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Full-Text Articles in Medicine and Health Sciences

Association Between Chronic Disease And Substance Use Among Older Adults In Tennessee, Manik Ahuja, Jessica Stamey, Johanna Cimilluca, Kawther Al Skir, Mary K. Herndon, Kathleen Baggett, Thiveya Sathiyasaleen, Praveen Fernandopulle Aug 2023

Association Between Chronic Disease And Substance Use Among Older Adults In Tennessee, Manik Ahuja, Jessica Stamey, Johanna Cimilluca, Kawther Al Skir, Mary K. Herndon, Kathleen Baggett, Thiveya Sathiyasaleen, Praveen Fernandopulle

ETSU Faculty Works

Background:

Substance use and misuse have a negative impact on health care outcomes, specifically in the older adult population. Older adults are at risk due to several factors occurring toward the end of life such as changing family dynamics, loss of friends and loved ones, and chronic diseases. Substance use in older adults with chronic diseases in rural areas remains poorly studied. This study examines older adults greater than 55 of age in the state of Tennessee, U.S.A.

Design and methods:

Data was extracted from the 2019 National Behavioral Risk Factor Surveillance System (BRFSS) with a subsample for the State …


An Examination Of Discrimination On Stress, Depression, And Oppression-Based Trauma During The Covid-19 Pandemic And The Racial Awakening Of 2020, Ardhys N. De Leon, Jacqueline Woerner, Robert D. Dvorak, Jonathan Cox, Tatiana D. Magri, Emma R. Hayden, Manik Ahuja, Angela M. Haeny Jan 2023

An Examination Of Discrimination On Stress, Depression, And Oppression-Based Trauma During The Covid-19 Pandemic And The Racial Awakening Of 2020, Ardhys N. De Leon, Jacqueline Woerner, Robert D. Dvorak, Jonathan Cox, Tatiana D. Magri, Emma R. Hayden, Manik Ahuja, Angela M. Haeny

ETSU Faculty Works

Background

Discrimination is a pervasive societal issue that monumentally impacts people of color (POC). Many Black, Asian, and Hispanic/Latinx individuals report experiencing race-based discrimination in their lifetime. Discrimination has previously been linked to adverse health outcomes among POC, including stress, depressive, and posttraumatic stress disorder symptoms. These health disparities are posited to have become exacerbated by COVID-19 and the racial awakening of 2020. The current study examined the short- and long-term effects of discrimination on stress, depression, and oppression-based trauma among POC.

Methods

Participants were (n = 398) who identified as Black, Indigenous, Hispanic/Latinx, and Asian completed an online self-report …


Telehealth Acceptance Among Appalachian Respondents During Covid 19: A Secondary Data Analysis, Victoria Hood-Wells, Florence M. Weierbach, Amy Wahlquist, Janet M. Keener, Manik Ahuja, Hadii M. Mamudu Dec 2022

Telehealth Acceptance Among Appalachian Respondents During Covid 19: A Secondary Data Analysis, Victoria Hood-Wells, Florence M. Weierbach, Amy Wahlquist, Janet M. Keener, Manik Ahuja, Hadii M. Mamudu

ETSU Faculty Works

Purpose: The purpose of this study is to examine the relationship between telehealth use, telehealth satisfaction, and chronic medical conditions among residents living in Appalachian and non-Appalachian communities.

Sample: A COVID-19 public health survey was distributed via social media and healthcare clinics in the tri-state region of central Appalachia. Survey responses were limited to adults aged ≥18 years who consented to participate in the survey that self-identified as an individual with one or more chronic medical conditions (n=195).

