prevention, National Center for Health Statistics, n.d., 2023). However, maternal mortality may not account for health disparity factors, apart from access to quality care and physiological issues, which is a factor in pregnancy-related deaths, Pregnancy-related death, as defined by the US Centers for Disease and Control (CDC), is a death of a woman that occurs during or within one year of pregnancy that …

What Could Go Wrong? Patient And Hospital Characteristics Associated With Pediatric Quality Of Inpatient Care And Pediatric Adverse Events, Michael H. Samawi

Electronic Theses and Dissertations

This study aims to analyze associations between hospital and patient characteristics with pediatric adverse events (PAE) in the inpatient hospital setting, utilizing the framework of pediatric quality indicators (PDIs) from the Agency for Healthcare Research and Quality (AHRQ) indicators. Three PDIs were identified and utilized for this purpose: NQI 03 Neonatal Blood Stream Infection, PDI 09 Postoperative Respiratory Failure, and PDI 10 Postoperative Sepsis. The data used for the study is based on an analysis of discharge data from the Healthcare Cost and Utilization Project (HCUP) Kid’s Inpatient Databases (KID) for the year 2019. The findings contribute to the growing …

Turnover, Covid-19, And Reasons For Leaving And Staying Within Governmental Public Health, Jonathan P. Leider, Gulzar H. Shah, Valerie A. Yeager, Jingjing Yin, Kusuma Madamala

Department of Biostatistics, Epidemiology, and Environmental Health Sciences Faculty Publications

Background and Objectives:

Public health workforce recruitment and retention continue to challenge public health agencies. This study aims to describe the trends in intention to leave and retire and analyze factors associated with intentions to leave and intentions to stay.

Design:

Using national-level data from the 2017 and 2021 Public Health Workforce Interests and Needs Surveys, bivariate analyses of intent to leave were conducted using a Rao-Scott adjusted chi-square and multivariate analysis using logistic regression models.

Results:

In 2021, 20% of employees planned to retire and 30% were considering leaving. In contrast, 23% of employees planned to retire and 28% …

“My Ob/Gyn Has The Worst Bedside Manner…” A Qualitative Analysis Of Patient-Provider Communication And Mental Health Outcomes Of Women In Rural Georgia, Tobi F. Oloyede

Electronic Theses and Dissertations

Despite technological advances in medicine and public health innovations, maternal mortality in the United States remains significantly higher than in other developed countries. Specifically, Georgia ranks as the second worst place to give birth in the country. Maternal mental health conditions are common, manageable complications that can happen at any point during pregnancy, childbirth, or in the first year following delivery, with 1 in 5 women affected. Unfortunately, 75% of women who experience MMH symptoms are left untreated.

This study focuses on patient-provider communication through the birthing experiences of women who have been pregnant in Georgia to examine how their …

Sheprep: Examining The Influence Of The Messaging And The Messenger Associated With Prep Uptake Among African American Women, Christian C. Spears

Electronic Theses and Dissertations

African American Women (AAW) make up less than 15% of the female population in the United States but account for over 50% of new HIV diagnoses among females. This largely preventable health disparity can be mitigated by advocating and prescribing Pre-exposure Prophylaxis (PrEP), a preventive HIV medication, to persons at risk. Despite advances in medication options, there are less than 13% of Black people who could benefit from having been prescribed PrEP, and limited research and promotion on the effectiveness of PrEP for AAW. The “ShePrEP Study” aimed to assess awareness, perceptions, and receptivity toward PrEP among AAW. This study …

Perspectives On The Use Of Molecular Hiv Data For Public Health, Margaret Watson

Electronic Theses and Dissertations

Background. Effective HIV treatment and pre-exposure prophylaxis can drastically reduce the risk of acquiring HIV and prevent most future transmission, but these advances are not accessible to many who could most benefit from them. Advances in use of molecular sequence data to inform prevention efforts, paired with supportive interventions, have the potential to identify clusters of rapid HIV transmission and focus prevention resources toward areas of highest need. Although molecular cluster detection has been successfully used in other areas of public health, advocates for people with HIV have raised concerns about the application of this approach because of HIV …