Digital Commons Network^™

Attitudes, Beliefs, And Practices Of Key Opinion Leaders (Kol) And Providers About Emergency Contraception (Ec) In Senegal, Babacar Mane, Saumya Ramarao, Martha Brady, Fatou Bintou Mbow, Ababacar Thiam

Reproductive Health

In 2010, the Reproductive Health Division in Senegal, with support from Population Council, performed an assessment of the emergency contraception (EC) integration process into the national health system through a national forum on EC. This forum revealed that there was a real promotional problem regarding EC in the national health system despite the efforts made. There was widespread lack of public awareness of the product, rumors concerning EC due to the sensitive nature of the product, low inclusion of EC in routine service delivery, especially during initial counseling in family planning awareness campaigns , and a better method of keeping …

A Review And Evaluation Of Multi-Sectoral Response Services ('One-Stop Centers') For Gender-Based Violence In Kenya And Zambia, Jill Keesbury, Washington Onyango-Ouma, Chi-Chi Undie, Catherine Maternowska, Frederick Mugisha, Emmy Kageha, Ian Askew

Reproductive Health

An increasingly popular strategy for addressing sexual gender based violence (SGBV) is through the establishment of one-stop centers‘ (OSCs), which provide integrated, multi-disciplinary services in a single physical location. The goals of this assessment were two-fold: first, to assess the effectiveness of different OSC models in terms of health and legal outcomes for survivors, and the cost-effectiveness of these models; and second, to identify lessons learned in OSC implementation with recommendations for both start-up and scale-up. Findings from this study offer the first form of systematic evidence on the effectiveness of OSCs, which can guide national-level policymakers and program managers …

Rape Sentencing Study: A Review Of Statutory Sentencing Provisions For Rape, Defilement, And Sexual Assault In East, Central, And Southern Africa, Jill Thompson, Felly Nkweto Simmonds

Reproductive Health

Several countries in East, Central and Southern Africa have responded to the problem of violence against women and children by amending outdated criminal laws relating to rape and other forms of sexual and gender-based violence. This legislative review is Part I of a two-part desk review on sentencing of sexual offences and minimum sentences in the African and international context. It should be read in conjunction with Part II of the Rape Sentencing Study. The purpose of this review is to: 1) document the sentencing reforms made in selected countries in the East, Central and Southern African region since 1998; …

Neuroscience And The Child Welfare System, Clare Huntington

Faculty Scholarship

Increasingly, scholars and policymakers are calling for programs that take a preventive approach to child abuse and neglect, rather than our current tendency to respond only after a crisis. There are significant social and economic arguments supporting this shift. The Nurse-Family Partnership, developed by David Olds and discussed in this symposium, illustrates how specific investments in family functioning can lower rates of child abuse and neglect, leading to a host of positive outcomes for children and society, from greater educational attainment to less involvement in the criminal justice system. Thinking about child well-being more broadly, the Nobel laureate James Heckman …

Long Term Weight Variability In Adults Of Adventist Health Study 1 And 2, Namgyal Lhawang Kyulo

Loma Linda University Electronic Theses, Dissertations & Projects

Background: The effect of overweight and obesity on the risk of fatal disease tends to attenuate with age. One plausible explanation is that a proportion of elderly people in the ideal weight category (19 to 25 kg/m ) experienced disease-related weight loss - an effect that will attenuate health risk related to overweight and obesity. One potential approach to controlling for this bias would be to examine fluctuations in weight during the adult lifespan by considering multiple measures of weight or recall of body weight during adulthood. Some of these measures are available in the Adventist Health Study cohorts and …

A Systematic Review Of Physical Activity Interventions In Hispanic Adults, Melinda J. Ickes, Manoj Sharma

Kinesiology and Health Promotion Faculty Publications

Healthy People 2020 aims to achieve health equity, eliminate disparities, and improve the health of all groups. Regular physical activity (PA) improves overall health and fitness and has the capability to reduce risk for chronic diseases. Identifying barriers which relate to the Hispanic population is important when designing PA interventions. Therefore, the purpose was to review existing PA interventions targeting Hispanic adults published between 1988 and 2011. This paper was limited to interventions which included more than 35% Hispanic adults (n = 20). Most of the interventions were community based (n = 16), although clinical, family-based, and faith-based …

