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Explaining And Improving Breast Cancer Information Acquisition Among African-American Women In The Deep South, Charkarra Anderson-Lewis, Levi Ross, Jarrett Johnson, Janice Hastrup, Lee Green, Connie L. Kohler 2012 University of Southern Mississippi

Explaining And Improving Breast Cancer Information Acquisition Among African-American Women In The Deep South, Charkarra Anderson-Lewis, Levi Ross, Jarrett Johnson, Janice Hastrup, Lee Green, Connie L. Kohler

Levi Ross

Objectives: A major challenge facing contemporary cancer educators is how to optimize the dissemination of breast cancer prevention and control information to African American women in the Deep South who are believed to be cancer free. The purpose of this research was to provide insight into the breast cancer information-acquisition experiences of African American women in Alabama and Mississippi and to make recommendations on ways to better reach members of this high-risk, underserved population.

Methods: Focus group methodology was used in a repeated, cross-sectional research design with 64 African American women, 35 years old or older who lived in one ...


Family Camp Impacts On Family Functioning, Barry A. Garst, Sarah Baughman, Nancy K. Franz Dr., Richard W. Seidel 2012 Virginia Tech

Family Camp Impacts On Family Functioning, Barry A. Garst, Sarah Baughman, Nancy K. Franz Dr., Richard W. Seidel

Extension and Outreach Research and Scholarship

Families are a foundational structure of society that play a critical role in the health and well-being of communities. Every aspect of the American family is experiencing change, including the number of adults who marry, the number of households that are formed by married people, the number of children that are conceived, and the number of non-family households (Nock, 2005). Considering these trends, programming to strengthen family relationships is particularly relevant and urgent. Research suggests that family camps — typically a residential multi-day camp experience designed for children and family members — can play a role in enhancing family functioning (Agate & Covey ...


Health Disparities Experienced By People With Disabilities In The United States: A Behavioral Risk Factor Surveillance System Study, Jennifer Renee Pharr, Timothy J. Bungum 2012 University of Nevada, Las Vegas

Health Disparities Experienced By People With Disabilities In The United States: A Behavioral Risk Factor Surveillance System Study, Jennifer Renee Pharr, Timothy J. Bungum

Public Health Faculty Publications

The Americans with Disabilities Act became law in 1990; since then research has shown that people with disabilities continue to experience barriers to health care. The purpose of this study was to compare utilization of preventive services, chronic disease rates, and engagement in health risk behaviors of participants with differing severities of disabilities to those without disabilities. This study was a secondary analysis of 2010 data collected in the Behavioral Risk Factor Surveillance System national survey in the United States. Rao Chi square test and logistic regression were employed. Participants with disabilities had significantly higher adjusted odds ratios for all ...


Learning Public Health Through Civic Issues, Kathleen FitzPatrick 2012 Merrimack College

Learning Public Health Through Civic Issues, Kathleen Fitzpatrick

Health Sciences Faculty Publications

This course is organized around current challenging health issues, such as mandatory immunization, childhood obesity, health insurance, tobacco control, etc. Activities included issues-focused debates, lecture and video presentations, case study discussions, and guest speakers. Students completed fifteen hours of community-based service learning, many in the Lawrence Math-Science Partnership, an outreach program in which undergraduates work on after-school STEM enrichment activities with middle-school students. Several activities complemented the course issues, allowing college students to make connections between course theory and community needs, while engaging middle-school students in important public health concepts. The SENCER-SALG assessment (N=189/192 (98%) of enrolled students ...


Vocational Health Schools (Etsus) In Brazil: Regulation Of The Integration Of Teaching-Service-Administrative Sustainability Of Etsus, Fabiano Tonaco Borges, Cléa Ada Saliba Garbin, Carlos Eduardo Siqueira, Artênio Jósé Crispin Garbin, Najara Barbosa da Rocha, Luíz Fernando Lolli, Suzely Adas Saliba Moimaz 2012 University of Massachusetts Boston

Vocational Health Schools (Etsus) In Brazil: Regulation Of The Integration Of Teaching-Service-Administrative Sustainability Of Etsus, Fabiano Tonaco Borges, Cléa Ada Saliba Garbin, Carlos Eduardo Siqueira, Artênio Jósé Crispin Garbin, Najara Barbosa Da Rocha, Luíz Fernando Lolli, Suzely Adas Saliba Moimaz

C. Eduardo Siqueira

The scope of this study was to discuss the administrative sustainability of Brazil’s Vo- cational Health Schools (ETSUS) based on the principle of teaching and service integration, which brings a new dimension to healthcare work as yet unregulated by Brazilian public adminis- tration. It was a qualitative study using case study methodology. The research involved a semi-struc- tured questionnaire given to ETSUS managers addressing institutional, administrative, and work management aspects. The sample was composed of 6 ETSUS that belong to the Network of Vocational Health Schools (RET-SUS). The ETSUS showed centralized planning and management, and decentralized implementation of their ...


