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Articles 1 - 30 of 42
Full-Text Articles in Entire DC Network
Who Stepswise Risk Model For Noncommunicable Disease Control In Coastal Communities Of Makassar City, Ridwan Amiruddin, Wahiduddin Wahiduddin, Indra Dwinata, Andi Selvi Yusnitasari, Andi Tenri Abeng, Ruslang Ruslang
Who Stepswise Risk Model For Noncommunicable Disease Control In Coastal Communities Of Makassar City, Ridwan Amiruddin, Wahiduddin Wahiduddin, Indra Dwinata, Andi Selvi Yusnitasari, Andi Tenri Abeng, Ruslang Ruslang
Media Kesehatan Masyarakat Indonesia
Noncommunicable Diseases (NCDs) account for approximately 71% of all deaths worldwide and pose particular challenges for coastal communities owing to geographical isolation, limited healthcare access, and unique socioeconomic characteristics. This study aimed to develop a comprehensive NCD risk model using the WHO STEPSwise framework in coastal areas of Makassar, Indonesia. A cross-sectional study was conducted from June to July 2025, involving 138 adults aged ≥ 18 years from five coastal sub-districts. The WHO STEPSwise approach was applied in three steps: Step 1 (ques-tionnaire on demographic and behavioral risk factors), Step 2 (physical measurements), and Step 3 (biochemical measurements). Data were …
Freshwater Harmful Algal Blooms (Habs) Public Health Message Efficacy Evaluation, Alexandra Benitez Gonzalez, Heather A. Triezenberg, Diane Doberneck, Abigail Bennett, Mark Rey
Freshwater Harmful Algal Blooms (Habs) Public Health Message Efficacy Evaluation, Alexandra Benitez Gonzalez, Heather A. Triezenberg, Diane Doberneck, Abigail Bennett, Mark Rey
Journal of Contemporary Water Research and Education
Harmful algal blooms (HABs) can present health risks to humans, animals, or ecosystems. Communicating with the public about HABs risks can be challenging because symptoms vary in type and severity across different individuals. However, people with underlying health conditions are often particularly vulnerable to exposure, and they may experience negative health outcomes if they lack awareness of the risks that HABs pose. Literature on risk communication suggests that the way messages are framed influences the impact on risk perception and behavioral intentions. To provide insight into how agencies and practitioners can more effectively communicate health risks from HABs, we designed …
The Built Environment And Its Effects On Health Outcomes In Metropolitan Miami, Jared Sanchez Hoehing
The Built Environment And Its Effects On Health Outcomes In Metropolitan Miami, Jared Sanchez Hoehing
Electronic Theses and Dissertations 2020 - Present
Obesity, depression and social isolation rates are an increasing worry in the United States. As planners, we help shape the built environment, which can influence a person’s health outcomes. To assess the effects the built environment has on health outcomes, this paper looks at the percentage of park space, the population density and the national walk index score, combined with several demographic and socioeconomic variables in the Metropolitan Miami region. The study uses the spatial autoregression results of the variables on each health measurement to determine the connection with each health outcome. Despite initial hypotheses that the built environment leads …
Knowledge, Attitudes, And Practices Concerning Water, Sanitation, And Hygiene And Related Diseases Among University Students In Malaysia, Renee Ng Jeffrey, Aida Soraya Shamsuddin, Farah Diyana Ariffin, Aziemah Zulkifli
Knowledge, Attitudes, And Practices Concerning Water, Sanitation, And Hygiene And Related Diseases Among University Students In Malaysia, Renee Ng Jeffrey, Aida Soraya Shamsuddin, Farah Diyana Ariffin, Aziemah Zulkifli
Makara Journal of Health Research
Background: Water, sanitation, and hygiene (WASH) practices are fundamental components of public health, being crucial in preventing disease transmission and promoting healthy living environments. In this context, university students play an essential role as future professionals and community advocates in fostering proper hygiene behaviors and preventing disease outbreaks. Understanding knowledge, attitudes, and practices (KAP) in regard to WASH among individuals, particularly university students, is crucial for promoting proper hygiene behaviors. This study aimed to assess the KAP in regard to WASH and related diseases among undergraduate students from the Faculty of Health Sciences, Universiti Kebangsaan Malaysia (UKM).
