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Institute Of Public Health Newsletter- Volume3, Issue1, Institute Of Public Health (Iph)

Institute of Public Health Newsletter (IPHNL) and Other Publications

No abstract provided.

Pentavalent Vaccination In Kenya: Coverage And Geographical Accessibility To Health Facilities Using Data From A Community Demographic And Health Surveillance System In Kilifi County, Morris Ogero, James Orwa, Rachel Odhiambo, Felix Agoi, Adelaide Lusambili, Jerim Obure, Marleen Temmerman, Stanley Luchters, Anthony Ngugi

Population Health, East Africa

Background: There is substantial evidence that immunization is one of the most significant and cost-effective pillars of preventive and promotive health interventions. Effective childhood immunization coverage is thus essential in stemming persistent childhood illnesses. The third dose of pentavalent vaccine for children is an important indicator for assessing performance of the immunisation programme because it mirrors the completeness of a child’s immu- nisation schedule. Spatial access to an immunizing health facility, especially in sub-Sahara African (SSA) countries, is a significant determinant of Pentavalent 3 vaccination coverage, as the vaccine is mainly administered during routine immunisation schedules at health facilities. …

A Community Engagement Approach For An Integrated Early Childhood Development Intervention: A Case Study Of An Urban Informal Settlement With Kenyans And Embedded Refugees, Margaret Kabue, Amina Abubakar, Derrick Ssewanyana, Vibian Angweny, Joyce Marangu, Eunice Njoroge, Eunice Ombech, Mercy Mokaya, Emmanuel Obulemire, Kofi Marfo

Institute for Human Development, East Africa

Background: Community engagement is crucial for the design and implementation of community-based early childhood development (ECD) programmes. This paper aims to share key components and learnings of a community engagement process for an integrated ECD intervention. The lessons shared are drawn from a case study of urban informal settlement with embedded refugees in Nairobi, Kenya.

Methods: We conducted three stakeholder meetings with representatives from the Ministry of Health at County and Sub-County, actors in the ECD sector, and United Nations agency in refugee management, a transect walk across fve villages (Ngando, Muslim, Congo, Riruta and Kivumbini); and, six …

A Whole-Food Plant Based Diet And Its Effects On Cardiovascular Disease, Meredith A. Childress

MSN Capstone Projects

The purpose of this paper and benchmark study is to present evidenced-based data regarding the impact diet choices have on heart disease and how adherence to a whole food plant based (WFPB) diet compared to a Western diet affects cardiac disease. The PICOT question being asked for this change project is as follows: In adults with history of cardiac disease (P), how does adherence to a whole-food plant-based (WFPB) diet (I) compared to the Western diet (C) impact outcomes associated with coronary artery disease (CAD) (O) over three months (T)? A search of evidenced-based literature was conducted to determine the …

Associations Among Plant-Based Dietary Indexes, The Dietary Inflammatory Index, And Inflammatory Potential In Female College Students In Saudi Arabia: A Cross-Sectional Study, Ghadeer S. Aljuraiban, Rachel Gibson, Leenah Al-Freeh, Sara Al-Musharaf, Nitin Shivappa Mbbs, Mph, Ph.D., James R. Hébert, Linda M. Oude, Queenie Chan

Faculty Publications

Background Saudi Arabian diets are transitioning to more Western dietary patterns that have been associated with higher levels of inflammation. Emerging evidence suggests plant-based diets are related to lower levels of inflammation; however, the definition of plant-based diets varies. Objective The purpose of this study was to identify the extent to which an overall Plant-Based Diet Index (PDI), Healthy-PDI (hPDI), and Unhealthy-PDI (uPDI) vs Energy-Adjusted Dietary Inflammatory Index correlate with high-sensitivity C-reactive protein (hs-CRP) level. Design This was a cross-sectional study carried out at King Saud University. Data on dietary intake, anthropometrics, and hs-CRP were collected. Participants/setting Female students aged …

Exploration Of The Role Of Neighborhood Residential Segregation By Race And Ethnicity In Obesity Risk Among School-Aged, Melissa L. Fair

Theses and Dissertations

Youth obesity prevalence remains high, despite decades of intervention. Grounded in the social ecological model, neighborhoods and schools are important settings in addressing the complex systems that influence obesity. Contributing to disparities, by race/ethnicity, Black and Hispanic youth are more likely to live in segregated neighborhoods and attend segregated schools, which are also more likely to have high rates of poverty and are less likely to have high quality nutrition and built environments. Leveraging data from local school district (district and state department of education) and national datasets (ACS, Childhood Opportunity Index 2.0), this study examined the associations between school …