Anatomia Da Privatização Neoliberal Do Sistema Único De Saúde: O Papel Das Organizações Sociais De Saúde, Fabiano Tonaco Borges, Suzely Abas Saliba Moimaz, Carlos Eduardo Siqueira, Cléa Abas Saliba Garbin 2012 University of Massachusetts Boston

Anatomia Da Privatização Neoliberal Do Sistema Único De Saúde: O Papel Das Organizações Sociais De Saúde, Fabiano Tonaco Borges, Suzely Abas Saliba Moimaz, Carlos Eduardo Siqueira, Cléa Abas Saliba Garbin

C. Eduardo Siqueira

O objetivo da elaboração desta obra foi dissecar as partes

que compõem o processo de privatização do Sistema Único de Saúde (SUS). Para isto, utilizou-se, metaforicamente, o termo anatomia para descrever as estruturas do corpo chamado privatização do SUS. Importante ressaltar que o termo público se

sobressai em todo o texto numa referência ao povo, termo mais apropriado do que estatal na contraposição à coisa particular, de domínio privado.

Partiu-se do princípio que a dependência externa dos países em desenvolvimento propicia condições para a exportação do modelo privado de saúde a partir dos países desenvolvidos, em particular, os Estados Unidos ...


Role Of Community Health Workers In Improving Diabetes Outcomes, Janet Kegley, Helen Collett, Ralph Fugate 2012 Universtiy of Kentucky

Role Of Community Health Workers In Improving Diabetes Outcomes, Janet Kegley, Helen Collett, Ralph Fugate

Center of Excellence in Rural Health Presentations

Objective Examine the effectiveness of using community health workers (CHWs) to support nurse-led diabetes self-management education (DSME) with medically underserved clients.

Methods A pretest-posttest group design was used. A sample of 640 was non-randomly drawn from eastern Kentucky Homeplace division clients who reported that they had been told by a health professional they have type-2 diabetes. The sample size for was reduced to 489 because of a decrease in project funding. Inclusion criteria for the study were Kentucky Homeplace clients 18-65+ years of age who reported they had been told by a provider they have diabetes. Clients meeting inclusion criteria ...


What Is A Healthy Community?, Denise Tanata Ashby, Jennifer Pharr 2012 Lincy Institute

What Is A Healthy Community?, Denise Tanata Ashby, Jennifer Pharr

Lincy Institute Reports and Briefs

The health of a community is dependent not only upon the genetics of its residents, but also upon the environment within which those individuals live. A person’s health is a product of their environment. As such, a healthy community is one in which all residents have access to a quality education, safe and healthy homes, adequate employment, transportation, physical activity, and nutrition, in addition to quality health care. Unhealthy communities lead to chronic disease, such as cancers, diabetes, and heart disease. The health of our communities is critical to the growth and development of our region. To build healthy ...


Ethics Of Clear Health Communication: Applying The Clean Look Approach To Communicate Biobanking Information For Cancer Research, Alexis Koskan, Mariana Arevalo, Gwen Quinn, Shalwea Noel-Thomas, John S. Luque, Kristen Wells, Cathy Meade, Clement K. Gwede 2012 Moffitt Cancer Center

Ethics Of Clear Health Communication: Applying The Clean Look Approach To Communicate Biobanking Information For Cancer Research, Alexis Koskan, Mariana Arevalo, Gwen Quinn, Shalwea Noel-Thomas, John S. Luque, Kristen Wells, Cathy Meade, Clement K. Gwede

Community Health Faculty Publications

Cancer innovations, such as biobanking technologies, are continuously evolving to improve our understanding and knowledge about cancer prevention and treatment modalities. However, the public receives little communication about biobanking and is often unaware about this innovation until asked to donate biospecimens. It is the researchers’ ethical duty to provide clear communications about biobanking and biospecimen research. Such information allows the public to understand biobanking processes and facilitates informed decision making about biospecimen donation. The aims of this paper are 1) to examine the importance of clear communication as an ethical imperative when conveying information about cancer innovations and 2) to ...


The Impact Of Unemployment On Mental And Physical Health, Access To Health Care And Health Risk Behaviors, Jennifer Renee Pharr, Sheniz Moonie, Timothy J. Bungum 2012 University of Nevada, Las Vegas

The Impact Of Unemployment On Mental And Physical Health, Access To Health Care And Health Risk Behaviors, Jennifer Renee Pharr, Sheniz Moonie, Timothy J. Bungum

Public Health Faculty Publications

The purpose of this study was to examine the impact of employment status and unemployment duration on perceived health, access to health care, and health risk behaviors. Data from Nevada's 2009 Behavioral Risk Factor Surveillance System (BRFSS) were analyzed. We compared participants who were unemployed (greater than and less than one year) to those who were employed and those who were voluntarily out of the labor force (OLF). Unemployed participants had significantly worse perceived mental health profiles, were more likely to delay health care services due to cost, and were less likely to have access to health care than ...


