Digital Commons Network^™

Prenatal Depressive Symptoms And Sexual Risk Among Young Urban Pregnant Women Of Color, Abigail Taylor

Public Health Theses

Objective: To determine whether prenatal depressive symptoms are related to sexual risk outcomes 12 months postpartum.

Methods: Participants included 757 pregnant women aged 14-21 years, mainly Latina (54.4%) and Black, non-Latina (37.0%). Women completed structured interviews during the second and third trimester of pregnancy and one-year postpartum. Depressive symptoms were measured using the affect-only items of the Center for Epidemiologic Studies-Depression Scale (CES-D). Outcomes included sexual risk behavior (percent condom use, number of partners) and sexually transmitted diseases (STDs) measured via laboratory testing.

Results: Prenatal depressive symptoms significantly predict a decrease in condom use one-year postpartum, even when controlling for …

Executive Function In Survivors Of Childhood Acute Lymphoblastic Leukemia, Adrienne Suzanne Viola

Public Health Theses

BACKGROUND Childhood acute lymphoblastic leukemia (ALL) survivors are at risk for impaired executive function, but it is unclear how to best screen for such impairment. We sought to determine 1) the reliability of neurocognitive assessment by performance-based testing versus parent report, and 2) how the measures relate to everyday function.

METHODS 256 survivors of standard risk childhood B-ALL (mean age 13.9 years at evaluation) were evaluated for executive function with three performance-based measures (Weschler Intelligence Scale for Children-IV (WISC-IV), Controlled Oral Word Association Test, and Conners' Continuous Performance Test-II) and one parent-report measure (Behavior Rating Inventory of Executive Function (BRIEF)). …

Factors Influencing Hiv Testing In A Small Public Hospital In Manglaralto Ecuador, Magdalena Marie Wilson

Public Health Theses

Increasing rates of HIV testing is critical to reducing the spread of the HIV epidemic in Ecuador. HIV testing serves a number of purposes; it can be a gateway for people to enter the HIV care continuum, it may reduce risk behaviors among those tested, and it can influence social norms around HIV. This study investigated individual, interpersonal, institutional, and community level factors influencing HIV testing. A cross sectional survey was administered to a convenience sample of patients at a small, rural, public hospital in coastal Ecuador. Educational attainment, HIV knowledge, and perception of confidentiality of test results were significantly …

Stress, Discrimination And Repeat Pregnancy In Adolescent Parents, Meghan Angley

Public Health Theses

Objective

Adolescent mothers are at high risk of repeat pregnancy and repeat birth with short birth intervals. Perceived stress is known to affect young women's use of contraception, and therefore risk of unintended pregnancy. The primary aim of the study was to examine how stress, stressful life events, discrimination and economic hardship affect adolescent mothers' risk for repeat pregnancy. Secondary aims included examining if the association between stress and repeat pregnancy was mediated by contraception use, if the stress experienced by the mother's partner was associated with risk of pregnancy and if the association between stress and repeat pregnancy was …

Conflict And Vaccine-Preventable Disease In Children Under Five In The Eastern Mediterranean Region: A Systematic Review, Alexandra Marion Adams

Public Health Theses

Background: Conflict is one of the main reasons for our failure to reach worldwide immunization targets. An objective of 90% immunization coverage is included in the fourth Millennium Development Goal to reduce under-five mortality by two thirds, which is still far from achieved in the conflict-ridden Eastern Mediterranean Region (EMR). Despite global progress, vaccine-preventable deaths still account for 20% of childhood mortality under five years of age in the EMR, and communicable disease a third of all mortality. Conflict remains a critical root cause of low vaccination coverage in the EMR, resulting in high levels of vaccine-preventable disease, disability, and …

Hpv Vaccine Effectiveness In New Haven County, Connecticut Women Age 18-39, 2008-2012, Jennifer Lynn Berry

Public Health Theses

Background: HPV vaccines have demonstrated high efficacy in clinical trials against cervical lesions and infections by HPV vaccine types 16 and 18. Together these two types are responsible for approximately 70% of cervical cancer. Data on HPV vaccine effectiveness in general populations is limited.

Methods: Surveillance data monitoring high-grade cervical lesions in Connecticut was used. Medical records were reviewed and patients were interviewed to ascertain HPV vaccine history. Patients' biopsy specimens were typed to determine the presence of vaccine or non-vaccine type HPV. Odds ratios were determined using logistic regression, adjusting for age at diagnosis, grade of cervical lesion, race/ethnicity, …

Risk Factors For Q Fever Seroconversion In A Cohort Of Veterinary Students: A Comparative Analysis, Jessica Bonthius

Public Health Theses

Introduction: Coxiella burnetii (C. burnetii) is an extremely infectious, environmentally persistent intracellular bacterium and the causative agent of the zoonosis Q fever. An unprecedented epidemic in the Netherlands between 2007 and 2010 revealed its public health importance. Recent investigations have focused on C. burnetii seroprevalence among livestock workers. The burden of disease in veterinary students, a group with arguably similar exposures, has been insufficiently characterized.

