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Safety Planning: Self-Management Approaches For Intimate Partner Violence In Ohio, Yvette Clemons

Walden Dissertations and Doctoral Studies

AbstractIntimate partner violence (IPV) is a global health education and promotion burden that has affected one in four women in the United States between the ages of 18-24, who are at increased risk of subsequent negative health outcomes of sexually transmitted inflections, mental health and substance abuse disorders, exacerbated suicidal ideations, and death. Exploring the health education needs and learning preferences of women affected by IPV who have utilized self-management strategies during safety planning interventions was the purpose for this phenomenological qualitative study and aligned the four research questions. SurveyMonkey was used to conduct interviews of 30 women align with …

Impact Of The Internet On Young Adult’S Perceptions Of Childhood Vaccinations, Hollie Leigh Xu

Walden Dissertations and Doctoral Studies

The internet and social media have transformed the way people receive information and connect, but the impact on society is still unknown. The purpose of this study was to examine the impact of indirect exposure to vaccine messages via the internet on young adults’ perceptions of childhood vaccinations. The health belief model and the social marketing theory were used as the theoretical framework. Research questions explored the relationship between exposure to anti and pro-vaccination messages and perceptions of participants as well as the relationship between perceptions of vaccination and intent to vaccinate. A quantitative correlational study design was used, with …

Factors Predicting Obstetric Fistula Among Women 15-49 Years Old In Uganda, Fatmata Fofanah

Walden Dissertations and Doctoral Studies

Obstetric fistula is among the public health issues that are preventable and treatable, as evidenced by its elimination in industrialized nations. The aim of this quantitative, cross-sectional study was to use Andersen’s behavioral model of health services utilization to examine the factors that predict the likelihood of experiencing obstetric fistula among women ages of 15 and 49 living in Uganda. Demographic risk factors (marital status, age at first pregnancy, level of education and income, and religious affiliation), medical risk factors (access to health care, distance from hospital, parity, and number of antenatal visits), the mode of delivery (C-section), and location …

The Combined Impact Of Race And Education On Obesity Among U.S. Adults By Fidelis Okoye, Fidelis Chidi Okoye

Walden Dissertations and Doctoral Studies

Walden University

College of Health Professions

This is to certify that the doctoral dissertation by

Fidelis Okoye

has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made.

Review Committee Dr. Vasileios Margaritis, Committee Chairperson, Public Health Faculty Dr. Srikanta Banerjee, Committee Member, Public Health Faculty Dr. James Rohrer, University Reviewer, Public Health Faculty

Chief Academic Officer and ProvostSue Subocz, Ph.D.

Walden University2021

AbstractThe Combined Impact of Race and Education on Obesity Among U.S. Adults by Fidelis Okoye

MA, Walden University, 2009BS, Marygrove College, 2001

Dissertation …

Domestic Abuse Against Men In Kenya, Catherine W. Kigaya

Walden Dissertations and Doctoral Studies

Domestic violence, also known as intimate partner violence (IPV), is prevalent globally and causes severe physical, psychological, and social harm to victims. The purpose of this quantitative cross-sectional study was to highlight the predictors of physical and sexual IPV among men in Kenya and examine the influence of media in seeking help. These factors were explored through the lens of the socio-ecological model and the social learning theory. The 2014 Demographic Health Survey archival data obtained through in-depth interviews were used to answer the research questions. Dependent variables were physical abuse, sexual abuse, and seeking help while independent variables were …

Sociodemographic Factors, Socioeconomic Factors, And Teenage Pregnancy Outcomes In Guyana, Karen Roslyn Cummings

Walden Dissertations and Doctoral Studies

Teenage pregnancy, a global phenomenon is associated with adverse pregnancy outcomes, owing to the mother’s individual factors, location, education attainment, and service accessibility. Globally, 16 million babies are born to teenage mothers annually. In Guyana, there is a paucity of information on factors associated with teenage pregnancy rate which stands at 74 per 1,000, and its outcomes. Archived data from the 2014 UNICEF Multiple Indicator Cluster Survey 5 (MICS5) was used to identify and examine relationships between the sociodemographic, socio-economic factors, and teenage pregnancy outcomes in Guyana. This quantitative cross-sectional review approach guided by the Bronfenbrenner theoretical framework analyzed data …

