Medicine and Health Sciences Commons^™

Association Of Health Literacy And Provider Education With Knowledge Of Breast And Cervical Cancer Screening In An Underserved Female Population, Mallory Gandy, Karly A. Meyer, Jennifer Liu, Jenenne Geske

EMET Projects

No abstract provided.

Racial/Ethnic Variations In Alcohol And Cigarette Use By Pregnancy Status Among 20- To 44-Year-Old Women, Nhanes 2001–2018, Jacqueline M Hirth, Catherine Valadez, Sandra Gonzalez, Alicia Kowalchuk, Judith A Gutierrez, Roger Zoorob

Faculty, Staff and Students Publications

OBJECTIVES: This study examines alcohol consumption and smoking behaviors by pregnancy status and race/ethnicity in order to inform improved interventions designed to assist women of all races to avoid alcohol and tobacco use during pregnancy for their health and to prevent potential fetal exposure.

METHODS: This retrospective secondary data analysis utilized nationally representative National Health and Nutrition Examination Survey data between 2001 and 2018. Smoking and alcohol use were evaluated by race/ethnicity and pregnancy risk. Sexual behavior, reproductive health, and prescription drug use determined pregnancy risk, categorized as low pregnancy risk, at risk of becoming pregnant, and pregnant. Binary and …

The Process And Case Study Approach To Implementing A Nutrition-Specific Dissemination And Implementation Science Training In Appalachia, Ayron E. Walker

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Nutrition professionals face implementation challenges due to their lack of knowledge to incorporate D&I science into intervention design. To improve intervention outcomes, nutrition professionals must be trained in D&I science, which are currently absent in the field.

Aims: To identify and assess nutrition educators and practitioners perceived motivations, self-efficacy, and attitudes in using D&I science to inform the educational design and strategies of a nutrition-specific D&I curriculum for nutrition educators. Then to test feasibility of the nutrition-specific curriculum in increasing knowledge, self-efficacy, and attitudes by a case study approach, pre/post intervention design.

Methods: First, scoping review methodology involved the …

Association Between Cigarette Smoking And Breast Milk Levels Of Nesfatin-1, Irisin, And Oxidative Stress Markers, Nesibe Yildiz, Adnan Yilmaz, Hatice Iskender, Eda Dokumacioglu

Makara Journal of Health Research

Background: Breast milk is a very important functional food in the prevention of metabolic and chronic diseases. This study aimed to investigate the effects of smoking during pregnancy on the concentrations of nesfatin-1, irisin, and oxidative stress markers in breast milk.

Methods: This study included two groups of 14 smoking and 14 nonsmoking mothers. Malondialdehyde (MDA) level and superoxide dismutase (SOD) activity were measured according to the spectrophotometric method in breast milk samples. Nesfatin and irisin levels were measured by enzyme-linked immunosorbent assay.

Results: Levels of nesfatin-1 and MDA of the smoking group were significantly higher than …

Quality Of Life Of Pharmacy Students With Polycystic Ovarian Syndrome In South India: A Cross-Sectional Study, Vinodkumar Mugada, Krishna Priya Mandarapu

Makara Journal of Health Research

Background: One in five women in India suffers from polycystic ovarian syndrome (PCOS). In this study, we aimed to evaluate the quality of life of pharmacy students suffering from PCOS and provide awareness through counseling.

Methods: A cross-sectional study was conducted on 103 students with PCOS for 6 months. The Polycystic Ovarian Syndrome Quality of Life (PCOSQ) questionnaire was used to determine the quality of life.

Results: The prevalence of PCOS in our study was 39.5%. The mean age of the students was 21.1 (±1.8) years. The mean duration of the disorder was 17.8 (±13.0) months. More …

Perceived Preparedness Of Healthcare Workers To Cope With Covid-19 Pandemic In Hail Region Hospitals, Kingdom Of Saudi Arabia: A Cross-Sectional Study, Farhan Alshammari, Evalynn Rondilla, Abdalkarem Asharari, Fahad Alshammari

Makara Journal of Health Research

Background: All hospitals must have emergency plans because they play a crucial role in providing critical care. This study assesses the perceived hospital preparedness of healthcare workforces to cope with the COVID-19 pandemic regarding their demographic characteristics.

