Digital Commons Network^™

An Assessment Of Sexual And Gender Based Violence In Wajir District, North Eastern Kenya, Gladys K. Mwangi, Guyo W. Jaldesa

Reproductive Health

A 2006 baseline survey conducted by CARE Kenya indicated that sexual and gender-based violence (SGBV) is widespread throughout Kenya’s North Eastern Province. Other findings revealed that high levels of stigma and gender imbalances are associated with sexual violence and female genital mutilation (FGM) and that a coordinated approach to responding to the service needs of survivors is missing. As noted in this report, there is limited awareness of the legal mechanisms available to survivors. The Population Council’s study in Wajir District ascertained the need for and possible components of an integrated and comprehensive services model that could meet the needs …

Sample Size Calculation For Finding Unseen Species, Hongmei Zhang, Hal Stern

Faculty Publications

Estimation of the number of species extant in a geographic region has been discussed in the statistical literature for more than sixty years. The focus of this work is on the use of pilot data to design future studies in this context. A Dirichlet-multinomial probability model for species frequency data is used to obtain a posterior distribution on the number of species and to learn about the distribution of species frequencies. A geometric distribution is proposed as the prior distribution for the number of species. Simulations demonstrate that this prior distribution can handle a wide range of species frequency distributions …

Antibiotics, Herbs, And Magic: Health Practices In Contemporary St. Petersburg, Christine Shu

Honors Theses

In St. Petersburg, Russia, two seemingly conflicting health doctrines, western medicine and alternative medicine, play significant roles in residents' health culture. I define alternative medicine as all health practices that use such natural products as herbs, natural honey, water, seeds, berries, and even animal products, and as such unobtrusive body therapies as acupuncture, massage, yoga, or animal therapies. I define western medicine as all treatments that involve the manipulation of ingredients in a chemistry laboratory (such as antibiotics, antiviral drugs, antihistamines. or pain killers) and all body therapies intrusive to the body (such as operations). Through interviews with St. Petersburg …

Increasing Referrals For Services Through Collaboration With Community Agencies, Benjamin Mohr

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of the project is to investigate how a non-profit organization can collaborate better with other agencies to increase referrals for services. Research was conducted to determine the best avenue of increasing utilization of services in southeast Minnesota by strategic planning. A survey was conducted of 15 southeast Minnesota counties to conduct a SWOT analysis of 3 key services offered by Family Focus that are currently underutilized. Information was compiled in order to support a more comprehensive marketing plan to build relationships with county agencies and increase awareness and use of the services provided by the agency. Recommendations and …

Elevated Corticotropin-Releasing Hormone In Human Pregnancy Increases The Risk Of Postpartum Depressive Symptoms, Ilona S. Yim, Laura M. Glynn, Christine Dunkel Schetter, Calvin J. Hobel, Aleksandra Chicz-Demet, Curt A. Sandman

Psychology Faculty Articles and Research

Postpartum depression (PPD) is common and has serious implications for the mother and her newborn. A possible link between placental corticotropin-releasing hormone (pCRH) and PPD incidence has been discussed, but there is a lack of empirical evidence.

Parental Attitudes Of Human Papillomavirus Vaccination Of Adolescent Girls In Alabama, Allison G. Litton

All ETDs from UAB

Human papillomavirus is the most common sexually transmitted infection in the United States. This study examined racial and socio-demographic differences between African Americans and non-Hispanic Whites in Alabama regarding HPV vaccine acceptability. This cross sectional study employed a statewide survey of Alabama parents using a random digit dial phone method conducted through the Survey Research Unit at UAB. Participants were female caregivers of adolescent girls between the ages of 10-14 years. The final sample size was 403. Analyses included descriptive statistics, cross tabulations and odds ratios to assess race/ethnicity and other subgroup differences and logistic regression of intention to vaccinate …

Impact Of Health Care Coverage And Other Socio-Demographic Variables On The Follow-Up Of Cervical Cancer Screening Among Colombian Women, Isabel Cristina Garces-Palacio

