Digital Commons Network^™

Relationship Between Income, Maternal And Infant Factors, And Infant Mortality Rates In African American Communities, Kristen Newman

Walden Dissertations and Doctoral Studies

Infant mortality is a significant public health issue that provides insight into the health of a community. The purpose of this study was to examine whether a relationship existed between infant mortality and median income by zip code, maternal factors, and/or infant factors in the affluent, African American community of Prince George’s County, Maryland. The research theory chosen for this study was the conceptual framework for action on the social determinants of health based upon its action-oriented focus. The secondary data used for this study was linked birth and infant death data for 2010 to 2016 collected by the Department …

Impact Of Poverty On Antibiotic Prescribing Rates In The United States Through Mediation Effects Of Underlying Health Conditions, Nato Tarkhashvili

Walden Dissertations and Doctoral Studies

Resistance to antibiotics among bacteria develops largely due to frequent use of antibiotics in human and animal medicine. Little is known about how patients’ socioeconomic factors, in conjunction with chronic health conditions, impact antibiotic prescribing rates in the United States. The research questions aimed to explore the relationship between poverty and antibiotic prescribing rates while also adjusting for confounders such as population aged ≥ 65, physician density, prevalence of obesity, diabetes, and chronic obstructive pulmonary disease (COPD). The relationships were evaluated using a quantitative, ecological study design using the ecosocial theory and mediation analysis of 2020 survey results provided by …

The Association Between Paraquat Exposure And Parkinson's Disease Mortality: A County-Level Ecological Study In The United States, Alexander Kozuch

All ETDs from UAB

Objectives: The current study reports the results of an ecological study regarding the association between PQ exposure and Parkinson’s disease mortality in the United States. Methods: The outcome of interest for this study was mortality due to Parkinson’s disease, obtained from CDC Wonder. The exposure of interest was PQ exposure at the county level which was obtained from the United States Geological Survey (USGS). Statistical analysis was done using the mortality data, grouped into ten-year age groups, and focused on data from 2015-2019 to account for the lag time between initial Paraquat exposure and Parkinson’s Disease mortality. A Negative Binomial …

Analysis Of Excess Mortality At The County Level In Alabama By Socioeconomic Factors, Abigail Jo Tucker

All ETDs from UAB

Objective: Analyze county level socioeconomic factors and their association with Covid-19 excess mortality in Alabama.Methods: Linear regression analyses were used to evaluate the association between potential risk factors assessed using the American Community survey (n = 40 counties and county clusters) and excess mortality in 2020 per 100,000 population. Excess mortality came from a previously published paper by Ackley et al. Results: Median household income (per 1,000 dollars); an average county median household income that 1,000 dollars higher was associated with 6 per 100,000 lower excess mortality (β= -5.953 p-value

Analisis Spasial Gizi Kurang Balita Di Kota Tangerang Tahun 2019, Nanthyan Khampa Usada, Kartika Sari Wanodya, Nadia Trisna

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Kekurangan gizi pada balita dapat menyebabkan kematian hal ini dikarenakan balita lebih rentan terinfeksi penyakit. Adapun penyebab tidak langsung gizi kurang yaitu ketahanan pangan di keluarga, pola pengasuhan anak, pelayanan kesehatan dan kesehatan lingkungan. Pada tahun 2018 prevalensi gizi kurang balita di Provinsi Banten sebesar 12,6%. Di kota tangerang sendiri terdapat 5.555 kasus atau 5,99% kejadian kasus gizi kurang pada balita pada tahun 2019. Penelitian ini bertujuan untuk mengetahui gambaran distribusi faktor risiko kejadian gizi kurang pada balita di Kota Tangerang tahun 2019 dengan menggunakan analisis spasial. Penelitian ini merupakan rancangan deskriptif kuantitatif dan desain studi ekologi menggunakan data sekunder …

