Digital Commons Network^™

Mobile Technology Intervention For Weight Loss In Rural Men: Protocol For A Pilot Pragmatic Randomised Controlled Trial, Christine M. Eisenhauer, Fabiana Almeida Brito, Aaron M. Yoder, Kevin A. Kupzyk, Carol H. Pullen, Katherine E. Salinas, Jessica Miller, Patricia A. Hageman

Journal Articles: Physical Therapy

INTRODUCTION: Men who are overweight or obese in the rural Midwestern USA are an unrepresented, at-risk group exhibiting rising rates of cardiovascular disease, poor access to preventive care and poor lifestyle behaviours that contribute to sedentary lifestyle and unhealthy diet. Self-monitoring of eating and activity has demonstrated efficacy for weight loss. Use of mobile technologies for self-monitoring eating and activity may address rural men's access disparities to preventive health resources and support weight loss. Our pilot trial will assess the feasibility and acceptability of two mobile applications for weight loss in rural men to inform a future, full-scale trial.

METHODS …

Covid-19’S Effects On New York City’S Food System: Lessons For Public Health Responses, Nevin Cohen, Nicholas Freudenberg

Publications and Research

The COVID-19 pandemic disrupted food availability and affordability and changed the daily food practices of New Yorkers. Eleven surveys of samples of 1,000 New York City adults from March 13 through June 28 illustrate three effects on food access and food insecurity: (1) closing restaurants, schools, and other sources of prepared foods reduced access and changed shopping patterns, food expenditures, and diets; (2) economic disruption exacerbated food insecurity and increased demand for food assistance; and (3) altered food practices affected diets and health. These impacts were disproportionately borne by vulnerable populations. This paper reports survey responses illustrating the effects of …

Immigrants And Interdependence: How The Covid-19 Pandemic Exposes The Folly Of The New Public Charge Rule, Medha D. Makhlouf, Jasmine Sandhu

Faculty Scholarly Works

On February 24, 2020, just as the Trump administration began taking significant action to prepare for an outbreak of COVID-19 in the United States, it also began implementing its new public charge rule. Public charge is an immigration law that restricts the admission of certain noncitizens based on the likelihood that they will become dependent on the government for support. The major effect of the new rule is to chill noncitizens from enrolling in public benefits, including Medicaid, out of fear of negative immigration consequences. These chilling effects have persisted during the pandemic. When noncitizens are afraid to (1) seek …

Critical Analysis Of The Value Of Drought Information And Impacts On Land Management And Public Health, Tingting Liu, Kelly Helm Smith, Richard Krop, Tonya Haigh, Mark Svoboda

National Drought Mitigation Center: Faculty Publications

This paper reviews previous efforts to assign monetary value to climatic or meteorological information, such as public information on drought, climate, early warning systems, and weather forecast information. Methods and tools that have been explored to examine the benefits of climatic and meteorological information include the avoided cost, contingent valuation, choice experiments, benefit transfer, and descriptive approaches using surveys. The second part of this paper discusses specific considerations related to valuing drought information for public health and the Bureau of Land Management. We found a multitude of connections between drought and the land management and health sectors in the literature. …

Toward A Symbiotic Perspective On Public Health: Recognizing The Ambivalence Of Microbes In The Anthropocene, S. Sariola, Scott F. Gilbert

Biology Faculty Works

Microbes evolve in complex environments that are often fashioned, in part, by human desires. In a global perspective, public health has played major roles in structuring how microbes are perceived, cultivated, and destroyed. The germ theory of disease cast microbes as enemies of the body and the body politic. Antibiotics have altered microbial development by providing stringent natural selection on bacterial species, and this has led to the formation of antibiotic-resistant bacterial strains. Public health perspectives such as “Precision Public Health” and “One Health” have recently been proposed to further manage microbial populations. However, neither of these take into account …

Jefferson Digital Commons Quarterly Report: October-December 2019, Kelsey Duinkerken, Msi, James Copeland, Libt, Larissa Gordon, Mslis, Med, Ma

