Digital Commons Network^™

Hpv Vaccine Acceptance Among Latina Mothers By Hpv Status, Maureen Sanderson, Ann L. Coker, Katherine S. Eggleston, Maria E. Fernandez, Concepcion D. Arrastia, Mary Kay Fadden

CRVAW Faculty Journal Articles

Objective: We investigated whether Latina mothers who were and were not human papillomavirus (HPV) positive differed in their knowledge and acceptance of the HPV vaccine for their children.

Methods: We conducted a cross–sectional survey among women aged 18–64 years between April 2007 and April 2008. Data collectors conducted in-person interviews in community clinics with 215 HPV-negative women and 190 HPV-positive women (with respective response rates of 64% and 84%). Most (83%) HPV-positive women were recruited at dysplasia clinics. Although no HPV-negative women were recruited at dysplasia clinics, they were recruited at other low-income public and private clinics.

Results: After adjustment …

Breast Cancer Screening In Women Exposed In Utero To Diethylstilbestrol, Elizabeth A. Camp, Ann L. Coker, Stanley J. Robboy, Kenneth L. Noller, Karen J. Goodman, Linda T. Titus-Ernstoff, Elizabeth E. Hatch, Arthur L. Herbst, Rebecca Troisi, Raymond H. Kaufman, Ervin Adam

CRVAW Faculty Journal Articles

Purpose: To determine if women exposed in utero to diethylstilbestrol (DES) are more likely than unexposed women to receive recommended or additional breast cancer screening examinations.

Methods: 1994 Diethylstilbestrol-Adenosis (DESAD) cohort data are used to assess the degree of recommended compliance of breast cancer screenings found in 3140 DES-exposed and 826 unexposed women. Participants were enrolled at four sites: Houston, Boston, Rochester, and Los Angeles. Logistic regression modeling was used to analyze mailed questionnaire data that included reported frequency over the preceding 5 years (1990–1994) of breast-self examinations (BSEs), clinical breast examinations (CBEs), and mammograms.

Results: DES-exposed women exceeded annual …

Ethnic Disparities In Cervical Cancer Survival Among Medicare Eligible Women In A Multiethnic Population, Ann L. Coker, Katherine S. Eggleston, Xianglin L. Du, Lois Ramondetta

CRVAW Faculty Journal Articles

To determine predictors of cervical cancer survival by socioeconomic status (SES), urbanization, race/ethnicity, comorbid conditions, and treatment among elderly Medicare-eligible women whose conditions were diagnosed with cervical cancer in a multiethnic population.

Methods: A total of 538 women with cervical cancer aged 65 years or older were identified from 1999 to 2001 from the Texas Cancer Registry and were linked with the state Medicare data and Texas Vital Records to determine survival times. All women had similar access to care through Medicare fee-for-services insurance. A composite measure of SES was created using census tract-level data as was urbanization. Treatment and …

The Effects Of Aerosolized Brevetoxin Exposure On The Human Respiratory System, Katie M. Spaulding

International Journal of Global Health and Health Disparities

While much information has been collected about the effects of brevetoxin ingestion in contaminated seafood, there has been very little research conducted and little is known about the effects of these toxins when inhaled in aerosols (Backer et al., 2003). The effects of brevetoxins are of great public health concern because not only are harmful algal blooms increasing in frequency and duration of occurrence, they are also expanding their area of distribution (Sellner et al., 2003; Kirkpatrick, 2004). Since a significant proportion of the world's population live within 75 miles of an ocean coast and this density of human coastal …

Mrsa In Animals And The Risk Of Infection In Humans, Shannon Tucker

International Journal of Global Health and Health Disparities

MRSA infection is a major concern in animals and, as in humans, animals can also become carriers. It is suspected that most animals acquire MRSA from humans (reverse zoonosis) (Heot & Hough, 2008). In 1959, Mann was one of the first to culture the nostrils of cats and dogs for Staphylococcus sp. and he "proposed that the common house pet can serve as an important reservoir or carrier of staphylococci infective for man" (Mann, 1959). In the 1970's MRSA strains were isolated in milk samples in Belgium (Devriese, Van Damme, & Fameree, 1972) (Devriese & Hommez, 1975). Humans can be …