Method: Simple descriptive statistics including frequencies, percentages, means, and standard deviations (SDs) were calculated for variables of interest both overall and by …


Suicide Among South Asians In The United States: A Growing Public Health Problem, Aruna Jha, Manik Ahuja, Rajvi J. Wani Dec 2022

Suicide Among South Asians In The United States: A Growing Public Health Problem, Aruna Jha, Manik Ahuja, Rajvi J. Wani

ETSU Faculty Works

This research study quantifies and describes suicide among South Asian Americans (SAAs), an emerging population that are underrepresented group in suicide research. The purpose of this study was to examine key characteristics of suicide deaths among SAAs. Data were employed from DuPage County, IL, a county with a large SAA population. Following federal recommendations for disaggregating Asian American data at a granular level, four SAA researchers used name recognition to identify all SAA cases classified as suicide in the DuPage County coroner’s database from 2001 to 2017 (N = 38). Coroner’s reports were analyzed for contextual details and correlating …


Early Age Of Cannabis Initiation And Its Association With Suicidal Behaviors, Manik Ahuja, Manul Awasthi, Kathie Records, Johanna Cimilluca, Kawther Al-Ksir, Johnathan Tremblay, Riddhi P. Doshi, Thiveya Sathiyasaleen, Praveen Fernandopulle Aug 2022

Early Age Of Cannabis Initiation And Its Association With Suicidal Behaviors, Manik Ahuja, Manul Awasthi, Kathie Records, Johanna Cimilluca, Kawther Al-Ksir, Johnathan Tremblay, Riddhi P. Doshi, Thiveya Sathiyasaleen, Praveen Fernandopulle

ETSU Faculty Works

Background: Suicide rates in the U.S. have continued to rise over the last 2 decades. The increased availability and broader legalization of cannabis is a public health concern, particularly among adolescents. The objective of this study was to examine the association between the age of cannabis initiation and lifetime suicidal ideations and attempts in a sample of adults aged 18 or older.

Methods: Data are from the Collaborative Psychiatric Epidemiology Surveys (CPES), 2001 to 2003 (N = 15 238). The primary objective of the CPES was to collect data about the prevalence of mental disorders, impairments associated with these disorders, …


Bios 7535- Data Analysis With Sas, Robert Vogel Oct 2019

Bios 7535- Data Analysis With Sas, Robert Vogel

Jiann-Ping Hsu College of Public Health Syllabi

The class is designed to provide skill building and practical experience in using SAS to: create analysis data files; analyze data such as that found in typical biostatistical consulting problems; and assess the validity of analysis methodology assumptions. 3 credit hours.


Bios 9135– Advanced Survival Analysis, Lili Yu Oct 2019

Bios 9135– Advanced Survival Analysis, Lili Yu

Jiann-Ping Hsu College of Public Health Syllabi

This course will be placed on the theory on survival data. Counting processes and martingale method will be introduced. Emphasis will be place on the applications of the theory on the methodologies for survival data, such as Kaplan-Meier estimate, log-rank test, Cox model, etc. The students will learn how to use R language to setup survival dataset and perform analysis.


Pubh 9231 – Chronic Disease Epidemiology, Jian Zhang Oct 2019

Pubh 9231 – Chronic Disease Epidemiology, Jian Zhang

Jiann-Ping Hsu College of Public Health Syllabi

This course is designed to introduce the student to the ever-expanding area of chronic disease epidemiology. Students will be introduced to the current status of chronic disease and control programs, methods used in chronic disease surveillance, intervention methods, and modifiable risk factors. Some of the major chronic diseases such as cancer, cardiovascular disease, chronic lung disease, diabetes and arthritis will be discussed in detail. Pathophysiology and clinical features of common chronic conditions will also be presented.


Hadm 7500 - Strategic Planning And Marketing In Health Care, Linda Kimsey Oct 2019

Hadm 7500 - Strategic Planning And Marketing In Health Care, Linda Kimsey

Jiann-Ping Hsu College of Public Health Syllabi

This course offers an introduction to strategic planning and marketing in health services organizations. Processes and formats employed in strategic planning and marketing are presented and applied in case studies and a final project. Elements of market assessment, environmental analysis and strategy development are presented and applied to course practices.


Phld 9231 – Health Informatics & Decision Making, Gulzar H. Shah, Kristie Cason Waterfield Oct 2019

Phld 9231 – Health Informatics & Decision Making, Gulzar H. Shah, Kristie Cason Waterfield

Jiann-Ping Hsu College of Public Health Syllabi

This course focuses on the fundamental concepts of managing information as an asset in public health and healthcare delivery contexts. Emphasis will be placed on converting data into information and converting information into decision support models.