Reproductive Health Policy Saga: Restrictive Abortion Laws In Low- And Middle-Income Countries (Lmics), Unnecessary Cause Of Maternal Mortality, Ngo Valery Ngoa, Ngambouk Vitalis Pemuntaa, Basil N. Nduma, Fokunang Estella Tembe, Mbong Sidonnie Eyambe, Keziah Ezra, Henry Che Ngwa, Emmanuel Ombugadu Sabo

Health & Biomedical Sciences Faculty Publications

Abortion is a common but controversial phenomenon globally. The discourse on the legality of abortion remains intricate, leaving a substantial number of women restricted from accessing safe abortion. There are evidence of an association between restrictive abortion laws, unsafe abortions, and maternal mortality in low-and middle-income countries (LMICs). We explore how restrictive abortion laws violate women’s right to health and bodily integrity. We used Carol Bacchi’s policy framework to analyze how restrictive abortion laws have been discursively framed (problematization); the assumptions that underpinned the representation; the consequences of the representation; what was left unproblematic; how the representation could be questioned, …

Analisis Spasial Kejadian Demam Berdarah Dengue Di Kabupaten Cirebon Tahun 2014-2018, Irwin Umi Latifah, Laila Fitria

Jurnal Nasional Kesehatan Lingkungan Global

Background. Dengue hemorrhagic fever is a arbovirus disease transmitted by Aedes sp. throughout the world including Indonesia. This disease is endemic in several regions such as West Java, one of regions is Cirebon regency whose cases are always in the region. This study aims to spatially analyze the incidence of dengue fever in Cirebon regency in 2014-2018. This study uses an ecological study design, which analyzes the population between climate variables (air temperature, relative humidity, rainfall and wind speed), population density, and larval free numbers using secondary data. Methods. This study uses graphical relationship analysis, statistical analysis that is statistical …

Pubh 8133 – Advanced Epidemiology, Yelena Tarasenko

College of Public Health: Faculty Syllabi (2014-2021)

An in-depth integration of advanced epidemiology concepts designed to reinforce epidemiological principles, as well as build a foundation for epidemiologic research in public health practice. Specific course content includes theory, methods, and applications for epidemiologic studies including random and systematic error, confounding, counterfactuals, causal inference, effect modification, internal and external validity and advanced study design. Emphasis will also be placed on choosing and performing appropriate analytic techniques necessary for biostatistical inference, including estimation and interpretation of effect measures.

A Southwestern United States Pilot Investigation Of Triatomine–Mite Prevalence, Kyndall C. Dye-Braumuller, Hanna Waltz, Mary K. Lynn, Stephen A. Klotz, Justin O. Schmidt, Alvaro Romero, Marvin Stanley Rodriguez Aquino, Jose Ricardo Palacios Valladares, Pamela Michelle Cornejo Rivas, Melissa Nolan Ph.D., Mph

Faculty Publications

An estimated 70 million persons in the Western Hemisphere are living at risk for Chagas disease, a parasitic infection transmitted to humans by over 156 different competent triatomine insect vector species. Prior Pan American Health Organization insecticide campaigns throughout Latin America in the 1990s and 2000s demonstrated that domestic insecticide spraying had temporary effects, which resulted in the re-establishment of triatomine species within a few years. Serendipitously, our team found ectoparasitic mites parasitizing triatomines collected from the field in multiple locations in the southwestern United States, where human–triatomine interaction was high but human parasite infection remains low. Upon further investigation …

The Role Of Education On Cancer Amenable Mortality Among Non-Hispanic Blacks &Amp; Non-Hispanic Whites In The United States (1989–2018), Alberto Barcelo, Linda Duffett-Leger, Maria Pastor-Valero, Juliana Pereira, Fernando A.B. Colugnati, Edward Trapido