Jefferson Digital Commons Reports

This quarterly report includes:

• Articles
• Dean's Research Development Lunch Conference
• Dissertations
• Educational Materials
• From the Archives
• Grand Rounds and Lectures
• Journals and Newsletters
• Population Health Presentation Materials
• Posters
• Reports
• Symposiums
• What People are Saying About the Jefferson Digital Commons

Medical Utilization In The Context Of Culture: Analyzing The Concepts, Benefits And Drawbacks Of Sri Lankan Biomedical And Ayurvedic Healthcare, Miriah Rajaguru

All Graduate Theses, Dissertations, and Other Capstone Projects

Sri Lanka is an island inhabited by a culture more than 5,000 years old. The primary medicine utilized by this culture in precolonial times is known as Ayurveda. During colonization, Sri Lanka was introduced to biomedicine and forced to negate Ayurvedic medicine. Throughout the years, rather than abandoning their indigenous medical practice, Sri Lanka incorporated biomedicine and Ayurvedic medicine into their medically plural society. Today, Sri Lankans utilized both medicines for different ailments, concerns and conditions. Utilizing a variety of anthropological methods and theories, this study gathered qualitative information from 39 Sri Lankan informants. These informants were recruited to find …

‘To Awaken The Medical And Hygienic Conscience Of The People’: Cultivating Enlightened Citizenship Through Free Public Healthcare In Haiti From 1915–34, Elliott M. Reichardt

Sociology & Anthropology Faculty publications

This paper addresses the relative scholarly oversight of the history of public health in Haiti through a close examination of the colonial public health system constructed and operated by the United States (US) during its occupation of Haiti from 1915 to 1934. More than simply documenting a neglected aspect of Caribbean history, the paper offers the US occupation of Haiti as a remarkably clear example of a failed attempt to use a free public health service to cultivate a health conscientiousness among the Haitian citizenry through the aggressive treatment of highly visible ailments such as cataracts and yaws. I argue …

Developing An Indicator System For A Healthy City: Taking An Urban Area As A Pilot, Tingting Li, Yong Fang, Dewei Zeng, Zumin Shi, Manoj Sharma, Huan Zeng, Yong Zhao

Walden Faculty and Staff Publications

Purpose: The Healthy Cities Project is an important strategy for global health. This study aimed to develop a scientific and appropriate indicator system for the evaluation of a Healthy City in Chongqing, China. Methods: Data were collected via a review of government documents, focus group discussions, and in-depth interviews. A total of 34 government documents were reviewed to build the indicator database based on our previous studies. The first round of focus group discussions, which involved eight health-related experts, was conducted to form the indicator system framework. In-depth interviews with 15 experts from government departments were conducted to design …

Examining The Relationship Between Adverse Childhood Experiences (Aces) And Health-Risk Behaviors Among Adolescents In New Hampshire, Riana S. Malik

Honors Theses and Capstones

Adverse Childhood Experiences (ACEs) are traumatic instances in the first 18 years of life including abuse, neglect, and household dysfunction. The Centers for Disease Control and Prevention (CDC) has outlined priority health-risk behaviors among adolescents as substance use, violent behaviors, unhealthy diet, physical inactivity, and unsafe sexual behaviors. Previous research has linked both ACEs and health-risk behaviors to negative health outcomes including disability, chronic disease, and substance use. That said, understanding and preventing risky behaviors among adolescents and working to reduce the lasting harm caused by ACEs can lead to healthier adults and communities going forward.

This research defines ACEs …

Traffic And Our Health, Atteh Akoto

Scholarship in Medicine - All Papers

Objective: The intent of this study is to find a correlation between long commute times, physical health, and mental health. Methods: Data was collected from a publicly available dataset on countyhealthrecords.org. Results: Increased percentage of lone drivers with long commutes and obese adults, positive correlation between long commuters and access to exercise opportunities, and negative correlation between long commuters and poor mental health days.