Pubh 3136 A – Principles Of Environmental Health, Evans Afriyie-Gyawu Oct 2019

Pubh 3136 A – Principles Of Environmental Health, Evans Afriyie-Gyawu

Jiann-Ping Hsu College of Public Health Syllabi

This course examines health issues, scientific understanding of causes, and possible future approaches to control the major environmental health problems in industrialized and developing countries. Topics include how the body reacts to environmental pollutants; physical, chemical, and biological agents of environmental contamination; vectors for dissemination (air, water, soil); solid and hazardous waste; susceptible populations; biomarkers and risk analysis; the scientific basis for policy decisions; and emerging global environmental health problems.


Envh 8335 A – Global Water And Sanitation, Asli Aslan Oct 2019

Envh 8335 A – Global Water And Sanitation, Asli Aslan

Jiann-Ping Hsu College of Public Health Syllabi

The global water crisis is the most serious threat to human health. Poor water quality, lack of sanitation and inadequate access to clean water resources are one of the major causes of global health disparities. Current issues such as changing climate, decaying infrastructure and reemerging waterborne diseases are also contributors for disease transmission within vulnerable populations. This course analyzes the key drivers that affect global water quality and human health. Real world case scenarios will be examined to develop sustainable and appropriate solutions that consider environmental, individual, cultural, and economic factors.


Pubh 4233 Topics In Global Epidemiology, Evans Afriyie-Gyawu Oct 2019

Pubh 4233 Topics In Global Epidemiology, Evans Afriyie-Gyawu

Jiann-Ping Hsu College of Public Health Syllabi

This course will introduce students to the field of epidemiology as applied in a global context. Students will be introduced to basic concepts of epidemiology as well as an overview of topics across the discipline. Special emphasis will be placed on health issues in the low and middle-income countries and case studies will be used as examples to illustrate concepts and topics of epidemiology. (3 credits)


Pubh 3431 – Introduction To Global Health, Kristina Harbaugh Oct 2019

Pubh 3431 – Introduction To Global Health, Kristina Harbaugh

Jiann-Ping Hsu College of Public Health Syllabi

This course introduces the broad and growing field of global health. The course will discuss how health and illness is defined and explore the biological, cultural, social, and political forces that influence health at the global level. This is a survey course that will explore such topics as: comparative health systems, social determinants of health, health services and quality, healthcare policy, key stakeholders, and major global health initiatives. Throughout the course, an emphasis is placed on global health ethics and issues of social justice. 3 credits (3-0-3)


Pubh 4231- Health Aspects Of Aging, Jamie S. Cromley Oct 2019

Pubh 4231- Health Aspects Of Aging, Jamie S. Cromley

Jiann-Ping Hsu College of Public Health Syllabi

This course is intended to familiarize students with promotion of health in an aging population, the notion that aging is a natural part of the lifecycle, community, state and federal health programs and services for the aged. Students will become acquainted with the process of and problems associated with aging in order to effectively manage this important public health issue. Specific health concerns of the elderly including the increase in life expectancy, current life extending research and technology and successful aging will also be examined. Knowledge and understanding of biological, psychological, and sociological aspects of aging as related to health …


Pubh 4798: Internship In Health Education And Promotion, Jamie S. Cromley Oct 2019

Pubh 4798: Internship In Health Education And Promotion, Jamie S. Cromley

Jiann-Ping Hsu College of Public Health Syllabi

This course provides the senior level Public Health majors with a practical experience in an appropriate practice setting. Students must complete all course work in the Public Health major prior to enrolling in this course.


Pubh 3130- Substance Use And Abuse (Net), Jamie S. Cromley Oct 2019

Pubh 3130- Substance Use And Abuse (Net), Jamie S. Cromley

Jiann-Ping Hsu College of Public Health Syllabi

This course will explore legal and illegal drug use in modern society. Issues related to the social, cultural, political, economic impact of drug use will be addressed. The recurrent theme throughout the course will be on prevention. This will include discussions on the best ways to postpone the initiation of substance use and abuse among school aged persons as well as the cessation of use and treatment for abuse among adult populations. Substance use and its abuse effects ALL of us and does NOT discriminate on the basis of age, gender, religious affiliation, sexual orientation, race, ethnicity or income.