School of Public Health Faculty Publications

Background: Cancer mortality in the U.S. has fallen in recent decades; however, individuals with lower levels of education experienced a smaller decline than more highly educated individuals. This analysis aimed to measure the influence of education lower than a high school diploma, on cancer amenable mortality among Non-Hispanic Whites (NHW) and Non-Hispanic Blacks (NHB) in the U.S. from 1989 to 2018. Methods: We analyzed data from 8.2 million death certificates of men and women who died from cancer between 1989 and 2018. We examined 5-year and calendar period intervals, as well as annual percent changes (APC). APC was adjusted for …

Why Should People Use Face Masks In The Time Of Covid? The Jri Position, Jose Bordon, Alex Glynn, Forest W. Arnold

The University of Louisville Journal of Respiratory Infections

No abstract provided.

A Silent Injustice: Air Pollution As A Contributing Factor Of Covid-19 Health Disparities, Spencer Johnson

The Yale Undergraduate Research Journal

COVID-19, the disease caused by SARS-CoV-2 has had a disproportionate impact on Black communities throughout the United States. This paper suggests that air pollution may be a factor for why Black individuals experience markedly poorer health outcomes after contracting COVID-19. It establishes that not only are Black Americans exposed to disproportionate amounts of air pollution, but also that many air pollution-related ailments are the exact ones that have been clinically proven to make COVID-19 more fatal. AV Whe UniWed SWaWeV diVcXVVeV ZhaW a ³neZ noUmal´ entails for healthcare practice and public health policy, this paper makes the case for why …

Supporting Health Literacy In Adolescent Populations: Distinguishing Pedagogies For Sun Safety Education In Schools, Donna Barwood

Research outputs 2014 to 2021

Purpose: The aim of this paper is to distinguish pedagogies supporting critical health literacy development in adolescent populations. Specifically, for sun safety education in schools.

Design/methodology/approach: The paper draws on an exploratory intrinsic case study design to qualitatively examine the learning conditions that Pre-Service Teachers' (PsTs) mobilise to advance Health Literary (HL) in learning activities.

Findings: This paper presents data that shows the different ways thirty Pre-Service Teachers (PsTs) in Western Australia conceptualise HL in sun safety education for Year 7 students (12–13 years old). Examination of three consecutive lesson plans categorised learning activities (n = 444) according to HL …

Analisis Spasial Kasus Diare Pada Balita Di Kabupaten Banyumas Tahun 2019, Dyah Nurmarastri Sasabil Sidqi, Novia Anasta, Pralampita Kori Mufidah

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Diare merupakan penyebab kematian balita terbesar kedua di seluruh dunia. Indonesia sendiri prevalensi diare untuk balita merupakan tertinggi dari seluruh kelompok umur sebesar 11,5% pada tahun 2018. Hingga tahun 2019 angka penemuan diare pada balita di Kabupaten Banyumas masih belum mencapai target yang ditentukan. Belum adanya gambaran spasial daerah yang rentan akan peningkatan kasus diare balita mempersulit upaya penemuan kasus yang penting dilakukan untuk mencegah terjadinya KLB. Tujuan penelitian ini yaitu mendeskripsikan, dan melakukan analisis spasial untuk melihat korelasi faktor risiko dengan kasus diare pada balita secara geografis melalui peta kerentanan serta menghasilkan peta buffer jangkauan pelayanan puskesmas di Kabupaten …

A Systematic Review Of The Rationale For Vaccine Hesitancy Among American Parents, Jordan Luttrell-Freeman, Timothy J. Bungum, Jennifer R. Pharr

Environmental & Global Health Faculty Research

Vaccines are one of the most successful interventions in the history of public health. They are largely responsible for the near eradication of several diseases. However, some people are vaccination averse which can lead to vaccine hesitancy. Vaccine hesitant parents are those that refuse or delay getting their children vaccinated despite the availability of vaccination services. This phenomenon often occurs despite parent’s belief that vaccines are effective. The purpose of this review was to exam available literature to identify predictors of vaccine hesitancy among parents and parental rationale for vaccine hesitancy