Methods: This study utilized a descriptive, cross-sectional design to investigate the preparedness of hospital and healthcare workers in the city of Hail, Saudi Arabia. A convenience and snowball sampling method was used. A total of 330 healthcare workers participated in the study, which utilized a Google Form survey and was adapted from the Centers for Disease Control and Prevention (CDC). Descriptive …

Parental Differences In Knowledge, Perception, And Safety Behaviors Regarding Home Injuries In An Urban Malaysian District, Munirah Mohd Basar, Mohd Fairuz Ali, Aznida Abdul Aziz

Makara Journal of Health Research

Background: Parents play an essential role in the prevention of home-related injuries among children. Traditionally, mothers provided direct overall care, whereas evidence on fathers' roles in children’s injuries is limited. This study assesses the differences between parents of children attending kindergarten regarding their knowledge and perception of home injuries and safety behaviors.

Methods: A cross-sectional study was conducted from January to April 2018 in 10 private kindergartens in the Selangor district in Malaysia. Self-administered questionnaires on sociodemographic data, knowledge of home injuries, perceptions toward home injuries, and safety behaviors at home were distributed. Descriptive and bivariate analyses were …

Trends And Determinants Of Family Planning Utilization Among Men In Indonesia, Haerawati Idris, Willyana Syafriyanti

Makara Journal of Health Research

Background: Population growth rate in the world is still increasing. To control population growth, governments issue family planning programs for married women and men. However, contraception use is still dominated by women. This study aims to analyze the trends and determinants of family planning utilization among men in Indonesia.

Methods: This study is quantitative in nature with a cross-sectional design, using secondary data from the Indonesian Health Demographic Survey (2007–2017). The sample comprised married men with a total of 27,859 respondents. For the final analysis, we conducted logistic regression statistical tests to determine family planning utilization among men. …

Gambaran Epidemiologi Hepatitis A Berdasarkan Data Kejadian Luar Biasa Dan Data Kasus Di Kabupaten Bogor Tahun 2019, Nurjannah Nurjannah, Asri Adisasmita Prof

Jurnal Epidemiologi Kesehatan Indonesia

Kejadian luar biasa (KLB) Hepatitis A Kabupaten Bogor terus meningkat setiap tahunnya. Pada tahun 2018 terdapat 29 kasusdan pada tahun 2019 meningkat hingga 495 kasus. Penelitian ini bertujuan untuk menggambarkan epidemiologi berdasarkan orang, tempat, waktu. Hasil penelitian ini diharapkan dapat digunakan sebagai dasar upaya intevensi yang lebih optimaldan tepat sasaran. Data penelitian diambil dari laporan KLB dandari data kasus Hepatitis A di Dinas Kesehatan Kabupaten Bogor dari Januari-Desember 2019 dan didokumentasikan ke dalam tabel observasi, pengambilan data dilakukan pada Bulan Februari2020 dengan desain penelitian case series. Hasil penelitian ini menunjukkan dari 495 kasus yang mengalami gejala klinis,11,3% terkonfimasi positif, sebagian …

Hubungan Faktor Pejamu Dan Lingkungan Dengan Pneumonia Balita Di 5 Provinsi Di Pulau Sulawesi, Alfi Lailiyah, Nuning Maria Kiptiyah

Jurnal Epidemiologi Kesehatan Indonesia

Pneumonia merupakan penyakit menular yang menginfeksi paru-paru. Period prevalence pneumonia balita di 5 provinsi di Sulawesi lebih tinggi dibanding angka nasional. Penelitian ini bertujuan untuk mendapatkan gambaran dan faktor-faktor yang berhubungan dengan pneumonia balita di 5 Provinsi di Pulau Sulawesi. Data penelitian ini bersumber dari Survei Demografi dan Kesehatan Indonesia (SDKI) 2012. Desain dalam penelitian ini adalah cross-sectional dengan uji chi-square dan hasil ukur prevalence ratio (PR). Variabel pada penelitian ini adalah faktor pejamu (umur balita, jenis kelamin, berat badan lahir, pemberian vitamin A, status imunisasi campak dan DPT) dan faktor lingkungan (pendidikan ibu, tempat tinggal, bahan bakar memasak, keberadaan …

