Medicine and Health Sciences Commons^™

Weekend And Weekday Patterns Of Physical Activity In Overweight And Normal-Weight Adolescent Girls, Margarita S. Treuth, Diane J. Catellier, Kathryn H. Schmitz, Russell R. Pate, John P. Elder, Robert G. Mcmurray, Robert M. Blew, Song Yang, Larry S. Webber

Faculty Publications

Objective - To describe the patterns (specifically comparing weekdays and weekends classified by intensities) of physical activity (PA) measured by accelerometry in adolescent girls.

Research Methods and Procedures - Healthy sixth grade girls (n=1603), 11 to 12 years old, were randomly recruited from 36 schools participating in the Trial of Activity in Adolescent Girls. Age, ethnicity, socioeconomic status, weight, and height were taken. PA patterns were measured for 6 days using accelerometry.

Results - Adolescent girls spend most of their time in sedentary (52% to 57% of the day) and light activity (40% to 45% of the day) …

Perceived Individual, Social, And Environmental Factors For Physical Activity And Walking, Michelle L. Granner, Patricia A. Sharpe, Brent E. Hutto, Sarah Wilcox, Cheryl L. Addy

Faculty Publications

Background: Few studies have explored associations of individual, social, and environmental factors with physical and walking behavior. Methods: A random-digit-dial questionnaire, which included selected individual, social, and environmental variables, was administered to 2025 adults, age 18 y and older, in two adjacent counties in a southeastern state. Logistic regressions were conducted adjusting for age, race, sex, education, and employment. Results: In multivariate models, somewhat different variables were associated with physical activity versus regular walking. Self-efficacy (OR = 19.19), having an exercise partner (OR = 1.47), recreation facilities (OR = 1.54), and safety of trails from crime (OR = 0.72) were …

Collaboration Addresses Information And Education Needs Of An Urban Public Health Workforce, Deborah H. Charbonneau, Ellen B. Marks, Annette M. Healy, Carrie F. Croatt-Moore

Library Scholarly Publications

Addressing the health information needs of diverse, multiethnic, and multilingual communities can be both a challenge and an opportunity for libraries. The Vera P. Shiffman Medical Library at Wayne State University in Detroit, Michigan, is the only academic medical library in the Detroit area open to the public. The library provides services to many communities in southeastern Michigan. The diverse geographic area served by the library includes the nation’s highest concentration of Arab Americans. A review of the literature reveals that limited research has addressed how libraries can meet the health information needs of this target community. An understanding of …

The Kentucky Plan Revisited: Lessons Learned From An Innovative Doctoral Education Program., Joel M. Lee, F. Douglas Scutchfield, Raymond Hill

Preventive Medicine and Environmental Health Faculty Publications

In the first doctoral education special issue of the Journal of Health Administration Education, the authors presented the University of Kentucky College of Public Health's plans for an innovative new Doctor of Public Health (Dr. P.H.) degree. The degree as designed, prepares graduates for professional practice, and included extensive supervised field experience as part of the academic training linking theory with practice. Based upon the interest that the Kentucky Dr.P.H. degree program received, the authors will share the experience of the degree's initial years of operation through a "lessons learned" paper. As the program evolved there have been many lessons …

Psychometric Evaluation Of An Instrument For Assessing Policy Outcomes For Families With Children Who Have Severe Developmental Disabilities: The Beach Center Family Quality Of Life Scale, Joni Taylor Mcfelea

Health Services Research Dissertations

The purpose of the study was to evaluate the psychometric properties of the Beach Center Family Quality of Life Scale (BCFQLS) in a sample of families with children who have severe developmental disabilities. The study sought to determine whether or not the scale could be used to measure the quality of life of such families and to differentiate between the quality of life of two family groups—those whose child lives in the family home and those whose child lives outside the family home.