Subclinical Stress On Obesity Among Obese African American Women, Dr. Nosakhare Osasu Idehen

Walden Dissertations and Doctoral Studies

AbstractObesity is a complex disease linked to genetics, health behaviors, upstream social determinants of health, and psychosocial stress. Obesity-related chronic diseases and opportunity cost significantly impact individuals and communities. Current prevention policies focus on diet and exercise without demonstrating the benefits of stress coping strategies in obesity management. Subclinical racial minority and gender stress heighten hypervigilance, psychological overload, poor stress coping strategies, inflammation, and obesity. Subclinical stress varies with race and gender, and it is higher in African American (AA) women. The purpose of this qualitative study was to explore the lived experience of subclinical racial minority and gender stress …

Hpv Vaccination Rates Among Males In Minority Populations, Andrew Lemke

Walden Dissertations and Doctoral Studies

Ethnic minorities are less likely to be vaccinated in comparison to White individuals. As a result, Blacks have one of the highest rates of human papillomavirus (HPV)-related complications. The purpose of the quantitative study was to identify significant factors predicting initiation of HPV vaccination in Black male adolescents. The study was based on the constructs of Ajzen’s theory of planned behavior and used a cross-sectional design that involved weighted data from the 2018 National Immunization Survey (n=395,067) conducted by the Centers for Disease Control and Prevention. The research questions were based on how factors such as fear, family involvement, sexual …

The Role Of Demographic And Clinical Characteristics On Risk Of Covid-19 Related Infection And Mortality, A. O'Shea, M. Youssef, M. Connolly, A. Al Lawati, S.I. Shah, S. Walsh, D. Mccartney, J. Faul

Articles

Since the emergence of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) which causes Covid-19, global health systems have struggled to cope with the rising number of related infections, acute admissions and mortalities. Poorer clinical outcomes have been observed amongst older patients with Covid-19 and males, and in those who are obese or who have darker skin(1) . Additionally, poorer outcomes including increased mortality have been associated with low vitamin D status(2,3) . The current observational study aimed to elucidate the association between patient demographic, anthropometric, clinical and biometric characteristics and Covid-19 disease severity and mortality.

The Risks For Eating Disorders/Disordered Eating In Refugee & Immigrant Experiences And The Imperative Of Culturally Alert Screening, Chantal A. Bushelle

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Eating Disorders (ED)/Disordered Eating (DE) largely remain outside of global mental health agendas. There are limited data on the epidemiology EDs/DE in refugee and immigrant populations, and there is a paucity of research on refugee and immigrant experiences of EDs/DE. Study of acculturation issues in refugee and immigrant populations have historically missed investigating what role and impact experiences of stress and trauma (e.g., historical, chronic) along with cultural change and transition may have on their food attitudes and eating behaviors. While there has been some study of eating habits within refugee and immigrant populations, the focus is typically on food …

Applications Of Longitudinal Machine Learning Methods In Multi-Study Alzheimer's Disease Datasets, Charles F. Murchison

All ETDs from UAB

Advances in statistical learning models for prediction have led to broader application across a variety of disciplines, granting generalizations and adaptations that were previ-ously intractable even with advanced computational techniques. Among these is the al-lowance of correlated data with inherent paneled structure such as longitudinal or clus-tered data; adjustments which have already begun to be applied to a variety of supervised and unsupervised machine learning methods which had previously focused on cross-sec-tional data. These modifications have seen rudimentary testing in a number of applied disciplines where correlated data is commonly observed, including medical and clinical research. One field in particular …

Multidrug-Resistance, Antibiotic-Associated Acute Kidney Injury, And Poor Disease Prognosis In Community-Acquired Bacterial Pneumonia, Adeniyi J. Idigo

