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Weight Gain Prevention In The School Worksite Setting: Results Of A Multi-Level Cluster Randomized Trial, Stephenie C. Lemon, Monica L. Wang, Nicole M. Wedick, Barbara Estabrook, Susan Druker, Kristin L. Schneider, Wenjun Li, Lori Pbert 2016 University of Massachusetts Medical School

Weight Gain Prevention In The School Worksite Setting: Results Of A Multi-Level Cluster Randomized Trial, Stephenie C. Lemon, Monica L. Wang, Nicole M. Wedick, Barbara Estabrook, Susan Druker, Kristin L. Schneider, Wenjun Li, Lori Pbert

Barbara Estabrook

OBJECTIVE: To describe the effectiveness, reach and implementation of a weight gain prevention intervention among public school employees.

METHOD: A multi-level intervention was tested in a cluster randomized trial among 782 employees in 12 central Massachusetts public high schools from 2009 to 2012. The intervention targeted the nutrition and physical activity environment and policies, the social environment and individual knowledge, attitudes and skills. The intervention was compared to a materials only condition. The primary outcome measures were change in weight and body mass index (BMI) at 24-month follow-up. Implementation of physical environment, policy and social environment strategies at the school ...


Have You Counted The Ingredients On Your Child's Lunch Tray?: An Economic Analysis Of Sustainability Initiatives Within The School Lunch Program, Vanessa R. Scalora 2016 Ursinus College

Have You Counted The Ingredients On Your Child's Lunch Tray?: An Economic Analysis Of Sustainability Initiatives Within The School Lunch Program, Vanessa R. Scalora

Business and Economics Summer Fellows

In 2010, President Obama signed the Healthy Hunger Free Kids Act, establishing a monetary incentive for schools that served meals following a more rigorous nutritional requirement than standard guidelines. This act is a step in the right direction towards placing more importance on school lunches, however America’s lunchroom practices continue to be environmentally unsustainable, and students absorb this message. The production and transportation of processed cafeteria food contributes to climate change, its packaging is polluting, and its consumption contributes to obesity. The use of premade foods and sales from vending machines increase as lunch times grow ever shorter. In ...


Development Of A Capacity Building Program For Village Health Volunteers To Support Self-Management In A High Risk Population For Diabetes In A Rural Community In Northeast Thailand, Pakinee Srisarakham, Kwanjai Amnatsatsue, Patcharaporn Kerdmongkol, Prasit Leerapan 2016 Mahidol University, Thailand

Development Of A Capacity Building Program For Village Health Volunteers To Support Self-Management In A High Risk Population For Diabetes In A Rural Community In Northeast Thailand, Pakinee Srisarakham, Kwanjai Amnatsatsue, Patcharaporn Kerdmongkol, Prasit Leerapan

Asian/Pacific Island Nursing Journal

Similar to other parts of the world, the prevalence of type 2 diabetes mellitus (T2DM) in the Asia-Pacific Region has rapidly increased during the last few decades. The purposes of this pilot study were to determine the feasibility and the effects of a capacity building program for Village Health Volunteers (VHVs) to support self-management in a T2DM high risk population from a rural subdistrict in Northeast Thailand. Both quantitative and qualitative data were collected using surveys, focus group discussions, and in-depth interviews. Data were analyzed and used to develop a 12-week capacity building program for VHVs. This program was then ...


The Crisis Of Opiates In Appalachia, James B. Becker MD 2016 Joan C. Edwards School of Medicine Marshall

The Crisis Of Opiates In Appalachia, James B. Becker Md

James Becker

No abstract provided.


The Effect Of Maternal Employment On Child Obesity, Bezawit T. Agiro 2016 Western Michigan University

The Effect Of Maternal Employment On Child Obesity, Bezawit T. Agiro

International Journal of African Development

Abstract

Obesity has been a major concern for the United States and most other industrialized countries over the past few decades. More than one third of children and adolescents in the United States are obese or overweight. Child obesity is of particular interest because overweight children are more likely to be overweight as adults, and such adults are exposed to various diseases. During the same period that witnessed an increase in child obesity, an important change that occurred was the increase in maternal employment. This study is an attempt to analyze the relationship between maternal employment and child obesity. This ...