Methods: …
Chance Or Strategy? Assessing The Unanticipated Policy Window For Active Transportation During The Covid-19 Pandemic: A Systematic Review, Katja Siefken, Michael Pratt, Juliana Mejía-Grueso, Adrian Bauman, Deborah Salvo, Catherine B Woods, Wanda Wendel-Vos, Justin Richards, J Jaime Miranda, Pedro C Hallal, Andrea Ramírez Varela
Chance Or Strategy? Assessing The Unanticipated Policy Window For Active Transportation During The Covid-19 Pandemic: A Systematic Review, Katja Siefken, Michael Pratt, Juliana Mejía-Grueso, Adrian Bauman, Deborah Salvo, Catherine B Woods, Wanda Wendel-Vos, Justin Richards, J Jaime Miranda, Pedro C Hallal, Andrea Ramírez Varela
Faculty, Staff and Student Publications
Physical activity (PA) policy is essential for promoting population-level PA by coordinating efforts across various sectors. Global crises like the COVID-19 pandemic can open policy windows, enabling rapid implementation of innovative policies. This study examined how policy windows shaped active transportation (AT) policies during the pandemic, resulting in infrastructural changes.
Methods: A systematic review using PubMed, Scopus, ProQuest-Coronavirus Research Database, Web of Science, WHO COVID-19 Research Database, PsycInfo, and SPORTDiscus conducted to characterize AT policy during the pandemic (2020-2023). Descriptive analyses were conducted in Stata. PROSPERO registration number: CRD42025644930.
Results: The search retrieved 3879 articles; 1162 were duplicates, leaving 2716 …
Ethical Frameworks And Global Health: A Narrative Review Of The “Leave No One Behind” Principle, Daniela Oehring, Poorna Gunasekera
Ethical Frameworks And Global Health: A Narrative Review Of The “Leave No One Behind” Principle, Daniela Oehring, Poorna Gunasekera
School of Health Professions
The “Leave No One Behind” (LNOB) principle, a fundamental commitment of the United Nations’ Sustainable Development Goals, emphasizes the urgent need to address and reduce global health inequalities. As global health initiatives strive to uphold this principle, they face significant ethical challenges in balancing equity, resource allocation, and diverse health priorities. This narrative review critically examines these ethical dilemmas and their implications for translating LNOB into actionable global health strategies. A comprehensive literature search was conducted using PubMed, Scopus, Web of Science, and Semantic Scholar, covering publications from January 1990 to April 2024. The review included peer-reviewed articles, gray literature, …
Occupational Therapy’S Role In Addressing Wellness In Underserved Communities, Kimberlyna Chheang, Amy Lyons-Brown, Anna Saavedra
Occupational Therapy’S Role In Addressing Wellness In Underserved Communities, Kimberlyna Chheang, Amy Lyons-Brown, Anna Saavedra
Summer 2024 OTD Capstone Symposium
This capstone project addresses sociodemographic disparities in community wellness and health services in Kern County, CA, focusing on underserved communities facing trauma and systemic inequalities. In collaboration with the Community Action Partnership of Kern (CAPK) and their East Kern Family Resource Center (EKFRC), it aims to lay the foundation for community-based, tailored interventions using occupational therapy (OT) to enhance community well-being and promote access to critical services to support wellbeing.
