Digital Commons Network^™

Examination Of Urinary Pesticide Concentrations, Protective Behaviors, And Risk Perceptions Among Latino And Latina Farmworkers In Southwestern Idaho, Carly Hyland, Alejandra Hernandez, Éric Gaudreau, Jessica Larose, Jean-François Bienvenu, Lisa Meierotto, Rebecca L. Som Castellano, Cynthia L. Curl

Public and Population Health Faculty Publications and Presentations

Introduction: Studies have documented high levels of pesticide exposure among men farmworkers; however, few have examined exposures or the experiences of women farmworkers. Data gaps also exist regarding farmworkers’ perceived risk and control related to pesticides, information that is critical to develop protective interventions.

Objective: We aimed to compare urinary pesticide biomarker concentrations between Latino and Latina farmworkers and examine associations with occupational characteristics, risk perceptions, perceived control, and protective behaviors.

Methods: We enrolled a convenience sample of 62 farmworkers (30 men and 32 women) during the pesticide spray season from April–July 2022 in southwestern Idaho. Participants were asked to …

Developmental Profile Of Filipino Children Born During The Sars-Cov-2 Pandemic: Pilot Study, Angel Belle Dy, Michelle Alexandra Edillon, Mikhaela Francesca Marietta A. Malonzo, Glenda Darlene Garcia, Alane Blythe C. Dy, Clarisse Joyce S. Espiritu, Ma Bianca Carmela Aquino, Shannen Louise T. So, Nina Linly D. Capulong, Rizza Victoria C. Dagal, Lourdes Bernadette Tanchanco

Ateneo School of Medicine and Public Health Publications

Objective

The Philippines experienced one of the longest restriction periods during the COVID-19 pandemic. This study aimed to provide a developmental profile of 18-25 month-old children and identify factors associated with their development during their early years being born and raised during the pandemic.

Methods

The study population was recruited through convenience sampling among families living in proximity to the daycare centers in Cainta, Rizal, Philippines. 116 children qualified to participate and underwent developmental screening using the Early Childhood Care and Development (ECCD) Checklist and their parents were interviewed related to demographic and social factors.

Results

The mean score of …

Pathways To Hypertension Control: Unfinished Journeys Of Low-Income Individuals In Malaysia And The Philippines, Benjamin Palafox, Dina Balabanova, Arianna Maever Loreche, Nafiza Mat-Nasir, Farnaza Ariffin, Mazapuspavina Md-Yasin, Mohamad Rodi Isa, Fadhlina Abd-Majid, Lia M. Palileo-Villanueva, Alicia Renedo, Maureen L. Seguin, Antonio L. Dans, Martin Mckee

Ateneo School of Medicine and Public Health Publications

Background

Reducing inequities in hypertension control among those affected in low- and middle-income countries requires person-centred health system responses based on a contextualised understanding of the choices and care pathways taken by those who rely on the services provided, particularly those from poor and marginalised communities. We examine patterns of care seeking and pathways followed by individuals with hypertension from low-income households in the Philippines and Malaysia. This study aims to fill a significant gap in the literature by analysing the stages at which individuals make decisions that may affect the successful control of their blood pressure.

Methods

This study …

Identifying Youth Appeals In Alcohol Alternative Social Media Content Through Framing, Melina Oneal

West Chester University Master’s Theses

Proposed regulations for alcohol advertising prevent beverage companies from targeting people under the legal drinking age. However, similar regulations for alcohol alternative beverages are less explored, which could allow alcohol alternative products to create awareness for alcoholic beverages among youth. Alcohol alternatives beverages, including no-alcohol and low-alcohol products, are increasing in popularity and can function as compliments to alcoholic products to decrease the total alcohol volume consumed or as substitutes for alcoholic products. Framing theory can be operationalized through the Content Appealing to Youth Index, an index of content elements found in research literature to be appealing to youth, to …