Animal Source Foods And Adolescent Nutrition, Abbey J. Canon

International Journal of Global Health and Health Disparities

Due to a variety of production, processing, or preservation limitations, or because of household economic, cultural or religious factors, many children, especially those in developing countries, do not consume an adequate amount of animal source foods (ASF). While little to no animal products are consumed in many developing countries, they are nonetheless essential to a healthy diet, especially for a growing child. The majority of low income households in developing countries base their diets on cereal grains or starchy tubers. These typical diets pose many threats to the nutritional health of children. Grains and starches lack many essential micronutrients, and …

Hospice Africa Uganda: End-Of-Project Evaluation Of Palliative Care Services, Annette Bongiovanni, Mary Alexis Greenan

HIV and AIDS

Hospice Africa Uganda (HAU) is a nongovernmental organization that provides palliative care services to people living with HIV/AIDS (PHA) and cancer. Based in Kampala, HAU aims to scale-up palliative care within and beyond the nation’s borders. From 2005–08, HAU sought to achieve the following objectives: 1) Increase coverage and scope of palliative care services available to PHA and their families; 2) Train health workers and other HIV/AIDS care providers to integrate pain management, symptom control, and end-of-life care into their existing HIV/AIDS support programs; 3) Build the capacity of families, communities, and community-based organizations in palliative care provision; 4) Integrate …

Freedom To Live, Freedom To Die: Health Disparities In El Salvador, Shaina Elizabeth Rose

Senior Honors Theses and Projects

No abstract provided.

Health Belief Model Of Breast Cancer Screening For Female College Students, Kirsten M. Frankenfield

Master's Theses and Doctoral Dissertations

No abstract provided.

Changes In Immunization Practices, Knowledge And Beliefs Of Michigan Obstetrician-Gynecologists Since 2000, Meaghan A. Leddy, Bernard Gonik, Stanley A. Gall, Britta A. Anderson, Jay Schulkin

Michigan Journal of Public Health

No abstract provided.

Kenya's Fertility Transition: Trends, Determinants And Implications For Policy And Programmes, Ian Askew, Alex C. Ezeh, John Bongaarts, John Townsend

Reproductive Health

In Africa, fertility rates in the 1990s declined less rapidly than had been projected, and in a few cases the fertility transition appears to have stalled. This development has serious implications for future population growth because projected population size is sensitive to minor variations in current fertility trends. The 16 countries with three DHS surveys in sub-Saharan Africa can be divided into three subgroups: stalled transitions, insignificant declines, and significant declines. Half of the 16 countries experienced a stall, and an additional two experienced insignificant declines. The Population Council prepared a series of demographic and policy analyses that drew from …

Kwazulu-Natal Department Of Health Policy And Guidelines For Integrated Ante And Postnatal Care At District Hospital Community Health Centre And Clinic Level, Population Council

Reproductive Health

A 2006 baseline survey conducted by CARE Kenya indicated that sexual and gender-based violence (SGBV) is widespread throughout Kenya’s North Eastern Province. Other findings revealed that high levels of stigma and gender imbalances are associated with sexual violence and female genital mutilation (FGM) and that a coordinated approach to responding to the service needs of survivors is missing. As noted in this report, there is limited awareness of the legal mechanisms available to survivors. The Population Council’s study in Wajir District ascertained the need for and possible components of an integrated and comprehensive services model that could meet the needs …

A Look At Customer Attitudes, Influences Of Subjective Norms, And Behavioral Intention Regarding Second Hand Smoke And Smoking In Public, Tanya Marie Dubay

Master's Theses and Doctoral Dissertations

This study is an assessment of customer’s attitudes, influences of subjective norms, and behavioral intention regarding exposure to secondhand smoke and smoke free policy at a small family owned and operated restaurant. Research questions address relationships between customer attitudes and smoke free policy as well as likelihood of customers supporting a smoke free policy in an establishment where there is currently no law that prohibits smoking. Methodology included a voluntary self administered survey questionnaire given to a convenience sample of patrons who were dining out. The results show; (a) a significant relationship between attitude about second hand smoke and choosing …