Methods: Students beginning veterinary study at Utrecht University's Veterinary Medical School in 2006 were invited to participate. Questionnaires and serum samples for the detection of IgM and IgG antibodies against C. burnetii were collected at …

Lifetime Prevalence Of Male-Male Ipv Perpetration In A Community Health Clinic-Based Sample: Implications For Self-Reported Sti And Condom Use, Benjamin Richard Clopper

Public Health Theses

Men who engage in sexual behaviors with other men are at high risk for developing a sexually transmitted infection (STI). They also have reduced access to health care services and poorer health outcomes after developing an STI than their white or higher-income counterparts. Intimate partner violence (IPV) is an established risk factor for STI contraction and non-condom use in male-female dyads. Such research on IPV in male-male couples is lacking. The objectives of this study are to document the lifetime prevalence of male-male IPV among an urban, minority community health center-based sample, examine associations between male-male perpetrated IPV and self-reported …

Positional Plagiocephaly Among Tribal Societies And Contemporary Western Societies: A Comparison Of Treatments, Results, And Effects, Jacinda Rose Ruggles

Honors Program Theses

This study explores the two causes of positional plagiocephaly, or abnormal head shape in infants as well as effects and treatments. To do so, two groups were chosen for comparison: contemporary western societies and tribal Native American societies. In the first group, the medical condition known as positional plagiocephaly is considered before, during and after the Safe to Sleep campaign of the 1990’s. In the second group infant head flattening is discussed as a result of cradling practices and carrying techniques. The importance of this study is to contribute new insight into positional plagiocephaly and its treatments. The study combines …

Choosing Number And Scheduling Priority Of Warm-Hand Offs: A Des Model, Evelyn Cumberbatch

Public Health Theses

Background: The integration of behavioral health care into primary care is being promoted as a means to treat more people with behavioral health problems where they are most likely to be seen. Clinics with traditional behavioral health services may open slots among scheduled appointments to see these "warm-hand off" (WHO) patients identified by primary care providers (PCPs). The effects of giving priority for behavioral health appointments to either scheduled or WHO patients and of the number of appointments left open for WHO patients are investigated in this project.

Methods: A discrete event simulation model was built of a moderately integrated …

Trauma-Informed Services And Trauma Awareness Among Staff On The College Campus, Tricia Wisniewski

Honors Program Theses

For college students to work through the effects of trauma and be able to live a more normalized life, the availability of effective trauma-informed services on campus environments is crucial. Therefore, I chose to investigate the availability of trauma-informed services to all students on the college campus. The purpose of this study is to examine the relatively unexplored area of trauma informed services in the context of college campus through survey methods at the University of Northern Iowa (UNI). In particular, this study focuses on trauma-informed services and employees’ trauma awareness in four service units on the UNI campus: the …

Gender Differences In Pay Expectations At Three Career Stages, Elijah Rogeay Seay

Honors Program Theses

Major and Konar (1984) found a difference between genders in pay expectations, but no difference in the perceived fairness of expected pay. In my study, I evaluated pay expectation differences in gender at three career stages. In previous studies, researchers have only looked at what individuals earn at the beginning and peak of their careers. I specifically examined both men and women and asked them to indicate their expected pay at the beginning, middle and end of their careers. In this study the main effect for gender was significant such that males had higher pay expectations than females. In addition, …

Minority Stress And Daily Affect Among Gay And Bisexual Men, Adam Ismail Eldahan

Public Health Theses

Objectives: The primary objective of this study was to examine the possible time-variant relationship between daily minority stress and same-day affect among gay and bisexual men. Additionally, this study sought to determine whether a lagged association exists between daily minority stress and next-day affect. Lastly, this study examined trajectories of minority stress and affect during the course of the study period. Methods: 371 gay and bisexual men in New York City completed a 30-day daily diary, recording daily experiences of minority stress and daily measures of positive affect (PA), negative affect (NA), and anxious arousal (AA) (n = 8,415 diary …

Association Between Parenting Processes And Child Behavior Outcomes: The Moderating And Mediating Role Of Child Characteristics, Taylor Elizabeth Ann Goetzinger

Honors Program Theses

Past research demonstrates the importance parents have in determining the outcomes in their children’s lives. Of these outcomes, child academic achievement is extremely important. In investigating past research on parenting practices and styles, factors such as parental monitoring and involvement as well as styles of authoritative, authoritarian and permissive parenting were examined to determine an association with academic achievement in middle school children. Learning disabilities, mental disorders, child personality characteristics and child academic characteristics were other measures explored as buffers in the parenting to academic achievement relationship. Mediating effects were also examined. The current study sampled 179 middle school students …

