Medicine and Health Sciences Commons^™

Health And Healthcare: Designing For The Social Determinants Of Health And Blue Zones In North Nashville, Rebecca Tonguis, Honor Thomas, Olivia Hobbs

Belmont University Research Symposium (BURS)

Owned by North Nashville’s First Community Church, a now empty site in the Osage-North Fisk neighborhood of North Nashville has been identified as a potential site for a new location of The Store, in addition to a community-centric architectural development based on the social determinants of health and informed by the principles behind Blue Zones, the locations with the highest lifespans in the world. Opened by Brad Paisley and Kimberly Williams-Paisley, The Store is a free grocery store that “allow[s] people to shop for their basic needs in a way that protects dignity and fosters hope”, for which North Nashville …

Developing Health Ministries Beyond The Disparities In The Community, Tasha Renea Berry-Lewis

Doctoral Dissertations and Projects

Since the COVID-19 pandemic, there has been an upswing in the lack of awareness concerning disparities and the lack of resources available in many of the neighborhoods in the Chicagoland area. The Washington Park and Bronzeville areas are two (2) communities among several others in the Chicago area that are considered to be low-income neighborhoods with minimal resources and an increasing concern of disparities. As a church in the community, it is vitally important we provide a place of hope and trust for people to come for help and refuge. Developing a service such as a health and wellness ministry …

A127: Difficulties Facing And Coping Strategies Of Physical Education And Health Interdisciplinary Teaching In China, Jie Yang, Liping Xu, Zhihua Yin

International Journal of Physical Activity and Health

Purpose: In response to the national demand for compound talents, “Physical Education (PE) and Health Curriculum (2022 version) for Compulsory Education” proposes to include interdisciplinary teaching in five major courses in China. Due to the lack of course cases for reference, there’s a certain gap between interdisciplinary theory and practice. Therefore, it’s urgent to analyze the difficulties faced by interdisciplinary teaching and find out the coping strategies. Methods: By using keywords such as "interdisciplinary teaching," "PE and health curriculum," and "interdisciplinary," this study collected and studied 39 articles from CNKI, Web of Science, Scopus, and other databases, and analyzed the …

A143: Influence Of Sports Participation On Females’ Health In The Cold Cities Of Northeast China, Chenxu Zuo

International Journal of Physical Activity and Health

Purpose: People living in the northeastern, cold region of China have been enduring a severe climate. It’s well known that sports participation can promote health. However, there is a lack of research on sports participation among urban females in cold areas of China. Therefore, this study aims to analyze the influence of sports participation on urban females’ health in northeastern China. Methods: A total of 305 urban females (aged 39 years) from Harbin completed an online survey, which asks about demographic information, health status, and sports participation. Health status was assessed by measuring three dimensions of health-related indicators (BMI, chronic …

Pastoral Leaders’ Perception Of Obesity And Their Role Within Faith-Based Organizations, Darren D. Moore, Clinton E. Cooper, Charles Williams

The Qualitative Report

The purpose of this study was to explore the perspectives of pastoral leaders regarding obesity and health within faith-based organizations (FBOs). In this study, the authors focused on gaining additional insight regarding how pastoral leaders conceptualize and make sense of their roles in terms of health promotion within FBOs. Utilizing a qualitative research methodological approach, specifically Qualitative Description, authors administered a qualitative survey to 12 participants which yielded three emerging themes: (1) perceived scope, (2) understanding and use of resources, and (3) defining obesity through pastoral leaders’ perspectives. In the study, investigators discuss clinical implications and provide recommendations.