"People Aren't Mind Readers": A Study Of Sexual Self-Concept, Partner Communication, And Sexual Satisfaction, Heather Blunt

USF Tampa Graduate Theses and Dissertations

Sexual health is an important component to overall well-being and quality of life. Yet so much of sexual health research is focused solely on the negative consequences of sexuality, such as unintended pregnancy and transmission of sexually transmitted infections. Recently, the need for a positive, health promotion focused framework for research and understanding sexual health has received attention, including from the World Health Organization and the Centers for Disease Control and Prevention. This transition of public health research and practice from a disease-based framework to a positive, health promotion framework necessitates exploring what factors are associated with positive sexuality and …

Recreational Music-Making In Music Pedagogy: A Manifesto For Change, Brandon Keith Wood

Theses and Dissertations--Music

The arts are an essential part of any student’s well rounded education. The future of music in education will depend on its ability to deliver relevant, effective, and measurable outcomes. However, the expectations and performance nature of traditional curricula often foster a sense of musical elitism and ostracizes students that are solely interested in music as a recreational outlet. Incorporating recreational music-making into education can provide opportunities for students to experience self-expression, creativity, social connection, and enjoyment. These values will not only enhance their education, but also lead to acquired skills for use in all areas of their lives. Activities …

Identifying Risk Factors For Disparities In Breast Cancer Mortality Among African-American And Hispanic Women, Nancy Tian, Pierre Goovaerts, F. Benjamin Zhan, T. Edwin Chow, Jeff Gaines Wilson

School of Earth, Environmental, & Marine Sciences Faculty Publications

Background: This study evaluated the risk factors associated with racial disparities in female breast cancer mortality for African-American and Hispanic women at the census tract level in Texas from 1995 to 2005.

Methods: Data on female breast cancer cases were obtained from the Texas Cancer Registry. Socioeconomic and demographic data were collected from Census 2000. Network distance and driving times to mammography facilities were estimated using Geographic Information System techniques. Demographic, poverty and spatial accessibility factors were constructed using principal component analysis. Logistic regression models were developed to predict the census tracts with significant racial disparities in breast cancer mortality …

Predictors Of Adolescents Attitudes Towards Hepatitis C, Magdalena Sotiroski

School of Psychology and Social Science Presentations

Hepatitis C is referred to as a blood borne virus and transmission is possible when there is blood to bloodcontact. In Australia one person is exposed to hepatitis C every hour of every day. Attempts to increase knowledge and change attitudes towards hepatitis C in the community have been limited, particularly among target groups such as young people. It seems the majority of hepatitis C education and prevention efforts have focused on the provision of information (cognitions) to increase awareness and reduce engagement in risk behaviours (Brown, Perlmutter & McDermott, 2000; Munoz-Plaza, Strauss, Astone, Jarlais & Hagan, 2004). In contrast, …

Summary Of Research In Speech Pathology, Deborah Hersh

ECU Research Week

No abstract provided.

Defining Speech And Language Fluency Profiles Before And After The Onset Of Stuttering: Preliminary Findings, Charn Nang

ECU Research Week

No abstract provided.

The Association Of Natural Elements And Trail Use By Adults, Anna E. Greer, Julian A. Reed, Steve P. Hooker

All PTHMS Faculty Publications

We used the System for Observing Play and Recreation in Communities to examine the association between variations in natural elements (ie, season, weather, and temperature) and adults’ use of a rail-trail in South Carolina (2006-2009). Most (62%) of the 4,468 trail users observed were walkers; 38% were observed participating in vigorous physical activity. Adults were most often observed using the trail during the summer (32%), sunny weather (78%), and moderate temperatures (54%). When promoting trail use among adults, natural elements should be considered.

