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The Chronic Disease Prevention Program, Ashley Northcutt 2017 University of Tennessee, Knoxville

The Chronic Disease Prevention Program, Ashley Northcutt

University of Tennessee Honors Thesis Projects

No abstract provided.


Schizophrenia And Its Effects On An American Family: A Call To Action For The 21st Century, Cynthia Newton Captain 2017 Dominican University of California

Schizophrenia And Its Effects On An American Family: A Call To Action For The 21st Century, Cynthia Newton Captain

Senior Theses and Capstone Projects

Our country’s healthcare system is at a moral crossroads. The way we treat those whom we call “the homeless” is deplorable. The majority of the homeless are mentally ill and need treatment. Our country needs to treat those with the severe brain diseases of schizophrenia, schizo-affective disorder, and bi-polar disorder just as we would Alzheimer’s disease and Parkinson’s disease. Those with severe mental illness, who have no insight into their illness, should not be allowed to dictate their own treatment. If a homeless person is brought to San Francisco General Hospital and is found to be a ...


Health Literacy And Self-Perceived Health Status Among Street Youth In Kumasi, Ghana, Padmore Adusei AMOAH, David Rosser PHILLIPS, Razak Mohammed GYASI, Adwoa Owusuaa KODUAH, Joseph EDUSEI 2017 Department of Sociology and Social Policy, Lingnan University

Health Literacy And Self-Perceived Health Status Among Street Youth In Kumasi, Ghana, Padmore Adusei Amoah, David Rosser Phillips, Razak Mohammed Gyasi, Adwoa Owusuaa Koduah, Joseph Edusei

Mr. GYASI Razak Mohammed

Street youth often have poor health. A number of studies have been commissioned across contexts to appreciate and address the problem. Conspicuously missing from extant researches about street youth in relation to their health however are those relating to health literacy. This study assesses general health literacy (GHL) and its association with self-perceived health status among street youth in Kumasi, Ghana. Two hundred and ninety street youth with an average age of 18 years (±3.1) participated in the study. The majority (78%) of street youth demonstrated limited GHL. Age, education, and acknowledging the streets as home, were significantly associated ...


Unconventional Medical Practices Among Ghanaian Students : A University-Based Survey, Razak Mohammed GYASI, Williams AGYEMANG-DUAH, Charlotte Monica MENSAH, Francis ARTHUR, Roselyn TORKORNOO, Padmore Adusei AMOAH 2017 Department of Sociology and Social Policy, Lingnan University; Kwame Nkrumah University of Science and Technology

Unconventional Medical Practices Among Ghanaian Students : A University-Based Survey, Razak Mohammed Gyasi, Williams Agyemang-Duah, Charlotte Monica Mensah, Francis Arthur, Roselyn Torkornoo, Padmore Adusei Amoah

Mr. GYASI Razak Mohammed

Research on unconventional medical practices among students has proliferated lately in the global space, hitherto, little is known explicitly in Ghana. This paper teases out insights for recent utilisation patterns of traditional medical therapies at Kwame Nkrumah University of Science and Technology (KNUST), Ghana. A sample of 754, randomly selected undergraduates were involved in a retrospective cross-sectional survey. Data were analysed using multivariate logistic regression and Pearson's χ2 test with p < 0.05 as significant. Overall prevalence of traditional therapies consumption was 89.1% in the last 12 months. Herbal-based products (67%), prayer healing (15%) and body-mind therapies (11%) were principally used and, accessed through purchases from pharmacy shops (29%) and encounter with faith healers (26%). Although students' knowledge on traditional therapies was acquired through family members (50%) and media (23%), literary materials remained significant information routes for Science related students compared to the Non-science related counterparts (p < 0.001). Pursuing Non-science-related programme [odds ratio (OR) 6.154 (95% confidence interval (CI) 3.745–10.111; p < 0.001)] and having Christian faith [OR 2.450 (95% CI 1.359–4.415; p = 0.003)] were strongly associated with students' traditional therapies use. Although students exhibited positive attitude towards unconventional therapies, there is an urgent need to ...