Trend Analysis Of Physical Activity Measurement Research Using Text Mining In Big Data Analytics, Seungbak Lee, Minsoo Kang

International Journal of Physical Activity and Health

Measurements of physical activity taken in a valid and reliable way are essential in characterizing the relationship between physical activity and health outcomes. Given the steadily growing interest in the physical activity measurement and the lack of research to identify current trends, this study investigated the research trend of physical activity measurement by applying four text data mining techniques (i.e., future signal, keyword network analysis, keyword trend, and keyword association rule). A total of 54,670 publications from 1982 to 2021 were collected from PubMed. As a result, the current study 1) confirmed two weak signal topics (i.e., “validity of physical …

Reinforcement Sensitivity Theory Factors As Predictors Of Exercise Habits, Self-Efficacy, Social Support, And Affect, Alex C. Garn

International Journal of Physical Activity and Health

Objective: The study investigated contemporary reinforcement sensitivity theory (RST) personality factors as predictors of short-term changes in young adults’ exercise-related outcomes. Specifically, we explore RST factors as predictors of short-term changes in young adults’ reports of their exercise habits, exercise self-efficacy, exercise affect, and elicitation of exercise social support.

Design: Participants (N=406) completed surveys related to RST including four aspects of behavioral approach system, behavioral inhibition system, and fight-flight-freeze system as well as exercise habits, self-efficacy, affect, and social support at the beginning of one semester and took the same exercise survey six-weeks later.

Main Outcomes: Changes in …

Rasch Analysis Of The Physical Activity Enjoyment Scale Among 9th- And 10th-Grade Students, Jane Shimon, Yong Gao

International Journal of Physical Activity and Health

Rasch Model analysis was used to evaluate construct validity and reliability of the Physical Activity Enjoyment Scale (PACES) in an adolescent population. A total of 349 9th and 10th graders (180 male; 169 female), aged 13 to 15 years (M = 14.13 SD = .793), completed the 18-item PACES scale at the conclusion of physical education classes. Responses to PACES items were analyzed using Rasch partial credit model. Of the 18 PACES items, five were identified as misfit items and were removed. The remaining 13 good-fit items (difficulty level ranged from -0.81 for Item #10 to 0.66 logits for Item …

Utilizing Prams And Healthy People 2020 To Examine Black Women’S Breastfeeding Behavior In Louisiana Prior To The Onset Of The Covid-19 Pandemic, Almetra Amayá Granger

Electronic Theses and Dissertations

No abstract provided.

Gender-Specific Marketing Strategies Used By Sports Supplements: A Descriptive Study, Anna M. Cosgrove, Cori Lorts, Lynda B. Ransdell

International Journal of Physical Activity and Health

While the use of sports supplements is common among athletes and active adults, the marketing strategies used by these sports supplement manufacturers remain unknown—especially relative to active and athletic women. This descriptive study aims to describe marketing strategies used, such as color choices, structure function claims, and picture choice, and analyze if there are gender-specific differences within the strategies. A total of 100 best-selling sports supplements were selected from three separate third-party websites. Food products, accessories, and kitchen appliances were excluded. Supplement main webpages and sports supplement-specific webpages were explored to determine which marketing strategies were used and if there …

Development Of The Teacher Efficacy Toward Providing Physical Activity In The Classroom Scale, Erin E. Centeio, E. Whitney G. Moore, Jeanne Barcelona, Hayley B. Mckown, Heather E. Erwin, Alex C. Garn

International Journal of Physical Activity and Health

The overall aim for this study was to create and validate an instrument that helps researchers measure and better understand classroom teachers’ efficacy toward providing physical activity throughout the school day. The development of the Teacher Efficacy Toward Providing Physical Activity in the Classroom Scale (TETPPACS) occurred in two phases. First, in study one, after item development and face validity review, an exploratory factor analysis was conducted with pilot data (N = 320) to discover the factor structure of the TETPPACS. Second, with a follow-up sample (N = 192), a confirmatory factor analysis (CFA) was performed to confirm the factor …

Colonic Epithelial Angiotensin-Converting Enzyme 2 (Ace2) Expression In Blacks And Whites: Potential Implications For Pathogenesis Covid-19 Racial Disparities, Mart De La Cruz, David P Nunes, Vaishali Bhardwaj, Deepika Subramanyan, Caroline Zaworski, Priya Roy, Hemant K Roy

