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2012

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Articles 1 - 30 of 624

Full-Text Articles in Social and Behavioral Sciences

A Haven Of Last Resort: The Consequences Of Evacuating Florida Nursing Home Residents To Nonclinical Buildings, Janelle Christensen Sep 2014

A Haven Of Last Resort: The Consequences Of Evacuating Florida Nursing Home Residents To Nonclinical Buildings, Janelle Christensen

Janelle J. Christensen

Nursing home administrators (n = 15) and directors of nursing (n = 15) who worked in nursing homes during the 2004–2005 Florida hurricane season participated in a series of 6 focus groups. The purpose of the focus groups was to explore issues faced by nursing home administrators, nurses, and residents during hurricane evacuations. A primary finding was that evacuating nursing home residents to buildings that are not designed to support nursing activities (e.g., a school gymnasium or church) adversely affected resident feeding, sleeping, movement, and security. These nonclinical buildings also presented serious occupational health concerns for nursing staff members who ...


Ethnic And Gender Differences In Psychosocial Factors In Native Hawaiian, Other Pacific Islanders, And Asian American Adults With Type 2 Diabetes, Jillian Inouye, Dongmei Li, James Davis, Richard Arakaki Dec 2012

Ethnic And Gender Differences In Psychosocial Factors In Native Hawaiian, Other Pacific Islanders, And Asian American Adults With Type 2 Diabetes, Jillian Inouye, Dongmei Li, James Davis, Richard Arakaki

Journal of Health Disparities Research and Practice

This study examined the differences between 207 Asians and Native Hawaiian, other Pacific Islanders (NHOPI) with type 2 diabetes among various psychosocial measures. Responses to five multivariable regression models including the Diabetes Quality of Life Questionnaire (DQOL) and Short Form -36® Health Survey (SF-36) were analyzed. Differences were determined by linear contrasts in the multivariate linear regression models after adjusted for multiple demographic and socioeconomic variables. Compared to Asians, NHOPIs perceived a lower impact of diabetes on their quality of life; highlighting differences in perceptions of self-efficacy and self-care activities. Females did better on their diet while males perceived better ...


Housing, The Neighborhood Environment, And Physical Activity Among Older African Americans, Lonnie Hannon Iii, Patricia Sawyer, Richard M. Allman Dec 2012

Housing, The Neighborhood Environment, And Physical Activity Among Older African Americans, Lonnie Hannon Iii, Patricia Sawyer, Richard M. Allman

Journal of Health Disparities Research and Practice

Abstract

This study examines the association of neighborhood environment, as measured by housing factors, with physical activity among older African Americans. Context is provided on the effects of structural inequality as an inhibitor of health enhancing neighborhood environments. The study population included African Americans participating in the UAB Study of Aging (n=433). Participants demonstrated the ability to walk during a baseline in-home assessment. The strength and independence of housing factors were assessed using neighborhood walking for exercise as the outcome variable. Sociodemographic data, co-morbid medical conditions, and rural/urban residence were included as independent control factors. Homeownership, occupancy, and ...


Racial Disparities In Pain Management In Primary Care, Miriam Ezenwa Dec 2012

Racial Disparities In Pain Management In Primary Care, Miriam Ezenwa

Journal of Health Disparities Research and Practice

This descriptive, cross-sectional, secondary data analysis was conducted to examine racial disparities in pain management of primary care patients with chronic nonmalignant pain using chronic opioid therapy. Data from 891 patients, including 201 African Americans and 691 Caucasians were used to test an explanatory model for these disparities. We predicted that: (1) African American patients would report worse pain management and poor quality of life (QOL) than Caucasians; (2) the association between race and pain management would be mediated by perceived discrimination relating to hopelessness; and (3) poor pain management would negatively affect QOL. Results revealed significant differences between African ...