Bridging Silos: Environmental And Reproductive Justice In The Climate Crisis, Sara A. Colangelo
Bridging Silos: Environmental And Reproductive Justice In The Climate Crisis, Sara A. Colangelo
Georgetown Law Faculty Publications and Other Works
The climate crisis is a perilous yet underexamined example of the intersection of environmental injustice and reproductive injustice. The physical manifestations of the climate crisis affect key elements of reproductive justice: women’s rights to have children, to not have children, and to parent children in healthy, sustainable communities. Reams of studies document climate disaster-driven gender violence, loss of access to healthcare and reproductive services, as well as direct and deadly health effects of climate change on maternal health, fetal development, infants, and children. Despite these profound impacts, the environmental and reproductive justice movements remain largely siloed, particularly in the legal …
Communities Of Practice To Improve The Delivery Of Contact Tracing For Tuberculosis By Community Health Workers: Antecedents And Mechanisms Of Action, Rachel Hennein
Yale Graduate School of Arts and Sciences Dissertations
Background: Community health workers (CHWs) play a key role in expanding access to health services. Providing CHWs with high-quality and relevant training is critical to facilitate their performance. Communities of Practice (CoPs) are a low-cost implementation strategy to promote continuous learning. CoPs are groups of professionals with a common goal who meet regularly, support each other, share knowledge, and innovate solutions. CoPs have been used within the health field to promote the delivery of evidence-based care by healthcare workers; however, there are a few gaps in our understanding of their utility. For example, few studies have assessed the effectiveness of …
Dobbs V. Jackson Women’S Health: Undermining Public Health, Facilitating Reproductive Coercion, Aziza Ahmed, Dabney P. Evans, Jason Jackson, Benjamin Mason Meier, Cecília Tomori
Dobbs V. Jackson Women’S Health: Undermining Public Health, Facilitating Reproductive Coercion, Aziza Ahmed, Dabney P. Evans, Jason Jackson, Benjamin Mason Meier, Cecília Tomori
Faculty Scholarship
Dobbs v. Jackson Women’s Health continues a trajectory of U.S. Supreme Court jurisprudence that undermines the normative foundation of public health — the idea that the state is obligated to provide a robust set of supports for healthcare services and the underlying social determinants of health. Dobbs furthers a longstanding ideology of individual responsibility in public health, neglecting collective responsibility for better health outcomes. Such an ideology on individual responsibility not only enables a shrinking of public health infrastructure for reproductive health, it facilitates the rise of reproductive coercion and a criminal legal response to pregnancy and abortion. This commentary …
Institute Of Public Health Newsletter- Volume 5, Issue 2, Institute Of Public Health (Iph)
Institute Of Public Health Newsletter- Volume 5, Issue 2, Institute Of Public Health (Iph)
Institute of Public Health Newsletter (IPHNL) and Other Publications
No abstract provided.
Improvement Of Cadres' Skills And Knowledge To Provide Comprehensive Health Services For The Elderly, Lilik Djuari, Linda Dewanti, Sulistiawati, Natasya Nurvita Brilianti, Farhan Nurdiansyah, Subur Prajitno
Improvement Of Cadres' Skills And Knowledge To Provide Comprehensive Health Services For The Elderly, Lilik Djuari, Linda Dewanti, Sulistiawati, Natasya Nurvita Brilianti, Farhan Nurdiansyah, Subur Prajitno
Folia Medica Indonesiana
Highlights: Due to the increasing elderly population in Indonesia, this study must address the knowledge and skill gaps among health cadres in a number of Integrated Health Posts for the Elderly (Pos Layanan Terpadu Lanjut Usia/ Posyandu Lansia). Through this study, the health cadres increased their knowledge and skills, enabling them to provide comprehensive health services for the elderly. Abstract Numerous issues have arisen as a result of the large size and rapid growth of the elderly population, attesting to the need for serious efforts from all sectors to enhance their welfare. However, the health cadres at the Integrated Health …
Implementation Of Multi-Level Interventions To Mitigate Risk Of Sars-Cov-2 Delta Variant At A Public University In Southern United States, Keena N. Arbuthnot, Rebecca C. Christofferson, Edward J. Trapido, John H. Pardue, John N. Perret, William F. Tate
Implementation Of Multi-Level Interventions To Mitigate Risk Of Sars-Cov-2 Delta Variant At A Public University In Southern United States, Keena N. Arbuthnot, Rebecca C. Christofferson, Edward J. Trapido, John H. Pardue, John N. Perret, William F. Tate
School of Public Health Faculty Publications
During the coronavirus disease 2019 (COVID-19) pandemic, navigating the implementation of public health measures in a politically charged environment for a large state entity was challenging. However, Louisiana State University (LSU) leadership developed and deployed an effective, multi-layered mitigation plan and successfully opened in-person learning while managing cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the fourth surge. We describe the plan to provide a framework for other institutions during this and future responses. The goals were 3-fold: maintain a quality learning environment, mitigate risk to the campus community, and ensure that LSU operations did not contribute to …
Exploring Extension Agent Capacity And Readiness To Adopt Policy, Systems And Environmental Change Approaches, Lisa T. Washburn, Heather Norman-Burgdolf, Natalie Jones, Lauren E. Kennedy, Soghra Jarvandi
Exploring Extension Agent Capacity And Readiness To Adopt Policy, Systems And Environmental Change Approaches, Lisa T. Washburn, Heather Norman-Burgdolf, Natalie Jones, Lauren E. Kennedy, Soghra Jarvandi
Dietetics and Human Nutrition Faculty Publications
Introduction: Enhanced Extension outreach strategies combine traditional direct education programs with public health approaches like policy, systems, and environmental (PSE) change. However, the Cooperative Extension system and county-based Family and Consumer Sciences (FCS) Extension agents have historically prioritized direct education programming and diffusion of enhanced outreach strategies has varied. Extension personnel may lack capacity and readiness for successful PSE change implementation. This study explored perceived acceptability, capacity, and readiness for PSE change work among FCS Extension agents in two states.