New York City’S Health Governance And Activism From The 1950s To The 1970s, Andres Valcarcel

Theses

New York City's expansive network of hospitals and preventative health services has an intense history outside of the popular narratives of biomedical and technological advancement. This thesis will discuss the period between the 1950s and 1970s and the various movements and parties that shaped the city's health and hospital system. During this period, New York City's healthcare delivery system became increasingly privatized and commercialized; processes that improved the quality of healthcare yet simultaneously barred the poorest from accessing it. Communities, healthcare workers, and civil rights organizations worked to address perceived faults and extend their agency in health and hospital policy; …

The Impact Of The Covid-19 Pandemic On The Well-Being Of People Incarcerated In United States Prisons, Kimberly Rivera

Department of Sociology: Dissertations, Theses, and Student Research

The COVID-19 pandemic has negatively impacted the population as a whole. However, the incarcerated population (which also experiences a variety of health disparities) has been disproportionately affected by the pandemic. Due to overcrowding, poor ventilation, and lack of resources, the incarcerated population already is at a heightened risk for negative health outcomes, made worse by the recent pandemic. To adapt to the rapidly changing conditions during the pandemic in 2020 and into 2022, new safety measures were implemented, but the unintended consequences associated with the implementation of these procedures have yet to be examined empirically. I conducted a qualitative content …

Nursing Homes In The Mountain West, 2023, Annie Vong, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet presents nursing home data in the Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah. Data from a September 2023 ProPublica publication titled, “Nursing Home Inspect” are presented including the total number of nursing homes, homes with serious deficiencies, homes with infection related deficiencies, the amount nursing homes paid in penalties and the number of payment suspensions for nursing homes in the Mountain West.

African-American Parents’ Cultural Understandings Of The Concept Of Autism And Implications For Parental Communication And Health Management, Kellie J. Fennell

Communication & Theatre Arts Theses

In 2023 the Centers of Disease Control reported that around 1 in 36 children are diagnosed with Autism in America and that the prevalence has increased by 178% since 2000 (CDC, 2023). Despite increases in awareness and diagnosis past research finds that the discussions of ASD in African American communities is minimal (Fombonne, 2003; Yeargin Allsopp et al., 2003). This disparity is important considering that African American children receive an ASD diagnosis years later than their white counterparts and are much more likely to be misdiagnosed (Mandell et al., 2009, 2002).

Given the history of a lack of representation of …

The Role Of The Depok Sejahtera Card (Kds) In Increasing Access To Health Services In The Slum Area Of Kampung Lio, Depok City, M. Luthfi Ramadhan, Umar Maulana Hasbi

Cities and Urban Development Journal

Background: The program issued by the Depok City Government about the Depok Prosperous Card (KDS) has one benefit, namely access to health for the poor in Depok City.

Aims: This study aims to determine the role of the KDS program in increasing access to health services in the poor community of Kampung Lio, Depok City.

Methods: In this study using the concept of Public Service to assess the role of public policy programs implemented by the government, it can be seen from seven important issues of public service, namely serve citizens not customers, seek the public interest, value citizens over …

Social Creatures: The Impact Of Solitary Confinement On Psychophysiological Health And How Inmates Percieve Their Humanity And Social Well-Being, Julia Austin

Honors Projects

This paper will define and examine the use of solitary confinement within the United States prison system and review its mental, physical, and social impacts. As social creatures, human mental and physical well-being depends on meaningful social interactions absent in segregation units. As it currently stands, vulnerable populations, including racial minorities, LGBTQIA+ individuals, and those with developmental disabilities or psychological disorders, are at risk of irrevocable harm and abuse within these facilities from staff as well as other inmates. With a rotating 80,000 inmates held in solitary confinement every day, the current structure of the prison system deemphasizes rehabilitation and …

Predictors Of Future Physician Practice Location, Allegra Latimer

Honors Theses

Healthcare disparities exist throughout the United States. While Mississippi does not stand alone in the maldistribution of physicians and medical practices across the state, it does exist as a state that has been historically medically underserved. According to data collected by The County Health Rankings Model developed by the University of Wisconsin Population Health Institute, in 2019, the ratio of population to primary care physicians in Mississippi was 1860:1. This is nearly 30% higher in disparity than the national average. It is also important to note that of Mississippi’s 82 counties, 79.3% are considered rural with the majority of physicians …

Secondhand Smoke: An Examination Of The Public Health Issue In Marina, Eric J. Tallman