Participatory Training On Health Literacy To Improve Body Composition Among Female Overweight And Obese-High School Students, Phatthalung Province, Thailand : A Quasi Experimental Study, Chamaiporn Thongphet

Chulalongkorn University Theses and Dissertations (Chula ETD)

Children and adolescents aged 5-19 over 340 million were overweight and obese, the prevalence has risen dramatically. Overweight and obesity are linked to more deaths worldwide than underweight. Using health literacy-focused strategies, the intervention was robust in achieving reductions for participants of varying health literacy status. This study aimed to evaluate the effect of “Participatory Training Health Literacy” on reducing risk behavior and improving body composition among the female overweight and obese high school students, Phatthalung province, Thailand. The study design was 2 designs including cross-sectional study (n=572) design and quasi- experimental research (intervention=36 and control=31). The assessment had conducted …

Cross-Sectional Analysis Of Primary Care Clinics' Policies, Practices, And Availability Of Patient Support Services During The Covid-19 Pandemic, Kendra Ratnapradipa, Runqiu Wang, Josiane Kabayundo, Walter Marquez Lavenant, Eleanore Nelson, Muskan Ahuja, Ying Zhang, Hongmei Wang

Journal Articles: Epidemiology

BACKGROUND: Healthcare accessibility and utilization are important social determinants of health. Lack of access to healthcare, including missed or no-show appointments, can have negative health effects and be costly to patients and providers. Various office-based approaches and community partnerships can address patient access barriers.

OBJECTIVES: (1) To understand provider perceptions of patient barriers; (2) to describe the policies and practices used to address late or missed appointments, and (3) to evaluate access to patient support services, both in-clinic and with community partners.

METHODS: Mailed cross-sectional survey with online response option, sent to all Nebraska primary care clinics (n = 577) …

Inclusive Integration Of Refugees And Migrants In Djibouti's National Healthcare System: Current Situation And Prospects For Improvement, Farhan Houssein Ali, Njah Mansour, Kenza Hassouni

Health Sciences

Cet examen narratif vise à décrire et synthétiser les données actuelles sur la situation des migrants et des réfugiés à Djibouti, ainsi que les progrès de la stratégie d'intégration inclusive mise en œuvre par le gouvernement djiboutien. Il s'appuie sur diverses sources, notamment la littérature grise et les publications scientifiques. Les résultats indiquent que le nombre de migrants et de réfugiés est en augmentation constante depuis 2019, avec un état de santé vulnérable et des risques sanitaires alarmants. Il est urgent d'accélérer la mise en œuvre de la stratégie tout en l'adaptant aux données actuelles et d'établir un système fiable …

Health And Lifestyle Behavioral Changes To Prevent Myocardial Infarction (Mi): Mixed Methods Approach To Understand Secondary Mi Prevention, Naila Saghir

Global Public Health | Student Research Posters

• Annually in the United States, 605,000 individuals experience their first MI & 200,000 experience their second.
• Lack of exercise, an unhealthy diet, and hypertension are some of the causing behavioral factors of a primary myocardial infarction but can also put the individual at risk for a secondary.
• The choice to adopt positive health and lifestyle behaviors lies on the individual.

How Financial Status Affects Food Decisions In Households Of Marin City, Joe Blakely

Global Public Health | Student Research Posters

• Food insecurity is a multifaceted issue influenced by various factors, including socioeconomic status and access to nutritious foods. Research has shown that low-income households often face challenges in accessing healthy food options due to financial constraints.
• Cultural and psychological factors also play significant roles in shaping food choices among low-income populations. Additionally, the availability and affordability of healthy foods within local food environments significantly impact dietary behaviors.
• Economic factors such as income levels and household expenses further compound the challenges of food insecurity. Studies on food spending decisions among low-income demographics revealed that financial constraints often force families to prioritize …