Method: A survey was developed framed by selected domains from the Consolidated Framework for Implementation Research: Intervention Characteristics, Inner Setting, …
An Argument And Model For Garden Corps, Sydney Ellis
An Argument And Model For Garden Corps, Sydney Ellis
Honors Theses
The benefits of community gardening have been thoroughly documented. Despite the value of community gardens, however, these gardens face many barriers that threaten their sustainability. This research investigated the benefits, barriers, and solutions to barriers of community gardening. The author performed literature review and conducted interviews with four community garden coordinators from the Chattanooga area to explore these topics. The author used the insights gained from the interviews to develop a business model for Garden Corps, a nonprofit dedicated to building capacity for community gardens.
Building Back Healthier: The Role Of Public Health In State Disaster Recovery Law, Claire Pendergrast, Nicole Errett
Building Back Healthier: The Role Of Public Health In State Disaster Recovery Law, Claire Pendergrast, Nicole Errett
Population Health Research Brief Series
When communities are impacted by disasters, state officials must implement efficient and competent recovery strategies with the health and wellbeing of residents in mind. This research brief summarizes findings from a peer-reviewed study showing that few U.S. states explicitly integrate public health into their disaster recovery laws, and the types of public health requirements and authorizations vary substantially across states.
The Relationship Between Transit-Oriented Development (Tod) Stations And Health Outcomes, Mohammed Hafiz
The Relationship Between Transit-Oriented Development (Tod) Stations And Health Outcomes, Mohammed Hafiz
Planning Dissertations - Archive
The relationship between the built environment and health outcomes, including obesity, high blood pressure, type 2 diabetes, asthma, and heart diseases, has been significantly related (Chandrabose et al., 2019). Urban planning plays a significant role in shaping the built environment of cities that are affecting public health. Historically, urban planning and public health are connected due to the impact of the built environment. Consequently, the concerns about health outcomes became an issue in urban planning. This research focuses on health outcomes within the built environment. Specifically, considering more physical activities in Transit-Oriented Development (TOD) station areas, the study investigates its …
Smoking Cessation Interventions In South Asian Countries: Protocol For Scoping Review, Sajid Iqbal, Rubina Barolia, Laila Ladak, Pammla Petrucka
Smoking Cessation Interventions In South Asian Countries: Protocol For Scoping Review, Sajid Iqbal, Rubina Barolia, Laila Ladak, Pammla Petrucka
School of Nursing & Midwifery
Introduction: Unfortunately, like many other health risks, smoking rate has been on the rise in developing countries. Half of current smokers in the world reside in only three countries of Asia that include India. Many smoking cessation interventions that were developed and successfully implemented in the context of developed countries have not been equally successful in South Asia. Hence, there is a dire need of culturally relevant smoking cessation interventions. We propose a scoping review with objectives to explore the extent and nature of interventions for smoking cessation and its associated factors in South Asian Region by systematically reviewing the …
Educational Intervention To Change Knowledge And Attitudes Regarding Sexual Behaviors To Reduce Rates Of Sexually Transmitted Infections Among University Of Kentucky’S Sorority Life Students., Julianna Maita
Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)
Sexually transmitted infections disproportionally affect young adults. Within this age group, women are at an increased risk for contracting and STI and face more severe long-term adverse consequences than men. College aged individuals are at an increased risk for contracting an STI due to risky sexual behaviors such as unprotected sex with multiple partners. College students involved in Greek Life have been found to engage in risker sexual behaviors than non-Greek life students. These individuals perceive themselves to be at a higher risk for contracting an STI and have an increased number of unprotected sexual encounters under the influence of …
A Shift In Global Thought And Practice: Assessing The Impacts Of The Human Security Paradigm On Global Public Health, Elizabeth Livingston Leone
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.