Hubungan Status Gizi Dengan Prestasi Belajar Siswa Kelas 1-3 Sekolah Dasar, Muhammad Hidayat Sahid, Asri Adisasmita Prof, Ratna Djuwita

Jurnal Epidemiologi Kesehatan Indonesia

Status gizi merupakan ukuran keberhasilan dalam pemenuhan nutrisi anak yang diukur berdasarkan berat badan dan tinggi badan anak. Data status gizi pada anak usia umur 5-12 tahun di DKI Jakarta menunjukkan underweight 14,0%, stunting 22,7%, wasting 9,9%, dan overweight 6,8%. Data secara spesifik untuk wilayah Jakarta Selatan adalah underweight 7,4%, stunting 17,8%, wasting 6,3%, dan overweight 7,3%. Dari data tersebut didapatkan gambaran mengenai permasalahan gizi yang terjadi di DKI Jakarta. Permasalahan gizi memiliki dampak pada tumbuh kembang anak. Gizi merupakan salah satu faktor penting yang berpengaruh terhadap prestasi akademik siswa. Tujuan dari penelitian ini adalah untuk mengetahui hubungan status gizi …

Hubungan Antara Riwayat Kunjungan Antenatal Care (Anc) Dengan Kejadian Lahir Mati Di Indonesia, Lila Kesuma Hairani, Asri Adisasmita Prof

Jurnal Epidemiologi Kesehatan Indonesia

Pada tahun 2015, sebanyak 65% dari total kelahiran mati diseluruh dunia disumbang oleh sepuluh negara dengan jumlah kelahiran mati terbanyak. Indonesia menempati posisi ke-8 dengan total sebanyak 73.400 kejadian dengan angka lahir mati (stillbirth rate/SBR) sebesar 13 per 1.000 kelahiran. Rendahnya cakupan layanan antenatal diduga berhubungan secara kuatdengan rendahnya lahir mati antepartum. Studi ini dilakukan dengan tujuan untuk melihat hubungan riwayat kunjungan antenatal (antenatal care/ANC) dengan kejadian lahir mati diIndonesia menggunakan data sekunder yang bersumber dari IFLS 5 tahun 2014. Desain penelitian ini berupa studi potonglintang dengan total sampel yang digunakan adalah sebesar 6.314 kelahiran. Analisis data dilakukan hingga tingkat …

Hubungan Hipertensi Dengan Mortalitas Pasien Covid-19 Di Tangerang Selatan, Choirunnisa Choirunnisa, Helda Helda

Jurnal Epidemiologi Kesehatan Indonesia

Covid-19 (Coronavirus Disease-2019) adalah penyakit yang disebabkan oleh virus SARS-CoV-2 (Severe Acute Respiratory Syndrome-Coronavirus-2). Usia tua (>65 tahun), jenis kelamin laki-laki, hipertensi, penyakit kardiovaskular, diabetes, PPOK dan kanker dapat meningkatkan risiko kematian akibat Covid-19. Kota Tangerang Selatan berpotensi mengalami kenaikan kasus Covid-19 karena berbatasan langsung dengan DKI Jakarta yang merupakan episentrum persebaran Covid-19, sehingga peneliti tertarik untuk melakukan penelitian ini. Desain penelitian ini adalah studi analitik kasus kontrol menggunakan data sekunder dari penelusuran epidemiologi (PE) Dinas Kesehatan Kota Tangerang Selatan bulan Maret 2020-Juli 2021. Data PE diperoleh dari portal New All Record (NAR) yang memuat data pasien Covid-19 termasuk …