All ETDs from UAB

In Colombia, cervical cancer is the most common cancer among women with incidence (36.4/100,000) and mortality rates (18/100,000) much higher than those of the U.S. (7.7 and 2.3 respectively). About 70% of the Colombian population has health care coverage (HCC) through the subsidized regime (SR) which serves the poorest persons and the contributory regime (CR) which serves the working population. Our goal was to determine the role that HCC plays in cervical cancer screening follow-up among Colombian women. A population-based cross-sectional study of 24,717 women between the ages of 18 and 49, using the 2005 Demographic and Health Survey was …

Non-Shared Familial Environment As A Determinant Of Discordant Patterns Of Disordered Eating Behaviors Among Sibling Pairs In A Family, Suparna Bagchi

All ETDs from UAB

Worldwide 15-40% of adolescents practice Disordered Eating Behavior (DEB). This study examined DEB development and the role of 1) shared familial factors among sibling pairs; and 2) non-shared familial experiences among discordant sibling pairs adjusted for individual and shared familial factors. The "National Longitudinal Study of Adolescent Health" data on 3274 adolescents were analyzed. The sample contained: twins (n=952), full siblings (n=1434), half siblings (n=418), and biologically not-related siblings (n=470). Multivariable regression analysis examined familial factors associated with DEB in the overall sample and sibling pair types. Adolescents engaging in DEB (~16%) were more likely to be white females with …

Theoretical Context Of A Common Reproductive Health Behavior: Vaginal Douching Among A National Sample Of Young Adult Women, Disa Cornish

All ETDs from UAB

Current research suggests that up to 75% of American women have engaged in vaginal douching during their lives. Prevalence of the behavior is disproportionately high among minority women (especially African American) and women of low SES. Two bodies of research present conflicting results regarding the benefits or risks to reproductive health that are posed by vaginal douching, although the majority of research on this topic suggests that douching is associated with negative health outcomes. Although studies have suggested prevalence rates, behavioral correlates, and biological associations of vaginal douching, very few studies have used behavioral theory when examining the practice. The …

Evaluation Of A Community-Based Cervical Cancer Education Program On Perceptions And Knowledge Of Screening Among Low-Income Hispanic Women, Claudia S. Lozano

Open Access Theses & Dissertations

Cervical cancer affects Hispanic women disproportionately in comparison to their non-Hispanic white counterparts. In 2004, the incidence rate was 12.2 per 100,000 persons among Hispanic women compared to 7.5 per 100,000 among non-Hispanic white women (U.S. Cancer Statistics Working Group, 2007). Although this form of cancer is easily diagnosed through recommended screening tests, Hispanic women are often less likely to get screened (U.S. Department of Health and Human Services, 2000). Research based on the Health Belief Model (HBM) examining attitudes and beliefs about cervical cancer and screening among Hispanic women has demonstrated that non-compliance with Pap smear screening was attributed …

Project L.E.A.N.: An After-School Health And Exercise Project For Elementary School Children In El Paso, Texas, Hendrik De Heer

Open Access Theses & Dissertations

INTRODUCTION: After-school activities provide valuable opportunities for health promotion activities that do not interfere with the regular school day, especially in minority populations with higher rates of obesity and type 2 diabetes. The current study is an evaluation of an after-school health education and physical activity program conducted in nine elementary schools in 2008 in El Paso, Texas. METHODS: The intervention consisted of a 10-12 week (twice a week) after school program consisting of a pilot (with two experimental schools) and main intervention (six schools each including a control and experimental group). The main outcome variables were Body Mass Index, …

Characteristics Of Children Attending Asthma Camp -- American Lung Association (Ala) In Nevada, 2008, Priyank Shetty

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study is based on data provided by American Lung Association (ALA) on the children participating in summer asthma camp in Las Vegas and Reno, Nevada. 56 children participated in the camp in 2008. Universal Health History Form was used which is a comprehensive form to be filled out by parent and physician. Pre-test and Post-test Asthma forms were used to ascertain asthma knowledge before and after the camp.