Pubh 6534: Health Policy And Management (Online), Bettye A. Apenteng Oct 2019

Pubh 6534: Health Policy And Management (Online), Bettye A. Apenteng

Jiann-Ping Hsu College of Public Health Syllabi

The course provides a comprehensive introduction and overview to public health management and administration. The course context is based on managerial decision making and the practical knowledge, tools, processes, and strategies required by organizational management. This course overviews the basics of administration, including public health law, human resources management, budgeting and financing, health information management, performance measurement and improvement, ethics, leadership, communication, media relations, and legislative relations in public health; introduced as processes are strategic planning, program development, and evaluation, budget preparation, and constituency building for collaboration. Emerging areas of public health policy and management are also discussed as contexts …


Bios 6531 – Categorical Data Analysis, Haresh Rochani Oct 2019

Bios 6531 – Categorical Data Analysis, Haresh Rochani

Jiann-Ping Hsu College of Public Health Syllabi

(taken from 2017-18 Course Catalog): This course introduces statistical methods for analyzing both univariate and multivariate categorical data and count in medical research and other health-related fields. The course will introduce how to distinguish among the different measurement scales, the commonly used statistical probability distribution and inference methods for categorical and count data. Emphasis will be placed on the application of the methodology and computational aspects rather than theory. The students will learn how to apply SAS procedures to data and interpret the results.


Pubh 4134 A & B – Research Methods And Evaluation (Crn A=82829, B = 83646), Helen W. Bland Oct 2019

Pubh 4134 A & B – Research Methods And Evaluation (Crn A=82829, B = 83646), Helen W. Bland

Jiann-Ping Hsu College of Public Health Syllabi

This course introduces the student to research methods used in health education and promotion. In addition, this course quizzes the rationale and procedure to evaluate health education/promotion programs. The course focuses on several topics including: research design, methods of program evaluation, planning research and evaluation, the politics and ethics of evaluation, measurement, sampling logistics, and data analysis, of a student project. 3 credits (3-0-3).


Pubh 7890 – Special Topics In Capstone: Public Health Leadership, Nandi A. Marshall Oct 2019

Pubh 7890 – Special Topics In Capstone: Public Health Leadership, Nandi A. Marshall

Jiann-Ping Hsu College of Public Health Syllabi

Serves as culminating experience enabling students to synthesize and apply aggregate key program concepts to support workforce development as they prepare to serve as public health leaders within the community; methods utilized to promote professional development include case studies, assigned readings, and multiple interactions with community public health leaders.


Hspm 7133 Section A: Public Health Policy & Ethics, Bill Mase Oct 2019

Hspm 7133 Section A: Public Health Policy & Ethics, Bill Mase

Jiann-Ping Hsu College of Public Health Syllabi

The course prepares learners to understand complex health and human service-related systems in order to inform effective practice-based ethical decision-making. The primary focus of the course relates to public health policy and practice. Major content areas include health policy institutions, the health policy process, ethical political considerations, social determinants of health, workforce, health care financing, medical technology, health care organizations, the public health system, primary care systems, and other health-related issues impacting the health of the public. Strategies of implementing change through policy making and the legislative process are covered.


Epid 7233– Public Health Surveillance Methods, Jian Zhang Oct 2019

Epid 7233– Public Health Surveillance Methods, Jian Zhang

Jiann-Ping Hsu College of Public Health Syllabi

This course will provide students with a strong foundation in public health surveillance of both health conditions and risk factors. The course will teach the theory and practice of surveillance supported by many examples of surveillance systems from the developed and developing world. The class will build on and reinforce basic epidemiologic concepts. Students will be given the opportunity to design and evaluate a surveillance system.