The study used an observational, cross-sectional design and both qualitative and quantitative methods. Self-identified primary caregivers of …

Neighborhood Context And Ethnicity Differences In Body Mass Index: A Multilevel Analysis Using The Nhanes Iii (1988-1994), D. Phuong Do, Tamara Dubowitz, Chloe E. Bird, Nicole Lurie, José J. Escarce, Brian K. Finch

Faculty Publications

A growing body of literature has documented a link between neighborhood context and health outcomes. However, little is known about the relationship between neighborhood context and body mass index (BMI) or whether the association between neighborhood context and BMI differs by ethnicity. This paper investigates several neighborhood characteristics as potential explanatory factors for the variation of BMI across the United States; further, this paper explores to what extent segregation and the concentration of disadvantage across neighborhoods help explain ethnic disparities in BMI. Using data geo-coded at the census tract-level and linked with individual-level data from the Third National Health and …

Disparities In Mental Health Utilization Among Persons With Chronic Diseases, Saundra H. Glover, Keith T. Elder, Sudha Xirasagar, Jong-Deuk Baek, Crystal N. Piper, Dayna Campbell

Faculty Publications

This study used Aday and Andersen's Behavioral Model of Health Services Use to examine to role of chronic disease and the joint impact of race and chronic disease type on mental health utilization. Using data from Community Tracking Survey Household Survey, we tested the assumption that chronic disease, chronic disease type, and race are related to lower rates of mental health visits when adjusted for predisposing, enabling, and need factors. After adjusting for population characteristics, we found that race significantly moderated the impact of chronic disease type on mental health utilization, showing that African Americans with cardiovascular disease were half …

Incidence, Patterns And Severity Of Reported Unintentional Injuries In Pakistan For Persons Five Years And Older: Results Of The National Health Survey Of Pakistan 1990–94, Zafar Fatmi, Wilbur C. Hadden, Junaid A. Razzak, Huma Qureshi, Adnan A. Hyder, Gregory Pappas

Community Health Sciences

Background

National level estimates of injuries are not readily available for developing countries. This study estimated the annual incidence, patterns and severity of unintentional injuries among persons over five years of age in Pakistan.

Methods

National Health Survey of Pakistan (NHSP 1990–94) is a nationally representative survey of the household. Through a two-stage stratified design, 18, 315 persons over 5 years of age were interviewed to estimate the overall annual incidence, patterns and severity of unintentional injuries for males and females in urban and rural areas over the preceding one year. Weighted estimates were computed adjusting for complex survey design …

The Health Implications Of Violence Against Women: Untangling The Complexities Of Actual And Chronic Effects: Part Two, Carol E. Jordan

Office for Policy Studies on Violence Against Women Publications

No abstract provided.

The Depiction Of Alcohol Tobacco And Other Substances In Children's G & Pg-Rated Animated Films Post 2000, Lindsay F. Graham

Sociology & Criminal Justice Theses & Dissertations

This study will analyze the depiction of alcohol, tobacco, and other substances in G and PG-rated animated films from November 1, 2000 to December 31, 2005. These films will include those released in theaters and video in English, at least 60 minutes in length, and of the animated genre during this five-year window. There is evidence that due to recent societal pressures facing the Motion Picture Association of America and their rating guidelines, the presence of alcohol and tobacco in children's animated Grated films has lessened. These incidents of exposure have since moved up the rating totem pole to receive …

Benefits College Update

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

New Publications And Presentations From The Department Of Health Policy

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Transforming Healthcare: Themes From The 5th Annual National Md/Mba Conference, Jeff Clough '08, Eric Moskowitz '09

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Thomas Jefferson And Widener Universities Announce Joint Degree Program In Law And Public Health

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Rx For Pennsylvania July 17, 2007

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Potential Impact Of Advance Directive Law Act 169 On Decisions And Care For Patients At End Of Life: Reflections Of Ethics Consultants, Etienne Phipps, Phd, Richard Allman, Md

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Patient Safety: The Impact Of Facilty Design

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Domestic Violence In Same-Sex Couples, Robert J. Winn, Md, Katie Kupfer Lockwood '08, Ralph Riviello, Md

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

A Study Of Colorectal Cancer Screening In Pennsylvania, Ronald E. Myers, Phd, Mona Sarfaty, Md

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Update On Screening For Colorectal Cancer, Mona Sarfaty, Md

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Welcome The 2007-2008 Delaware Valley Schweitzer Fellows

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Letters To The Editor

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Welcome To Our Newest Senior Scholars!