Solutions To Period Poverty In The United States, Sanya Surya

AUCTUS: The Journal of Undergraduate Research and Creative Scholarship

Many women around the world lack access to menstrual hygiene products and hygienic, private sanitation facilities: an issue commonly known as “period poverty”. Women who experience this phenomenon often resort to unhealthy alternatives, putting them at higher risk for infections. Period poverty also causes many women to miss significant amounts of school and/or work, resulting in school drop-outs and adverse career outcomes. Menstrual inequities have recently come under greater study in low- to middle-income countries, but evidence suggests that women in the United States are adversely affected by period poverty as well. With this in mind, I set out to …

Cardiometabolic Genomics And Pharmacogenomics In Filipino Americans: A Cross-Sectional Study, Khalifa Y. Alrajeh

Theses and Dissertations

Background: Heart disease remains a leading cause of death in the country, with significant ethnic disparities. Filipino Americans (FAs), the third-largest Asian subgroup in U.S., face an elevated burden of dyslipidemia, a primary modifiable risk factor for heart disease. Objectives: This community-based study addresses critical knowledge gaps by characterizing the cardiometabolic and genetic factors contributing to dyslipidemia among FAs and implications for personalized cardiovascular drug therapies, particularly statin pharmacogenomics (PGx). Methods: We characterized dyslipidemia prevalence in FAs and major ethnic subgroups using nationally representative NHANES data. We examined associations between uric acid (UA) levels and lipid profiles, …

Garden-Based Nutrition Education May Lead To Increased Dietary Knowledge In Low Income Hispanic School Children, Larry Bui

Nursing | Senior Theses

Background: Childhood obesity is a pressing public health concern in the United States, with rates continuing to increase in recent years. This problem disproportionately affects Latino children as well as those from low socioeconomic status. It is well established that nutrition knowledge deficiencies and resulting poor dietary habits are some of the most common contributing factors to childhood obesity. Garden-based nutrition education programs have been introduced to remedy this knowledge deficit; however, a gap remains regarding whether this model can be viable for low-income, culturally diverse populations.
Aim: This literature review investigates the importance of diet in reducing childhood obesity …

Effects Of Menopause On Coronary Artery Disease, Angelica Gonzales

Nursing | Senior Theses

Menopausal women, 40 to 60 years old, have an increased risk of developing coronary artery disease (CAD) when they experience hormonal changes. Which then can lead to unwanted cardiac events. Within the literature review of this paper, it was found that there are factors of menopause that may further increase the risk of coronary artery disease in menopausal women. Such factors include whether a woman underwent surgical or natural menopause and the timing when menopause began. Additionally, within the review, hormone replacement therapy (HRT) was explored to determine whether the possible intervention can decrease the progression and risk of developing …

Advancing School Nursing Practice: A Novel Approach To Screening For Gastrointestinal Disorders In Children, Ashley Bunting, Isabella Cavlan

Nursing | Senior Theses

Background: Currently, mandated health screenings in California schools are limited to vision, hearing, and scoliosis; this leaves several other body systems unmonitored during the crucial years of childhood development. One such system is the gastrointestinal (GI) system, which plays a vital role in the normal growth, nutrition status, development, and overall health of children. Objective: By developing and implementing a GI-specific screening tool in the outpatient school setting, this research aims to increase the detection of GI disorders in children. Not only that, but school nurses can use this novel screening tool to promote early diagnosis, intervention, and …

"Shut Down And Closed Off": A Routine Activity Approach To Investigating The Relationship Between Covid-19 School Closures And Child Sexual Abuse Report Characteristics In Georgia, Spencer E. Riner

College of Graduate Studies: Theses & Dissertations

The COVID-19 pandemic of 2020 created a public health crisis that led to an unprecedented number of school closures. A major concern raised by child advocates, law enforcement, and social service providers was the possible increase in undetected child abuse and maltreatment. Undergirding this concern was the belief that this mitigation effort might place child abuse victims and offenders within proximity for extended periods of time. While this was a significant concern, it has rarely been analyzed empirically. To address this gap in the literature, this thesis investigates how school closures impacted the characteristics of child sexual abuse (CSA) reports …

