Digital Commons Network^™

Child Weight And Feeding Patterns In An Old Order Mennonite Community, Dawn M. Garrett Wright, Maria E. Main, M. Susan Jones

Nursing Faculty Publications

Feeding practices in some religious communities may decrease childhood obesity. However, there is limited research in these communities to assess maternal perceptions of their children’s weight and feeding patterns. The purpose of this study was to ascertain Old Order Mennonite mothers’ perceptions of their children’s body weight and to examine feeding patterns for their children. Sample: Participants for this descriptive, correlational study were recruited from an Old Order Mennonite community in south central Kentucky. Sampling was achieved using a snowball sampling strategy and the use of a community insider. Methods: Body Mass Index was measured for mothers and child participants, …

Associations Between U.S. Adult Obesity And State And County Economic Conditions In The Recession, Qi Zhang, Rajan Lamichhane, Youfa Wang

Community & Environmental Health Faculty Publications

This study examines the association between state and county unemployment rates and individuals' body weight status during the latest recession in the U.S. We used the U.S. Behavioral Risk Factor Surveillance System (BRFSS) data in 2007, 2009 and 2011, which were collected from 722,692 American adults aged 18 or older. Overweight and obesity were defined as body mass index (BMI) ≥25, and ≥30, respectively. Multivariate linear and logistic regressions were applied to assess the association between BMI, risks of overweight and obesity, and state and county unemployment rates. State unemployment rates were negatively associated with individual BMI across years, while …

Culture, Caregiving, And Health: Exploring The Influence Of Culture On Family Caregiver Experiences, Jennifer Pharr, Carolee Dodge Francis, Christine Terry, Michele Clark

School of Public Health Faculty Research

Ethnic minorities are expected to experience a greater demand for family caregiving than non-Latino Whites due to their projected population growth. Although the consensus of researchers on caregiving and culture finds that the caregiving experience differs significantly among cultural/ethnic groups, the question remains as to how cultural values and norms influence the caregiver experiences. We conducted an interpretative, phenomenological qualitative analysis of focus group transcripts from four groups (African American, Asian American, Hispanic American, and European American) for cultural influences on caregiving. Data were collected in Nevada between December 7, 2009, and August 20, 2010. Thirty-five caregivers participated in this …

Is Public Health - Dayton & Montgomery County's Level One Food Safety Certification Training Effective?, Matthew M. Tyler

Master of Public Health Program Student Publications

The objective of the culminating experience was to evaluate the effectiveness of Public Health – Dayton & Montgomery County’s (PHDMC) Level One Food Safety Certification class. Pre-training and post-training quiz score data from approximately 692 participants were examined. Paired t-tests were used to evaluate change in scores, overall, on individual questions, and by job responsibility. There was significant improvements in quiz scores both aggregately (20.6%) and also by individual questions, except for question one which assessed how people could become ill from improper food safety. The temperature related questions were answered incorrectly the most but also showed the most improvement. …

Metabolic Syndrome In Obese African American Adolescents, Yulyu Yeh

Wayne State University Dissertations

Limited research regarding metabolic syndrome (MetS) has been conducted in obese African American adolescents (OAAA) using the International Diabetes Federation IDF criteria. MetS is a constellation of risk factors that increase the risk for chronic diseases and is defined as presence of any 3 or more of the 5 criteria: fasting glucose 100mg/dl, waist circumference 90th percentile, triglycerides 150 mg/dl, blood pressure (BP) 130/85 mmHg and HDL < 40mg/dl. The aim of this study was to assess the incidence of MetS in OAAA by using the IDF criteria and the relationship with diet, fast food consumption, nutrition knowledge, home food environment (HFE), and serum calcium, leptin, 1,25-dihydroxy vitamin D (1, 25 D3) levels. One hundred and fifty one OAAA (mean age: 14.3 ± 1.4 years, 65.6% girls, mean BMI: 37.4±7.2 kg/m2) in a metropolitan area took part in this study. Anthropometric data and fasting blood samples were collected. Participants completed a set of questionnaires regarding diet, fast food consumption, and nutrition knowledge. HFE was completed by the care givers. The MetS rate for OAAA was 61.6% and boys had higher MetS than girls (73.1%, 55.6% respectively). OAAA without MetS had higher serum calcium and 1,25 D3 level but no significant difference were found in food consumption, nutrition knowledge, and HFE. Total cholesterol /HDL ratio and Insulin resistance increased the odds of MetS by 55% and 10% and 1,25 D3 decrease the odds of MetS by 2%. Even though high fast food consumption, lack of nutrition knowledge and poor food environment were negatively associated with obesity, they didn't contribute to MetS. Increase serum vitamin D and calcium level might be beneficial to reduce MetS in OAAA population.