The purpose of this study was to assess the trigger knowledge of the camp attendees and the measure of agreement between Physician and Parent report of child's asthma severity. In Nevada, …

The Role Of Resilience And Purpose In Life In Habituation To Heat And Cold Pain, Bruce W. Smith, Erin M. Tooley

Arts & Sciences Faculty Publications

This study examined the role of resilience in habituation to heat and cold pain in healthy women (n = 47). Heat and cold pain thresholds were each assessed across 5 equally spaced trials. Re- silience, purpose in life, optimism, social support, and neuroticism were assessed using self-report measures. The hypothesis was that the resilience and the associated resilience factors would be pos- itively related to habituation to heat and cold pain while controlling for neuroticism. Multilevel mod- eling was used to test the hypothesis. When considering each characteristic separately, resilience and purpose in life predicted greater habituation to heat pain …

Validation Of Inverse Seasonal Peak Mortality In Medieval Plagues, Including The Black Death, In Comparison To Modern Yersinia Pestis-Variant Diseases, Mark R. Welford, Brian H. Bossak

Earth, Environment & Sustainability: Faculty Publications

Background: Recent studies have noted myriad qualitative and quantitative inconsistencies between the medieval Black Death (and subsequent ‘‘plagues’’) and modern empirical Y. pestis plague data, most of which is derived from the Indian and Chinese plague outbreaks of A.D. 1900615 years. Previous works have noted apparent differences in seasonal mortality peaks during Black Death outbreaks versus peaks of bubonic and pneumonic plagues attributed to Y. pestis infection, but have not provided spatiotemporal statistical support. Our objective here was to validate individual observations of this seasonal discrepancy in peak mortality between historical epidemics and modern empirical data.

Methodology/Principal Findings: …

An Effective Alcohol Prevention Program In Kent County, Michigan, Donald Tex Bryant

Michigan Journal of Public Health

Over a two year period the “Making Sobriety Attractive” program directed by Alert Labs has significantly decreased the use of alcohol and marijuana at a high school in Kent County, Michigan. The program uses an environmental approach by placing posters with messages that correct students’ misperceptions of alcohol and drug use at their school with the correct data about the actual use of these substances. The figures for the actual use are drawn from an annual survey of the students. As students begin to accept the messages about the actual use of illegal substances, their own use declines as they …

Test Of A Multidisciplinary Health Behavior Model Of Medicare Elders' Antihypertensive Acquisitions, Ann Marie Kopitzke

Health Services Research Dissertations

This study examined the relative utility of the enhanced Health Belief Model as compared to the proposed Pharmaceutical Acquisition Model for Medicare Elders (PAMME) in describing antihypertensive acquisition with usage intentions for Medicare elders (65 years or older) in Southeastern Virginia. Data collection included record reviews to identify hypertensive Medicare elders. Consenting Medicare elders were randomly selected for invitation, with consenting Medicare elders contacted by telephone or in-person interviews. The survey instrument utilized open and closed ended questions. The target population for this study is Southeastern Virginia Medicare elders enrolled in a Part D plan and prescribed at least one …

Recent High School Graduates Knowledge About Physical Activity Guidelines And Disease Related To Sedentary Lifestyle, Soojin Yoo

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study examined recent high school graduates' knowledge about physical activity (PA) guidelines and disease related to sedentary lifestyle. Using a cross-sectional descriptive design, focus was on assessing knowledge performance and relating it to gender, ethnicity, PA behavior, and conceptualizations about high school health education (HE) and physical education (PE). Study participants were 394 recent high school graduates between the ages of 18-20 years of age. Participants completed a questionnaire designed to measure knowledge about PA guidelines and disease associated with sedentary lifestyle. In addition, the questionnaire also comprised items designed to capture demographical information and provide some information about …

Trends In Asthma Health Care Utilization At University Medical Center (Umc) Of Southern Nevada In Las Vegas, 2000-2007, Aishia Tennille Henderson

UNLV Theses, Dissertations, Professional Papers, and Capstones

Lifetime asthma prevalence is the physician diagnosis of asthma while current asthma prevalence is the existing asthma symptoms. In Nevada, the pediatric current and lifetime asthma prevalence rates were 7.1% and 11.8% in 2006. Similarly, the adult current and lifetime asthma prevalence rates were 6.9% and 13.4% in 2007.