Exploring The Link Between Self-Image And Eating Disorders In Female Students At Belmont University, Caitlin Rain Roberts

SPARK Symposium Presentations

Introduction: Body image concerns among college students are a significant issue, often contributing to eating disorders as societal pressures intensify during young adulthood (Kapoor, 2022). Self-image influences eating behaviors, psychological perceptions of nutrition, and the development of disordered eating patterns (Kapoor, 2022). Understanding the link between body image and eating disorders is essential for creating effective interventions that support mental and physical well-being during this critical life stage. Methods: This study examined the relationship between body image dissatisfaction and eating disorder behaviors among undergraduate female students at Belmont University in Fall 2024. Using a cross-sectional survey with a mixed-methods approach, …

Exploring The Impact Of Caffeine, Alcohol, And Opioids On Intraocular Pressure: A Comprehensive Analysis Of Short-Term And Long-Term Effects On Vision, Jake Prieto

CMC Senior Theses

Coffee, alcohol, and opioids are addictive drugs commonly used in modern society, yet their impact on ocular health remains ambiguous. This systematic review aims to elucidate this ambiguity by examining their effects on intraocular pressure (IOP). Utilizing IOP as a metric, both short-term and long-term effects are evaluated across individuals with irregular IOP levels and healthy subjects. Furthermore, the study analyzes choroidal thickness as an additional measure to reinforce or challenge the findings regarding IOP, leveraging the inverse relationship between the two metrics concerning elevated IOP-related illnesses, such as open-angle glaucoma (OAG).

A comprehensive literature search was performed through Google …

Family Structure, Family Transitions, And Child Overweight And Obesity: Comparing Australia, The United Kingdom, And The United States, Sadie A. Slighting, Kirsten Rasmussen, Mikaela J. Dufur, Jonathan A. Jarvis, Shana Pribesh, Alyssa J. Alexander, Carolina Otero

STEMPS Faculty Publications

Growing rates of childhood obesity globally create concern for individuals' health outcomes and demands on health systems. While many policy approaches focus on macro-level interventions, we examine how the type of stability of a family structure might provide opportunities for policy interventions at the micro level. We examine the association between family structure trajectories and childhood overweight and obesity across three Anglophone countries using an expanded set of eight family structure categories that capture biological relationships and instability, along with potential explanatory variables that might vary across family trajectories and provide opportunities for intervention, including access to resources, family stressors, …

The Relationship Between Being Uninsured And Having Poor Health Outcomes And Experiences In Eastern Kentucky, Danielle Adams, Amber Todd

Scholarship in Medicine - All Papers

Objective: To examine health insurance and health outcome disparities in Eastern Kentucky since Kentucky’s implementation of the Affordable Care Act. Methods: Using data from County Health Rankings and Roadmap, rates of uninsurance will be compared before and a decade after implementation of the ACA in Kentucky (2013 and 2023). In addition, prevalence of certain health outcomes in Eastern Kentucky will be compared from 2013 and 2023 and correlation established between uninsured rates and particular health outcomes for 2023. Results: Since 2013, the percentage of those uninsured in Eastern Kentucky has seen a significant decline. While there is no correlation between …

Characteristics Of Congenital Syphilis Cases In Kentucky 2019-2023, Ines Roy

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Abstract:

Background: The incidence of congenital syphilis (CS) has increased both in the United States (US) and globally and remains a public health concern. In Kentucky alone, there has been a significant increase in CS cases, from 9 cases in 2019 to 27 cases in 2023. CS is a preventable disease, but testing and immediate treatment are critical to prevent its spread. We have limited knowledge regarding Kentucky’s characteristics and behavioral factors that may be associated with this rise. The goal of this study is to identify characteristics and potential risk factors that contribute to the rise of CS in …