Sociodemographic Inequities In Nurturing Care For Early Childhood Development Across Brazilian Municipalities, Gabriela Buccini, Stefanie Eugênia Dos Anjos Coelho Kubo, Jéssica Pedroso, Juracy Bertoldo, Alberto Sironi, Marcos Ennes Barreto, Rafael Pérez-Escamilla, Sonia Isoyama Venancio, Muriel Bauermann Gubert

Environmental & Global Health Faculty Research

Providing an enabling nurturing care environment for early childhood development (ECD) that cuts across the five domains of the Nurturing Care Framework (i.e., good health, adequate nutrition, opportunities for early learning, security and safety and responsive caregiving) has become a global priority. Brazil is home to approximately 18.5 million children under 5 years of age, of which 13% are at risk of poor development due to socio-economic inequalities. We explored whether the Early Childhood Friendly Municipal Index (IMAPI) can detect inequities in nurturing care ECD environments across the 5570 Brazilian municipalities. We examined the validity of the IMAPI scores and …

The Impact Of Emergency Response Trainees During The Ebola Outbreak In Sierra Leone, 2014-2016, Abbey Whitcomb

Undergraduate Honors Theses

This research aimed to address the impact of non-health trainees as a part of the emergency health response during the Ebola outbreak within Sierra Leone. The non-health trainees, including sanitation workers within health settings, ambulance drivers, burial teams, prison officers, community engagement staff, border officers, traditional birth assistants, etc. was contrasted with individuals receiving clinical and patient-care training. The data were taken from weekly situation reports published by the Internal Organization for Migration in 2015. Using a negative binomial model, we sought to determine the incidence rate ratio of weekly cases and deaths as a result of new trainees. Trainees …

Chronic Airflow Obstruction And Ambient Particulate Air Pollution, Andre F S. Amaral, Peter G J. Burney, Jaymini Patel, Cosetta Minelli, Filip Mejza, David M. Mannino, Terence A R. Seemungal, Padukudru Anand Mahesh, Li Cher Lo, Asaad Ahmed Nafees

Community Health Sciences

Smoking is the most well-established cause of chronic airflow obstruction (CAO) but particulate air pollution and poverty have also been implicated. We regressed sex-specific prevalence of CAO from 41 Burden of Obstructive Lung Disease study sites against smoking prevalence from the same study, the gross national income per capita and the local annual mean level of ambient particulate matter (PM2.5) using negative binomial regression. The prevalence of CAO was not independently associated with PM2.5 but was strongly associated with smoking and was also associated with poverty. Strengthening tobacco control and improved understanding of the link between CAO and poverty should …

Frequency And Determinants Of Vitamin D Deficiency Among Premenopausal And Postmenopausal Women In Karachi Pakistan, Uzma Shamsi, Syed Iqbal Azam, Azra Shamsi, Dua Shamsi, David Callen

Community Health Sciences

Background: Vitamin D deficiency is becoming a serious public health problem, even in sun-drenched cities like Karachi, Pakistan. We investigated the prevalence of vitamin D deficiency and its association with sociodemographic characteristics, anthropometric measures, and lifestyle factors among premenopausal and postmenopausal women (n = 784).
Methods: Face-to-face interviews were conducted to collect information and serum concentrations of 25-hydroxyvitamin D were measured after the interviews.
Results: A total of 57% of women were vitamin D deficient with higher vitamin D deficiency found among premenopausal women (64.7%) compared to postmenopausal women (49%). The median serum concentrations of 25-hydroxyvitamin D (IQR) were 16.7 …

County-Level Factors That Influenced The Trajectory Of Covid-19 Incidence In The New York City Area, Ashley Wendell Kranjac, Dinko Kranjac