Smarter Lunchrooms - Ohio: Using Production And Sales Records To Measure Change In Food Selection, Roopsi J. Narayan

Master of Public Health Program Student Publications

Background: The 2010 Healthy, Hunger-Free Kids Act (HHFKA) updated the national school meals standards from the 1995 to the 2010 Dietary Guidelines for Americans. The HHFKA are the most comprehensive changes to the national school meal standards in 15 years. Measurement of food selection is essential to determine the impact of the new rules. This study develops an indicator, using production records, to track food selection in school cafeterias. Methods: Participating Ohio school districts applied interventions from The Smarter Lunchrooms Movement to cafeterias. Using MyPlate as a model and production records from two school districts, a coding system was developed …

Fruit And Vegetable Consumption Patterns Among Children During School Lunch, Haley R. Riegel

Master of Public Health Program Student Publications

Background: As the United States suffers from a childhood obesity epidemic, more attention has been given to school lunch nutrition. Federal requirements on school lunch are evolving to include a variety of fruits and vegetables, whereas other programs study ways to increase healthy food consumption during school lunch. This project categorizes fruits and vegetables by the United States Department of Agriculture (USDA) and Cornell University’s Smarter Lunchrooms school lunch categories in order to gain a better understanding of fruit and vegetable waste during school lunch.

Methods: Visual estimations of tray waste were collected across four school districts. Averages of fruit …

Wonder Drugs To Hot New Diets: Knowledge Is Power! Adult Health Literacy, Adnan Ahmeduddin, Mary Grace Bowring, Kelly Davis, Indra Gomez, Sarah Halle, Courtney Middlebrook, Molly Sadowsky, Lauren Shauger, Lauren Violette

ISCOPES Posters and Presentations

No abstract provided.

Short And Long-Term Lifestyle Coaching Approaches Used To Address Diverse Participant Barriers To Weight Loss And Physical Activity Adherence, Elizabeth M. Venditti, Judith Wylie-Rosett, Linda M. Delahanty, Lisa L. Mele, Mary A. Hoskin, Sharon Edelstein

GW Biostatistics Center

Background

Individual barriers to weight loss and physical activity goals in the Diabetes Prevention Program, a randomized trial with 3.2 years average treatment duration, have not been previously reported. Evaluating barriers and the lifestyle coaching approaches used to improve adherence in a large, diverse participant cohort can inform dissemination efforts.

Methods

Lifestyle coaches documented barriers and approaches after each session (mean session attendance = 50.3 +/- 21.8). Subjects were 1076 intensive lifestyle participants (mean age = 50.6 years; mean BMI = 33.9 kg/m2; 68% female, 48% non-Caucasian). Barriers and approaches used to improve adherence were ranked by the percentage of …

Cardiometabolic Risk Assessments By Body Mass Index Z-Score Or Waist-To-Height Ratio In A Multiethnic Sample Of Sixth-Graders, Henry S. Kahn, Laure El Ghormli, Russell Jago, Gary D. Foster, Robert G. Mcmurray, John B. Buse, Diane D. Stadler, Roberto P. Trevino, Tom Baranowski, Healthy Study Group

GW Biostatistics Center

Convention defines pediatric adiposity by the body mass index -score (BMIz) referenced to normative growth charts. Waist-to-height ratio (WHtR) does not depend on sex-and-age references. In the HEALTHY Study enrollment sample, we compared BMIz with WHtR for ability to identify adverse cardiometabolic risk. Among 5,482 sixth-grade students from 42 middle schools, we estimated explanatory variations (R²) and standardized beta coefficients of BMIz or WHtR for cardiometabolic risk factors: insulin resistance (HOMA-IR), lipids, blood pressures, and glucose. For each risk outcome variable, we prepared adjusted regression models for four subpopulations stratified by sex and high versus lower fatness. …

Review Of Hyperuricemia As New Marker For Metabolic Syndrome, Laura Billiet, Sarah Doaty, James D. Katz, Manuel T. Velasquez