Factors Associated With Rabies-Related Behaviors Among Myanmar Migrant Workers In Bangkok Metropolitan Area, Thailand., Amornsit Chavanayarn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Rabies is a fatal but preventable viral disease that continues to be a public health concern in Thailand, particularly among vulnerable populations such as migrant workers. Myanmar migrant workers, who often reside in high-risk environments with limited access to healthcare and information, may face increased risk of rabies exposure due to animal bites and inadequate knowledge of prevention measures. This study aimed to determine the proportion of potential rabies exposure and assess the levels of knowledge, attitudes, and practices (KAP) regarding rabies among Myanmar migrant workers in the Bangkok Metropolitan Area. It also examined associations between socio-demographic factors and KAP …

Knowledge, Attitude, Utilization Frequency, And Reutilization Of Telehealth Centers For Maternal Care Services Among Pregnant Women And Mothers In Pakistan: A Cross-Sectional Study, Yamna Ghaffar

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Maternal health in rural Pakistan, especially in Balochistan, faces challenges due to limited access to skilled care and health inequalities. Telehealth offers a promising solution by providing remote antenatal, delivery, and postnatal services. Global and local evidence, including the BRDF Telehealth Center, shows its potential to improve outcomes and bridge service gaps, despite ongoing digital access challenges. The study objective was to evaluate the knowledge, attitudes, and reutilization of the BRDF Telehealth Center in Gandawah among pregnant women and mothers. Methods: A cross-sectional study was conducted at the Balochistan Research and Development Foundation (BRDF) Telehealth Center in Gandawa, Balochistan, …

Effect Of Web-Based Tools On Knowledge And Performance Among Community Nurses On Diabetes Control At Primary Health Care Level In Myanmar: A Cost-Effective Analysis And Quasi Experimental Study, Kyi Thar

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Along with rising prevalence, diabetes has emerged as a global public health problem which triggers economic burden, especially among developing countries. Optimizing knowledge and performance of health care workers at primary health care (PHC) level is pivotal for the success of diabetes control programs. Web-based diabetes tools are one of the innovative solutions to improve knowledge and performance among health care providers. However, evidence-based intervention study indicating the effect of web-based tools on diabetes among community nurses has not been conducted in Myanmar before. Objective: This study aimed to demonstrate the integrated effects of web-based diabetes knowledge and diabetes …

Factors Associated With Adolescent Pregnancy In Mpigi District, Uganda: A Community-Based Cross-Sectional Study, Kyoko Hoshino

Chulalongkorn University Theses and Dissertations (Chula ETD)

Adolescent pregnancy is a significant public health and social challenge, with around 90% of these pregnancies occurring in low-and middle-income countries. This study aims to determine the prevalence of adolescent pregnancy and its associated factors among older adolescents in Mpigi district, Uganda. A community-based cross-sectional study was conducted from September to October 2024 among adolescent girls aged 15 to 19 years in Mpigi district, Uganda. Participants were selected using a multistage sampling approach from 12 villages within the district. The data was collected using an interviewer-administered structured questionnaire, assisted by four data collectors. Descriptive statistics were employed to determine the …

Physical And Psychosocial Factors Related To Firefighter Musculoskeletal Disorders, Jennifer Ellen Tinsley Kubala

Theses and Dissertations--Rehabilitation Sciences

Career firefighters must perform physically and psychologically challenging duties in unpredictable and dangerous conditions. Previous investigations have found that firefighters suffer nearly 4 times the recorded musculoskeletal disorders (MSD) and workplace injuries compared to private and public sector workers, and take approximately 1.5 days longer to return to normal work. Thus, the burden of firefighter MSD experiences has been a growing area of exploration. The few investigations that have concurrently examined physical and psychosocial consequences experienced by firefighters have found a positive relationship between increased occupational stress reports and MSD experiences. However, these investigations, as well as those that individually …