Characterization studies examining trends of asthma health care utilization for children and adults are not well studied for Las Vegas, Nevada. This project determined if trends in asthma admissions at UMC hospital of Southern Nevada in Las Vegas have increased longitudinally across years and characterizes which demographic subgroups are disproportionately affected …

Implications For Nursing Practice: Delivering The Folic Acid Message, Kimberly Townsend Little

UNLV Theses, Dissertations, Professional Papers, and Capstones

In 1995, North Carolina (NC) had one of the highest prevalence rates of neural tube defects (NTDs) in the United States. Since the NC Folic Acid Council began focusing their efforts on educating women of childbearing age regarding NTDs in 1994, the prevalence of NTDs has declined overall by 40%; however, NTD prevalence among Hispanics in NC continues to be double the rate of non-Hispanics. Research has found daily consumption of a multivitamin with folic acid significantly decreases NTDs. Healthy People 2010 include in their objectives the need to increase folic acid consumption in women and reduce the NTD rates. …

An Evaluation Of Lead Hazards In Pre-1978 Residental Housing Within Clark County, Nevada, Usa, Erika Raquel Torres

UNLV Theses, Dissertations, Professional Papers, and Capstones

Lead poisoning remains a public health concern due to leads persistence in the environment from anthropogenic uses. Initial efforts to address the impacts of lead on vulnerable communities have included secondary prevention measures which typically occur after a child has been poisoned. However, in recent years there has been a pragmatic shift toward primary prevention efforts.

This study evaluates lead hazards identified through primary prevention activities in residential housing within Clark County, Nevada, USA. It is the first study to systematically address and evaluate pre-1978 housing in Southern Nevada. Risk assessments were conducted in 81 dwellings built prior to 1979 …

Disease In The Desert: Las Vegas As A Case Study Of How First Responders And Emergency Managers Understand Novel Threats To Human Health And Plan To Respond During Biological Emergencies, Monique Williamson

UNLV Theses, Dissertations, Professional Papers, and Capstones

Over recent years it has become clear that technological advancements, globalization, and ecological change, combined with the onset of increased terrorist incidents, are all currently working to create an extremely hazardous environment in terms of pathogenic invasion. Realizing that infectious diseases are both newly emerging and re-emerging in many parts of the world, the question of how prepared an expansive United States will be in the face of an oncoming global pandemic is easily raised. Using Las Vegas as an example of just how unequipped a largely visited U.S. city may be in the face of such a situation, this …

Health Belief Model Of Breast Cancer Screening For Female College Students, Kirsten M. Frankenfield

Master's Theses and Doctoral Dissertations

No abstract provided.

Maturation Of The Human Fetal Startle Response: Evidence For Sex-Specific Maturation Of The Human Fetus, Claudia Buss, Elyssia Poggi Davis, Quetzal A. Class, Matt Gierczak, Carol Pattillo, Laura M. Glynn, Curt A. Sandman

Psychology Faculty Articles and Research

Despite the evidence for early fetal experience exerting programming influences on later neurological development and health risk, very few prospective studies of human fetal behavior have been reported. In a prospective longitudinal study, fetal nervous system maturation was serially assessed by monitoring fetal heart rate (FHR) responses to vibroacoustic stimulation (VAS) in 191 maternal/fetal dyads. Responses were not detected at 26 weeks gestational age (GA). Sex-specific, age-characteristic changes in the FHR response to VAS were observed by 31 weeks' GA. Males showed larger responses and continued to exhibit maturational changes until 37 weeks'GA, females however, presented with a mature FHR …

Promoting Breast Cancer Screening Among Chinese American Women Through Young Children's Theatrical Performance, Angela Sun

Walden Dissertations and Doctoral Studies

Research has revealed that underutilization of breast cancer screening by ethnic minorities often is related to language difficulties and cultural values and beliefs about cancer. The problem addressed in this secondary data analysis was the late diagnosis of breast cancer in the Chinese immigrant community. The purpose of the quasi-experimental study was to test the efficacy of a theatrical preschool performance, guided by the diffusion of innovation theory, in educating Chinese American women about breast cancer detection. The research questions sought to determine whether the performance increased the participants' knowledge of breast cancer screening guidelines and whether country of origin, …

The Lived Experience Of Hiv-Positive Tanzanian Orphans, Carol A. Parker

Walden Dissertations and Doctoral Studies

The purpose of this investigation was to generate a context- specific model of the lived experience of HIV positive Tanzanian orphans. With the advent of anti-retroviral drugs, Sub-Saharan African populations with high burdens of human immunodeficiency virus (HIV) face annually accumulating increases in the number of HIV positive children, and ultimately adults. Perinatally infected, these children often become orphans while still young. Extended interviews were performed with a purposive sample of 12 HIV infected orphaned children between 9 and 12 years of age. Half of the research participants lived in an orphanage and half were children living with guardians in …