Global Health Faculty Publications

Hyperuricemia has long been established as the major etiologic factor in gout. In recent years, a large body of evidence has accumulated that suggests that hyperuricemia may play a role in the development and pathogenesis of a number of metabolic, hemodynamic, and systemic pathologic diseases, including metabolic syndrome, hypertension, stroke, and atherosclerosis. A number of epidemiologic studies have linked hyperuricemia with each of these disorders. In some studies, therapies that lower uric acid may prevent or improve certain components of the metabolic syndrome. There is an association between uric acid and the development of systemic lupus erythematosus; the connection between …

Retention Of Adolescents Living With Hiv In Care, Treatment, And Support Programs In Uganda, Livingstone Ssali, Sam Kalibala, Josephine Birungi, Aggrey Egessa, Jonathan Wangisi, Joanne Lyavala Okullu, Celestin Bakanda, Stephen Okoboi, Francis Obare

HIV and AIDS

Understanding the extent to which adolescents aged 10–19 years who are living with HIV are retained in HIV care, treatment, and support is important for informing the design of effective services for this population to better meet their needs across three main areas of HIV and AIDS programming: treatment; care and support; and prevention. Retention in HIV programs is, in turn, important for positive clinical outcomes including viral suppression and survival. In 2013–2014, The AIDS Support Organization and the Population Council undertook a study to generate evidence on factors associated with retention of adolescents in HIV and AIDS programs in …

Hiv/Aids Vulnerabilities, Discrimination, And Service Accessibility Among Nigeria's Youth, Population Council

HIV and AIDS

This report documents the findings of a study implemented between August 2011 and July 2012 that sought to provide a comprehensive, evidence-based picture of the HIV-related issues facing Nigerian youth and the prevailing legal, policy, and programmatic responses. The study was designed to establish a basis for a sharper focus on youth within the national response to HIV. Researchers conducted an analytical review of the relevant literature on factors associated with HIV risk-taking and health-seeking behaviors among young people aged 15–24 in Nigeria. In addition, qualitative and quantitative analyses enabled an evaluation of the factors associated with young people’s sexual …

Health Disparities Between Black Hispanic And Black Non-Hispanic Cervical Cancer Cases In The Usa, Hafiz Mohammad Rafiqullah Khan, Kemesha Gabbidon, Faheema Abdool-Ghany, Anshul Saxena, Esneider Gomez, Ts Stewart

USF St. Petersburg Campus Faculty Publications

Background: Globally, cervical cancer is a major public health concern. Cervical cancer is the second most common cancer among women, resulting in approximately 500,000 cases per year. The purpose of this study is to compare disease characteristics between Black Hispanic (BH) and Black non-Hispanic (BNH) women in the US. Materials and Methods: We used stratified random sampling to select cervical cancer patient records from the SEER database (1973-2009). We used Chi-square and independent samples t-test to examine differences in proportions and means. Results: The sample included 2,000 cervical cancer cases of Black non-Hispanic and 91 Black Hispanic women. There were …

Survival Analysis For White Non-Hispanic Female Breast Cancer Patients, Hafiz Mohammad Rafiqullah Khan, Anshul Saxena, Kemesha Gabbidon, Tiffanie Shauna-Jeanne Stewart, Chintan Bhatt

USF St. Petersburg Campus Faculty Publications

Background: Race and ethnicity are significant factors in predicting survival time of breast cancer patients. In this study, we applied advanced statistical methods to predict the survival of White non-Hispanic female breast cancer patients, who were diagnosed between the years 1973 and 2009 in the United States (U.S.). Materials and Methods: Demographic data from the Surveillance Epidemiology and End Results (SEER) database were used for the purpose of this study. Nine states were randomly selected from 12 U.S. cancer registries. A stratified random sampling method was used to select 2,000 female breast cancer patients from these nine states. We compared …

Limiting Liberty To Prevent Obesity: Justifiability Of Strong Hard Paternalism In Public Health Regulation, Thaddeus Mason Pope

Faculty Scholarship

Because of the largely self-regarding nature of obesity, many current and proposed public health regulatory measures are paternalistic. That is, these measures interfere with a person’s liberty with the primary goal of improving that person’s own welfare.

Paternalistic public health measures may be effective in reducing obesity. They may even be the only sufficiently effective type of regulation. But many commentators argue that paternalistic public health measures are not politically viable enough to get enacted. After all, paternalism is repugnant in our individualistic culture. It is "wrong" for the government to limit our liberty for our own good.