Epid 7135-A – Epidemiology Of Infectious Disease, (Isaac) Chun Hai Fung Oct 2019

Epid 7135-A – Epidemiology Of Infectious Disease, (Isaac) Chun Hai Fung

Jiann-Ping Hsu College of Public Health Syllabi

This course is designed to provide students with an overview of the principles and practices of infectious diseases epidemiology with focus on how the presence and control of communicable diseases affects public health locally, nationally and internationally. Topics to be covered include: 1) general principles of infectious diseases epidemiology, including outbreak investigation, surveillance, analysis of infectious diseases data, and laboratory testing of specimens; 2) major modes of infectious disease transmission, including airborne, food and water, zoonotic, insect vector, blood, and sexual transmission; 3) different control strategies for infectious diseases, including infection control, antimicrobial management, immunization, risk factor modification, and screening; …


Epid 7134 – Research Methods Ii, Logan Cowan Oct 2019

Epid 7134 – Research Methods Ii, Logan Cowan

Jiann-Ping Hsu College of Public Health Syllabi

This course provides instruction and hands-on experience in the analysis and interpretation of data from epidemiologic studies. Topics to be covered include epidemiology research questions that can be addressed by cross-sectional, case-control and cohort studies; the rationale underlying the major techniques used to analyze data from these studies; the conditions under which these methods are appropriate and their relative advantages and disadvantages. Attention will be given to how interactions, confounders and nonlinear relationships among variables can be addressed along with interpretation of statistical software output from epidemiologic studies employing these designs and analytical methods.


Envh 7234 – Environmental Toxicology, Evans Afriyie-Gyawu Oct 2019

Envh 7234 – Environmental Toxicology, Evans Afriyie-Gyawu

Jiann-Ping Hsu College of Public Health Syllabi

This course introduces students to concepts associated with the lethal and sub-lethal effects of environmental and occupational stressors on humans and other living organisms.


Envh 7233– Environmental Exposure And Impact Assessment, Atin Adhikari Oct 2019

Envh 7233– Environmental Exposure And Impact Assessment, Atin Adhikari

Jiann-Ping Hsu College of Public Health Syllabi

Introduces students to appropriate design, implementation, and analysis of primary environmental exposures and how they are influenced by public health ethics, equity and disparities. Specific topics covered include designing risk profiles; evaluating dose-response relationships; assessing the contribution of public health ethics, equity and disparities to environmental exposures; and analyzing field exposures of toxins.


Cohe 7232 A – Health Promotion Planning, Andrew Hansen Oct 2019

Cohe 7232 A – Health Promotion Planning, Andrew Hansen

Jiann-Ping Hsu College of Public Health Syllabi

Introduces the student to the theory and application of planning and evaluation principles. Planning and evaluation skills will be developed that can be utilized in a variety of health-related settings. Familiarizes students with theories and models from the social and behavioral sciences and health education used in behavior change interventions. Emphasizes the planning and implementing of community health interventions at multiple ecological levels.


Bios 6135: Topics Of Inference In Biostatistics, Lili Yu Oct 2019

Bios 6135: Topics Of Inference In Biostatistics, Lili Yu

Jiann-Ping Hsu College of Public Health Syllabi

(taken from 2018-19 Course Catalog): This course provides an introduction to the fundamental knowledge of derivatives, integrals, and matrix algebra found in biostatistical inference. The course will introduce the theory of quadratic forms and their applications to distributions, the method of maximum likelihood estimation, likelihood ratio tests, restricted maximum likelihood, and the basis for inferences derived from hypothesis testing and confidence intervals. Emphasis will be placed on how these techniques are used in biostatistical problems and applications using examples from the pharmaceutical industry.


Pubh 3132b – Healthcare Systems And Advocacy – Hybrid, Jeffery A. Jones Oct 2019

Pubh 3132b – Healthcare Systems And Advocacy – Hybrid, Jeffery A. Jones

Jiann-Ping Hsu College of Public Health Syllabi

Covers the background and development of administrative settings for health care delivery in the United States. The course explores the dynamics, trends, and issues evolving from current health and medical care programs and practices, with an emphasis on the ramifications of these various settings and trends with regard to health promotion and community health.