The Association Of Dust Events With Asthma Exacerbation In The U.S.-Mexico Border Children: A Pilot Study, Monika Gaytan

Open Access Theses & Dissertations

Background. Asthma is one of the most prevalent chronic pediatric illnesses in the U.S. and a major cause of childhood disability, hospitalization, and missed schooldays. Air pollution is one of a number of known environmental triggers known to exacerbate pediatric asthma. Emerging evidence also suggests that exposure to dust aerosols associated with dust storm events may trigger asthmatic symptoms. The Paso del Norte (PDN) region is the single most dust-prone major metropolitan area in the U.S., averaging 14.5 major dust events/yr. The annual peak in dust event activity occurs during March to May where there is a 42% chance of …

The Influence Of Familism On Descriptive And Injunctive Norms In Predicting The Intention To Eat A Vegetarian Diet Among Chinese Seventh-Day Adventists, See Wei Toh

Loma Linda University Electronic Theses, Dissertations & Projects

According to the theory of planned behavior (TpB), one determinant of intention to engage in a behavior is the subjective norm. Various studies have found that subjective norm is often the weaker predictor of intention compared to perceived behavioral control and attitude. This study examined whether familism (emphasis on the family rather than the individual) would contribute positively to the predictive power of the TpB model through interactions with the family portion of descriptive and injunctive norms. Descriptive and injunctive norms are component variables of the subjective norm. A sample of 284 adult Chinese Seventh-day Adventists 18 years and older …

Provision Of Health Care Services In Canada: Challenges And Opportunities, Rosa Rodriguez-Monguio, Enrique Seoane-Vazquez, Fernando Antoñanzas Villar

Pharmacy Faculty Articles and Research

The Canadian health care system provides comprehensive coverage of hospital and outpatient care, including therapeutic, diagnostic and preventive services. The level of coverage of services varies across the country. This study examines the key characteristics of the Canadian health and long-term care systems; presents a structured analysis of the insurance, financing and provision of health and long-term care services in Canada; describes the main challenges of the Canadian health and long-term care systems; and concludes with feasible opportunities for the Canadian health policy.

Main challenges to the Canadian system are related to population ageing; prevalence of avoidable diseases caused by …

Reduced Neutrophil Count In People Of African Descent Is Due To A Regulatory Variant In The Duffy Antigen Receptor For Chemokines Gene, Arti Tandon, Wen-Chi Hsueh, Ching-Yu Cheng, Josef Coresh, Eric Boerwinkle, Man Li, Alicja Waliszewska, Julie Neubauer, Rongling Li, Tennille S. Leak, Lynette Ekunwe, Joe C. Files, Cheryl L. Hardy, Joseph M. Zmuda, Herman A. Taylor, Elad Ziv, Tamara B. Harris, James G. Wilson

Faculty, Staff and Student Publications

Persistently low white blood cell count (WBC) and neutrophil count is a well-described phenomenon in persons of African ancestry, whose etiology remains unknown. We recently used admixture mapping to identify an approximately 1-megabase region on chromosome 1, where ancestry status (African or European) almost entirely accounted for the difference in WBC between African Americans and European Americans. to identify the specific genetic change responsible for this association, we analyzed genotype and phenotype data from 6,005 African Americans from the Jackson Heart Study (JHS), the Health, Aging and Body Composition (Health ABC) Study, and the Atherosclerosis Risk in Communities (ARIC) Study. …

An Analysis Of Current Healthcare Proposals: Obama And Mccain, Dan Terrell

Honors Projects in Economics

The healthcare system of the U.S. is broken. The next opportunity for overwhelming healthcare system reform will be when the next president takes office. This paper analyzes the 2008 presidential election candidates McCain and Obama healthcare proposals through a look at key players in the current healthcare system (government, pharmaceuticals, doctors, hospitals, and health insurance companies) and the affects of implementing such a plan. The presidential plans are presented side by side. Projected outcomes of the changes offered by Obama will be an increased role of the government and decreased power of the health insurance companies while increasing coverage. The …