The Role Of Social Determinants Of Health On Patient Recovery After Critical Illness, Lindsey E. Fresenko

Theses and Dissertations--Rehabilitation Sciences

Patients who survive critical illness have a prolonged recovery which impacts their quality of life and outcomes. The sudden life changes from being critically ill may create or exacerbate social factors or needs also known as social determinants of health. Patients’ SDOH are defined as the environments in which we live, work and play that impact health outcomes. Patients’ SDOH impact their life in early recovery from changes in previous roles to their need for increased financial, physical and emotional support. During this early recovery, patients are often recommended to participate in rehabilitation to improve their physical function. Although, accessing …

Pediatric Dentists’ Considerations Concerning Obesity-Related Education For Parents Of Young Children: Who Should Educate About What, How And When?, Arianne Swanson Dds, Ms, James R. Boynton Dds, Ms, Larry B. Salzmann Dds, Yu-Ju Yang Dds, Marita R. Inglehart Dipl. Psych., Dr. Phil., Dr. Phil. Habil

The Journal of the Michigan Dental Association

This study aimed to explore pediatric dentists' perspectives on obesity-related interventions for parents of young children. A web-based survey was administered to 210 American Academy of Pediatric Dentistry members. Findings revealed that respondents considered it important for various healthcare professionals, especially pediatricians and nurse practitioners, to engage in obesity-related parent education. Strong consensus existed on educating parents about the link between early childhood caries and diet, soft drink and fruit juice consumption, and healthy snacking. The study also found positive attitudes correlated with increased engagement in objective weight determination, data collection, and diet/nutrition counseling.

Cardiovascular Disease Among Commercially Insured Adults With Type 1 Diabetes In The Us , 2016-2019, Orighomisan F. Agboghoroma

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Objectives: The objective of this study is to examine the overall as well as age- and sex-specific burden of cardiovascular disease (CVD) among adults with type 1 diabetes (T1D) in the US using nationwide commercial claims data from 2016-2019.

Research Design and Methods We used nationwide commercial claims data (1/1/2016-12/31/2019) from Merative™MarketScan to identify adults ≥20 years with T1D (ascertained using ICD-10 codes). CVD was ascertained using ICD-10 diagnostic codes for myocardial infarction, atrial fibrillation, ischemic heart disease, heart failure, peripheral arterial disease, and stroke. The annual prevalence and age-specific prevalence of CVD were calculated. Age-adjusted prevalence of CVD …

Empirical Insights Into Survivorship Care: A Cross-Sectional Study Of Coc Accredited Hospitals In Kentucky, Amanda M. Beckett

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

ABSTRACT

Background:

Cancer survivorship care programs play a vital role in supporting cancer survivors and improving their quality of life. Understanding the landscape of survivorship and the potential barriers is key to optimizing care delivery.

Methods:

The primary purpose of this cross-sectional study was to explore existing cancer survivorship care programs offered by Commission on Cancer (CoC) accredited hospitals in Kentucky. Data from the Markey Cancer Affiliate Network (MCCAN) from 2022 through 2023 was analyzed. Variables included hospital characteristics such as rural code, types of survivorship services offered, and reported barriers to these services.

Results:

Analysis of n=19 CoC facilities …

Novel Cannabinoid Use Among Young Adults In Lexington, Kentucky, Victoria A. Hamilton

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Purpose: The purpose of this study was to implement a survey to estimate the prevalence of novel cannabinoid use among young adults in Lexington, Kentucky, and to examine modes of use and motivations for novel cannabinoid use. The primary hypothesis of this study was that many respondents would indicate medical reasons for using novel cannabinoids.

Methods: A cross-sectional primary data analysis of 101 young adults in Lexington, Kentucky to determine prevalence of lifetime novel cannabinoid use, past 30-day novel cannabinoid use, mode of use, motivation for use, and related demographic characteristics. Univariate and bivariate analysis were produced using the PROC …