Trajectories Of Depressive Symptoms And Illicit Drug Use: Longitudinal Temporal Associations And Comorbidity In A Community Sample Of Adults, Yulia Khodneva

All ETDs from UAB

Cross-sectional studies of the community and treatment samples suggest substantial comorbidity between depression and illicit drug use disorders. Controversy exists whether such pattern of comorbidity is seen among drug using behaviors and depressive symptoms that fall short of the DSM-IV criteria for a clinical disorder. This dissertation research applied principles of the life course perspective and trajectory modeling to describe heterogeneity and comorbidity of subthreshold depressive symptoms with opioid, cocaine and amphetamine use in middle age. Secondary analysis of community-dwelling adults from the Coronary Artery Risk Development in Young Adults (CARDIA) study was performed. The CARDIA cohort, N=5115 at inception …

Relationship Between Religiosity, Violent Behavior And Gang Activity In Economically Disadvantaged Adolescents, David Mckenzie

All ETDs from UAB

RELATIONSHIP BETWEEN RELIGIOSITY, VIOLENT BEHAVIOR AND GANG ACTIVITY AMONG ECONOMICALLY DISADVANTAGED ADOLESCENTS DAVID McKENZIE HEALTH EDUCATION & HEALTH PROMOTION ABSTRACT Few studies have examined the relationship between religiosity, violent behavior and gang activity in disadvantaged youth. This research study analyzed data from a population of low-income adolescents in Mobile, Alabama. The research objectives were to assess the relationship between adolescent religiosity and involvement in violent behavior and gang activity, and to determine if there were gender differences between boys and girls regarding religiosity, violent behavior and gang activity. It was hypothesized that there would be an inverse relationship between religiosity …

Measuring Disease Activity And Use Of Complementary And Alternative Medicine In African-Americans With Rheumatoid Arthritis, Ashutosh Tamhane

All ETDs from UAB

The aims of this project were to: 1) compare disease activity scores 28 joints (DAS28) based on erythrocyte sedimentation rate (ESR) versus that based on C-reactive protein (CRP), and 2) describe prevalence of complementary and alternative medicine (CAM) use and examine differences of CAM use stratified by disease duration and sex. This analysis included participants from the Consortium for the Longitudinal Evaluation of African Americans with Early Rheumatoid Arthritis (CLEAR) Registry. Using tender and swollen joint counts separate ESR-based and CRP-based DAS28 scores (DAS28-ESR3 and DAS28-CRP3) were calculated, as were DAS28-ESR4 and DAS28-CRP4, which included the patient¡¯s assessment of disease …

The Impact Of Community Health Centers On Prostate Cancer Screening Behaviors Of African American Males: A Mixed Methods Study, Michael C. Taylor

All ETDs from UAB

THE IMPACT OF COMMUNITY HEALTH CENTERS ON PROSTATE CANCER SCREENING BEHAVIORS OF AFRICAN AMERICAN MALES: A MIXED METHODS STUDY MICHAEL C. TAYLOR UAB SCHOOL OF PUBLIC HEALTH DEPARTMENT OF HEALTH BEHAVIOR ABSTRACT Federally qualified community health centers have a significant impact upon uninsured and low income populations in the United States by providing low cost primary care and preventive services. The purpose of this mixed methods study was to determine the impact of community health centers (CHCs) on African American males' prostate cancer screening behavior in a major Southern city. A sequential explanatory mixed method model was used to assess …

Sleep Duration And Obesity: Longitudinal Study Of Adolescents, Herpreet Kaur Thind

All ETDs from UAB

Prevalence of obesity continues to be high in the United States with about one-third adults being overweight or obese. Among adolescents the rates of overweight/obesity have increased by three times in the past two decades. Moreover, the rates of obesity are disproportionately high among the minority population. Recently, sleep duration has emerged as an independent risk factor for obesity. Several cross-sectional and longitudinal studies worldwide have shown an inverse relationship between sleep duration and obesity. However, some studies do not support this association. Majority of the studies in the United States have been conducted on predominantly White populations. African Americans …

