Medicine and Health Sciences Commons^™

Detecting, Preventing, And Treating Sexually Transmitted Diseases Among Adolescent Arrestees: An Unmet Public Health Need, Christopher Salvatore, Steven Belenko, Richard Dembo, Matthew Rollie, Kristina Childs

Christopher Salvatore

Studies of detained and incarcerated adolescent offenders in the United States indicate that these juveniles have an elevated risk of sexually transmitted diseases (STDs). However, many more arrestees enter the “front end” of the juvenile justice system that is detained or incarcerated, and research into the STD risk profiles and service needs of this larger group is lacking. An expansion of STD testing (including of asymptomatic youths), prevention, and treatment is needed, as is improved knowledge about gender- and race-specific services. A pilot program in Florida has shown that juvenile justice and public health systems can collaborate to implement STD …

Medically Tailored Meals As A Prescription For Treatment Of Food-Insecure Type 2 Diabetics, Leslie J. Rabaut

Aurora Family Medicine Residents

Type 2 diabetes mellitus is an immense burden to the health of our population and to our current health care system, and the weight of this burden is only projected to multiply in coming years. A nutritious diet is an indispensable aspect of diabetes treatment, and the lack of access to food engenders poor disease-state control, which correlates with increased health care utilization. Interventions aimed at improving access to food through medically tailored meals (MTMs) have demonstrated effectiveness in improving the health of food-insecure type 2 diabetic patients and reducing health care costs. Further studies are necessary to increase the …

Travel To, And Use Of, Twenty-One Michigan Trails, Anna Greer, Julian Reed, Lisa Grost, Christina Harvey, Karah Mantinan

Anna E. Greer

Objective and methods: This study examined trail use among 857 trail users on 21 trails in Michigan from 2008 to 2011 using a valid and reliable intercept survey. Results: Most of the 857 participants traveled to the trail from their home (92.6%), lived within 15 min of the trails (74.8%), and used active transport to travel to the trails 69.7%. The odds of active transport to the trails were greater among those who had not graduated high school (OR=3.49; 95% CI=1.02, 11.99) and high school graduates (OR=7.432; 95% CI=2.02, 27.30) compared to college graduates. Whites and adults also had greater …

Making The Blue Zones: Neoliberalism And Nudges In Public Health Promotion, Eric Carter

Eric D. Carter

This paper evaluates the ideological and political origins of a place-based and commercial health promotion effort, the Blue Zones Project (BZP), launched in Iowa in 2011. Through critical discourse analysis, I argue that the BZP does reflect a neoliberalization of public health, but as an "actually existing neoliberalism" it emerges from a specific policy context, including dramatic health sector policy changes due to the national Affordable Care Act, also known as Obamacare; a media discourse of health crisis for an aging Midwestern population; and an effort to refashion Iowa cities as sites of healthy and active living, to retain and …

Kentucky State Innovation Model (Sim) Design Grant: Consumer Engagement, Susan Buchino, Monica Wendel, Liza Creel

Susan Buchino

The Qigong And Quality Of Life Trial: Implications For Women In Cancer Survivorship Phase, Siew Yim Loh Assoc Prof

Siew Yim Loh

Background: Qigong is widely acknowledged by Asian breast cancer survivors as a potent health-promoting physical activity. This study investigated the hypothesis that quality of life (QoL) in the Qigong group is better than the placebo (aerobic) or usual care group. Methods: 197 participants were randomly assigned to either the 8-week Qigong, Placebo or Usual care (control) group. Measurement taken at baseline and post-intervention included QoL, distress and fatigue. Analysis of Covariance (ANCOVA) and Kruskal Wallis were used to examine for differences between groups of the measurements. Results: 95 consented participants completed the 8 week trial. The adherence rate for Qigong …

Environmental And Occupational Interventions For Primary Prevention Of Cancer: A Cross-Sectorial Policy Framework, Carolina Espina, Miquel Porta, Joachim Schüz, Ildefonso Hernández Aguado, Robert V. Percival, Carlos Dora, Terry Slevin, Julietta Rodriguez Guzman, Tim Meredith, Philip J. Landrigan, Maria Neira

Robert Percival

Nearly 13 million new cancer cases and 7.6 million cancer deaths occur worldwide each year; 63% of cancer deaths occur in low and middle-income countries. A substantial portion of all cancers are attributable to carcinogenic exposures in the environment and the workplace. The objective of this study was to develop an evidence-based global vision and strategy for the primary prevention of environmental and occupational cancer. The study concluded that opportunities exist to revitalize comprehensive global cancer control policies by incorporating primary interventions against environmental and occupational carcinogens.

“They Don't Want Anything To Do With You”: Patient Views Of Primary Care Management Of Chronic Pain., Gonzalo Bacigalupe

Gonzalo Bacigalupe, EdD, MPH

No abstract provided.

Worksite Wellness And The 10 Essential Public Health Services, William C. Mcpeck

William C. McPeck

This white paper examines how the 10 Essential Public Health Services being promoted by the CDC relate to worksite wellness.