Examining Conversational Constraints In Vietnamese Patient-Doctor Communication: A Case Study, Kimberly Tran

XULAneXUS

The purpose of this study was to determine the use of conversational constraints among older members of the New Orleans Vietnamese community within the primary healthcare context. A purposive sample of seven Vietnamese male and five Vietnamese female immigrants between the ages of 47 and 80 was interviewed. Conversational constraints were evident in the responses relating to communication with physicians. The respondents emphasized relational conversational constraints such as minimal imposition on the physician’s autonomy, prevention of hurting the physician’s feelings, and prevention of negative evaluation by the physician. Conversely, task-oriented conversational constraints such as concern for clarity and effectiveness were …

Integration Of Services: Making Integrated Services A Reality, Frontiers In Reproductive Health

Reproductive Health

Programs seeking to provide a more comprehensive RH service may establish or strengthen referrals between related yet separately provided services that enable a client to receive the range of needed services. There are two main rationales for integrating services. First, many clients have needs for several services; and second, there is an expectation that providing integrated or linked services can be more efficient programmatically. Little empirical evidence exists to support these underlying rationales, or to guide policies and programs in organizing services effectively and efficiently. Lessons from FRONTIERS have demonstrated not only the demand for multiple services, but also the …

A Religious Oriented Approach To Addressing Female Genital Mutilation/Cutting Among The Somali Community Of Wajir, Kenya, Maryam Sheikh Abdi, Ian Askew

Reproductive Health

The Somali ethnic community, in Kenya as well in Somalia, Djibouti, and Ethiopia, has practiced genital cutting for centuries and the practice appears to have remained largely unchanged. The community practices the severest form of FGM/C, type III or infibulation. The Population Council’s FRONTIERS program, with support from USAID/Kenya, carried out two studies to better understand the practice of FGM/C among the Somalis in North Eastern Province so as to inform the design and implementation of interventions that would encourage abandonment of the practice. Both studies collected data through in-depth interviews and focus group discussions with community and religious leaders, …

Benefit Design Of Medicare Drug Plans: An Analysis Of Ohio And The National Landscape From 2006 Through 2009, Brad Haverkos

Master of Public Health Program Student Publications

Objectives: Since previous research was fragmented and incomplete, I described changes in the benefit designs of stand-alone PDPs in the United States from 2006 through 2009. In addition, I identified trends in the PDP market of Ohio and compared them to the national data. The intent was to discover changes that might only be observed during the examination of a smaller market. I then presented the enrollment data of stand-alone PDPs in Ohio and discussed the benefit designs of popular plans to help further understand the PDP market dynamics.

Methods: Each year, CMS collected and released information on benefit characteristics …

Cellular Telephones And Cancer: Is There A Connection?, James Bolton

International Journal of Global Health and Health Disparities

Cellular telephones have been accused of causing brain tumors for years, but none of the studies that have been published have proven there is a link. The tumors that have been researched include parotid gland tumors, acoustic neuromas, and acoustic gliomas, to name a few. Wireless cellular phone usage has been increasing over the past few years, and some European countries are said to have a penetration rate of over 100%, "which is to say there are more subscribers than inhabitants"². Wireless technology emits electromagnetic energy (AKA microwave radiation or radiofrequency radiation), and sources include not only cellular …

The Epidemiologic Link Between Listeriosis And Ready-To-Eat Food Products, Jennifer House

International Journal of Global Health and Health Disparities

Historically, most food-borne pathogens have been controlled by processing procedures such as pasteurization or cooking. Other bacterial pathogens are usually acquired through eating raw or undercooked meat, raw milk and produce that has been contaminated. However, with Listeria monocytogenes the foods most often implicated both in outbreaks and in sporadic cases are considered ready-to-eat (RTE) with no 112 International Journal of Global Health and Health Disparities further processing. In addition to acquiring the pathogen through raw meats, raw milk and produce the disease has been traced to consumption of deli meats, pasteurized milk, and pasteurized milk products. This is due …