In this …

Physical Environment And Women's Physical Activity Behaviors, Beth Ann Brisky

All Graduate Theses, Dissertations, and Other Capstone Projects

This study was developed using the Ecological Model (Stokols, 1992). The purpose of this study was to determine women's perceptions of the physical environment and the relationship between perceptions and physical activity behaviors. The study also analyzed women's non-motorized transportation behaviors, including walking and cycling to get from place to place. An email was sent to 526 female Minnesota State University, Mankato employees to ask them to participate in an electronic survey. The survey was developed using two of Sallis's (2013a, 2013b) instruments, Neighborhood Quality of Life Study survey and Neighborhood Environment Walkability Scale-Confirmatory Factor Analysis survey. The survey consisted …

Key Nutrient Selection And Consumption By Elementary Students In The National School Lunch Program, Jocelyn Hayward Cowen

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

While the recent decline in the rate of obesity amongst preschool children in 19 states is encouraging,(1) the overall rate of obese children in the United States remains at 17%.(2) Obese children suffer physical, emotional, and psychological health consequences such as high blood pressure, high cholesterol, impaired glucose tolerance, breathing problems, fatty liver disease, poor selfZesteem, and depression.(3) Furthermore, obese children are more likely to become obese adults with their health problems worsening with age.(3)

The National School Lunch Program (NSLP), which provided meals to over 30 million students in 2013,(4) was recently revised to improve school food environments to …

Flavored Milk And The National School Lunch Program, Ellen Hutchins

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

According to the National Health and Nutrition Examination Survey (NHANES) nearly 17% of children nineteen years of age and younger are obese.1 Obese children face many health ailments similar to those of obese adults including sleep apnea, asthma, hypertension, and early onset of type 2-diabetes.2 These problems continue into adulthood when additional risks such as cancer and cardiomyopathy begin to develop.2 Furthermore, obese children are at increased risk of adult obesity.3 Addressing the childhood obesity challenge has become a national priority, with significant initiatives from the White House, USDA, CDC, and other national health organizations as well as numerous intervention …

Testing The Health And Exercise Knowledge Of Bowling Green State University Students, Veronica Rasicci

Honors Projects

Obesity has reached epidemic proportions and the problem is only continuing to grow (Flegal, 2006). Young adult college students are at a time in their lives where behaviors can more easily change than during other ages. They also are at a point in their lives where their current behaviors will influence the habits that they continue into later adulthood (Racette, Deusinger, Strube, & Highstein, 2012). Education is one way to promote healthy changes by college students. It is important to find out what knowledge of health and exercise college students already have. I developed a questionnaire with content-related validity and …

Effect Of Brassica Vegetable Intake On The 2:16Α Estrogen Metabolite Ratio In Postmenopausal European American And African American Women, Kendrea Knight

Theses and Dissertations

Background: It is well-established that many risk factors for breast cancer are related to estrogen or reproductive factors. Two estrogen metabolites of particular interest are 2-hydroxyestrone (2-OHE) and 16α-hydroxyestrone (16α-OHE) which are often reported together as a ratio of 2:16α-hydroxyestrone (2:16α –OHE). It has been demonstrated in several studies that postmenopausal women who are at a higher risk of breast cancer tend to have increased levels of 16α-OHE or decreased levels of 2-OHE levels in the body. Recent studies have shown that the phytochemical indole-3-carbinol (I3C), found in Brassica vegetables, impacts the conversion of 2-OHE, known as “good estrogen”, by …

Male Clients Of Male Escorts: Satisfaction, Sexual Behavior, And Demographic Characteristics, Christian Grov, Margaret Wolff, Michael D. Smith, Juline A. Koken, Jeffrey T. Parsons

Publications and Research

Few studies have examined male clients who pay for sex with male escorts. In 2012, clients (n = 495) completed an online survey about their most recent hire. Most clients were White/Caucasian (87.7%), HIV negative (89.5%), employed full time (71.1%), single (58.6%), with a mean age of 54. Three-quarters of clients were gay identified, 18% bisexual, and 4% heterosexual. The median rate paid to escorts was $250 per hour with a modal appointment time of 1 to 2 hours (41.6%). Oral sex was common (80% gave, 69% received), 30% reported anal insertive sex, and 34% reported anal receptive sex. In …