All ETDs from UAB

In this dissertation research, I examined the challenges of treating patients with bacterial community-acquired pneumonia (CAP) with the purpose of identifying risk factors linked with multidrug-resistant (MDR) Pseudomonas, treatment toxicity, and poor disease prognosis. I used a retrospective cohort study design to explore a clinical cohort of patients admitted to the University of Alabama at Birmingham hospital network who had bacterial pneumonia diagnosis assessed to be from community transmission between January 2013-December 2019. Electronic medical records were accessed for socio-demographic and clinical information. First, I examined the local prevalence/incidence of Pseudomonas CAP and MDR Pseudomonas CAP, and the relationship between …

Cognitive Progression And Care Patterns In All-Cause Dementia By Prior Cancer Diagnosis, Mackenzie Elisha Fowler

All ETDs from UAB

Cancer and dementia are common aging-related diseases. Cancer and itstreatments are associated with cognitive impairment referred to as cancer-related cognitive impairment (CRCI). Dementias demonstrate similar impairment. Only one study has examined the longitudinal association between cancer and dementia. This dissertation goes beyond limitations of the prior study and has three aims: 1.) to evaluate dementia progression by prior cancer diagnosis, 2.) to evaluate progression of all-cause dementia by cancer treatments, and 3.) to evaluate patterns and predictors of care among dementia patients by cancer history. This study uses EHR data to evaluate cognitive progression by cancer history /cancer treatment characteristics, …

Undergraduate Students’ Perspectives On Mental Health Services, Resources, And Supports During Covid-19: A Qualitative Dissertation, Amy Hutson Chatham

All ETDs from UAB

During the COVID-19 pandemic, increased isolation from supportive relationships, uncertainty about the future, fear of illness, and lack of traditional life-events took a toll on university student mental health. It is important to understand undergraduate students’ mental health needs during the COVID-19 pandemic and their desires for support from their institutions of higher education. Existing studies have documented increased rates of depression, stress, and anxiety among university undergraduates; however, these studies rarely illuminate students’ perspectives on mental health services, resources, and supports that they need during and because of the COVID-19 pandemic. This phenomenological study explored the perspectives of undergraduate …

Risk Of Coronary Heart Disease In Blood Of Marrow Transplant Survivors, Radhika Gangaraju

All ETDs from UAB

Background: Blood or marrow transplant (BMT) recipients are vulnerable to accelerated atherosclerosis due to prior exposure to chemotherapy and radiation, and consequent long-term cardiovascular morbidity, such as coronary heart disease (CHD). A comprehensive evaluation of the risk of late-occurring CHD in adult BMT survivors and the associated risk factors has not been performed. Patients and Methods: Using the Blood or Marrow Transplant Survivor Study (BMTSS), we analyzed the incidence and risk factors for CHD in patients who underwent BMT between 1974 and 2014, and survived ≥2 years. The risk of CHD was examined in BMT survivors as compared to 1,131 …

How Inflammation, High-Density Lipoproteins, And Genes Affect The Relationship Between Apol1 And Kidney Outcomes, Ninad S. Chaudhary

All ETDs from UAB

Over the past decade, the discovery of novel genetic loci on chromosome 22q, apolipoprotein-L1 (APOL1), has given insights into the racial differences in kidney outcomes at the population level. APOL1 risk alleles are unique to African ancestry and confer increased susceptibility to end-stage kidney disease (ESKD) especially among individuals without diabetes. However, the diseases do not occur in all who inherit these alleles. Current efforts are driven towards identifying the factors that can interact with APOL1 in the development of kidney diseases. This dissertation investigated whether the association between APOL1 and kidney outcomes is affected by inflammatory markers (AIM1), high-density …

Nonsuicidal Self-Injury, Suicide Planning, And Suicide Attempt Among High-Risk Adolescents Prior To Psychiatric Hospitalization, Christina M. Sellers, Antonia Díaz-Valdés, Andrew C. Porter, Catherine R. Glenn, Adam Bryant Miller, Adeline Wyman Battalen, Kimberly H. Mcmanama O'Brien