The Cultural Production Of Health Inequalities: A Cross-Sectional, Multilevel Examination Of 52 Countries, Carol L. Mansyur, Benjamin C. Amick Iii, Ronald B. Harrist, Luisa Franzini, Robert E. Roberts

Community & Environmental Health Faculty Publications

In a 2001 report, the U.S. National Institutes of Health called for more integration of the social sciences into health-related research, including research guided by theories and methods that take social and cultural systems into consideration. Based on a theoretical framework that integrates Hofstede's cultural dimensions with sociological theory, the authors used multilevel modeling to explore the association of culture with structural inequality and health disparities. Their results support the idea that cultural dimensions and social structure, along with economic development, may account for much of the cross-national variation in the distribution of health inequalities. Sensitivity tests also suggest that …

Socioeconomic Disparity In Healthcare-Seeking Behavior Among Chinese Women With Genitourinary Symptoms, Qi Zhang, Diane Lauderdale, Shanshan Mou, William I. Parish, Edward O. Laumann, John Schneider

Community & Environmental Health Faculty Publications

Background: Sexually transmitted infections (STIs) are of growing concern in China. Understanding the relationship between socioeconomic status (SES) and healthcare-seeking (HCS) behavior will help design effective policies to contain the epidemic of STIs across SES.

Methods: We used the Chinese Health and Family Life Survey, a nationally representative survey of 3813 adults from 48 Chinese cities and counties during 1999-2000. We studied the 730 women with at least one genito-urinary (GU) symptom. HCS was measured by whether respondents visited a hospital or an unrecognized clinic, self-treatment, or doing nothing. Formal treatment was defined as visiting a hospital. SES was measured …

Handbook On Sensitive Practice For Health Care Practitioners: Lessons From Adult Survivors Of Childhood Sexual Abuse, Candice L. Schachter, Carol A. Stalker, Eli Teram, Gerri C. Lasiuk, Alanna Danilkewich

Lyle S. Hallman Social Work Faculty Publications

This handbook is the culmination of a multiphase, multidisciplinary research project that used grounded theory and participatory action research to illuminate ways that healthcare providers can work sensitively (in a trauma-informed way) with adult survivors of childhood sexual abuse.

The research identified nine Principles of Sensitive Practice: respect, rapport, taking time, sharing information and control, respecting boundaries, fostering mutual learning, understanding non-linear healing and demonstrating an understanding of trauma to patients. Specific guidelines were developed for a wide variety of issues pertinent to clinical practice such as, removal of clothing, touch, responding to disclosures of abuse, managing triggers among others. …

Abatteuses Forestières : Dispositif Et Circuits De Commande Relatifs À La Sécurité, Laurent Giraud, Yuvin Chinniah, Damien Burlet-Vienney, Joseph-Jean Paques, Marina Koutchouk, Renaud Daigle

Rapports de recherche scientifique

Les abatteuses forestières sont des engins tout-terrains conçus pour évoluer en forêt, qui servent de véhicule moteur pour déplacer une tête d’abattage.

L’utilisation d’abatteuses avec une tête d’abattage multifonctionnelle s’est largement répandue au Québec ces dernières années pour deux raisons :

• Cette méthode d’abattage réduit la machinerie car une seule machine tronçonne et façonne les arbres en billots, là où il en fallait plusieurs avec les anciennes méthodes;
• La méthode d’abattage abîme moins le sol de la forêt car le façonnage des arbres se fait sur place et crée ainsi un tapis végétal.

L’IRSST a lancé une série d’études sur …

Obesity And Contraception, Donald E. Greydanus, Hatim A. Omar, Artemis Tsitsika

Pediatrics Faculty Publications

All sexually active youth, whether obese or normal weight, should be offered counseling regarding contraception and appropriate contraceptive methods. However, obese youth who are sexually active may be less likely than their normal weight peers to use contraceptives correctly. Methods of contraception for obese adolescents are reviewed in this discussion. Combined oral contraceptives (COCs) and the contraceptive patch have higher failure rates in obese versus normal weight females, though failure rates are lower than noted with barrier contraceptives. The risk for venous thrombosis is higher in obese youth on COCs. Progestin-only pills and the levonorgestrel intrauterine system appear to be …

Empathy And Healing: Essays In Medical And Narrative Anthropology. Vieda Skultans. New York, Ny: Berghahn Books. 2007. X+282pp., Daniel Côté

Éditoriaux, lettres à l'éditeur

No abstract provided.