International Trade Effects Of Regional Economic Integration In Africa: The Case Of The Southern African Development Community (Sadc), Mengesha Yayo, Sisay Asefa 2016 Addis Ababa Science and Technology University

International Trade Effects Of Regional Economic Integration In Africa: The Case Of The Southern African Development Community (Sadc), Mengesha Yayo, Sisay Asefa

International Journal of African Development

Empirical studies on regional economic integration process in Africa exhibit sluggish progress, and there by limited level of intra-trade. The existing literature in Africa, particularly in the Southern African regional integration bloc, has neglected the effects of regional economic integration dealing with disaggregated data. This study analyzes trade creation and diversion effects of the Southern African Development Community (SADC) using disaggregated data. The investigation estimates an augmented gravity model using panel data and random effect estimator methods applying instrumental variables where needed.

The results show that intra-SADC trade is growing in the fuel and minerals and the heavy manufacturing sectors ...


Aboriginal Homelessness: A Framework For Best Practice In The Context Of Structural Violence, Nelly D. Oelke, Wilfreda E. Thurston, David Turner 2016 University of British Columbia, Okanagan

Aboriginal Homelessness: A Framework For Best Practice In The Context Of Structural Violence, Nelly D. Oelke, Wilfreda E. Thurston, David Turner

The International Indigenous Policy Journal

Homelessness among Indigenous peoples is an important issue in Canada and internationally. Research was conducted in seven metropolitan areas in the four western provinces of Canada to explore current services with the aim of developing a best practices framework to end homelessness for Aboriginal peoples. Sequential mixed methods were used. Key results found agreement that Aboriginal peoples were overrepresented among the homeless and policy determined the approach to and comprehensiveness of services provided. Funding, lack of time, and lack of resources were highlighted as issues. Gaps identified included a lack of partnership, cross-cultural collaboration, cultural safety, and evaluation and research ...


Injury-Related Infant Deaths: A State Analysis Of A Public Health, Health Care, Policy Network, Sharla Smith, Xi Zhu, Mary Aitken 2016 University of Kansas Medical Center

Injury-Related Infant Deaths: A State Analysis Of A Public Health, Health Care, Policy Network, Sharla Smith, Xi Zhu, Mary Aitken

Frontiers in Public Health Services and Systems Research

Introduction: This research examines a state-level public health, health care, and policy network focused on efforts to reduce unintentional childhood injuries. The network is composed of 12 organizations: four public health, four health care, and four policy.

Methods: A 23-item survey was administered to the 12 organizations between January and June 2015. Analyses were conducted using HyperResearch and UCInet 6.

Results: More organizations worked together on assessment and planning efforts that identify and quantify the nature of at-risk infants in the community and strategies for reducing injury-related infant deaths. The Injury Prevention Center, the most central organization, interacted most frequently ...


A Tool To Cost Environmental Health Services In North Carolina Local Health Departments, Nancy L. Winterbauer, Simone Singh, Ashley Tucker, Lisa M. Harrison 2016 East Carolina University

A Tool To Cost Environmental Health Services In North Carolina Local Health Departments, Nancy L. Winterbauer, Simone Singh, Ashley Tucker, Lisa M. Harrison

Frontiers in Public Health Services and Systems Research

Introduction: The cost of providing a basic set of public health services necessary not been well-described. Recent work suggests public health practitioners are unlikely to have the empirically-based financing information necessary to make informed decisions regarding practice. The purpose of this paper is to describe the development of a costing tool used to collect primary data on the number of services provided, staff employed, and costs incurred for two types of mandated environmental health services: food and lodging inspections and onsite water services.

Methods: The tool was iteratively reviewed, revised, and piloted with local health department (LHD) environmental health and ...


Physical Activity Among Older American Indians And Alaska Natives, David Hodgins, Linda Larkey, Barbara E. Ainsworth, Colleen Keller 2016 College of Nursing and Health Innovation, Arizona State University

Physical Activity Among Older American Indians And Alaska Natives, David Hodgins, Linda Larkey, Barbara E. Ainsworth, Colleen Keller

Journal of Health Disparities Research and Practice

Introduction: Life style behaviors contribute to poor health among older Americans Indians/Alaska Native (AI/AN) in the United States, with low levels of physical activity (PA) particularly tied to the chronic disease profile of this population. Searched reviews of physical activity among AI/ANs are limited in assessing prevalence and correlates to PA among older adults > 40 years.

Methods: A literature search of reported physical activity studies among older AI/AN was assessed for prevalence and predictive factors associated with levels of physical activity.

Results: Fourteen studies were included in this review that either specifically quantified the amount of ...