Eb4cast: An Evidence-Based Tool To Promote Dissemination And Implementation In Community-Based, Public Health Research, Melissa D. Olfert, Rebecca L. Hagedorn, Makenzie L. Barr, Oluremi A. Famodu, Jessica M. Rubino, Jade A. White
Eb4cast: An Evidence-Based Tool To Promote Dissemination And Implementation In Community-Based, Public Health Research, Melissa D. Olfert, Rebecca L. Hagedorn, Makenzie L. Barr, Oluremi A. Famodu, Jessica M. Rubino, Jade A. White
Faculty & Staff Scholarship
eB4CAST, evidence-Based forecast C-capture, A-assemble, S-sustain, T-timelessness (eB4CAST), framework was developed from existing dissemination and implementation (D & I) constructs as a dissemination tool to promote community-based program usability and future application in targeted populations. eB4CAST captures and transforms research findings into a dissemination report that shows program need and impact to endorse program continuation and expansion. This is achieved through direct and indirect data collection of community factors and program impact that can showcase the need for program sustainability and potential for future dissemination sites. Testimonials, individual feedback, and program process and outcomes contribute to the direct data while …
A Diabetes-Free Breathitt County: Implementation Of The National Diabetes Prevention Program In Pharmacies, Urvi Patel
A Diabetes-Free Breathitt County: Implementation Of The National Diabetes Prevention Program In Pharmacies, Urvi Patel
Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)
The National Diabetes Prevention Program (NDPP) is a primary prevention program endorsed by the Centers for Disease Control and Prevention (CDC). The program’s purpose is to promote dietary modification and physical activity to reduce the incidence of diabetes. NDPP is currently offered by national organizations such as the Young Men’s Christian Association and Weight Watchers. However, NDPP is not commonly available in geographic areas that are in the most need of such preventive health programming such as rural communities. One such area where NDPP is not widely offered is the Diabetes Belt, an area within the Appalachian region of the …
Integrating Public Health Into Planning: Promising Practices For Regional Planning Councils, Zoe Miller
Integrating Public Health Into Planning: Promising Practices For Regional Planning Councils, Zoe Miller
Muskie School Capstones and Dissertations
This Capstone project was designed to provide technical expertise to Greater Portland Council of Governments (GPCOG) for their 2017 strategic planning process. GPCOG is the Regional Planning Council (RPC) for Cumberland County, Maine. Also known as Councils of Government (COGs) and simply Regional Councils – these municipal and regional planning organizations were established in the U.S. in the 1960s. They are multi-service entities with state-defined boundaries that deliver a variety of federal, state, and local program supports. They provide planning and technical assistance to their member municipal governments. RPCs are accountable to their members and are partners with the state …
Race And Income Disparities In Disaster Preparedness In Old Age, Katherine M. Cox
Race And Income Disparities In Disaster Preparedness In Old Age, Katherine M. Cox
Master's Theses and Capstones
Objective: Older adults are one of the most vulnerable populations impacted by disasters and communities continue to struggle addressing preparedness. This study investigated to what extent income status and race/ethnicity in old age interplayed with disaster preparedness.