Growing Green Minds: Implementation Of A School Garden & Nutrition Program For The Freedom Area School District In Rural Wisconsin, Marissa Schuh

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

Most children in the U.S. consume too few fruits and vegetables which is putting them at risk to develop obesity and other lifestyle diseases. The 2015-2020 Dietary Guidelines for Americans recommends that individuals should increase the amount and variety of fruits and vegetables consumed in order to prevent weight gain and other chronic diseases. Research shows that garden-based educational programs can increase children’s fruit and vegetable intake as well as change their preferences and attitudes towards eating and trying new fruits and vegetables. Incorporating a garden and nutrition curriculum into a school setting is an ideal opportunity to improve children’s …

Behavior Change Techniques To Promote Smoking Cessation During Pregnancy: A Theory-Based Meta-Analysis, Caroline A. Orr

Theses and Dissertations

Despite significant progress, smoking during pregnancy remains one of the leading preventable causes of adverse fetal and maternal health outcomes. Using the current best practice standard of psychosocial counseling, only about one out of every 20 pregnant women quits smoking, and relapse rates are very high. Developing more effective interventions to promote smoking cessation during pregnancy is a critical public health priority that requires a thorough understanding of behavior change and its complex pathways and determinants. As such, the purpose of this three-part study was to conduct the first systematic theory-based evidence synthesis of smoking cessation interventions during pregnancy, and …

Covid-19 And Lgbt Rights, Suzanne B. Goldberg

Faculty Scholarship

Even in the best of times, LGBT individuals have legal vulnerabilities in employment, housing, healthcare and other domains resulting from a combination of persistent bias and uneven protection against discrimination. In this time of COVID-19, these vulnerabilities combine to amplify both the legal and health risks that LGBT people face.

This essay focuses on several risks that are particularly linked to being lesbian, gay, bisexual, or transgender, with the recognition that these vulnerabilities are often intensified by discrimination based on race, ethnicity, age, disability, immigration status and other aspects of identity. Topics include: 1) federal withdrawal of antidiscrimination protections; 2) …

An Analysis Of The Association Between Adverse Childhood Experiences And Food Insecurity Within The United States, Margaret Brooks

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

Adverse childhood experiences and food insecurity are significant public health issues within the United States. Previous studies have established the overall relationship between ACEs and food insecurity. This research investigates the statistical relationship between individual ACE indicators and food insecurity as well as the relationship between having two or more ACEs and food insecurity.

Nasa Dugo (‘It’S In The Blood’): Lay Conceptions Of Hypertension In The Philippines, Gideon Lasco, Jhaki Mendoza, Alicia Renedo, Maureen L. Seguin, Benjamin Palafox, Lia M. Palileo-Villanueva, Arianna Maever L. Amit, Antonio L. Dans, Dina Balabanova, Martin Mckee

Development Studies Faculty Publications

Introduction: Understanding explanatory models is important for hypertension, a leading risk factor for cardiovascular disease and stroke. This article aims to determine what adult patients with hypertension in the Philippines attribute their condition to, how these views might be explained and what the implications are for hypertension management. Methods: This is a qualitative study drawing on 71 semistructured interviews (40 initial and 31 follow-up) and four focus group discussions with patients diagnosed with hypertension. The setting was urban and rural low-income communities in the Philippines. Results: Four prominent perceived causes were identified—genetics, heat, stress and diet—for what patients refer to …

Definitions, Sources And Self-Reported Consumption Of Regionally Grown Fruits And Vegetables In Two Regions Of Australia, Katherine Kent, Stephanie Godrich, Sandra Murray, Stuart Auckland, Lauren Blekkenhorst, Beth Penrose, Johnny Lo, Amanda Devine

Research outputs 2014 to 2021

Regional food systems are complex networks, with numerous retail sources that underpin a local economy. However, evidence is limited regarding how consumers define, identify, and source regionally grown fresh fruits and vegetables (RGFFV). A cross-sectional study was conducted in Tasmania (TAS) and South Western Australia (SWA) to compare how RGFFV are defined, identified and sourced by consumers, including self-reported consumption of selected RGFFV. Survey data were analyzed using the Chi-square test and t-tests. Results (TAS n = 120, SWA n = 123) identified that consumers had mixed perceptions of how RGFFV are defined, including produce sold at farmers markets, or …