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Activating Patient Involvement, Kevin Bowman, Md, David B. Nash, Md, Mba

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Quality Of Care Measures For Migraine: A Comprehensive Review, Joshua J. Gagne, Brian Leas, Jennifer H. Lofland, Neil Goldfarb, Frederick Freitag, Stephen Silberstein

College of Population Health Faculty Papers

Migraine headache is a highly prevalent, chronic, episodic disorder that is associated with high direct and indirect costs. Migraine headache impacts not only patients, but also their employers due to substantial decreases in workplace productivity. Despite the prevalence and clinical and economic burdens of migraine, no national efforts to develop and implement standardized measures of quality of care have been made. The objective of this study was to collect and report on existing quality of care measures for migraine that could be suitable for quality measurement at the health-plan level. Published literature, the Agency for Healthcare Research and Quality's National …

Filosofi Dan Konsep Dasar Kesehatan Kerja Serta Perkembangannya Dalam Praktik, L. Meily Kurniawidjaja

Kesmas

Kesehatan kerja merupakan masalah setiap individu karena bekerja dibutuhkan semua orang sebagai sumber pendapatan untuk memenuhi kebutuhan hidup. Sejak lama diketahui bahwa bekerja dapat menyebabkan gangguan kesehatan atau penyakit. Sebaliknya, kesehatan dapat mengganggu pekerjaan. Artikel ini bertujuan memberikan pemahaman tentang konsep, praktik dan manfaat kesehatan kerja bagi para pekerja dan pemberi kerja. Kesehatan kerja seharusnya tidak hanya terfokus pada diagnosis dan pengobatan klinis, tetapi juga mengerjakan rekognisi hazard, penilaian risiko dan intervensi untuk menghilangkan atau meminimalkan risiko. Lingkupnya diperluas untuk mencegah penyakit dengan cara: (1) penempatan pekerja pada pekerjaan/ jabatan yang sesuai (fit) dengan status kesehatan dan kapasitas kerjanya. (2) …

Hubungan Status Reproduksi, Status Kesehatan, Akses Pelayanan Kesehatan Dengan Komplikasi Obstetri Di Banda Sakti, Lhokseumawe Tahun 2005, Lasmita Nurul Huda

Kesmas

Di Indonesia, angka kematian ibu (AKI) masih tinggi jika dibanding dengan negara-negara ASEAN. Penyebab utama kematian ibu adalah komplikasi obstetri yang merupakan penyulit atau penyakit yang timbul pada waktu kehamilan, persalinan dan pasca persalinan. Di Indonesia, komplikasi obstetri (20% dari seluruh ibu hamil) masih sangat tinggi, sementara yang mampu ditangani hanya sekitar 10%. Berbagai faktor yang mempengaruhi komplikasi obstetri adalah status reproduksi, perilaku pencarian pelayanan kesehatan dan status kesehatan. Penelitian yang berujuan mengetahui faktor-faktor yang berhubungan dengan komplikasi obstetri ini menggunakan desain studi cross-sectional dengan sumber data primer. Sampel adalah 220 ibu yang melahirkan bayi hidup atau mati pada tahun …

Methodological Issues In The Study Of The Effects Of Hemoglobin Variability, Marshall Joffe, Wei Yang, Steve Brunelli, Harold Feldman

UPenn Biostatistics Working Papers

We consider estimating the effect of hemoglobin variability on mortality in hemodialysis patients. Causal effects can be defined as comparisons of outcomes under different hypothetical interventions. Defining measures of the effect of hemoglobin variability and clinical outcomes is complicated by the fact that hypothetical interventions on variability used to define its effect inevitably involve manipulation of related variables. We propose a model-based definition of the effect of the hemoglobin variability as a parameter for variability in a causal model for the effect of an overall intervention on hemoglobin levels over time. We consider this problem using history-adjusted marginal structural models, …

Session 1 - Rationalizing The Home Front: The Cold War, The Nevada Test Site, And Radiation Exposure, Leisl A. Carr

International Symposium on Technology and Society

Beginning in 1953, radiation exposure and its effects became a hotly contested issue between the government, members of communities surrounding the Nevada Test Site (NTS), and researchers within the national scientific community. The Atomic Energy Commission (AEC), concerned about maintaining a continental testing facility and aware that atomic testing would impact communities surrounding the NTS, sent representatives to areas potentially affected by fallout to instruct and reassure the affected public. How government officials perceived neighboring communities and how these communities perceived these representatives of the government often determined public responses to the atomic testing program. The story of radiation monitors …

Exclusive Breastfeeding Practices In Rural Haitian Women, Susan B. Roman

UCHC Graduate School Masters Theses 2003 - 2010

No abstract provided.