Program And Policy Considerations For Tenofovir Gel In India: An Overview, Population Council

HIV and AIDS

The 2011 National Sentinel Surveillance estimated that 1.9 million people in India aged 15 and older were living with HIV. An estimated 39 percent are women. Given the urgent need for HIV-prevention options for women, a number of efforts are underway to prepare for introduction of tenofovir gel should it be shown to be effective. One of these is a guide to assist policymakers and program managers in identifying the most strategic opportunities for introducing tenofovir gel. The guide includes three related components: a landscape analysis, a discussion guide for key opinion leader interviews, and a program planning tool. The …

Action For Dental Health Initiatives, American Dental Association

Action for Dental Health

No abstract provided.

A Description Of Snack Foods In Select Ohio Schools: A Baseline Prior To Usda New Competitive Food Guidelines, Chukwudubem C. Obianagha

Master of Public Health Program Student Publications

Background: The proliferation of snack foods in school lunch programs has necessitated the USDA to regulate its consumption by implementing policies regarding its use. The competitive food guidelines were enacted in June 2013 through the Healthy, Hunger-Free Kids Act. This required development of federal nutritional guidelines snack foods had to meet in order to be considered a competitive food and thus sold in school lunchrooms.

Objectives: The purpose of this study is to describe the current snack food offerings in select Ohio high schools, and to determine how these snack foods affect the consumption of healthier free and reduced meal …

Breastfeeding Knowledge, Practice, Attitudes, And Influencing Factors: Findings From A Selected Sample Of Breastfeeding Mothers In Bemidji, Minnesota, Hadeel Adnan Tanash

All Graduate Theses, Dissertations, and Other Capstone Projects

Breastfeeding is generally considered by health professionals as the ideal feeding practice for infants. It is the first communication pathway between the mother and her infant. This study was designed to describe breastfeeding knowledge, attitudes, practice and influencing factors among breastfeeding mothers in Bemidji, MN. This cross-sectional study allowed the researcher to determine trends and other information about the sample in the Bemidji area. The participants for this study were breastfeeding mothers who gave a birth at Sanford Health located in Bemidji, MN. A written data collection instrument containing forty nine questions was used to collect data. The findings of …

A Paradox In Development: Exploring The Obesity Pandemic In Latin America, Laila G. Heid

CMC Senior Theses

The purpose of this paper is to explain the obesity pandemic in Latin America and identify the factors of development contributing to the pandemic. The paper uses the framework of the nutrition transition as presented by Barry Popkin to trace consumption patterns and changes in dietary habits in the region. The paper looks at three case studies: Mexico and Chile, two countries with high obesity rates, and Peru, the country with the lowest obesity rate in South America. This comparative framework is intended to determine which conditions are necessary for obesity, which conditions are sufficient for obesity, and any conditions …

Saudi Arabian Students In Detroit Use Natural Health Products More So Than Other University Students In Detroit, Samiah Naji Alqahtani

Wayne State University Theses

Natural Health Products (NHP), are defined as products that derive from organisms and may include supplements and herbal/traditional remedies. Prior research indicates that females use NHP more than males. We have unpublished data to show that students use NHP for health maintenance with significantly different use of NHP by Native/Aboriginal students vs. other students. Less is known about Saudi students. We hypothesize that: (1) There are gender differences in NHP used; and (2) There are geo-ethnic differences in NHP used. We also determine the predictor variables that influence NHP use by students. Students from Wayne State University (n=560; 193 …

Breast Cancer Susceptibility : An Education Intervention And Genetic Epidemiology Study, Nur Zeinomar

Legacy Theses & Dissertations (2009 - 2024)

Background: Breast cancer is the most frequently diagnosed cancer (aside from non-melanoma skin cancers) and the second leading cause of cancer deaths among women in the United States. Our studies aimed to assess the effectiveness of a breast cancer educational intervention and to investigate genetic influences on the risk of post-menopausal breast cancer. The overarching theme and public health relevance of this dissertation was that our findings provided leads for breast cancer prevention.

Predictors Of Attrition Among Participants In A Worksite Wellness Program, Yvonne A. Johnston

Legacy Theses & Dissertations (2009 - 2024)

Objectives: The purpose of this secondary data analysis was to examine "stage of change" as a predictor of attrition among participants in a worksite wellness program. A Conceptual Model of Attrition was developed to examine health screening, health risk appraisal (HRA), and demographic predictors of attrition as well.