Taming America's Sugar Rush: A Traffic-Light Label Approach, Alexia Brunet Marks

Publications

Excess added sugar negatively impacts health and can lead to a litany of problems, such as diet-related chronic diseases, e.g., diabetes, cancer, heart disease, and obesity, costing Americans millions in rising medical bills each year. Even more, new studies reveal that individuals with these underlying chronic diseases are at a higher risk of complications from COVID-19 and other viruses compared to those who are deemed healthy. And yet added sugars are difficult to avoid because unlike naturally occurring sugars found in fruits, vegetables, and milk, these sweeteners are added during food processing and preparation.

The problem is that while consumers …

South West Food Community: How Government And Community Initiatives Are Supporting Systemic Change Towards Enhanced Food Security, Stephanie Louise Godrich, Melissa Stoneham, Melinda Edmunds, Amanda Devine

Research outputs 2014 to 2021

Objective: Food security refers to adequate physical, social and economic access to food and is regarded as a complex, ‘wicked’ issue. This research aimed to understand the perspectives of initiative leaders (stakeholders), regarding their project relating to food security and its possession of characteristics associated with system change to enhance food security. Methods: Stakeholders (n=51) participated in semi-structured interviews that evaluated initiatives (n=52) against 36 desirable characteristics for system change. Transcripts were analysed using QSR NVivo and Wicked Lab’s Tool for Systemic Change. Results: Community-based initiatives often harnessed the passion of local communities to enhance food security through awareness-raising activities …

Bearing Life And Living Resistance: Women’S Health And Political Determinants In Occupied Palestine, Sophia Knowlton-Latkin

Scripps Senior Theses

Although Palestinian women, compared to men and even boys, are significantly less likely to directly encounter injury and death by Israeli soldiers and settlers (OCHA, 2020), women in the occupied Palestinian territories (oPt) are not spared the violence of the Israeli occupation. This thesis argues that precisely because Palestinian women proliferate political resistance by bearing children and raising families which are categorically defined as a “demographic threat” (Weiss, 2020), women are distinctly and disproportionately subject to violence by Israel’s collective punishment. First, a historical backdrop is used to explain how the Israeli occupation, underpinned by settler colonialism, has developed a …

Public Health Law Tools: A Brief Guide, Kristen Underhill

Faculty Scholarship

The COVID-19 pandemic offers a threat with few precedents in modern times and tests the tools of modern surveillance and public health law. The goal of this chapter is to provide a brief overview of the types of measures that state and federal governments can invoke to treat and prevent the spread of infectious disease. The following sections will provide an orientation to domestic public health law followed by the types of measures available to state and federal public health authorities.

Although this chapter does not consider international institutions, treaties, or norms that affect public health, these are also essential …

Association Of Food Pharmacy Participation With Type Ii Diabetes Risk Factors, Breanne Vinogradoff

Master's Theses

Food insecurity is defined as a lack of access to enough food for a healthy lifestyle and has been found to lead to higher prevalence of type 2 diabetes (T2DM). In recognition of this relationship, many safety-net clinics and food banks have introduced “food pharmacies.” The term “food pharmacy” may be used to describe a treatment model that focuses on provision of disease-specific, medically appropriate food. This observational study examined data from a food pharmacy in the San Francisco Bay Area to determine if program participation improved clinical measures of T2DM status or risk, namely glycated hemoglobin (HbA1c), fasting blood …

A Shift In Global Thought And Practice: Assessing The Impacts Of The Human Security Paradigm On Global Public Health, Elizabeth Livingston Leone

Honors College Theses

With the increasing emphasis on health through human security since the 1990s by the United Nations, scholars have debated how human security has influenced public health. I examine how the idea of human security has become a paradigm and if this paradigm has adopted in public health programs. I argue that the rise of human security has led to an emphasis on the role of global actors, preventative care and health education when states adopt the paradigm. This adoption should in turn improve public health in Ghana and the Ivory Coast.