Psychology Faculty Publications

The purpose of this study was to understand the trajectories of nonsuicidal self-injury (NSSI) and suicide plans (SP) in the 90 days prior to inpatient hospitalization, understand the role of NSSI and SP in predicting suicide attempts (SA) on a given day, and to test the interaction between NSSI and SP in predicting same-day SA. Participants included 69 adolescents (77% female, 65% white, 77% Non-Hispanic/Latinx, Mage = 15.77 SDage = 1.00) from an inpatient psychiatric unit. Past 90 day NSSI, SP, and SA were measured using the Columbia Suicide Severity Rating Scale and Timeline Follow Back. First, mixed effect models …

Health Reform Reconstruction, Lindsay F. Wiley, Elizabeth Y. Mccuskey, Matthew B. Lawrence, Erin C. Fuse Brown

Faculty Articles

This Article connects the failed, inequitable U.S. coronavirus pandemic response to conceptual and structural constraints that have held back U.S health reform for decades and calls for reconstruction. For more than a half-century, a cramped “iron triangle” ethos has constrained health reform conceptually. Reforms aimed to balance individual interests in cost, quality, and access to health care, while marginalizing equity, solidarity, and public health. In the iron triangle era, reforms unquestioningly accommodated four legally and logistically entrenched fixtures — individualism, fiscal fragmentation, privatization, and federalism — that distort and diffuse any reach toward social justice. The profound racial disparities and …

Convergent Evidence For The Antiviral Effects Of Several Fda-Approved Phenothiazine Antipsychotics Against Sars-Cov-2 And Other Coronaviruses, Rodrigo Machado-Vieira, João Quevedo, Lokesh Shahani, Jair C Soares

Faculty, Staff and Student Publications

No abstract provided.

Prevalence And Factors Associated With Mental Health Symptoms In Adults Undergoing Covid-19 Testing, Ikponmwosa Osaghae, Linh K Nguyen, Tong Han Chung, Olivia Moffitt, Yen-Chi L Le, Mark B Suh, Pooja N Prasad, Eric J Thomas, Christine D Gordon, Kevin O Hwang

Faculty, Staff and Student Publications

BACKGROUND AND OBJECTIVE: Understanding the mental health impact of the COVID-19 pandemic on persons receiving COVID-19 testing will help guide mental health interventions. We aimed to determine the association between sociodemographic factors and mental health symptoms at 8 weeks (baseline) after a COVID-19 test, and compare prevalence of mental health symptoms at baseline to those at 16-week follow-up.

MATERIALS AND METHODS: Prospective cohort study of adults who received outpatient COVID-19 testing at primary care clinics. Logistic regression analyses were used to assess the association between sociodemographic characteristics and COVID-19 test results with mental health symptoms. Mental health symptoms reported at …

Prevalence And Factors Associated With Mental Health Symptoms In Adults Undergoing Covid-19 Testing, Ikponmwosa Osaghae, Linh K Nguyen, Tong Han Chung, Olivia Moffitt, Yen-Chi L Le, Mark B Suh, Pooja N Prasad, Eric J Thomas, Christine D Gordon, Kevin O Hwang

Faculty, Staff and Student Publications

BACKGROUND AND OBJECTIVE: Understanding the mental health impact of the COVID-19 pandemic on persons receiving COVID-19 testing will help guide mental health interventions. We aimed to determine the association between sociodemographic factors and mental health symptoms at 8 weeks (baseline) after a COVID-19 test, and compare prevalence of mental health symptoms at baseline to those at 16-week follow-up.