National Longitudinal Survey Of Public Health Systems: Comparative Report Of 2012 Results, Glen Mays Dec 2012

National Longitudinal Survey Of Public Health Systems: Comparative Report Of 2012 Results, Glen Mays

Glen Mays

The third wave of the National Longitudinal Survey of Public Health Systems was fielded in 2012 in a nationally-representative cohort of local communities. The survey measures the availability of 20 recommended public health activities in the community, the range of organizations that participate in performing each activity, and the perceived effectiveness of each activity. Prior waves of the survey were fielded in 1998 and 2006. Local health officials report data for this survey and receive a customized report of results that compare data for their community with national norms and with "peer groups" of similar communities. This document provides an ...


The 'Art' Of Medicine: Building A Caring Relationship With Clients, Lisa Barkley Dec 2012

The 'Art' Of Medicine: Building A Caring Relationship With Clients, Lisa Barkley

UCF Forum

On the first day of school each year at the UCF College of Medicine, Dean Deborah German asks our incoming class of students what they think makes a “good doctor.”


An Assessment Of The Effects Of Desertification In Yobe State, Nigeria, Jibril Musa Phd Dec 2012

An Assessment Of The Effects Of Desertification In Yobe State, Nigeria, Jibril Musa Phd

Confluence Journal Environmental Studies (CJES), Kogi State University, Nigeria

Desertification is one of the most serious environmental and socio-economic problems of our time. Desertification describes circumstances of land degradation in arid, semi-arid and dry sub-humid regions resulting from the climatic variation and human activities. The fundamental goal of this thesis was to assess the effects of desertification in Yobe State, Nigeria. The present threat of desertification in the sahel has reached an alarming stage where crops cultivation and animal rearing/grazing are no more productive, soil has lost its nutrient/fertility, various infrastructure had given way because of windstorm from the neighbouring Niger Republic and sand dunes had taken ...


Self-Reported Racism, Transphobia, Their Intersection And Impact On Past-Year Hiv Related Sexual Risk Behaviour, Roxanne M. Longman Marcellin Dec 2012

Self-Reported Racism, Transphobia, Their Intersection And Impact On Past-Year Hiv Related Sexual Risk Behaviour, Roxanne M. Longman Marcellin

Electronic Thesis and Dissertation Repository

Background: Studies examining HIV prevalence and risk behaviors within trans subgroups have identified them as high risk. Yet few studies have addressed how discrimination impacts this prevalence. Minority stress theory suggests that there is a relationship between minority stress and HIV-related risk behaviour. We hypothesize that multiple minority statuses may result in discriminatory experiences, specifically self-reported transphobia and racism in synchrony with other attributes, that interact to alter past-year HIV-related risk behaviour.

Methods: Data came from the Trans PULSE project, a mixed-methods, community-based research study that used respondent-driven sampling to access 433 trans Ontarians, between May 2009 and May 2010 ...


Using Remote Sensing Data To Improve Rice Production In Kutigi, Niger State, Nigeria, Jibril Musa Phd, M B. Yunusa Dec 2012

Using Remote Sensing Data To Improve Rice Production In Kutigi, Niger State, Nigeria, Jibril Musa Phd, M B. Yunusa

Confluence Journal Environmental Studies (CJES), Kogi State University, Nigeria

This research work looked in the used of Remote Sensing to improve Agricultural production in Kutigi, Niger State. The aim of the study is to use remote sensing to improve rice farming activities in Kutigi, Niger State. It is very important to identify such methods to improve Agricultural production because experts are always interested in new researches and findings to better the standard of living in any environment. In view of this, Remotely-sensed data could be used or employed to elevate most of these agricultural problems in Kutigi through the following objectives: Using Landsat imagery to assess the present landuse ...


A Practical Scale For Multi-Faceted Organizational Health Climate Assessment, Zandra M. Zweber Dec 2012

A Practical Scale For Multi-Faceted Organizational Health Climate Assessment, Zandra M. Zweber

Master's Theses

The current study sought to develop a practical scale to measure workplace health climate in a way that has not previously been conceptualized – as a three-faceted approach from the employee perspective serving as an indicator of a healthy organization. The goal was to create a short, useable yet comprehensive scale that could translate into practical use by organizations and occupational health professionals planning workplace interventions. To accomplish this, the proposed multi-faceted organizational health climate scale (MOHCA) assesses three-facets which match up with three organizational levels: 1) organization 2) supervisor and 3) workgroup. Ten items were developed and tested on two ...