Faculty, Staff and Students Publications

BACKGROUND: Covid-19 toll is disproportionate in Blacks although the mechanisms remain incompletely understood. From a biological perspective, several host proteins have received most attention as logical susceptibility targets. Specifically, angiotensin-converting enzyme 2 (ACE2) serves as the epithelial cell receptor and acts in concert with transmembrane protease serine 2 (TMPRSS2). Intriguingly, ACE2 can also suppress the inflammatory response and therefore may impact the severity of Covid-19 infections (from the exuberant immune response a.k.a. "cytokine storm"). We, therefore, assessed expression of ACE2 and TMPRSS2 in Blacks versus Whites.

METHODS: Archived mucosal biopsies from colonoscopic biopsies of visually normal rectal mucosa without concurrent …

Food Assistance Use Among Food Bank Clients Affected By Type 2 Diabetes, Eliza Short, Jayati Sharma, Debbe I Thompson, Douglas Taren, Rhonda Gonzalez, Melanie Hingle

Children’s Nutrition Research Center Staff Publications

Objective: To understand the perspectives of food bank clients affected by type 2 diabetes (T2DM).

Design: Semi-structured in-depth interviews conducted with food bank clients.

Setting: Arizona regional food bank.

Participants: Twenty English- and Spanish-speaking food bank clients with T2DM or living with a person with T2DM, aged 45-83 years, majority female, Hispanic, and food insecure.

Phenomenon of interest: Food bank use and preferences, and how these related to T2DM management.

Analysis: A hybrid thematic analysis combining inductive and deductive reasoning.

Results: Three organizing themes emerged from the analysis. First, food assistance was influenced by food preferences and the ability to …

Microplastics, The Environment, And Reproductive Health: How Is The Accumulation Of Microplastics In Our Environment And Bodies Impacting Reproductive Health?, Katherine Hayward

Independent Study Project (ISP) Collection

As global trends in both production and consumption of plastics continue to evolve, the bioaccumulation and biomagnification of microplastic particles in our everyday lives follow suit. This increasingly relevant problem has only recently been explored in the context of global health, and more specifically, reproductive health. Along with this steady increase in plastics and our exposure to them, researchers have separately observed adverse patterns in reproductive health. The chemicals involved throughout the microplastic life cycle may be playing a key role in these simultaneous patterns. With the aid of previous studies and publications on microplastics, exposure pathways, endocrine disruptors, and …

Shinetagantsi: Un Caso De La Alimentación Materna E Infantil Y Medicina Intercultural Durante Lactancia En La Comunidad Nativa De Palotoa Teparo, Layne Scopano

Independent Study Project (ISP) Collection

Con un enfoque antropológico, esta investigación analiza las percepciones del cuidado desde los sistemas médicos occidentales y la medicina tradicional de las madres de la comunidad nativa de Palotoa Teparo en la Amazonía peruana en lo que respecta a la nutrición durante la lactancia. Los resultados de este estudio, obtenidos a través de entrevistas semiestructuradas y observación directa e indirecta, permiten describir el estado nutricional de las madres de Palotoa Teparo durante la lactancia y su relación con la nutrición infantil, señalar las prácticas de salud, tanto occidental como tradicional, relevantes para el estado nutricional de las madres y los …

Perspectives About Food Safety In Diverse Low- And Middle-Income Countries, Sejla Isanovic

Theses and Dissertations

Concerns about unsafe food influence food choice, and consumption of unsafe foods increases morbidity and mortality, particularly in low- and middle-income countries. Actions to ensure safety of food are dominated by mitigation of biological and chemical hazards through supply-side risk management, disregarding individuals’ experiences and perspectives of food safety. We aimed to identify and categorize perspectives about food safety in five countries. Five Drivers of Food Choice projects provided transcripts from 17 focus groups discussions and 303 interviews in Kenya, Ghana, India, Guinea, and Vietnam. We analyzed transcripts using a priori and emergent codes. Individuals constructed meaning about food safety …

Assessing Satisfaction With Bi-Weekly Produce Deliveries As A Means To Reduce Food Insecurity On College Campuses, Sophie Crosby

Senior Theses

Background: As food insecurity disproportionately affects college students and students are often unable to receive government nutritional assistance, more lasting, sustainable interventions are needed to decrease food insecurity on college campuses. The purpose of this study was to measure the satisfaction of the FoodShare program, a low-cost, biweekly fresh produce delivery, at the University of South Carolina. The purpose of this study was to pilot FoodShare’s program with adaptations to the University of South Carolina and examine participants’ experience with the program. Methods: Forty-three students, faculty, and staff purchased boxes over a three-month period. FoodShare boxes were purchased and delivered …