The Influence Of Perceived Control On Breast Cancer Screening In Hispanic/Latino Women, Lianne Epstein

Public Health Theses

Background: Breast cancer is the leading cause of cancer mortality for Hispanic/Latino (H/L) women in the United States. Although incidence rates are lower among H/L women than among white women and other minorities, H/L women are more likely to be diagnosed with late-stage breast cancer and to have lower 5-year relative survival compared with non-Hispanic white women. H/L women are less likely than white and African American women to receive screening mammography according to recommended guidelines. This study examines the relationship between perceived control over three health outcome domains: 1.) remaining healthy, 2.) being diagnosed with cancer, and 3.) the …

The Association Of Masculinity Themes In Social Network Images And Sexual Risk Behavior, Elizabeth Nicole Genter

Public Health Theses

In spite of the high prevalence of active users on social networking sites (SNSs), research examining the ways in which online social network interactions are associated with health have been limited (Morgan, et al., 2010). The primary aim of this study was to understand the context in which emerging adult men post masculine themed images and videos on their SNS's and its relationship to sexual risk behavior (e.g. number of sexual partners, concurrency, and condom use) and offline communication about sex with friends (e.g. talking about sex, HIV/STDs, and relationships), by examining the relationship between 902 images and videos posted …

Emotional Intelligence & Conflict Resolution In Middle School Aged Children: The Early Effects Of An Emotional Literacy Intervention (Ruler), Monique Haynes

Public Health Theses

Emotional literacy interventions have been successful in increasing classroom organization and emotional climate. However, little has been reported on the effects of these interventions on conflict resolution and their implications for youth violence and aggression. The aim of this thesis is to determine the early effects of an emotional literacy intervention (RULER) on conflict resolution skills in middle school aged children by examining the link between RULER and conflict resolution, including emotion regulation as a mediator. This was done using a multi-method, multi-level approach. Data from 57 sixth-grade classrooms (N=754) were analyzed and included conflict resolution scores and emotion regulation …

Household Food Insecurity And Sleep Patterns Among Mexican Adults: Results From Ensanut-2012, Monica Jordan

Public Health Theses

Objective: To examine the independent association of household food insecurity (HFI) with sleep duration and quality in a nationally representative cross-sectional survey of adults in Mexico.

Methods: We analyzed data from ENSANUT-2012. We assessed the association between HFI and self-reported sleep duration and quality among 11,356 adults using weighted multinomial and binomial logistic regression. The Latin American and Caribbean Food Security Scale (ELCSA) was used to categorize food security level as secure (25.5%), mild HFI (43.7%), moderate HFI (19.0%), or severe HFI (11.8%).

Results: Overall, 20.8% of individuals reported getting less than the recommended 7-8 hours of sleep/night, 20.4% reported …

Adverse Childhood Experiences (Aces) And Their Influence On Social Connectedness, Tammie Kwong

Public Health Theses

Emerging evidence suggests that Adverse Childhood Experiences (ACEs) are prevalent within the population and are linked to various negative long-term health and social consequences. The effect childhood maltreatment has on an individual's ability to maintain social connectedness may be a potential pathway as to how early adversity increases the likelihood of future negative health consequences. Using the 2011/12 National Survey of Children's Health, this thesis will explore the influence ACEs has on three areas of social connectedness: bonding, bridging, and linking. Results from the multivariate logistic regression model show that there was a significant association between ACEs and bonding as …

Detecting Knowledge Of Incidentally Acquired, Real-World Memories Using A P300-Based Concealed-Information Test, John B. Meixner Jr., J. Peter Rosenfeld

Scholarly Works

Autobiographical memory for events experienced during normal daily life has been studied at the group level, but no studies have yet examined the ability to detect recognition of incidentally acquired memories among individual subjects. We present the first such study here, which employed a concealed-information test in which subjects were shown words associated with activities they had experienced the previous day. Subjects wore a video-recording device for 4 hr on Day 1 and then returned to the laboratory on Day 2, where they were shown words relating to events recorded with the camera (probe items) and words of the same …

Patient Preference For Physician Prayer In Medical Situations, Blaine Mahlon Schlawin

Honors Program Theses

As medical issues present themselves in an individual’s life, some may resort to religion and spirituality. Because health care providers care for the individual, these practitioners need to be aware of the connections that occur within the realm of spirituality and medicine. The overall purpose of this study was to examine the attitudes of physician use of prayer during medical visits in a sample of adults. Specifically, four research questions were examined: Overall, do patients want their physicians praying for them? Overall, do patients prefer a certain type of physician prayer (i.e., active, silent or physician distant intercessory prayer)? Does …