Ethnicity And Gender As Predictors Of Physical Activity And Social Cognitive Determinants, Amber Luana Bridges-Arzaga

Open Access Theses & Dissertations

The purpose of this study was to examine ethnicity and gender as predictors of physical activity (PA) and the Social Cognitive Theory (SCT) constructs related to physical activity among college students. Specifically, the study examined differences in PA between Hispanic college students and their non-Hispanic White counterparts. The study also examined differences between Hispanic and non-Hispanic White participants in SCT constructs regarding PA, such as social support, self-efficacy, outcome expectancies, and self-regulation. Additionally, the study assessed differences between male and female college students in relation to PA and SCT constructs. Finally, the study explored meditational effects of SCT constructs on …

Coping As A Mediator Between Proximity To Violence In Juarez, And Ptsd Symptoms Among College Students Attending A University On The Texas - Mexico Border, Francis Javier Reyes

Open Access Theses & Dissertations

The present study directly examined whether proximity to ongoing violence might lead to symptoms of Post-Traumatic Stress Disorder (PTSD) in a sample of students attending a border university less than a mile from the US Mexico border. Exposure to violence is a common cause of PTSD symptomology. Prior research in the region suggests that ongoing traumatic stress due to the violence in Juarez is associated with increased PTSD symptomology. Because coping skills are thought to protect individuals from PTSD the Transactional Model of Stress and Coping (Lazarus & Folkman, 1984) guided the study. The purpose of this study was to …

Are Low Wages Risk Factors For Hypertension?, J. Paul Leigh, Juan Du

Economics Faculty Publications

Objective: Socio-economic status (SES) is strongly correlated with hypertension. But SES has several components, including income and correlations in cross-sectional data need not imply SES is a risk factor. This study investigates whether wages-the largest category within income-are risk factors. Methods: We analysed longitudinal, nationally representative US data from four waves (1999, 2001, 2003 and 2005) of the Panel Study of Income Dynamics. The overall sample was restricted to employed persons age 25-65 years, n = 17 295. Separate subsamples were constructed of persons within two age groups (25-44 and 45-65 years) and genders. Hypertension incidence was self-reported based on …

Formative Research And Community Resilience: A Case Of Under Addressed Youth Problem Gambling, Michea Caye

Antioch University Dissertations & Theses

The overarching research topic for this study is the issue of effectively engaging and informing community and government decision makers about health issues that can negatively impact a community's resilience. The question guiding this study is how can formative research engage and inform community and government decision makers about the under addressed issue of youth problem gambling (YPG) in Windham County, Vermont? The study has two aims: 1) to develop a formative research conceptual framework and evaluate its effectiveness in addressing the public health issue of youth problem gambling, and 2) to use the formative research methodology to develop a …

Perceptions And Experiences Of Women In Karachi, Pakistan Regarding Secondary Infertility: Results From A Community-Based Qualitative Study, Neelofar Sami, Tazeen S. Ali

Community Health Sciences

Background: The prevalence of infertility in Pakistan is 22% with primary infertility at 4% and secondary infertility at 18%. This study explored perceptions and experiences of women in Karachi, Pakistan regarding the causes, treatment-seeking behavior for and consequences of secondary infertility.
Methods: Focus group discussions and in-depth interviews with married women explored their perceptions and experiences for issues related to secondary infertility.
Results: The knowledge of women about the causes and scientific treatment options for infertility was limited resulting in inclination for traditional unsafe health care. Infertility was stated to result in marital instability, stigmatization and abuse specially for women …

Ethics Of Clear Health Communication: Applying The Clean Look Approach To Communicate Biobanking Information For Cancer Research, Alexis Koskan, Mariana Arevalo, Gwen Quinn, Shalwea Noel-Thomas, John S. Luque, Kristen Wells, Cathy Meade, Clement K. Gwede

Community Health: Faculty Publications

Cancer innovations, such as biobanking technologies, are continuously evolving to improve our understanding and knowledge about cancer prevention and treatment modalities. However, the public receives little communication about biobanking and is often unaware about this innovation until asked to donate biospecimens. It is the researchers’ ethical duty to provide clear communications about biobanking and biospecimen research. Such information allows the public to understand biobanking processes and facilitates informed decision making about biospecimen donation. The aims of this paper are 1) to examine the importance of clear communication as an ethical imperative when conveying information about cancer innovations and 2) to …

Service Learning In Higher Education Exercise Science Programs, Wendy Bjerke Ph.D.