Capstone Projects and Master's Theses

The Monterey County Tobacco Control Program is a public health organization that works to solve tobacco related issues in Monterey county. Secondhand smoke exposure is a major public health issue because of its dangerous effects on human health. This project is a research report on secondhand smoke in the city of Marina. The expected outcomes of this project were to educate readers, gain information, and find an effective policy for mitigating this public health issue. Components of this project include in depth research on secondhand smoke, survey conduction regarding Marina residents opinions about the issue, and data collection of tobacco …

An Evaluation Of Hospital-Based Health Technology Assessment Processes In The United States., Scott Skinner

Electronic Theses and Dissertations

This research study explored the practices of hospital-based health technology assessment (HTA) in the U.S., as experienced by healthcare technology management (HTM) professionals. HTA can play an important role in helping to evaluate health technologies at both the macro (e.g., policy) level as well as at the micro (e.g., institutional) level of the public health ecosystem (C. S. Goodman, 2004). HTA seeks to broadly evaluate the effects, properties, and other impacts of various health technologies (C. S. Goodman, 2004). Common goals of HTA are to evaluate the safety, effectiveness, and cost-benefit of health technologies. A primarily phenomenological approach was used …

The Impact Of Nutrition On The Mental And Physical Health Of Young Adults, Dareena El-Far

WRIT: Journal of First-Year Writing

Upon close examination by nutritional professionals, concern has arisen regarding the typical contents of a young adult diet. In terms of the rate at which young adults choose to consume nutritionally-dense food items, the rate at which nutrition-deficient junk food items are chosen over the former is significantly higher. Among further examinations of this issue by researchers, it has become evident that the nutritional decisions made by young adults are increasingly associated with several social, commercial, mental, educational, and economic influences. As a consequence of these factors, research has uncovered a connection between the consumption of a poor diet and …

(Un)Weighted Assumptions: Anti-Fatness & Health, Kieran Chase, Nell Carpenter, Madysen Schreiber

OHSU-PSU School of Public Health Annual Conference

This lecture/discussion session aims to expand and add nuance to public health students’, professors’, and practitioners’ understanding of the interplay between body size and health. We will begin by naming and challenging common assumptions about the relationship between bodyweight and health outcomes. We will then argue for the consideration of weight-related stigma as a Fundamental Cause of Disease as defined by Phelan and Link, and for institutionally embedded anti-fat bias at the policy level (e.g., insurance policy, medical equipment) as a cause of population health inequity as defined in Whitehead’s Health Equity Framework. We offer these frameworks in contrast to, …

We Walk In Different Worlds, Olivia Dong

WWU Honors College Senior Projects

Living in a racist society negatively effects the health and wellbeing of people of color in ways that can be felt in everyday life. People of color experience higher levels of stress due to exposure to racism at multiple societal levels including systemic racism and interpersonal discrimination. Elevated stress is a precursor to many health conditions, and contributes to explaining racial health disparities seen across America. This oral history record displays some examples of what racialization looks like and how racism has affected BIPOC health. Understanding that race is a social construct but racism causes serious health effects is necessary …

Food Insecurity In Youth And Young Adults With Diabetes: Prevalence And Association With Health Behaviors, Lauren Helene Martini

Theses and Dissertations

Given the life-long impact of diabetes(1-5), it is important to engage in behaviors that promote health and wellness to delay or prevent negative health outcomes(3, 6-10). Despite this, youth and young adults with diabetes generally do not adhere to nutritional(11-17) or physical activity(18, 19) recommendations. In households experiencing financial difficulties, especially those who are having difficulty providing sufficient food to all of its members, adhering to recommendations may be even more difficult.