Methods: Data came from the 2010 Health and Retirement Study, a nationally representative panel survey of older Americans over 51 years old. Our sample was restricted to respondents who participated in a special survey about disaster preparedness (N=1,705). Disaster preparedness was measured as a score, which includes 13 variables related to personal, household, program, and medical preparedness. Race/ethnicity was categorized by White, Black, …
Effective And Meaningful Collaboration To Improve Community Health, Esther Hammerschlag
Effective And Meaningful Collaboration To Improve Community Health, Esther Hammerschlag
Rural Development
This research project set out to identify those factors that are likely to lead to effective and meaningful collaboration among a broad range of stakeholders wishing to collaborate to improve health in rural communities. By studying two different collaborative efforts in rural Alaska that have succeeded in collaboration but have also faced many challenges, benefits of collaboration, challenges to collaboration, factors that contribute to benefits and challenges of collaboration, and important areas for development in collaboration were identified. Through the research study and a literature review conducted within the context of the researcher's professional experience, frameworks and tools were identified …
Evaluating The Impact Of Sustainable Built Environment Commitments And Outcomes On Respiratory Health: A Longitudinal Case Study Of Two Texas Cities, Megan Topham
Planning Dissertations - Archive
As population continues to grow the need for creating efficient and effective built environments that balance the three pillars of sustainability, environment, economic and equity, becomes even more pertinent. This exploratory research assisted in bridging the gap between understanding sustainable policy development and resulting impact on the corresponding outcomes, including influences from political culture. Followed by an overarching view of the changes in sustainable built environment outcomes over the course of nine years and how these outcomes influenced air quality measurements and inpatient asthma discharges. The case study methodology, established by Yin (2014), was utilized to address the research questions …
The International Health Regulations 10 Years On: The Governing Framework For Global Health Security, Lawrence O. Gostin, Mary C. Debartolo, Eric A. Friedman
The International Health Regulations 10 Years On: The Governing Framework For Global Health Security, Lawrence O. Gostin, Mary C. Debartolo, Eric A. Friedman
Georgetown Law Faculty Publications and Other Works
The World Health Organization (WHO) and its global health security treaty, the International Health Regulations (2005) (IHR) have lost the world's confidence after the West African Ebola epidemic. The epidemic led to several high-level reviews of the IHR and global health security more broadly. Here, we propose a series of recommendations for operational and legal reforms to enhance the functioning of the FCGH. It is critical that WHO act on them quickly, before the window of opportunity for fundamental reform closes.
WHO should ensure that all states fulfill their obligations to develop national core surveillance and response capacities, including through …
Environmental Health In Southern Nevada, Courtney Coughenour, Jennifer Pharr, Shawn Gerstenberger
Environmental Health In Southern Nevada, Courtney Coughenour, Jennifer Pharr, Shawn Gerstenberger
Nevada Journal of Public Health
There are a multitude of environmental factors that influence public health. The purpose of this manuscript is to evaluate the Southern Nevada community with respect to environmental conditions and health, including both positive and negative traits, and develop realistic goals and strategies aimed at improving these conditions. Southern Nevada is located in one of the most arid regions of North America. Since annual rainfall averages less than four inches per year, Southern Nevada depends upon the Colorado River for its water supply. It is predicted that water flow to the area will decrease by 5% to 20% by 2050. As …
Community Health Indicators In Southern Nevada, Courtney Coughenour, Jennifer Pharr, Shawn Gerstenberger
Community Health Indicators In Southern Nevada, Courtney Coughenour, Jennifer Pharr, Shawn Gerstenberger
Nevada Journal of Public Health
Community design and access to services are essential components of healthy and sustainable communities. The purpose of this manuscript is to evaluate Southern Nevada with respect to community design and access, including both positive and negative traits, and to suggest realistic changes that could be made to improve these conditions. The region’s network of parks and open space recreation areas is one of its strongest assets. Clark County enjoys over 42 million acres of federal and state lands which offer a large variety of recreational opportunities. The region has an extensive trail system, with a total of 179 miles of …
Education And Educational Attainment In Southern Nevada, Jennifer Pharr, Courtney Coughenour, Shawn Gerstenberger
Education And Educational Attainment In Southern Nevada, Jennifer Pharr, Courtney Coughenour, Shawn Gerstenberger
Nevada Journal of Public Health
Failure to complete high school has a direct impact on a person’s earning potential and quality of life. Higher levels of education are associated with better health. Because of this association, it is important for children and adults to have access to quality education. The percentage of adults who have successfully pursued higher education in Southern Nevada is lower than the peer Mountain West metropolitan areas and the national average. Nevada high school graduation rates are the lowest in the nation. High school graduation rates and dropout rates vary by race/ethnicity in the Clark County School District. High school graduation …