Do Health Beliefs Explain Traditional Medical Therapies Utilisation? Evidence From Ghana, Razak Mohammed GYASI, Felix ASANTE, Kabila ABASS, Joseph Yaw YEBOAH, Samuel ADU-GYAMFI, Padmore Adusei AMOAH 2017 Department of Sociology and Social Policy, Lingnan University

Do Health Beliefs Explain Traditional Medical Therapies Utilisation? Evidence From Ghana, Razak Mohammed Gyasi, Felix Asante, Kabila Abass, Joseph Yaw Yeboah, Samuel Adu-Gyamfi, Padmore Adusei Amoah

Mr. GYASI Razak Mohammed

Although the direct impact of health beliefs on unconventional medical therapies consumption are well documented, the previous empirical findings of the relationship have been much inconsistent and theoretically subtle in Ghana. Using social cognitive thesis, this paper examines how relative effects of personal health beliefs influence the use of traditional medicine in the Ashanti Region of Ghana. Drawing on a qualitative approach involving rural and urban peculiarities and 36 in-depth interviews, this research study adopts a posteriori inductive reduction model to derive broad- and sub-themes. Results suggest that health-seeking behaviour in Ghana is a socially negotiated process in which cultural ...


Pulled In Or Pushed Out : Understanding The Complexities Of Motivation For Alternative Therapies Use In Ghana, Razak Mohammed GYASI, Felix ASANTE, Joseph Yaw YEBOAH, Kabila ABASS, Charlotte Monica MENSAH, Lawrencia Pokuah SIAW 2017 Department of Sociology and Social Policy, Lingnan University; Kwame Nkrumah University of Science and Technology

Pulled In Or Pushed Out : Understanding The Complexities Of Motivation For Alternative Therapies Use In Ghana, Razak Mohammed Gyasi, Felix Asante, Joseph Yaw Yeboah, Kabila Abass, Charlotte Monica Mensah, Lawrencia Pokuah Siaw

Mr. GYASI Razak Mohammed

The impact of strong cultural beliefs on specific reasons for traditional medicine (TRM) use among individuals and populations has long been advanced in health care and spatio-medical literature. Yet, little has been done in Ghana and the Ashanti Region in particular to bring out the precise “pull” and “push” relative influences on TRM utilization. With a qualitative research approach involving rural and urban character, the study explored health beliefs and motivations for TRM use in Kumasi Metropolis and Sekyere South District, Ghana. The study draws on data from 36 in-depth interviews with adults, selected through theoretical sampling. We used the ...


Geographies And Traditional Therapies Utilization : A Convergence Of Health Behaviors In Rural And Urban Settings?, Padmore Adusei AMOAH, Razak Mohammed GYASI 2017 Department of Sociology and Social Policy, Lingnan University

Geographies And Traditional Therapies Utilization : A Convergence Of Health Behaviors In Rural And Urban Settings?, Padmore Adusei Amoah, Razak Mohammed Gyasi

Mr. GYASI Razak Mohammed

No abstract provided.


Frequency Of Use And Perceived Credibility Of Information Sources And Variations By Socioeconomic Factors Among Savannah River Stakeholders, Bryan L. Williams, Alex Vallei, Sylvia Brown, Michael Greenberg 2017 University of New Hampshire

Frequency Of Use And Perceived Credibility Of Information Sources And Variations By Socioeconomic Factors Among Savannah River Stakeholders, Bryan L. Williams, Alex Vallei, Sylvia Brown, Michael Greenberg

RISK: Health, Safety & Environment

The authors examine the factors effecting credibility of risk communication in the communities surrounding the Savannah River Nuclear Weapons Site.