Sociology Faculty Articles and Research

More than a century of research has shown that sociodemographic conditions affect infectious disease transmission. In the late spring and early summer of 2020, reports of the effects of sociodemographic variables on the spread of COVID- 19 were used in the media with minimal scientific proof attached. With new cases of COVID-19 surging in the United States at that time, it became essential to better understand how the spread of COVID-19 was varying across all segments of the population. We used hierarchical exponential growth curve modeling techniques to examine whether community socioeconomic characteristics uniquely influence the incidence of reported COVID-19 …

Exploring Covid-19 Case Fatality In Relation To The Prevalence Of Chronic Conditions And Health Behaviors In Appalachian Kentucky, W. Jay Christian

Journal of Appalachian Health

Background: Research has demonstrated that common chronic conditions, especially those related to cardiovascular health, are important risk factors for severe COVID-19 symptoms or hospitalization. Population prevalence rates of such conditions have not previously been examined in relation to COVID-19 case fatality rates in the Central Appalachian region.

Purpose: This study examined prevalence rates of selected chronic conditions and COVID-19 case fatality rates to determine whether the relationship between them is consistent across Appalachian and non-Appalachian regions of Kentucky.

Methods: Data from Kentucky’s Behavioral Risk Factor Survey (KyBRFS) were used to calculate prevalence rates of asthma, diabetes, influenza vaccination, hypertension, obesity, …

Identifying The Cardiovascular Effects Of Multiple Pollutants., Katlyn Elizabeth Mcgraw

Electronic Theses and Dissertations

Cardiovascular disease (CVD) is the leading cause of death from environmental exposures. Although exposure to PM_2.5 is an established risk factor for CVD, the contribution of other hazardous pollutant exposure to CVD is less clear. Overall, this work aimed to examine the effect of pollutants with lesser documented effects on cardiovascular disease using a multi-pronged approach to exposure assessment. The three aims were to examine the relationship between county-level toxic chemical releases and CVD mortality in the contiguous United States between 2002 and 2012, to assess the relationship between individual-level VOC metabolites and vascular function, and to build multipollutant …

Parenting In Poor Health: Examining Associations Between Parental Health, Prescription Drug Use, And Child Maltreatment, Jennifer Price Wolf, Bridget Freisthler, Karla Shockley Mccarthy

Faculty Research, Scholarly, and Creative Activity

Rationale
Child maltreatment and problematic parenting are related to negative outcomes for children. Poor parental health could be a risk factor for problematic parenting through several mechanisms: 1) inadequate emotional regulation and coping; 2) impairment of parental capacity; and, 3) impairment of the parent-child relationship.
Objective
This study examines relationships between self-rated parental health, prescription drug use, and a broad array of negative parenting outcomes.
Methods
A sample of general population parents of children aged ten and younger was recruited from 30 mid-sized cities in California (n = 681). Weighted mixed-effects negative binomial and logistic regression models were used to …

Timing Of Term Elective Cesarean Section And Adverse Neonatal Outcomes: A Multi-Center Retrospective Cohort Study, Ayah Al Bizri, Nansi Boghossian, Anwar Nassar, Pascale Nakad, Dina Jaber, Rabih Chahine, Gaby Fallakha, Gjaotj Makhoul, Khalid Yunis

Faculty Publications

Background Rate of cesarean section (CS), including elective CS has globally increased. Studies have found that term elective CS before 39 weeks of gestation is associated with increased risk of adverse respiratory outcomes.

Objective To determine the rate of elective CS and examine the association between timing of elective term CS and adverse neonatal outcomes in a large population of Lebanese women.