Blood Pressure Control For African American Parents And Children: Feasibility And Initial Outcomes Of A Faith-Based Intervention Pilot Study, Penny A. Ralston Ph.D., Tammye Farmer M.S., Iris Young-Clark Ph.D., Catherine Coccia Ph.D., R.D. 2016 Florida State University

Blood Pressure Control For African American Parents And Children: Feasibility And Initial Outcomes Of A Faith-Based Intervention Pilot Study, Penny A. Ralston Ph.D., Tammye Farmer M.S., Iris Young-Clark Ph.D., Catherine Coccia Ph.D., R.D.

Journal of Health Disparities Research and Practice

The overall purpose was to determine the feasibility and initial outcomes of a faith-based intervention to improve blood pressure (BP) control in African American (AA) parents/guardians and their children, using a pre/post without control group design. Sample included AA parents and children (n=17) from three churches in North Florida. Health behaviors (daily servings of fruits/vegetables [F/V], minutes of physical activity [PA]) and physical health (BMI, systolic BP and diastolic SB) were examined. Data were analyzed using descriptive statistics, paired t-tests, and correlations. Feasibility outcomes showed high attendance (91% children, 88% parents) and completion (100%) rates ...


United States Health Care Reform Progress To Date And Next Steps, Barack H. Obama 2016 The White House

United States Health Care Reform Progress To Date And Next Steps, Barack H. Obama

Public Health Resources

IMPORTANCE The Affordable Care Act is the most important health care legislation enacted in the United States since the creation of Medicare and Medicaid in 1965. The law implemented comprehensive reforms designed to improve the accessibility, affordability, and quality of health care.

OBJECTIVES To review the factors influencing the decision to pursue health reform, summarize evidence on the effects of the law to date, recommend actions that could improve the health care system, and identify general lessons for public policy from the Affordable Care Act.

EVIDENCE Analysis of publicly available data, data obtained from government agencies, and published research findings ...


Is Housing Making People Sick?: An Overview Of Seven Studies That Raise Questions To Consider As We Incorporate Health Into Planning And Build New Housing To Address Shortages And Energy Efficiency, Merilee D. Karr 2016 Portland State University

Is Housing Making People Sick?: An Overview Of Seven Studies That Raise Questions To Consider As We Incorporate Health Into Planning And Build New Housing To Address Shortages And Energy Efficiency, Merilee D. Karr

Metroscape

The article discusses the unintended consequences of some of the strategies for housing energy efficiency: they can lead to indoor air pollution that is making people sick. As we pursue ways to reduce the cost of housing, we must pursue innovation in building materials and techniques that might reduce the negative health consequences of sealing our homes from the elements.


Responsible Consumption Of Gambling: Results From A Survey Of Experts, Nerilee Hing, Alex M.T. Russell 2016 Southern Cross University

Responsible Consumption Of Gambling: Results From A Survey Of Experts, Nerilee Hing, Alex M.T. Russell

International Conference on Gambling and Risk Taking

Consumers are now advised to “gamble responsibly” and to adopt a range of responsible gambling (RG) consumption strategies, such as setting time and expenditure limits, taking frequent breaks, and balancing gambling with other activities. However, it is unclear whether RG consumption strategies are aimed at non-problem and low-risk gamblers as a harm prevention strategy, higher-risk gamblers as a harm minimization strategy, or problem gamblers as a means to address their gambling problem. Indeed, conceptual developments in RG consumption are in their infancy and agreed definitions, principles, goals and behaviors are lacking.

This paper presents findings from an expert survey conducted ...


Ethnicity Matters: Implications For Understanding And Acting Upon Disparities In Health Affecting Black Men In The United States, Helen V. S. Cole 2016 Graduate Center, City University of New York

Ethnicity Matters: Implications For Understanding And Acting Upon Disparities In Health Affecting Black Men In The United States, Helen V. S. Cole

All Graduate Works by Year: Dissertations, Theses, and Capstone Projects

Compared to non-Hispanic whites, non-Hispanic blacks have higher rates of mortality from heart disease, cancer, cardiovascular disease, and HIV/AIDS. Black men have a life expectancy approximately 4.7 years than the life expectancy of non-Hispanic white men, due in part to higher prevalence of chronic disease among black men. Many factors are hypothesized to contribute to disparities in health between races, including differences in socioeconomic status; culturally-linked behaviors such as diet, substance use, and physical activity; access to quality healthcare and other resources; and experiences of racism, both institutional and interpersonal. However, in public health research, race is usually ...