MATERIALS AND METHODS: Prospective cohort study of adults who received outpatient COVID-19 testing at primary care clinics. Logistic regression analyses were used to assess the association between sociodemographic characteristics and COVID-19 test results with mental health symptoms. Mental health symptoms reported at …

Effect Of Occupational Welding Fume Exposure On Hemostatic & Inflammatory Blood Parameters And Cardiovascular Risks On Welders And Non-Welders In Confined Space: A Longitudinal Study, Ning Li

Chulalongkorn University Theses and Dissertations (Chula ETD)

Occupational welding fumes contains varies of toxic metal particles and may affect cardiovascular system like the Particulate Matters (PM). The hypothetical mechanisms of welding fume toxicity center on oxidative stress and inflammatory, similar as the mechanisms that link PM2.5 and cardiovascular diseases (CVDs). The popular mechanisms on toxicity of welding fumes agreed that PM was associated with increased WBC and neutrophil counts, and increased WBC counts lead to higher Cardiovascular risks and Coronary heart disease risks.Urine Mn and Cr level in the welder group was significantly higher than the non-welder group (Mn: 0.96 VS 0.22 ug/g creatinine, p < 0.001; Cr: 0.63 VS 0.22 ug/g creatinine, p < 0.01). One third of the non-welders were in the high metal-exposed group. When all the participants were divided by occupation type, two times measurements revealed that Hct, WBC and Eosinophil indices of the welder groups were significantly higher (all p < 0.05). Linear regression models showed that, comparing to non-welders, welding could cause alterations to most hemostatic indices majorly by effecting an increase: Hct (β = 0.015, p = 0.007), WBC (β = 0.047, p = 0.033), Eosinophil ratio % (β = 0.345, p = 0.001). When all the participants were divided by metal level groups, there was bidirectional relationship between urine Mn level and WBC count in the linear regression models ((β = - 0.049, p = 0.045 and β = 0.059, p = 0.007, separately for starting and ending point). The study participants (both welders and non-welders) had an average systolic BP in the “high normal” range (Welders: 125.21 ± 11.23 mmHg for systolic BP Non-welders: mean = 126.33 ± 11.41 mmHg for systolic BP). Systolic blood pressure of the welder group increased significantly higher than the non-welder group after one year follow up (welder group VS non-welder: 4.13 ± 11.76 VS - 0.15 ± 6.60 mmHg, p = 0.037).

Family And Household Characteristics And Violent Disciplinary Practices Towards The Children In Myanmar: An Analysis Of 2015-2016 Myanmar Demographic And Health Survey, Nyan Linn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Violence against children is one of the challenging public health problems. Violent disciplines not only affect negative health impacts but also are against children's right. However, those violent methods are still widespread across the countries, especially within the family. For prevention and control, it is required to clearly understand the country-specific information of violent child disciplines. In Myanmar, there are very few studies focusing on this area. This study was aimed to investigate the prevalence and factors associated with violent disciplines against children in Myanmar.Methodology: This study was a secondary data analysis of nationally representative 2015-2016 Myanmar Demographic and …

Health Risk Assessment Related To Cadmium And Lead Exposure From Cigarette Smoking Among Indonesian Smokers In Surakarta, Indonesia: A Cross-Sectional Study, Panji Mukti

Chulalongkorn University Theses and Dissertations (Chula ETD)

Indonesia is one of the developing countries that have the highest number of smokers and ranks third under China and India. Heavy metal such as cadmium and lead poses major health hazards which are found in tobacco smoke. This study aimed 1) to assess the cancer risk and non-cancer risk related to lead and cadmium exposure from cigarette smoking among Indonesian smokers 2) to find the association between socio-demographic, exposure factors, and health risk among Indonesian smokers. This study was a cross-sectional study using an online questionnaire to get the personal information and smoking behavior among Indonesian male smokers who …

Effectiveness Of Positive Deviance, A Behavior Change Approach, To Improve Knowledge, Attitude And Practices On Dengue Prevention And Control In Selected Slums In Islamabad, Pakistan : A Mixed-Method Study, Muhammad Shafique

Chulalongkorn University Theses and Dissertations (Chula ETD)

This is the first practical application of positive deviance on dengue in the two selected low-income slums of Islamabad which was conducted during June-October 2020. A total of 112 participants (56 for intervention and 56 for the control group) participated in the study. The intervention arm received the positive deviance intervention through the identified positive deviance role models during the regular PD sessions, role plays, illustration competitions, and songs for two months. Three surveys were conducted, before the intervention, after two months, and after four months to assess the changes in knowledge, attitude, and practices. At the baseline, no statistically …