Through The Lens: Youth Experiences With Cancer In Rural Appalachian Kentucky Using Photovoice, Katie Gaines, Courtney Martin, Chris Prichard, Nathan L. Vanderford

Markey Cancer Center Faculty Publications

Rural Appalachian Kentucky experiences disproportionately high cancer incidence and mortality rates. This cancer burden is due to social determinants of health and cultural factors prominent in the region. The firsthand experiences of community members—especially young people—can highlight these factors and identify areas for improvement. The purpose of this study was to encourage Appalachian Kentucky youth to consider determinants of cancer and visualize the effects that cancer has on their families or communities by asking them to take photographs of cancer-related objects around them. Content analysis was performed on 238 photographs submitted by 25 students, and photographs were organized into themes, …

Efficacy Of An Enhanced Implementation Strategy To Increase Parent Engagement With A Health Promotion Program In Childcare, Courtney T. Luecking, Cody D. Neshteruk, Stephanie Mazzucca, Dianne S. Ward

Dietetics and Human Nutrition Faculty Publications

Previous efforts to involve parents in implementation of childcare-based health promotion interventions have yielded limited success, suggesting a need for different implementation strategies. This study evaluated the efficacy of an enhanced implementation strategy to increase parent engagement with Healthy Me, Healthy We. This quasi-experimental study included childcare centers from the second of two waves of a cluster-randomized trial. The standard approach (giving parents intervention materials, prompting participation at home, inviting participation with classroom events) was delivered in 2016–2017 (29 centers, 116 providers, and 199 parents). The enhanced approach (standard plus seeking feedback, identifying and addressing barriers to parent participation) …

Demographic Analysis Of African Americans Enrolled In A Community-Based Diabetes Prevention Program, Kennedy Palmer, Lovoria B. Williams, Hannah Bowman

Posters-at-the-Capitol

Type 2 diabetes (T2D) is preventable. While all racial and ethnic groups are susceptible to the condition, African Americans (AAs) are among the groups with the highest T2D prevalence (13.3%:9.4 %) among their white counterparts. Lifestyle interventions, such as the Diabetes Prevention Program (DPP) effectively decrease incident diabetes by 58%. Moreover, evidence indicates that culturally adapted health interventions enhance subject participation and increase adherence to lifestyle programs. The purpose of this project is to examine the baseline demographics of AA participants of Fit & Faithful, a culturally adapted DPP. Fit & Faithful concentrates on the prominent religious aspect of AA …

Intention To Breastfeed: Breastfeeding Attitudes, Norms, Self-Efficacy, Social Support Network And Community Resources Of African American, Low-Income, Emerging Adult Women, Pregnant For The First Time, Sara E. Brown

Theses & Dissertations

African American (AA) women continue to have the lowest rates of breastfeeding. This continues to create a health disparity even though breastfeeding is extensively recognized in the scientific and health care communities as the optimal feeding choice for infants. This study examined the relationship between the external variables (social support network and community resources) and the explanatory variables (attitudes, norms, and perceived self-efficacy) and intention to breastfeed, for the AA, first time, low-income, emerging adult pregnant woman. The Integrated Behavior Model (IBM) was used as the theoretical framework to guide this study in better understanding the variables influencing breastfeeding intention. …

The Ecology Of Mental Health And The Impact Of Barriers On Mental Health Service Utilization, Alisha Aggarwal

Theses & Dissertations

Mental health has emerged as a major public health concern in recent times with several disparities and barriers related to adequate health service utilization. Different age groups experience diverse symptoms and face distinct barriers in accessing and utilizing healthcare. Policies like Mental Health Parity and Addiction Equity Act and the Patient Protection and Affordable Care Act were launched to improve insurance coverage and delivery of mental health services. However, a large gap of unmet needs exists for adequate mental health service utilization in the country. This dissertation aims to describe the financial and non-financial barriers to mental health service utilization …

A Critical Interpretive Synthesis Of Research Linking Hip Hop And Wellbeing In Schools, Alexander Crooke, Cristina Almeida, Rachael Comte