The Role Of Public Versus Private Health Insurance In Ensuring Health Care Access & Affordability For Low-Income Rural Children, Erika Ziller PhD, Jennifer Lenardson MHS, Amanda Burgess MPPM 2017 University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center

The Role Of Public Versus Private Health Insurance In Ensuring Health Care Access & Affordability For Low-Income Rural Children, Erika Ziller Phd, Jennifer Lenardson Mhs, Amanda Burgess Mppm

Access / Insurance

Medicaid and the Children’s Health Insurance Program (CHIP) have played a critical role in ensuring access to health insurance coverage among children and have been particularly important sources of coverage for rural children. More than 35.5 million children were enrolled in Medicaid or CHIP in September 2016—accounting for just over half of total Medicaid and CHIP enrollment. Given the large proportion of rural children covered by public insurance, it is critically important to understand the role of public health insurance in ensuring access to affordable health care for rural children. Using data from the 2011-2012 National Survey ...


Need Vs. Supply Analysis Of The New Haven Public Bus System, Stan Mathis 2017 Yale University

Need Vs. Supply Analysis Of The New Haven Public Bus System, Stan Mathis

Yale Day of Data

ABSTRACT:

The aim of the study was to assess how well the public transportation system of New Haven County was matched to the public transit need using publicly available geospatial datasets from state and federal sources. Geospatial bus stop data was extracted from public State of Connecticut data sets. Census tract geography was extracted from US Census TIGER files while census tract aggregated household vehicle access data was queried from the American Community Survey data access server. A census tract’s Need was defined as percentage of households reporting access to zero vehicles; its supply was defined as the number ...


Use Of Grounded Theory In Cardiovascular Research, Patrick J. Dunn, Vasileios Margaritis, Cheryl Anderson 2017 American Heart Association

Use Of Grounded Theory In Cardiovascular Research, Patrick J. Dunn, Vasileios Margaritis, Cheryl Anderson

The Qualitative Report

While grounded theory is often cited in the qualitative literature as the methodology, there are few good examples of publications that follow the principles of grounded theory and result in an actual theory. The purpose of this paper is to demonstrate how the Corbin and Strauss (2015) method of grounded theory was used in a study looking at how patients with cardiovascular disease and diabetes develop health literacy skills that are used to manage their condition. The key principles of grounded theory include theoretical sampling, constant comparison, open, axial, and selective coding, the use of memoing, and theoretical saturation. Data ...


The Relative Value Of Measures Of Omega-3 Index, Perceived Stress, Cortisol And Sleep Time In Identifying Depression Among A Cohort Of Australian Adolescents, Ross Grant, Ayse Bilgin, Jade Guest, Margaret J. Morris, Manohar Garg, Robyn Pearce 2017 Australasian Research Institute

The Relative Value Of Measures Of Omega-3 Index, Perceived Stress, Cortisol And Sleep Time In Identifying Depression Among A Cohort Of Australian Adolescents, Ross Grant, Ayse Bilgin, Jade Guest, Margaret J. Morris, Manohar Garg, Robyn Pearce

Ross Grant

Objective: To assess the relative prognostic value of 11 variables including, omega-3, perceived stress, cortisol and sleep duration, in predicting adolescent depression. Design, Setting and Participants: A cross-sectional study of 444 healthy adolescents aged 16-18 years, from 10 schools within the Northern Sydney and Central Coast regions of New South Wales, Australia. Participants provided blood and saliva samples and completed questionnaires. Statistical classification methods were used to model the relationships between the predictors and depression. Main Outcome Measures: relative predictive value of each variable in correctly classifying depression. Results: 6% of boys and 9% of girls were categorised as experiencing ...