Predictors Of Repeat Chlamydia Trachomatis And/Or Neisseria Gonorrhoeae Infections Among African-American Adolescent Females, Teaniese P. Latham Davis, Andrea Swartzendruber, Jessica M. Sales, Jennifer L. Brown, Ralph J. Diclemente, Eve Rose Dec 2012

Predictors Of Repeat Chlamydia Trachomatis And/Or Neisseria Gonorrhoeae Infections Among African-American Adolescent Females, Teaniese P. Latham Davis, Andrea Swartzendruber, Jessica M. Sales, Jennifer L. Brown, Ralph J. Diclemente, Eve Rose

Morehouse Faculty Publications

Background

Young African-American women have the highest rates of Chlamydia trachomatis and Neisseria gonorrhoeae in the United States. The objective was to identify baseline predictors of repeat Chlamydia and/or gonorrhoea infections among African-American adolescent females.

Methods

Sociodemographic, psychosocial and behavioural data were collected at baseline and every 6 months for 2 years from 701 African-American females (14–20 years) enrolled in an HIV prevention trial. Vaginal swabs were self-collected at each visit and assayed for Chlamydia and gonorrhoea using DNA amplification. Among participants testing positive for Chlamydia and/or gonorrhoea at baseline, logistic regression analyses assessed baseline predictors of ...


Public Health Return On Investment: Making The Case, Glen P. Mays Dec 2012

Public Health Return On Investment: Making The Case, Glen P. Mays

Health Management and Policy Presentations

Fiscal pressures and policy imperatives have created a need for rigorous economic analyses of public health programs and policies. ROI analyses can reveal whether the benefits of public health strategies justify their costs, who realizes these benefits and costs, and under what circumstances.


Public Health Return On Investment: Making The Case, Glen Mays Dec 2012

Public Health Return On Investment: Making The Case, Glen Mays

Glen Mays

Fiscal pressures and policy imperatives have created a need for rigorous economic analyses of public health programs and policies. ROI analyses can reveal whether the benefits of public health strategies justify their costs, who realizes these benefits and costs, and under what circumstances.


Comparative Effectiveness Research And Patient Centered Outcomes Research In Public Health Settings: Design, Analysis, And Funding Considerations, Glen P. Mays Dec 2012

Comparative Effectiveness Research And Patient Centered Outcomes Research In Public Health Settings: Design, Analysis, And Funding Considerations, Glen P. Mays

Health Management and Policy Presentations

The principles and methods of CER and PCOR have developed primarily with therapeutics in mind, but they must also be applied to the study of public health programs, policies, and delivery systems. This session surveys the emerging field, and provides examples of CER/PCOR methods applied in public health settings using practice-based research networks (PBRNs).


Comparative Effectiveness Research And Patient-Centered Outcomes Research In Public Health Settings: Design, Analysis And Funding Considerations, Glen Mays Dec 2012

Comparative Effectiveness Research And Patient-Centered Outcomes Research In Public Health Settings: Design, Analysis And Funding Considerations, Glen Mays

Glen Mays

The principles and methods of CER and PCOR have developed primarily with therapeutics in mind, but they must also be applied to the study of public health programs, policies, and delivery systems. This session surveys the emerging field, and provides examples of CER/PCOR methods applied in public health settings using practice-based research networks (PBRNs).