Journal of Hip Hop Studies

Hip Hop is recognized as an agent for youth development in both educational and well-being spaces, yet literature exploring the intersection of the two areas is comparatively underdeveloped. This article presents a critical interpretive synthesis of twenty-two articles investigating school-based well-being interventions which used Hip Hop. The critical stance taken aimed to identify or expose assumptions underpinning this area of scholarship and practice. Our analysis suggested several assumptions operate in this space, including the idea rap represents a default for Hip Hop culture, and the default beneficiaries of Hip Hop-informed interventions are students of color living in underprivileged, inner-city US …

Program Development And Evaluation Of A Diabetes Self-Management Education And Support Toolkit On An E-Learning Platform For Young Adults Living With Type 2 Diabetes, Marlene Eicher

Doctor of Nursing Practice Scholarly Project

The purpose of this project was to develop and evaluate the effectiveness of a diabetes education toolkit on an e-learning platform for improving individual self-management and medication knowledge to promote healthy lifestyle behaviors for young adults living with type 2 diabetes mellitus (T2DM).

A descriptive, quasi-experimental design with one-group pretest-posttest was used. Participants were recruited from an independently owned medical clinic. The participants were English-speaking young adults, between ages 18 to 39 with a diagnosis of prediabetes or T2DM. The intervention was a DSMES toolkit with twelve e-learning modules that participants completed over a three-month period. Data collected was age …

New Orleans During A Pandemic: Engaging African American Community Stakeholders On Covid-19 Information, Prevention, Testing And Vaccination, Anthony Thompson

XULAneXUS

This case study examines how the Louisiana Community Engagement Alliance Against COVID-19 Disparities (LA-CEAL) worked to engage African American residents in New Orleans during the COVID-19 pandemic. Drawing on research interviews with Black physicians, pharmacists, and community health providers, along with field notes collected during 12 months of project assistance, the study addresses four research questions concerning African American hesitancy toward COVID-19 treatment and vaccination, strategies for community engagement, clinical trial recruitment, and inclusive research practices during a pandemic. Findings indicate that vaccine hesitancy and research mistrust among Black New Orleanians are rooted in a long history of scientific racism …

Serving Our Students: Evidence-Based Sex Education Policies And Practices Needed In Ohio, Lily Mckenzie Rosenberg

Honors Projects

Ohio has very minimal state-wide sex education laws, requiring only venereal disease education that has many similarities with abstinence-only education. Abstinence-only education has been shown to be ineffective in delaying first sex and lowering teen STDs, pregnancy, and birth rates. When students receive ineffective (or no) sex education it can impact them in many ways, leaving them unprepared for sexual lives as adults. To analyze the state of sex education in Ohio, this paper will look at sex education throughout Ohio both in law and in practice. I will then explore the impact of these minimal sex education laws on …

Experiences Of African American Women Living With Herpes Simplex Virus 2, Cherlisa Jackson, Yitza A. Arcelay-Rojas

Journal of Social, Behavioral, and Health Sciences

In the United States, the prevalence of herpes simplex virus 2 (HSV-2) continues to be the highest among African American women. Yet the perceived benefit of discussing sexual health, as well as recognizing a need to discuss HSV-2 with a health-care provider, is a gap in research. The purpose of this interpretive qualitative study was to understand the experiences of African American women who received an asymptomatic HSV-2 diagnosis. Semistructured interviews of seven participants were used to explore the experiences of African American women diagnosed with HSV-2, including barriers and challenges of discussing HSV-2 with health-care providers. Participants highlighted that …

Policy Implications Of The Covid-19 Pandemic On Food Security In Rural America: Evidence From Appalachia, Kathryn M. Cardarelli, Emily M. Dewitt, Rachel Gillespie, Rachel Hogg-Graham, Heather Norman-Burgdolf, Janet T. Mullins