The purpose of this dissertation is to better understand and contextualize food insecurity among youth and young adults (YYA) with youth-onset T1DM and T2DM. The first aim addresses …

Air Pollution In South Texas: A Short Communication Of Health Risks And Implications, Sai Deepak Pinakana, Esmeralda Mendez, Ismaila Ibrahim, Md. Salahuddin Majumder, Amit U. Raysoni

School of Earth, Environmental, and Marine Sciences Faculty Publications and Presentations

Air pollution is a major public health concern. The region of South Texas in the United States has experienced high levels of air pollution in recent years due to an increase in population, cross-border trade between the U.S.A. and Mexico, and high vehicular activity. This review assesses the relationships between human health and air pollution in South Texas. A thorough scientific search was performed using PubMed, Science Direct, and ProQuest, with most of the literature focusing on the source apportionment of particulate matter that is 2.5 microns or less in width (PM2.5), Carbon Dioxide (CO2), carbon monoxide (CO), Black Carbon …

Analysis And Prospect Of Research Progress Of Health Education Curriculum In China, Xue Wan, Haohui Liu, Zhihua Yin

International Journal of Physical Activity and Health

The purpose of this study was twofold: 1) review research results of health education in China and help readers gain a better understanding of the current profiles of research in health education curriculum and 2) provide a theoretical basis for future research in health education curriculum. Using key words such as health education curriculum on Chinese National Knowledge Infrastructure (CNKI), we searched and finally obtained 7287 articles. By using the visual analysis function of CNKI, we also analyzed the overall trend of research in Health Education Curriculum. Review of the articles found that the overall trend of research in health …

Factors Associated With Delaying Medical Care: Cross-Sectional Study Of Nebraska Adults, Kendra Ratnapradipa, Snehal Jadhav, Josiane Kabayundo, Hongmei Wang, Lisa C. Smith

Journal Articles: Epidemiology

BACKGROUND: Delayed medical care may result in adverse health outcomes and increased cost. Our purpose was to identify factors associated with delayed medical care in a primarily rural state.

METHODS: Using a stratified random sample of 5,300 Nebraska households, we conducted a cross-sectional mailed survey with online response option (27 October 2020 to 8 March 2021) in English and Spanish. Multiple logistic regression models calculated adjusted odds ratios (aOR) and 95% confidence intervals.

RESULTS: The overall response rate was 20.8% (n = 1,101). Approximately 37.8% of Nebraskans ever delayed healthcare (cost-related 29.7%, transportation-related 3.7%), with 22.7% delaying care in the …

Groundwater Quality: Global Challenges, Emerging Threats And Novel Approaches, Dan Lapworth, Thomas Boving, Bentje Brauns, Jane Dottridge, Paul Hynds, Seifu Kebede, David Kreamer, Bruce Misstear, Abhijit Mukherjee, Abhijit Mukherjee, Viviana Re, James Sorensen, Claudia Ruz Vargas

Articles

Improving our understanding of groundwater quality threats to human health and the environment is essential to protect and manage groundwater resources effectively. This essay highlights some global groundwater quality challenges, describes key contaminant groups and threats of emerging concern, including antimicrobial resistance, and discusses novel approaches to assessing groundwater quality. Groundwater quality monitoring needs to improve significantly in order to effectively identify and mitigate threats to groundwater from historical, current and future pollution.

The Nih-Moderna Vaccine: Public Science, Private Profit, And Lessons For The Future, Christopher J. Morten

Faculty Scholarship

This commentary highlights the scientific history of the NIH-Moderna COVID-19 vaccine and corroborates Sarpatwari’s theme of private capture of value created by the public. The commentary also identifies missteps by the Trump and Biden Administrations and offers policy recommendations: better contracts with and incentives for pharmaceutical manufacturers and a not-for-profit “public option” for pharmaceutical development.

Increasing Patient Education On Proper Antibiotic Stewardship, Arif S. Ahsan

Family Medicine Clerkship Student Projects

Antibiotic resistance is a growing public health issue in the United States. Coinciding with this, patients often inappropriately self-treat infections using antibiotics. Locally, this causes complications in treating patients in an outpatient setting, and nationally, this causes an increased economic burden on the United States healthcare system. A handout was developed for distribution at pharmacies in order to better educate patients on proper antibiotic stewardship, based on information that providers believed to be most important for patients to know.

