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Full-Text Articles in Medicine and Health Sciences

Sustainable Diets For Planetary Health: A Study Of Indigenous Based Agri-Food Systems In A Community Of The Central Highlands Of Ecuador, Carlos Andres Gallegos-Riofrio Aug 2020

Sustainable Diets For Planetary Health: A Study Of Indigenous Based Agri-Food Systems In A Community Of The Central Highlands Of Ecuador, Carlos Andres Gallegos-Riofrio

Arts & Sciences Electronic Theses and Dissertations

In order to explore the psychosocial and agroecological dimensions of sustainable diets and their roles in the rural Andean community of Caliata in the Ecuadorian highlands, I conducted a community-centered participatory mixed-methods study. Thirty-nine focus groups and ten key informant interviews were conducted, recorded, translated, transcribed, and analyzed using three-stage coding. The information was triangulated using participant observation, local records, and descriptive statistics from a survey of 57 female household heads, which included a modified 48-hour dietary recall module. Rural appraisal research assessed agroecological dimensions. Ten purposively selected sites were studied alongside local informants in order to obtain diversity indexes …


Dismantling Of Obesity-Related Policies, Alexandra Borosova Morshed May 2020

Dismantling Of Obesity-Related Policies, Alexandra Borosova Morshed

Arts & Sciences Electronic Theses and Dissertations

This dissertation fills an important research gap in the study of obesity policymaking by characterizing to what extent the phenomenon of dismantling is happening at the state level for obesity-related policies targeting the context of consumption, identifying determinants, and characterizing actors and processes involved. The five-year rate of dismantling of these policies is close to one-third for any attempts and one-tenth for enacted dismantling. Food and beverage tax policies face a particularly high rate of dismantling. Case studies and news coverage of state- level dismantling identified actors, motivations, and strategies used in the process of dismantling. Review of health-related empirical …


Pillars Of The Nutrition Transition: The Global Impacts Of Ultra-Processed Foods And Beverages On Overweight And Obesity And National Nutrient Supplies, Jacob Eaton May 2020

Pillars Of The Nutrition Transition: The Global Impacts Of Ultra-Processed Foods And Beverages On Overweight And Obesity And National Nutrient Supplies, Jacob Eaton

Arts & Sciences Electronic Theses and Dissertations

Malnutrition in some form impacts nearly one-third of the global population. Across the world, countries are undergoing the Үutrition transitionӠfrom traditional and largely unprocessed diets to Western-style, energy-dense diets. At the same time, rates of overweight and obesity and diet-related chronic diseases continue to climb. Ultra-processed foods (UPF), sugar-sweetened beverages (SSB), and vegetable oils are three of the foods driving the nutrition transition. This dissertation calculates changes in the global food supply between 1961 and 2013 and quantifies the influence of UPF and SSB (as measured through sales) on national nutrient supplies between 2005 and 2013 and trends in adult …


A Public Health Examination Of The Discipline Gap, Karishma Furtado May 2020

A Public Health Examination Of The Discipline Gap, Karishma Furtado

Arts & Sciences Electronic Theses and Dissertations

Education is often positioned as the great equalizer in the United Statesѡ cure all for many social ills, from poverty, to family instability, to exposure to violence. However, disadvantaged students tend, on average, to get a lower quality education. One example of a barrier that impedes educational equity is the discipline gap, or the disproportionate rate of exclusionary discipline like suspension and expulsion experienced by students with disabilities and those from historically disadvantaged racial, ethnic, and gender subgroups. Removing a student from class for punitive reasons puts them at greater risk of academic disengagement, a diminished sense of belonging and …


Investigating The Role Of Genetic Variants And Environmental Factors In The Trajectory Of Substance Use Disorders, Linda Johnson May 2020

Investigating The Role Of Genetic Variants And Environmental Factors In The Trajectory Of Substance Use Disorders, Linda Johnson

Arts & Sciences Electronic Theses and Dissertations

Substance use disorders are a serious threat to public health with devastating social, economic, and health impacts on affected individuals and their families. This dissertation aims to improve understanding of substance use disorders in three parts: first, an epidemiological project examining smoking cessation and e-cigarette use at a population level; second, a genetic project examining the role of genetic variants on tobacco, alcohol, cannabis, and cocaine use; and finally, a review of the utility of polygenic risk scores in predicting risk of substance use behaviors. Cigarette smoking is a leading cause of preventable death, accounting for over 480,000 deaths in …