“Pissing In The Wind”: Racially Discriminatory Economic Policies’ Impact On Today’S Banking Status, Use Of Alternative Financial Services And Health Outcomes., Gaberiel Jones Jr

Electronic Theses and Dissertations

Centuries of discriminatory policies and practices in the United States have created racially segregated, resource-poor urban communities. Differential benefits of banking and housing legislation were among the consequences of these policies as they contributed to drastic racial inequities in wealth. Today, racial differences in banking status and financial practices persist. However, a void exists in the literature exploring what alternative financial services (AFS) are used in lieu of banks by Black Americans, why those services are used, the thoughts and beliefs of Black Americans about the use of those services, the impact of bank locations on financial behavior patterns, and …

Type Three Diabetes: Are You At Risk? A Systematic Review, Mary Ellen Yep

All Student-Created Educational Resources

To develop a possible framework for informing patients with type two diabetes of their potential risk of dementia, specifically Alzheimer’s Disease. Since type two diabetes is still on the rise, this could implicate a major increase in dementia across the population. Implications to assess the public of this research to promote awareness of the risks of type 3 diabetes.

Medi-Cal Retention, Christina Salvatier

Master's Projects

This research identified the factors that contributed to the decline of Medi-Cal enrollment in the County of Santa Clara (CSC). Additionally, it determined the actions that the County of Santa Clara Health System (CSCHS) can adopt to mitigate such decline. The CSCHS is the local safety-net healthcare provider for the residents of the CSC. Despite the CSCHS experiencing a significant increase in Medi-Cal covered individuals with the implementation of the Affordable Care Act (ACA) in 2010, this trend has overturned by 2019, with the County witnessing a significant decrease in Medi-Cal enrollment rates.

Jcph Presentations At The American Public Health Association Annual Conference 2019

JCPH at APHA 2019

No abstract provided.

An Evaluation Of Food Insecurity And Its Correlates In A Filipino American Study Sample Residing In Clark County, Nevada, Prescott Cheong, Courtney Coughenour, Maya Shegog, Saruna Ghimire, Lawrence Sagadraca, Francisco Sy

Environmental & Global Health Faculty Research

Purpose: Filipino Americans comprise over half of the Asian American population in Clark County, Nevada. Despite their large numbers, food insecurity rates are aggregated with the entire Asian American population. In 2016, 1.6% of Asian American households in Clark County were food insecure, yet, 22% of households reported annual incomes at or below 200% of the federal poverty level. This study aimed to assess the status and correlates of food insecurity specific to Filipino Americans in Clark County, Nevada. Methods: The United States Department of Agriculture (USDA) Short Form Food Security Module was administered among 192 Filipino Americans residing in …

Jefferson Digital Commons Quarterly Report: July-September 2019, Kelsey Duinkerken, Msi, James Copeland, Libt, Larissa Gordon, Mslis, Med, Ma

Jefferson Digital Commons Reports

This quarterly report includes:

• Articles
• Conferences
• From the Archives
• Grand Rounds and Lectures
• Journals and Newsletters
• Master of Population Health Capstone Presentations
• Master of Public Health Capstone Presentations
• Posters
• What People are Saying About the Jefferson Digital Commons

Mapping 123 Million Neonatal, Infant And Child Deaths Between 2000 And 2017, Roy Burstein, Simon I. Hay, Veincent Christian F. Pepito, 556 Co-Authors

Ateneo School of Medicine and Public Health Publications

Since 2000, many countries have achieved considerable success in improving child survival, but localized progress remains unclear. To inform efforts towards United Nations Sustainable Development Goal 3.2—to end preventable child deaths by 2030—we need consistently estimated data at the subnational level regarding child mortality rates and trends. Here we quantified, for the period 2000–2017, the subnational variation in mortality rates and number of deaths of neonates, infants and children under 5 years of age within 99 low- and middle-income countries using a geostatistical survival model. We estimated that 32% of children under 5 in these countries lived in districts that …