Suboptimal Omega-3 Levels In Australian Adolescents, Ross Grant, Jade Guest, Ayse Bilgin, Margaret J. Morris, Manohar Garg, Robyn Pearce 2017 Australasian Research Institute

Suboptimal Omega-3 Levels In Australian Adolescents, Ross Grant, Jade Guest, Ayse Bilgin, Margaret J. Morris, Manohar Garg, Robyn Pearce

Ross Grant

Design, Setting and Participants:A cross-sectional descriptive study of 251 apparently healthy adolescents (192 female, 59 male) aged 15-17 years, in year 11, from 10 schools within the Northern Sydney and Central Coast areas of New South Wales. Participants provided a morning non-fasting blood sample via finger-prick and written answers to specific demographic and lifestyle questions. Omega-3 index was calculated by adding %EPA and %DHA values in the whole blood. Equivalent erythrocyte omega-3 index values were obtained by using conversion factors (1.33 for EPA and 2.22 for DHA) from published erythrocyte/whole blood values. Main Outcome Measures: Quantitation ...


Community Engagement With Older Adults To Evaluate Interprofessional Education In Allied Healthcare Students, Scott Heinerichs, Mary Beth Gilboy, Stacie Metz, Melissa A. Reed, Barbara E. Harrison 2017 West Chester University of Pennsylvania

Community Engagement With Older Adults To Evaluate Interprofessional Education In Allied Healthcare Students, Scott Heinerichs, Mary Beth Gilboy, Stacie Metz, Melissa A. Reed, Barbara E. Harrison

Internet Journal of Allied Health Sciences and Practice

Purpose: To examine students’ perceptions of interprofessional education (IPE) as a result of their participation in a community engagement experience with older adults. Methods: Thirty-six students enrolled in the undergraduate majors of athletic training, exercise science, and nutrition participated in an 8-week fall prevention program in two community dwelling senior centers. A one-group pretest-posttest evaluation design was used to assess the IPE experience of the students. Students completed the University of the West England Interprofessional Questionnaire pre and post intervention. Results: Both pretest and posttest student self-assessments of communication and teamwork skills ranged from slightly positive to neutral (means from ...


Demographic Differences And Annual Trends In Childhood And Adolescent Cancer Incidence And Mortality In Michigan During The Period 1999-2012, Gergana Kodjebacheva, Jeremy Blankenship, Lenwood Hayman, Shan Parker 2017 University of Michigan - Flint

Demographic Differences And Annual Trends In Childhood And Adolescent Cancer Incidence And Mortality In Michigan During The Period 1999-2012, Gergana Kodjebacheva, Jeremy Blankenship, Lenwood Hayman, Shan Parker

Journal of Health Disparities Research and Practice

Background. Michigan has declining economic conditions and factories that release pollutants. During the period 1999-2012, only 10 out of 50 states had an overall cancer incidence rate that was higher than that in Michigan. It is not known how children’s cancer rates in Michigan vary by age, gender, race/ethnicity, and year as well as how these rates compare to those in the U.S.

Method: The Center for Disease Control and Prevention WONDER database obtained cancer incidence and mortality data from cancer registries and death certificates. We compared age-adjusted incidence and mortality cancer rates by gender, race/ethnicity ...


Sociocultural Risk Factors For Elevated Perceived Stress Among African American Smokers, Monica Webb Hooper, Noella A. Dietz, Joseph C. Wilson 2017 Case Western Reserve University

Sociocultural Risk Factors For Elevated Perceived Stress Among African American Smokers, Monica Webb Hooper, Noella A. Dietz, Joseph C. Wilson

Journal of Health Disparities Research and Practice

Introduction: African Americans experience unique stressors that may inhibit smoking cessation and enhance relapse rates. Few studies, however, have focused on risk factors for perceived stress among treatment seekers. Because African Americans are less likely to quit compared to the larger community, understanding factors associated with perceived stress among smokers has the potential to improve intervention outcomes. This study examined psychosocial and cultural correlates of stress in a sample of African American participants in a randomized controlled trial.

Methods: At baseline, participants reported demographic factors and completed assessments of smoking history, alcohol use, friend and household smoking, weight concerns, acculturation ...