Effect Of Line Application On Action And Coping Plans On Exercise Adherence And Functional Performance For Older Adults With Knee Pain In Suburban Area Of Bangkok Metropolis, Thailand : A Quasi Experimental Study, Pattaraporn Piwong

Chulalongkorn University Theses and Dissertations (Chula ETD)

The known advantage of exercise for older adults who had knee pain is limited by low adherence to an exercise program. LINE application on action and coping plans do improve exercise adherence, knee functional performance and reduce knee pain. This quasi-experimental study determined the effect of LINE application on action and coping plans on exercise adherence, self-efficacy for exercise (SEE) , specific self-efficacy (task, maintenance, recovery), functional performance including knee range of motion (ROM), time up and go (TUG), 30-second chair stand (30CST) , knee outcome for activities of daily living (KOS-ADLS) and knee pain scale among older adults with …

Association Between Physical Activity And Mental Health Among University Students In Bangladesh : A Cross Sectional Study, Sanjida Sultana

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction: Mental health is considered one of the most significant topics of public health as it makes up an integral part of a person’s ability to lead a fulfilling life. University students are one of the most vulnerable groups to be affected by mental health disorders due to a change in their life and societal pressure. Lifestyle modifications like physical activity can be one way to combat these Mental Health problems. Although a lot of research has been carried out to analyze the health impact of Physical exercise, impact of it on Mental Health still lags, especially during the Covid-19 …

Assessment Of Knowledge, Attitude And Usage On Personal Protective Equipment Among Mechanical Maintenance Workers Of A Power Generation Unit In Thailand, Titiphorn Tankian

Chulalongkorn University Theses and Dissertations (Chula ETD)

A Power Generation Unit has duty of electric power supply to the people by producing and distributing electric power. The mechanical maintenance department is one part of their responsibility to achieve the target. However, 207 accident cases were reported during 2012 to 2019. The main causes were found to be unsafe act and unsafe condition including improper usage and lack of personal protective equipment (PPEs). Thus, knowledge, attitude regarding to PPEs, its usage, and factors related to PPEs usage of mechanical maintenance workers need to be assessed. This survey study collected data through self-response questionnaire from 379 mechanical maintenance workers …

Factors Associated To Mental Health And Stress Among Frontline Workers At Suvarnabhumi Airport During Covid-19 Pandemic, Thailand : A Cross-Sectional Study, Toonlaya Direkwutthikun

Chulalongkorn University Theses and Dissertations (Chula ETD)

During COVID-19 pandemic,the frontline airport workers are the first group of people who have to screening all passengers from other countries to control and mitigate the imported case at the point of entry. The effects of COVID-19 are deeply down to individual health, especially the frontline airport workers who perform screening duties at the airport. The anxiousness and stress can occur from scarcity of equipment and afraid to be infected and can affects mental health and stress. This study is aimed to investigate the association between socio-demographic, job characteristics, and personal preventive measure factors to the mental health and stress …

Prevalence And Associated Factors Of Food Insecurity During Covid-19 Pandemic In Bangkok, Thailand : A Cross-Sectional Study, Wimonmanee Mekkhum

Chulalongkorn University Theses and Dissertations (Chula ETD)

The prevalence of food insecurity (FI) in Thailand has fluctuated throughout time. The COVID-19 pandemic had a substantial impact on Thailand's food system and the factors that contribute to food insecurity differ greatly across developed and developing countries. Consequently, this study may contribute as a step in achieving the SDGs by 2030. The aim was to estimate the prevalence and associated factors of food insecurity during COVID-19 pandemic among Bangkokian. A cross-sectional study was conducted over 440 Bangkokians and data were collected through self-administrated. The questionnaire included the general characteristics, associated factors and the Food Insecurity Experience Scale (FIES) in …