Journal of Sustainable Social Impact

Service Learning in Higher Education Exercise Science Programs

ABSTRACT

Research Category

INTRODUCTION: Service Learning (SL) describes teaching methods that incorporate student service activities with specific learning objectives. SL has been applied to allied health higher education programs.

PURPOSE: To determine the applicability of SL to exercise science courses. SL data associated with an undergraduate course in exercise physiology serving a local fire department is examined.

METHODS: Among 90 firefighters, resting heart rate, blood pressure, estimated relative VO2 max, body composition, lower extremity power, upper body strength, flexibility, and perceived stress was assessed pre and post an education and physical …

Formative Research On Hpv Vaccine Acceptability With Latina Farmworkers, John S. Luque, Heide Castañeda, Dinorah Martinez Tyson, Natalia Vargas, Meade

Community Health: Faculty Publications

The purpose of this study was to identify the barriers and benefits to human papillomavirus (HPV) vaccination in a low-income, Latina farmworker population in central Florida. This study reports on formative qualitative research conducted on perceptions of benefits, barriers, costs, place, and promotion related to the HPV vaccine from surveys and interviews with a sample of 46 low-income, Latina farm workers and 19 health care workers serving this population. It was found that Latina farmworkers hold many misperceptions about the HPV vaccine and the potential links between HPV infection and cervical cancer. In addition, it was observed that HPV vaccination …

An Examination Of Factors Affecting Non-Urgent Use Of Emergency Department Services By Patients With "Universal" Healthcare, Gregory Smith Feltenberger

Health Services Research Dissertations

The purpose of this research is to examine the factors affecting non-urgent utilization of emergency department (ED) services by individuals with "universal" healthcare using the Behavioral Model of Health Services Use. Since Air Force Medical Service beneficiaries have free and unlimited use of the full-range of healthcare services, they are ideally suited for this study. The findings of this research may also apply to other populations with free or low-cost access to healthcare (i.e., universal or single-payer healthcare). Using secondary data extracted from the Air Force Medical Service's electronic health record system at several military hospitals, this study will present …

Front Matter

Michigan Journal of Public Health

No abstract provided.

Intimate Partner Physical Violence Against Women In Saudi Arabian Primary Healthcare Clinics, Halah M. Eldoseri

Health Services Research Dissertations

Intimate partner violence against women (IPPVAW) is a serious public health concern. The Ecological Model provides a model to study several factors associated with IPPVAW. In Saudi Arabia, studies addressing IPPVAW are limited and do not cover the various aspects of the problem. The purpose of this study was to investigate the various factors associated with IPPVAW at the personal, interpersonal, community and societal levels. Methods: 200 ever-married women attending six PHC in Jeddah, Saudi Arabia were recruited via convenient sampling method. Women were interviewed on factors related to IPPVAW using an adapted version of WHO survey for violence against …

Impact Of The Choosing The Best Program In Communities Committed To Abstinence Education, Lisa D. Lieberman, Haiyan Su

Department of Public Health Scholarship and Creative Works

States vary in standards for sex education, some requiring an emphasis on abstinence. Schools seek to identify curricula that reflect local community values and meet state standards. Choosing the Best (CTB), a classroom-based abstinence education curriculum, has been implemented in 75 Georgia school districts since 1995. CTB Inc., sought to determine if this popular program had an impact on abstinence attitudes, intentions, and behavior. Six Georgia public schools (1,143 ninth graders) participated in the study in 2009-2010. Four randomly assigned schools received the CTB curriculum, taught by trained CTB staff. Two control schools received their usual textbook-based abstinence lessons. Surveys …