Preference For Male Risk Takers Varies With Relationship Context And Health Status But Not Covid Risk, Cyril C. Grueter, Hannah Goodman, Nicolas Fay, Bradley Walker, David Coall

Research outputs 2022 to 2026

Risk taking is more commonly shown by males than females and has a signalling function, serving to advertise one’s intrinsic quality to prospective mates. Previous research has established that male risk takers are judged as more attractive for short-term flings than long-term relationships, but the environmental and socioeconomic context surrounding female preferences for male risk takers has been overlooked. Using a survey instrument, we examined female preferences for male risk takers across 1304 females from 47 countries. We found preferences for physical risk takers to be more pronounced in females with a bisexual orientation and females who scored high on …

Voices, Stories And Experiences Of Black Women: Informing The Establishment Of A Trenton-Based Maternal And Infant Health Innovation And Research Center, Tirzah R. Spencer Phd, Mph, Barbara George Johnson Mph, J.D., Consuelo Bonillas

Center for Health Policy Development

The establishment of a Maternal and Infant Health Innovation and Research Center is one of nine recommendations outlined by the 2021 Nurture NJ Strategic Plan to reduce maternal and infant mortality and morbidity and ensure equity in care and in outcomes for mothers and infants of all ethnic groups. The purpose of this environmental scan is to provide input for the design of a Maternal and Infant Health Innovation and Research Center within Trenton.

Building on the Nurture NJ Initiative, this project is a deeper dive in its focus on Black and Latina women living in Trenton and surrounding areas. …

Engagement Journalism In Action: Supporting New Yorkers With Long Covid, Sarah Luft

Capstones

What do asthma and long COVID have in common? 1 in 13 U.S. adults are living with them. This report is a recap of my efforts to address the information needs of New Yorkers with long COVID as a student in CUNY's Craig Newmark Graduate School of Journalism engagement program. For my final project, I partnered with THE CITY, a nonprofit news outlet serving New Yorkers, to expand the MISSING THEM project. The report details the what, why, and how of my engagement reporting process, including a community engagement framework, a service journalism series, and lessons to carry forward. You …

Crisisready's Novel Framework For Transdisciplinary Translation: Case-Studies In Wildfire And Hurricane Response, Andrew Schroeder, Caleb Dresser, Akash Yadav, Jennifer Chan, Shenyue Jia, Caroline Buckee, Satchit Balsari

Institute for ECHO Articles and Research

Extreme weather events including wildfires and hurricanes are becoming increasingly hazardous due to climate change, and often result in transient or permanent population displacements. Disaster-related disruptions in infrastructure, workforce, wages, and social networks can combine with population displacements to result in interruptions in health care access and prolonged impacts on morbidity and mortality. The data needed to make health systems and emergency management approaches more resilient to these hazards, and more responsive to the needs of affected populations, are sequestered in silos across private corporations and public agencies. In two case studies, we describe how our research team at CrisisReady …

An Updated Look At Mental Health Services In American Public And Private Prisons, Lieren E. Tyira

Student Theses

People residing in American prisons have the legal right to mental health care while incarcerated (Justia, 2021). This is important, as the prevalence of mental disorders is high in this population (Prins, 2014), and incarceration is a psychologically damaging experience, which hinders a person’s success at rehabilitation. Numerous of issues related to the mental health services (MHSs) in both public and private prison facilities have been reported in recent years, which warrants systematic exploration. The little existing research comparing the presence of MHSs in these facilities has produced mixed results, it uses out-of-date datasets, and none has explored MHSs in …

A Qualitative Analysis Of Personal Health Care Challenges Experienced By Iranian Divorcees, Farzaneh Golboni, Zainab Alimoradi, Bengt Fridlund, Liselott Årestedt, Mark Griffiths, Anders Broström, Amir Hajiagha Pakpour Ahp

The Qualitative Report

Divorce, nowadays an increasingly more prevalent life event in Iran, can create poor general health among Iranian women, possibly due to bigger challenges for health-related behaviors. The aim was to explore challenges to achieve health-related behaviors as experienced by divorced Iranian women acting as household-heads. An inductive exploratory design based on qualitative content analysis was utilized. Twenty strategically selected divorced women acting as household-heads in Tehran were interviewed between September 2019 and January 2020. The divorced women experienced individual-centered and social and environmental-centered challenges concerning their health-related behaviors. Lack of competence, lack of personal control, and lack of emotional support …