Institute For Global Health And Development : Issue 3 - April - June 2022, Institute For Global Health And Development

IGHD Newsletters

• Research Highlights
• Reflections from IGHD’s Associate Faculty
• Key Publications
• Webinars and Dialogues
• Celebration
• Collaborate With U

Homestead Vegetable And Poultry Production And Related Practices: An Assessment In Nepal, Shiva Bhandari

Theses and Dissertations

Consumption of nutrients-rich foods like diverse vegetables, eggs, and meat throughout a year remains a challenge in low- and middle-income countries due to poor availability, accessibility, and affordability. One important way to overcome the challenge is to promote households’ own production of these foods and encourage individuals to consume. Improving household production of the foods necessitates understanding whether active participation and performance of frontline workers in the communities and performing improved production-related practices can translate into improved production of nutrients-rich foods. This study had two specific aims. The first aim was to examine demographic, socio-economic, and programmatic determinants of active …

Longitudinal Relation Of Dietary Quality And Hemoglobin A1c In Youth And Young Adults With Diabetes, Hope Bercaw

Theses and Dissertations

Background Hemoglobin A1c (HbA1c) is a clinical measure of glycemic control among people with diabetes and is associated with health outcomes such as cardiovascular disease. It is possible to decrease HbA1c by improving diet, but it is largely unknown which dietary components are most important in targeting glycemic control.

Objective This study aims to examine whether changes in diet quality across diabetes duration, assessed with the 2015-Healthy Eating Index (HEI), are associated with HbA1c in youth and young adults (YYA) with type 1 (T1D) and type 2 diabetes (T2D). Additionally, we aim to assess whether these relationships differ when dietary …

The Prevalence Of Nutritional Interventions As Treatment In The American Healthcare System: Assessing The Experiences And Perspectives Of Adult Patients, Macy R. Holmbeck

Selected Honors Theses

It is well known that good nutrition is effective in promoting optimal health and in preventing and treating disease. However, it is unclear whether this understanding is successfully being reflected in the treatment that patients are receiving from their healthcare providers in the United States. This study surveyed adult patients about their experiences in the American healthcare system regarding the treatment they’ve received from various providers, as well as their perspectives on the role of nutritional interventions in healthcare. The sample included 23 adults reporting one or more chronic illnesses and 19 adults never diagnosed with chronic illness. Medical treatment …

The Foundation For Dental Care: The Patient Interview And Dental/Medical Health History, Richard W. Panek Dds, George Georgiev Dds

The Journal of the Michigan Dental Association

This feature article emphasizes the pivotal role of patient interviews and medical history assessments in establishing the foundation for dental care. Delving into the essential components of a patient's medical history, the article underscores the significance of gathering comprehensive information, including medications, allergies, and lifestyle factors. The patient interview is explored as a dynamic process aimed at building rapport, understanding the chief complaint, and addressing potential health risks. The article navigates through various scenarios, from adapting questions for specific patient situations to handling challenging topics such as substance abuse and behavioral health issues. Ultimately, the integration of total medical assessment …

Assessing The Effectiveness Of An Egg Intervention In The Nutritional And Food Security Status Of Infants And Toddlers From Rural Honduras, Aishat Adewoye, Mario Keko, Luke Roberson, Dziyana Nazaruk, Gisela Ramos, Laura Manship, Haresh Rochani, Asli Aslan, Ana M. Palacios

Biostatistics, Epidemiology & Environmental Health Sciences: Faculty Publications

No abstract provided.

Longitudinal Analysis Of The Impact Of Oral Contraceptive Use On The Gut Microbiome, Xinwei Hua, Yueming Cao, David M Morgan, Kaia Miller, Samantha M Chin, Danielle Bellavance, Hamed Khalili

Department of Medicine Faculty Papers

Introduction. Evidence has linked exogenous and endogenous sex hormones with the human microbiome.Hypothesis/Gap statement. The longitudinal effects of oral contraceptives (OC) on the human gut microbiome have not previously been studied.Aim. We sought to examine the longitudinal impact of OC use on the taxonomic composition and metabolic functions of the gut microbiota and endogenous sex steroid hormones after initiation of OC use.Methodology. We recruited ten healthy women who provided blood and stool samples prior to OC use, 1 month and 6 months after starting OC. We measured serum levels of sex hormones, including estradiol, progesterone, sex hormone-binding …