Exploring Sexual And Behavioral Health Inequities Among College Students: A Need For Lgb-Specific Risk Reduction, Todd M. Sabato 2017 University of North Dakota

Exploring Sexual And Behavioral Health Inequities Among College Students: A Need For Lgb-Specific Risk Reduction, Todd M. Sabato

Journal of Health Disparities Research and Practice

Many studies have examined differences in sexual behavior based upon self-identified sexual orientation, with results often indicating that those with same-sex partners engage in greater risk behaviors than those with opposite sex partners. However, few of those studies consisted of large, national sample studies. To address that gap, the present study examined the relationship between sexual orientation and both behavioral and sexual health outcomes in a national sample of U.S. college students. The Fall 2012 through Spring 2014 American College Health Association National College Health Assessment was used to examine behavioral and sexual health related responses from self-identified heterosexual ...


The Effects Of Patient Characteristics On Clinician’S Adherence To Preventive Practice Guidelines, DeShana A. Collett Ph.D,PA-C, Kenneth M. Tyler Ph.D. 2017 University of Kentucky

The Effects Of Patient Characteristics On Clinician’S Adherence To Preventive Practice Guidelines, Deshana A. Collett Ph.D,Pa-C, Kenneth M. Tyler Ph.D.

Journal of Health Disparities Research and Practice

ABSTRACT

BACKGROUND: The existence of health disparities confirms that not all patients, regardless of differences in patient demographics, are provided quality healthcare (Agency of Health Care Research and Quality, 2003). Moreover, research suggests that health disparities may be present due to the inadequate delivery of medical services (S. Haist, J. Wilson, M. Lineberry, & C. Griffith, 2007; Van Ryn, Burgess, Malat, & Griffin, 2006). The differences in the delivery of care and services to ethnic minorities and those of low socioeconomic status warrant examining the role healthcare providers play in the causation of these health disparities (Smedley, Stith, & Nelson, 2003).

OBJECTIVE: The purpose of the ...


Emergency Department Utilization: A Qualitative Analysis Of Illinois Medical Home Network Patients., Crystal M. Glover, Yanina A. Purim-Shem-Tov 2017 Rush University Medical Center

Emergency Department Utilization: A Qualitative Analysis Of Illinois Medical Home Network Patients., Crystal M. Glover, Yanina A. Purim-Shem-Tov

Journal of Health Disparities Research and Practice

Background

Inappropriate emergency department (ED) use continues to plague healthcare in terms of disease management and costs. In 2012, the State of Illinois implemented Medical Home Network (MHN) where Medicaid recipients were assigned to primary care providers to, in part, reduce overreliance on EDs. However, MHN patients have continued to use EDs.

Objective

The purpose of this study is to provide a qualitative analysis of Medicaid patient-identified barriers to primary care, facilitators of emergency use, and related mental health and psychosocial factors.

Methods

Patients who presented themselves at the ED located at an urban, academic medical center participated in one-time ...


A Comparison Of Measured And Self-Reported Blood Pressure Status Among Low-Income Housing Residents In New York City, James H. Williams AB, Dustin T. Duncan ScD, Jonathan Cantor MS, Brian Elbel PhD MPH, Gbenga Ogedegbe MD MS MPH, Joseph Ravenell MD MS 2017 New York University School of Medicine

A Comparison Of Measured And Self-Reported Blood Pressure Status Among Low-Income Housing Residents In New York City, James H. Williams Ab, Dustin T. Duncan Scd, Jonathan Cantor Ms, Brian Elbel Phd Mph, Gbenga Ogedegbe Md Ms Mph, Joseph Ravenell Md Ms

Journal of Health Disparities Research and Practice

Self-report is widely used to measure hypertension prevalence in population-based studies, but there is little research comparing self-report with measured blood pressure among low-income populations. The objective of this study was to compare self-reported and measured blood pressure status among a sample of low-income housing residents in New York City (n=118). We completed a cross-sectional analysis comparing self-report with measured blood pressure status. We determined the sensitivity, specificity, and positive predictive value (PPV) of each self-report metric. Of the sample, 68.1% was Black, 71.1% had a household income under $25,000/year, and 28.5% did not ...


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