Risk Factors For Homelessness Among Community Mental Health Patients With Severe Mental Illness, Rupert Talmage van Wormer 2012 Portland State University

Risk Factors For Homelessness Among Community Mental Health Patients With Severe Mental Illness, Rupert Talmage Van Wormer

Dissertations and Theses

The purpose of this study was to identify risk factors associated with homelessness, assess the relationship between housing status and consumption of costly publicly funded resources, to identify characteristics associated with service retention, and to evaluate whether length of treatment is associated with better outcomes. The target population was homeless and formerly homeless adults with SMI enrolled in community mental health services at the Downtown Emergency Service Center SAGE mental health program located in Seattle. The sample consisted of 380 SAGE patients who had continuous enrollment in 2005. These patients formed the cohort for the study. Agency records for these ...


Replication Of The Community Mobilization For Postabortion Care (Commpac) Model In Naivasha District, Rift Valley Province, Kenya: An Evaluation Report, Chi-Chi Undie, Francis Obare, Saumya RamaRao 2012 Population Council

Replication Of The Community Mobilization For Postabortion Care (Commpac) Model In Naivasha District, Rift Valley Province, Kenya: An Evaluation Report, Chi-Chi Undie, Francis Obare, Saumya Ramarao

Reproductive Health

The Population Council’s RESPOND project worked with districts and communities in Kenya to: strengthen service delivery points to provide postabortion care (PAC) services; conduct community mobilization to improve involvement in and knowledge of the prevention and treatment of postabortion complications; build community capacity to address needs related to PAC; and encourage involvement in community action of those most marginalized and most affected by postabortion complications. The program succeeded at increasing knowledge of critical danger signs; enabling providers to effectively offer PAC services; and raising awareness of PAC, among other goals. The intervention was less successful in increasing FP knowledge ...


Health Effects Associated With Foreclosure: A Secondary Analysis Of Hospital Discharge Data, Nancy N. Menzel, Sheniz Moonie, Melva Thompson-Robinson 2012 University of Nevada, Las Vegas

Health Effects Associated With Foreclosure: A Secondary Analysis Of Hospital Discharge Data, Nancy N. Menzel, Sheniz Moonie, Melva Thompson-Robinson

Environmental & Occupational Health Faculty Publications

Objectives: The purpose of this study was to assess the health effects of high home foreclosure rates in an area of the United States of America and the utility of hospital discharge data for this purpose.

Methods: We analyzed hospital discharge data from three postal zip codes using the principal diagnosis for 25 Diagnostic Related Groups associated with stress. Descriptive statistics were used to characterize hospital discharge rates for each condition by year and zip code. To test for differences across time, the Cochran-Armitage trend test was performed.

Results: Most conditions did not demonstrate a statistical change between 2005 and ...


Formative Research On Perceptions Of Biobanking: What Community Members Think, John S. Luque, Gwendolyn P. Quinn, Francisco A. Montel-Ishino, Mariana Arevalo, Shalanda A. Bynum, Shalewa Noel-Thomas, Kristen J. Wells, Clement K. Gwede, Cathy D. Meade, Tampa Bay Community Cancer Network Partners 2012 Georgia Southern University

Formative Research On Perceptions Of Biobanking: What Community Members Think, John S. Luque, Gwendolyn P. Quinn, Francisco A. Montel-Ishino, Mariana Arevalo, Shalanda A. Bynum, Shalewa Noel-Thomas, Kristen J. Wells, Clement K. Gwede, Cathy D. Meade, Tampa Bay Community Cancer Network Partners

Community Health Faculty Publications

Preparing healthy community members with timely communications prior to engaging them in a request to donate biospecimens promises to improve the experience of biobanking participation. To this end, a qualitative study was conducted to assess community member knowledge, attitudes, beliefs, and informational needs about cancer-related biospecimen collection in a large metropolitan area in southwest Florida. The study utilized purposive sampling techniques to recruit a total of 95 participants to participate in 12 focus groups, segmented by race/ethnicity and language preference (mixed race, African American only, and Spanish speaking) and age (18–29, 30–54, and 55 and older). Focus ...