Health & Wellness Page, Ilana A. Mesnard Dec 2012

Health & Wellness Page, Ilana A. Mesnard

Blogging the Library

Where is health on your priority list? Good health is crucial for all people, but especially for musicians (or athletes) who need their bodies in top performance shape. Musicians in the conservatory need to be aware of how to stay healthy. The purposes of the Health and Wellness Page are to promote good health, and to create awareness of reliable resources on healthy lifestyle choices as musicians. [excerpt]


Hurricane Preparedness Of Community-Dwelling Dementia Caregivers In South Florida, Janelle J. Christensen Dec 2012

Hurricane Preparedness Of Community-Dwelling Dementia Caregivers In South Florida, Janelle J. Christensen

Janelle Christensen

The aim of this dissertation is to explore how informal caregivers for people with dementia (PWD), who are community dwelling (i.e., not in nursing homes), prepare and plan for disasters. The research site is a particularly hurricane-prone region of Florida, second only to New Orleans in its vulnerability. An underlying assumption of this research is that caregivers for PWD have to plan and anticipate problems that are unique to their role. The rationale for the study described here is that disaster planning and mitigation save lives (Tengs et al. 1995), but there is little or no literature on disaster ...


"Choices" Florida's Version Of Obamacare, Jason Lamarr Wasden Dec 2012

"Choices" Florida's Version Of Obamacare, Jason Lamarr Wasden

UNLV Theses, Dissertations, Professional Papers, and Capstones

"CHOICES" Florida's version of ObamaCare was a unique case voted in by the public in Alachua County Florida. A mixed methods research design was utilized and provided context in which policy entrepreneurs operated, as well as an explanatory model of internal determinants. Social, economic and political factors were examined to determine the predictor variable in the adoption of the "CHOICES" health services program. The results revealed that voters 51 years of age and older had a greater probability of voting for the Alachua Referendum. "CHOICES" legality has not been under contention but its effectiveness has. This study found that ...


The Impact Of Health Care Reform On Hospital And Preventive Care: Evidence From Massachusetts, Jonathan T. Kolstad, Amanda E. Kowalski Dec 2012

The Impact Of Health Care Reform On Hospital And Preventive Care: Evidence From Massachusetts, Jonathan T. Kolstad, Amanda E. Kowalski

Health Care Management Papers

In April 2006, Massachusetts passed legislation aimed at achieving near-universal health insurance coverage. The key features of this legislation were a model for national health reform, passed in March 2010. The reform gives us a novel opportunity to examine the impact of expansion to near-universal coverage state-wide. Among hospital discharges in Massachusetts, we find that the reform decreased uninsurance by 36% relative to its initial level and to other states. Reform affected utilization by decreasing length of stay, and the number of inpatient admissions originating from the emergency room. When we control for patient severity, we find evidence that preventable ...


Children And Adults With Long Term Services And Support Needs: Mainecare And Medicare Expenditures And Utilization, State Fiscal Year 2010, Stuart Bratesman Mpp, Julie T. Fralich Mba, Tina Gressani, Eileen Griffin Jd Dec 2012

Children And Adults With Long Term Services And Support Needs: Mainecare And Medicare Expenditures And Utilization, State Fiscal Year 2010, Stuart Bratesman Mpp, Julie T. Fralich Mba, Tina Gressani, Eileen Griffin Jd

Disability & Aging

This report is one of a series of reports prepared by the USM Muskie School on MaineCare members who are dually eligible for MaineCare and Medicare Services. An earlier report provided a high level overview of the MaineCare and Medicare use and expenditure patterns for all members who were dually eligible in state fiscal years (SFY) 2008 to 2010. Both reports were prepared as part of the Maine State Profile Tool grant funded by the Centers for Medicare & Medicaid Services. This second report analyzes the characteristics, use and expenditure patterns of sub-populations of long term service users including adults with ...


Why Do Some Critical Access Hospitals Close Their Skilled Nursing Facility Services While Others Retain Them? [Briefing Paper], John A. Gale Ms, Zach T. Croll Ba, Andrew F. Coburn Phd, Walter R. Gregg Ma, Mph Dec 2012

Why Do Some Critical Access Hospitals Close Their Skilled Nursing Facility Services While Others Retain Them? [Briefing Paper], John A. Gale Ms, Zach T. Croll Ba, Andrew F. Coburn Phd, Walter R. Gregg Ma, Mph

Rural Hospitals (Flex Program)

Variations in reimbursement policies and swing bed use suggest that the incentives influencing the decisions of CAHs regarding their Skilled Nursing Facility (SNF) units may differ from those of urban hospitals. Based on a review of the literature and conversations with members of the Flex Monitoring Team’s Expert Work Group, we expected the financial decision regarding SNF unit operation to be more complex for CAHs than for PPS hospitals largely because the decision involves the profitability of a PPS-reimbursed SNF within a cost-based facility. In the case of the CAH, the indirect and facility costs associated with operating a ...