Ua3/1/2/1 President's Office-Cherry - Correspondence - General, Wku Archives

WKU Archives Collection Inventories

General correspondence regarding Western Kentucky University. Incoming letters are mainly addressed to Henry Hardin Cherry. Responses are made by Cherry and occasionally by faculty and staff. The president's secretary Mattie McLean is the writer for some of the letters signed by Cherry.

Some of Cherry's personal papers are also found in this series most notably those pertaining to his political aspirations and two candidacies for the Kentucky governorship. Copies of outgoing correspondence begin to appear in Box 1, Folder 50.

From Concierge Medicine To Patient-Centered Medical Homes: International Lessons And The Search For A Better Way To Deliver Primary Health Care In The U.S, Gwendolyn R. Majette

Law Faculty Articles and Essays

This paper will proceed in eight parts. Part II explores why primary care is a critical component of a country's health care delivery system. Part III describes patient and physician dissatisfaction with the current state of primary care delivery in the United States. Parts IV and V describe physician-designed solutions and Congress' responses to them. Part VI describes the role of primary care in the delivery of health services in the international context by focusing on the World Health Organization's Health for All policy and the policies supporting primary care in the United Kingdom, the Netherlands, and Belgium. Part VII …

Perception Of Dietary Change And Attitudes Towards The Irish Diet Among Non-Nationals In Ireland., Qianling Zhou, Phensiri Asawasirisap, John Kearney

Conference Papers

Rationale & Objectives: Cross-cultural attitudes to diet differ significantly. This study examined attitudes towards the Irish diet and their perceived dietary change among a random sample of non-nationals living in Ireland. Materials & Methods: A self-administered cross-sectional survey was distributed to a randomly selected sample of English language students in Dublin. Results & Findings: 473 students from four geographical regions (Asia, Africa, South & Central American, and Europe) (response rate: 84%) completed the survey. Marked cultural differences between geographical regions were found with South & Central Americans being the most likely to indicate a decrease in fruit and vegetable intakes …

A Field-Based Testing Protocol For Assessing Gross Motor Skills In Preschool Children: The Children's Activity And Movement In Preschool Study Motor Skills Protocol, Harriet G. Williams, Karin A. Pfeiffer, Marsha Dowda, Chevy Jeter, Shaverra Jones, Russell R. Pate

Faculty Publications

The purpose of this study was to develop a valid and reliable tool for use in assessing motor skills in preschool children in field-based settings. The development of the Children’s Activity and Movement in Preschool Study Motor Skills Protocol included evidence of its reliability and validity for use in field-based environments as part of large epidemiological studies. Following pilot work, 297 children (3–5 years old) from 22 preschools were tested using the final version of the Children’s Activity and Movement in Preschool Study Motor Skills Protocol and the Test of Gross Motor Development (2nd Edition). Reliability of the Children’s Activity …

Kawasaki Syndrome In Texas, Alberto Coustasse, Julius J. Larry, Witold Migala, Cody Arvidson, Karan P. Singh

Management Faculty Research

The authors examined hospitalization rates of Kawasaki Syndrome (KS) among Texas children to isolate clusters, identify demographic disparities, and suggest possible causative factors. Using a retrospective cross-sectional study design, they studied 330 KS cases from 2,818,460 hospital discharges. The majority of the cases (61.5%) occurred within the 1-4-years-old category, representing the highest hospitalization rate (14.3 per 100,000 children). Almost 75% of the KS population was less than 5 years old, with hospitalization rates approximately 8 times higher than that of all other children (p < .05). KS diagnosis occurred for only 49.4% of all KS cases upon admission. Along with high-density clusters identified in major metropolitan areas, the authors found the highest rates of KS among Asian and Pacific Islander and non-Hispanic black children. Genetic predispositions and access to healthcare issues may explain the results. The authors recommend improving educational initiatives with healthcare providers and establishing KS as a reportable condition.