Refinement Of An Educational Toolkit To Promote Cervical Cancer Screening Among Hispanic Farmworker Women In Southeast Georgia, Lisa C. Watson-Johnson, Jigar Bhagatwala, Claudia Reyes-Garcia, Andrea Hinojosa, Mondi Mason, Cathy Meade, John S. Luque 2012 Georgia Southern University

Refinement Of An Educational Toolkit To Promote Cervical Cancer Screening Among Hispanic Farmworker Women In Southeast Georgia, Lisa C. Watson-Johnson, Jigar Bhagatwala, Claudia Reyes-Garcia, Andrea Hinojosa, Mondi Mason, Cathy Meade, John S. Luque

Community Health Faculty Publications

Cervical cancer incidence and mortality continue to affect Hispanic women in the U.S. disproportionately. Our project sought to refine a cervical cancer intervention designed for use by community health workers, or promotoras, in rural southern Georgia. We collaborated with Hispanicpromotoras to refine a Spanish language educational flipchart featuring cervical cancer topic areas for use in screening promotion.


Creating A Patient Navigation Model To Address Cervical Cancer Disparities In A Rural Hispanic Farmworker Community, Kristen Wells, Maria Rivera, Sara Proctor, Gloria Arroyo, Shalanda Bynum, Gwendolyn Quinn, John S. Luque, Marlene Rivera, Dinorah Martinez-Tyson, Cathy Meade 2012 University of South Florida Morsani College of Medicine

Creating A Patient Navigation Model To Address Cervical Cancer Disparities In A Rural Hispanic Farmworker Community, Kristen Wells, Maria Rivera, Sara Proctor, Gloria Arroyo, Shalanda Bynum, Gwendolyn Quinn, John S. Luque, Marlene Rivera, Dinorah Martinez-Tyson, Cathy Meade

Community Health Faculty Publications

This report describes the implementation of a pilot patient navigation (PN) program created to address cervical cancer disparities in a predominantly Hispanic agricultural community. Since November 2009, a patient navigator has provided services to patients of Catholic Mobile Medical Services (CMMS). The PN program has resulted in the need for additional clinic sessions to accommodate the demand for preventive care at CMMS.


Formative Research On Hpv Vaccine Acceptability With Latina Farmworkers, John S. Luque, Heide Castañeda, Dinorah Martinez Tyson, Natalia Vargas, Meade 2012 Georgia Southern University

Formative Research On Hpv Vaccine Acceptability With Latina Farmworkers, John S. Luque, Heide Castañeda, Dinorah Martinez Tyson, Natalia Vargas, Meade

Community Health Faculty Publications

The purpose of this study was to identify the barriers and benefits to human papillomavirus (HPV) vaccination in a low-income, Latina farmworker population in central Florida. This study reports on formative qualitative research conducted on perceptions of benefits, barriers, costs, place, and promotion related to the HPV vaccine from surveys and interviews with a sample of 46 low-income, Latina farm workers and 19 health care workers serving this population. It was found that Latina farmworkers hold many misperceptions about the HPV vaccine and the potential links between HPV infection and cervical cancer. In addition, it was observed that HPV vaccination ...


The Influence Of Federally Qualified Health Centers On Selected Ambulatory Care Sensitive Conditions In Georgia, Mary W. King Mathis 2012 Georgia Southern University

The Influence Of Federally Qualified Health Centers On Selected Ambulatory Care Sensitive Conditions In Georgia, Mary W. King Mathis

Electronic Theses and Dissertations

Author's Abstract: Ambulatory care sensitive conditions (ACSCs) resulting in hospitalizations make up a substantial proportion of health care costs, but should not because these conditions are manageable in quality primary care settings that promote prevention in an effort to avoid exacerbations that can lead to hospitalization. The use of emergency departments (EDs) as a safety net for ACSCs has increased the burden on hospitals because patients who do not regularly utilize primary care often resort to the use of EDs for treatment of ACSCs. Federally qualified health centers (FQHCs) are designed to provide consistent, high-quality primary care to all ...


Umass Worcester Prevention Research Center Annual Report 2012, UMass Worcester Prevention Research Center 2012 University of Massachusetts Medical School

Umass Worcester Prevention Research Center Annual Report 2012, Umass Worcester Prevention Research Center

UMass Worcester PRC Publications

Second annual report of the UMass Worcester Prevention Research Center.


Critical Issues For Integrating Srh And Hiv/Aids Services To Provide Dual Protection Against Unintended Pregnancy And Hiv/Sti Acquisition, Population Council 2012 Population Council

Critical Issues For Integrating Srh And Hiv/Aids Services To Provide Dual Protection Against Unintended Pregnancy And Hiv/Sti Acquisition, Population Council

Reproductive Health

This document reports on a one-day symposium that was held by the STEP UP (Strengthening Evidence for Programming on Unintended Pregnancy) Research Program Consortium, coordinated by the Population Council. STEP UP generates policy-relevant research to promote an evidence-based approach for improving access to family planning and safe abortion in Bangladesh, Ghana, India, Kenya, and Senegal. The symposium’s objectives were to review and discuss critical and emerging issues around integrating SRH and HIV and AIDS services to enable dual protection, including new directions in dual protection technology and behaviour change interventions. The meeting also provided an opportunity to discuss the ...


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