Evidence-Based Falls Prevention In Critical Access Hospitals, Karen B. Pearson Mlis, Ma, Andrew F. Coburn Phd Dec 2012

Evidence-Based Falls Prevention In Critical Access Hospitals, Karen B. Pearson Mlis, Ma, Andrew F. Coburn Phd

Rural Hospitals (Flex Program)

This Policy Brief is part of a series of policy briefs identifying and assessing evidence-based patient safety and quality improvement interventions appropriate for use by state Flex Programs and CAHs.Because falls are among the significant adverse events experienced in hospitals, falls prevention is a critical component of any patient safety strategy. Partnership for Patients, a public-private partnership funded by the U.S. Department of Health and Human Services, includes as one of its nine areas of focus Injuries from Falls and Immobility which are a significant cause of hospital-acquired injury. Partnership for Patients estimates that 25% of fall injuries ...


Situation Analysis Of Somalia’S 2011 Famine, Ahmed Mohamed Askar Dec 2012

Situation Analysis Of Somalia’S 2011 Famine, Ahmed Mohamed Askar

Master of Public Health Program Student Publications

This CE examined the contributing factors of famine in Somalia and developed a situation analysis of Somalia’s 2011 famine. The situational analysis was developed using health and famine indicators. Data from geographic information system (GIS) was also used to supplement analysis to look for trends and patterns of the famine. I predicted that conflict was the leading factor in Somalia’s 2011 famine. I concluded that conflict exacerbated the famine situation in the south of Somalia but in the north (Somaliland) famine was due to climate and lack of permanent rivers and water sources.


Language As A Resource For Improving Health: Using Swahili-Based Concepts In Responding To Infant Hiv, Jean Burke Dec 2012

Language As A Resource For Improving Health: Using Swahili-Based Concepts In Responding To Infant Hiv, Jean Burke

Faculty of Education and Arts Publications

This article addresses the importance of recognising how language can structure understandings and behaviour in public health. It will be demonstrated by reference to community responses to HIV transmission to infants in Central Tanzania, using Swahili words and concepts to understand behaviour around infant feeding and improved wellbeing of children and their mothers. These examples are drawn from the findings of a qualitative study conducted in Tanzania in which data analysis was guided by the grounded theory principle of using natural language, supplemented by Swahili concepts developed and used by respondents themselves once their importance for deeper understanding was realised ...


Incorporating Digital Health Literacy Into Adult Esl Education On The Us-Mexico Border, Erika Mein, Francisco Soto Mas Nov 2012

Incorporating Digital Health Literacy Into Adult Esl Education On The Us-Mexico Border, Erika Mein, Francisco Soto Mas

Francisco Soto Mas

The increasing digitization of information and communication has undoubtedly impacted the ways in which people in the United States access and interpret health information. Although the traditional emphasis of health literacy research has been the comprehension of health-related texts such as patient information forms, prescriptions, and medicine labels, the increased use of electronic means to locate health information requires more critical engagement with texts beyond basic comprehension. In accessing electronic health information, patients need to be able to navigate the vast amount of online health information and to interpret and synthesize health information across multiple sources (i.e. websites) while ...