Methods A Multi-Center Study was conducted using data from the National Collaborative Perinatal Neonatal Network database. Simple and multivariable logistic regression models were used to examine the association between timing of term elective CS and adverse neonatal outcomes. …

Association Of Nsaids And Acetaminophen Prescriptions During Pregnancy With Autism Spectrum Disorders In The Child, Mohiuddin Ahsanul Kabir Chowdhury

Theses and Dissertations

Neurodevelopmental disorders in children including Autism Spectrum Disorders (ASD) and Intellectual disability (ID) are the topics of growing concern and recently many studies looked for the risk factors of these disorders. Although antidepressants and antiepileptics consumption during pregnancy have been reported to be associated with ASD, the effect of NSAID or acetaminophen, two most common drugs used during pregnancy, have been under researched. We conducted a prospective cohort study linking data from Medicaid, Department of Education, and Department of Disabilities and Special Needs with birth certificate data from mothers and children between 2010-2017. Beside exposure variables, NSAID and acetaminophen, and …

Prevalence Of Liver Cirrhosis And Its Association With Obesity Among Hispanics And Mexican Americans: An Evidence Synthesis, Alexa Perlick, Abaigeal Thompson, Colton Wayne, Angel Rendon, Jose Campo Maldonado

MEDI 9331 Scholarly Activities Clinical Years

INTRODUCTION

The obesity epidemic is a growing public health concern. In addition to the already known complications and comorbidities associated with obesity, data suggest that obesity is an independent risk factor for the development of liver disease.^1,2 However, there is a paucity of data regarding the clinical correlation of obesity and cirrhosis in a predominantly Hispanic population of South Texas. The aim of this systematic literature review is to investigate the prevalence of cirrhosis stratified by obesity in Hispanic populations.

MATERIALS AND METHODS

PubMed was used to perform a thorough literature search. The terms liver cirrhosis and obesity were …

Making Change In The Nickel City: Food Banking And Food Insecurity In Buffalo, Ny During The Covid-19 Pandemic, Sarah E. Bradley

USF Tampa Graduate Theses and Dissertations

In March 2020, the coronavirus 2019 (COVID-19) pandemic began to spread across the United States. The pandemic disrupted the food system in an unprecedented fashion, exacerbating existing inequalities and contributing to increased rates of food insecurity and charitable food use. This research project considers the food system of Buffalo, New York and seeks to capture the way in which both food insecure households and the food pantries that serve them adapted to the pandemic. Using data from 75 client surveys, 52 qualitative semi-structured interviews with food pantry staff and clients, and 15 participatory GIS mapping interviews, this mixed-methods project describes …

Hubungan Antara Ruang Terbuka Hijau Dengan Prevalensi Hipertensi Di Provinsi Dki Jakarta Tahun 2018, Dwi Nutfa Liani, Laila Fitria

Jurnal Nasional Kesehatan Lingkungan Global

Background. Study about the relationship between green space with the prevalence of hypertension in DKI Jakarta is necessary to be done considering of the availability of green spaces that are less than the minimum standard, and the prevalence of hypertension that continues to increase, The increase of urbanization in DKI Jakarta provokes many problems. One of the problems is about the availability of green spaces. The availability of green spaces in DKI Jakarta is only 10% from all the areas. Besides, according to UU No. 26 Tahun 2007 Tentang Penataan Ruang, the minimum standard of green space in city is …

The Relationship Between Social Vulnerability And Covid-19 Incidence Among Louisiana Census Tracts, Erin N. Biggs, Patrick M. Maloney, Ariane L. Rung, Edward S. Peters, William T. Robinson

School of Public Health Faculty Publications

No abstract provided.

Effects Of Trained Providers And Naloxone Distribution On Prescription Opioid Use Disorder, Samuel Sarpong

Walden Dissertations and Doctoral Studies

AbstractOpioid abuse and overdose are associated with substantial morbidity and mortality rates, as well as social and economic costs. The purpose of this study was to evaluate the independent and interactive effects of state-sponsored prescription drug monitoring program (PDMP) trained healthcare providers and community-based naloxone distribution program related factors in the states of Florida and Georgia for the prevention and reduction of prescription opioid use disorder, overdose, and deaths. The research theory adopted was the socio-ecological model with an emphasis on risk factors such as age. The study used secondary data from 2014 to 2018 from the Florida and Georgia …