The E-Team Project: A Teamwork Approach To Clinical Legal Education, Hilary Evans Cameron

Journal of Law and Social Policy

In this article the author argues that the University of Toronto’s Emergency Team (E-Team)—a student pilot project created to assist people facing deportation on short notice—provided a critical service to its clients and gave its student members a unique opportunity to learn real-world legal skills. The first part of this article reviews the project’s outcomes and concludes that it was a success: the E-Team won nine of its ten cases, and its members credit the project both with teaching them crucial legal competencies that they did not encounter elsewhere and with fostering their passion for social justice law. The second …

Framing Supervisory Relationships In Clinical Law: The Role Of Critical Pedagogy, Gemma Smyth, Marion Overholt

Journal of Law and Social Policy

Clinical work in law offers important opportunities for students to learn critical, reflective and politicized approaches to legal identity and practice. Such an approach is most meaningful when it is engaged by supervising lawyers and social workers in a clinical placement. The authors of this article, the Academic Clinic Director and Executive Director of two Windsor-based clinic programs, offer context, perspective and examples of how critical pedagogy (influenced by, but distinct from, critical legal studies) provides a roadmap for supervising lawyers and the programs in which they work. The paper briefly sets the context of the authors' teaching and practice. …

Law Student, Heal Thyself: The Role And Responsibility Of Clinical Education Programs In Promoting Self-Care, Christine E. Doucet

Journal of Law and Social Policy

The purpose of this paper is to examine the importance of self-care and stress management in the legal profession, specifically within the context of clinical legal education. Studies have shown that the legal profession exhibits one of the highest rates of mental health and addiction issues. In proactively addressing the importance of self-care and stress management amongst students, clinical legal educational programs can become a part of the solution. Using the student experience at Parkdale Community Legal Services, and drawing from other student legal clinics across Canada and the United States, several recommendations around self-care and stress management training in …

Not So Dangerous Liaisons: A Clinical Perspective On Interdisciplinarity, Judith Mccormack

Journal of Law and Social Policy

Clinical education represents a site where conflicting accounts of law are at maximum tension, in part because the clinical experience tends to highlight the startling contrast between the narratives and social realities of law. While this contrast provides some of the fodder for the critical exploration that characterizes clinical education, the idiosyncratic shape of law as a discipline means that much of what students require to handle that fodder in a rigorous, analytical way is located elsewhere. A clinical lens indicates that exposing students to interdisciplinary perspectives is crucial if students are to be able to understand and engage with …

Teaching Cultural Competency In Legal Clinics, Cynthia Pay

Journal of Law and Social Policy

Aims to identify various models of cultural competency training, and to reflect on ways to appropriately and effectively address this subject in a clinical legal education setting.

Understanding The Relevance Of Drug User And Sex Worker Community-Based Organizations And Their Interactions With Government Officials And Health Care Providers In Vietnam: A Qualitative Study, Leah Thi Le

Public Health Theses

Background & Objective: To address the HIV epidemic in Vietnam, groups of former drug users and sex workers established grassroots organizations throughout Vietnam in the early 2000s, called community-based organizations (CBOs). The objectives of this study are to understand the purpose of the CBOs, the government-CBO interactions, the perceived stigma toward drugs users and sex workers, and the attitudes of government officials about the purpose of the CBOs. Thereafter, we aspire to recommend changes to promote collaboration between the CBOs and the government programs. Methods: Thirty-two individuals from the drug user and sex worker CBOs and relevant government programs participated …

Building Responsive Library Collections With The Getting It System Toolkit, Tim Bowersox, Cyril Oberlander, Kate Pitcher, Mark Sullivan

IDS Project Press

The Getting It System Toolkit (GIST), a suite of free and open source tools & software, leverages systems to optimize library acquisitions and deselection workflow, reducing the staff time necessary to make informed decisions and process materials. The Toolkit is divided into two functions:

GIST for ILLiad consists of three components that enhance the ILLiad® interlibrary loan request management software: addons, webpage customizations, and the acquisitions manager. All three components may be selectively utilized in ILLiad, for instance, ILLiad web pages may be applied to enhance the end-user request interface to add full-text discovery, or an ILLiad Addon can help …

Conceptualizing Reflective Practice For Legal Professionals, Michele Leering

Journal of Law and Social Policy

This article examines the meaning, purpose, and promise of reflective practice in the context of the legal profession and at this critical juncture in the profession’s history. The imperatives for enhancing the reflective capacity of the profession are explored and the benefits of endorsing reflective practice as a core professional competency are reviewed. Reporting on a portion of an action research project designed to encourage reflective practice in a Canadian law school, the author synthesizes the results of a review of reflective practice literature, largely drawn from other professions, with the results of qualitative interviews with eight professors from the …

Grieving, Dafna Yosef

Senior Honors Theses and Projects

No abstract provided.