A Human Centered Geovisualization Framework To Facilitate Visual Exploration Of Telehealth Data: A Case Study, Ashish Joshi, Chiehwen Ed Hsu Nov 2012

A Human Centered Geovisualization Framework To Facilitate Visual Exploration Of Telehealth Data: A Case Study, Ashish Joshi, Chiehwen Ed Hsu

Chiehwen Ed Hsu

Background: Public health data is typically organized by geospatial units. Routine geographic monitoring of health data enables an understanding of the spatial patterns of events in terms of causes and controls. GeoVisualization (GeoVis) allows users to see information hidden both visually and explicitly on a map. Despite the applicability of GeoVis in public health, it is still underused for visualizing public health data. Objective: The objective of this study is to conduct user analysis by examining the various kinds of users that are involved with the telehealth program, their expertise and skills and their perception towards the utilization of GeoVis ...


A Parent Focus Group To Inform Improving Access To Adolescent Reproductive Health Services And The Prevention Of Teen Pregnancy: A Community Participation Study, Dorothy Brewin, Ainat Koren, Angela L. Fortenbacher, Andrea Laskey, Melanie Priestly Nov 2012

A Parent Focus Group To Inform Improving Access To Adolescent Reproductive Health Services And The Prevention Of Teen Pregnancy: A Community Participation Study, Dorothy Brewin, Ainat Koren, Angela L. Fortenbacher, Andrea Laskey, Melanie Priestly

Community Engagement and Research Symposia

Background: In 2009, Lowell’s teen birth rate was 53 per 1,000 teens age 15-19 more than double the Massachusetts 2009 rate of 19.6. Teen births occur disproportionately to the most vulnerable teens, with racial and ethnic disparities being common.

Methods: A focus group qualitative methodology was used to capture the subjective experiences of parents of pre-teen and teen parents to explore adolescent utilization of reproductive health services and the issue of teen pregnancy. Focus group interviews (FGI) enabled the researchers to gather rich and detailed information. A diverse group of 10 women who met the selection criteria ...


Commonhealth: Mass. A National Leader In Overdose Prevention, Leo Beletsky, Alexander Walley Nov 2012

Commonhealth: Mass. A National Leader In Overdose Prevention, Leo Beletsky, Alexander Walley

Leo Beletsky

In this interview on Radio Boston, Leo Beletsky and Alexander Walley discuss their viewpoint piece, “Prevention of Fatal Opioid Overdose,” which appeared in the Nov. 14, 2012 issue of the Journal of the Medical American Association.


Data Acquisition Plan For The Public Health Multi-Network Practice And Outcome Variation (Mprove) Study, Glen Mays Nov 2012

Data Acquisition Plan For The Public Health Multi-Network Practice And Outcome Variation (Mprove) Study, Glen Mays

Glen Mays

This brief details the steps to be followed in obtaining and compiling data on the core (and optional) measures of public health service delivery for the MPROVE study. MPROVE data will need to be obtained from several different sources. Data for some measures already exist in administrative records, surveillance systems, or other sources maintained by the local and state public health agencies that participate in your PBRN. For other measures, it may be necessary to obtain data from other agencies that collaborate with the public health agencies in your PBRN. In still other cases, it may be necessary to undertake ...


Agenda: Monitoring And Protecting Groundwater During Oil And Gas Development, University Of Colorado Boulder. Natural Resources Law Center. Intermountain Oil And Gas Bmp Project, Colorado Water And Energy Research Center Nov 2012

Agenda: Monitoring And Protecting Groundwater During Oil And Gas Development, University Of Colorado Boulder. Natural Resources Law Center. Intermountain Oil And Gas Bmp Project, Colorado Water And Energy Research Center

Monitoring and Protecting Groundwater During Oil and Gas Development (November 26)

This workshop is cosponsored by the Intermountain Oil and Gas BMP Project and the Colorado Water and Energy Research Center, with financial support from the Environmentally Friendly Drilling Project and the CU-Boulder Outreach Committee.

The Colorado Oil and Gas Conservation Commission (COGCC) recently initiated a rule making process to develop new, statewide regulations for baseline sampling and monitoring of groundwater near new oil and gas wells. COGCC’s first rule making hearing was held November 14; the rule is expected to be finalized December 10. This workshop will discuss oil and gas development procedures that can impact groundwater, the current ...