Prep Advocacy Project: Increasing The Adoption Of Pre-­Exposure Prophylaxis (Prep) In San Luis Obispo County, Leona Rajaee 2016 California Polytechnic State University, San Luis Obispo

Prep Advocacy Project: Increasing The Adoption Of Pre-­Exposure Prophylaxis (Prep) In San Luis Obispo County, Leona Rajaee

Journalism

The following study investigates the need for Pre­exposure Prophylaxis (PrEP) in San Luis Obispo (SLO) County in order to develop an effective health outreach and advocacy program that could increase the adoption of PrEP treatment and in turn decrease new HIV transmissions in the community studied. The sponsor of this study is the Access Support Network (ASN), a non­profit organization that provides supportive services for individuals living with HIV/AIDS. ASN launched this study after observing the effectiveness of PrEP in metropolitan cities. At the same time, ASN also noticed a rise in new HIV transmissions, particularly among ...


Chhs June 2016 Icymi, Dr. John Bonaguro, VaShon S. Wells, editor, College of Health and Human Services 2016 Western Kentucky University

Chhs June 2016 Icymi, Dr. John Bonaguro, Vashon S. Wells, Editor, College Of Health And Human Services

College of Health & Human Services Publications

No abstract provided.


The Expert Advice: Dental Patient Compliance Hinges On Effective Communication Strategies, Diana V. Macri 2016 CUNY Hostos Community College

The Expert Advice: Dental Patient Compliance Hinges On Effective Communication Strategies, Diana V. Macri

Publications and Research

Most dental hygienists would agree that motivating patients to adopt good oral health behaviors-often referred to as compliance-is the most challenging aspect of practice. This critical component of patient care is not unique to dentistry and dental hygiene. In 2010, the costs of health care in the United States exceeded $2.7 trillion with "between $100 and $300 billion of avoidable health-care costs [attributable] to nonadherence in the US annually."1 Nonadherence (a term used in the medical literature, which is synonymous with noncompliance) is associated with progression of disease and, subsequently, poor health outcomes resulting in an additional burden ...


Putting Prep Into Practice: Lessons Learned From Early-Adopting U.S. Providers' Firsthand Experiences Providing Hiv Pre-Exposure Prophylaxis And Associated Care, S. K. Calabrese, Manya Magnus, K. H. Mayer, D. S. Krakower, A. I. Eldahan, L. A. Gaston Hawkins, +5 additional authors 2016 George Washington University

Putting Prep Into Practice: Lessons Learned From Early-Adopting U.S. Providers' Firsthand Experiences Providing Hiv Pre-Exposure Prophylaxis And Associated Care, S. K. Calabrese, Manya Magnus, K. H. Mayer, D. S. Krakower, A. I. Eldahan, L. A. Gaston Hawkins, +5 Additional Authors

Epidemiology and Biostatistics Faculty Publications

Optimizing access to HIV pre-exposure prophylaxis (PrEP), an evidence-based HIV prevention resource, requires expanding healthcare providers' adoption of PrEP into clinical practice. This qualitative study explored PrEP providers' firsthand experiences relative to six commonly-cited barriers to prescription-financial coverage, implementation logistics, eligibility determination, adherence concerns, side effects, and anticipated behavior change (risk compensation)-as well as their recommendations for training PrEP-inexperienced providers. U.S.-based PrEP providers were recruited via direct outreach and referral from colleagues and other participants (2014-2015). One-on-one interviews were conducted in person or by phone, transcribed, and analyzed. The sample (n = 18) primarily practiced in the Northeastern ...


Calcium Phosphate As A Key Material For Socially Responsible Tissue Engineering, Vuk Uskoković, Victoria M. Wu 2016 Chapman University

Calcium Phosphate As A Key Material For Socially Responsible Tissue Engineering, Vuk Uskoković, Victoria M. Wu

Pharmacy Faculty Articles and Research

Socially responsible technologies are designed while taking into consideration the socioeconomic, geopolitical and environmental limitations of regions in which they will be implemented. In the medical context, this involves making therapeutic platforms more accessible and affordable to patients in poor regions of the world wherein a given disease is endemic. This often necessitates going against the reigning trend of making therapeutic nanoparticles ever more structurally complex and expensive. However, studies aimed at simplifying materials and formulations while maintaining the functionality and therapeutic response of their more complex counterparts seldom provoke a significant interest in the scientific community. In this review ...


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