Understanding Food Insecurity As A Multidimensional Construct: A Mixed Methods Approach To Assess Changes In Food Insecurity Status Among People Seeking Emergency Food Assistance, Whitney M. Fung Uy

USF Tampa Graduate Theses and Dissertations

Background: In the United States, 13.8 million households were food insecure in 2020, or 10.5% of the country’s population. Although the annual food insecurity rates remained stable between 2019 and 2020, largely due to increased COVID-19 pandemic relief efforts, many households experienced food insecurity and hardship at unprecedented rates. Food assistance provided by the largest government nutrition and food program, Supplemental Nutrition Assistance Program (SNAP), and emergency food providers (EFPs) such as food banks and pantries intended to provide short-term solutions have ended up as chronic, long-term methods of survival for many of these families, especially during COVID-19 and the …

The Relationship Of Child Health And Parenting Stress To Child Neurocognitive Development, Nancy Alise Farrell

Theses and Dissertations (ETD)

Problem. Although the United States rates high in economic resources, the neurocognitive development (NCD) of children falls behind many other developed nations. Levels of parenting stress may be linked to sociodemographic factors such as the high incidence of poverty in children or health disparities in children, which in turn may affect NCD in children. Using the data from an observational, longitudinal cohort study of a diverse population could provide information related to parenting stress, child health, and related factors to guide and support interventions with families and policies to improve child NCD. Aims. The overall aim of this study was …

Changes In Physical Activity Associated With The Covid-19 Pandemic In Individuals With Overweight And Obesity: An Interrupted Time Series Analysis With Historical Controls, Michael C Robertson, Che Young Lee, Ivan Haw-Chong Wu, Yue Liao, Margaret Raber, Nathan Parker, Thuan Le, Leticia Gatus, Karen M Basen-Engquist

Faculty, Staff and Students Publications

The objective of this study was to investigate changes in physical activity patterns associated with the COVID-19 pandemic in individuals with overweight and obesity who were participating in a school district worksite weight loss program. We conducted comparative design interrupted time series analyses on physical activity device (Fitbit) data from the 2018-2019 and 2019-2020 school years (N = 211). We administered a questionnaire in 2020 to supplement device data. After the stay-at-home orders in 2020, participants tended to decrease their weekly step count (B = -1315.7, SE = 627.7, p = .045), decrease their weekly "Lightly active minutes" (B = …

Exploratory Analysis Of The Associations Between Neonicotinoids And Measures Of Adiposity Among Us Adults: Nhanes 2015–2016, Amruta M. Godbole, Sheniz Moonie, Courtney Coughenour, Cai Zhang, Aimin Chen, Ann M. Vuong

Environmental & Global Health Faculty Research

Background: Toxicology studies suggest that neonicotinoids may be associated with adiposity development via thyroid hormone disruption and increased oxidative stress. Prior epidemiological studies report mixed results for the association between neonicotinoids and adiposity measures.

Objective: To examine the association between detectable concentrations of parent neonicotinoids (imidacloprid, acetamiprid, clothianidin) and neonicotinoid metabolites (5-hydroxy-imidacloprid, N-desmethyl-acetamiprid) with adiposity measures among US adults, and whether sex modifies the associations for neonicotinoid metabolites with adiposity.

Methods: National Health and Nutrition Examination Survey (NHANES) 2015–2016 data was utilized to estimate covariate-adjusted associations between detectable neonicotinoids and fat mass index (FMI), lean mass index (LMI), waist …

Microgreens Grow Kit: A Novel Pilot Study To Improve Nutrition Awareness, Ben Haslund-Gourley, Chris Para, Swaksha Rachuri, Sascha Enders, Rayna Marshall, Vibhuti Mishra, Simone Udeh, Jessica Nwabeke, Annette Gadegbeku

Transformative Medicine

Obesity and associated non-communicable illnesses including coronary heart disease, type 2 diabetes, and stroke have steadily increased in prevalence over the last decade. Previous studies identified the involvement of individual, family, and community support intervention strategies used to prevent and manage obesity. Additionally, education on nutrition from the early stages of development is crucial for obesity prevention and control. Therefore, new preventative methods are needed to further engage and educate individuals and communities about health-conscious diets. Microgreen cultivation utilizes a reduced cost, low-footprint, recyclable, weather-independent, and transportable method to provide less nutrition-privileged communities with exposure to healthy foods within one …