Dietetics and Human Nutrition Faculty Publications

Rural communities are disproportionally affected by food insecurity, making them vulnerable to the consequences of supply disruptions caused by the COVID-19 pandemic. While access to food was initially diminished due to food supply disruptions, little is known about the mechanisms through which federal emergency assistance programs impacted food access in rural populations. Through a series of five focus groups in spring 2021, we examined the impact of the COVID-19 pandemic on food access in a rural Appalachian community in Kentucky. Data were analyzed using a Grounded Theory Approach. Findings revealed the following four primary themes: food scarcity in grocery stores; …

Assessing Acceptability Of Covid-19 Vaccine Booster Dose Among Adult Americans: A Cross-Sectional Study, Tesfaye Yadete, Kavita Batra, Dale M. Netski, Sabrina Antonio, Michael J. Patros, Johan C. Bester

School of Medicine Faculty Research

Given the emergence of breakthrough infections, new variants, and concerns of waning immunity from the primary COVID-19 vaccines, booster shots emerged as a viable option to shore-up protection against COVID-19. Following the recent authorization of vaccine boosters among vulnerable Americans, this study aims to assess COVID-19 vaccine booster hesitancy and its associated factors in a nationally representative sample. A web-based 48-item psychometric valid survey was used to measure vaccine literacy, vaccine confidence, trust, and general attitudes towards vaccines. Data were analyzed through Chi-square (with a post hoc contingency table analysis) and independent-sample t-/Welch tests. Among 2138 participants, nearly 62% intended …

"I Felt What Was Happening In Our Country [Usa] With Race Was So Much Scarier Than The [Covid-19] Virus.” Black Lives Matter Protesters’ Beliefs And Practices During The Covid-19 Pandemic, Evelyn Arana-Chicas, Brooke D. Jones, Francisco Cartujano-Barrera, Ana Paula Cupertino

Journal of Health Ethics

This study describes the COVID-19 prevention practices and beliefs of Black Lives Matter protesters in the U.S. Participants completed a survey on following COVID-19 guidelines and answered interview questions. Twenty participants were enrolled. Mean age was 29 and most were female (80%) and black (75%). Participants almost always wore their masks (75%) and washed their hands (85%) while protesting. Most reported rarely social distancing (55%) and not being concerned about COVID-19 (55%). Themes included: 1) Fighting for social justice, 2) Protesting is more important than COVID-19, 3) Unable to social distance, 4) Masks mostly worn, 5) Protests sparked global movement, …

Understanding Colorectal Cancer: Increasing Screening Rates Amongst Young- And Middle-Aged Adults By Enhancing Prevention Potential, Sarah Agudelo

Nursing | Senior Theses

As nurses, working towards the best health outcomes for our patients is critical to our care. A large aspect of this care includes being knowledgeable of risk factors and precautions to take to avoid conditions and illnesses. Colorectal cancer remains to be a highly preventable disease, yet it is one of the top five leading causes of cancer deaths in the nation. Preventing colorectal cancer requires the efficient use of screening and education, while also addressing barriers of inconvenience and affordability. This senior thesis delves deeper into colorectal cancer prevention by asking the research question: For young and middle-aged adults, …

In-Person Data Collection During Covid-19: Considerations And Lessons Learned From Conducting Mixed Methods Social And Behavior Change Research In Niger, Breakthrough Research

Sexual and Reproductive Health, Rights, and Choices

This brief provides an overview of considerations and lessons learned from conducting in-person mixed methods research in the context of COVID-19. It is intended for global and regional public health program implementers, evaluators, and donors in USAID priority countries. Using an applied example from the RISE II Integrated SBC Evaluation carried out by Breakthrough RESEARCH, the brief provides an overview of the COVID-19 situation in Niger and describes how researchers deliberated on various data collection strategies to conduct a mixed methods evaluation during a global pandemic. The brief then illustrates the steps undertaken to develop and implement a COVID-19 phased …

Covid-19 Vaccine Acceptance In Older Syrian Refugees: Preliminary Findings From An Ongoing Study, Noura Salibi, Sawsan Abdulrahim, Maria El Haddad, Stephanie Bassil, Zeina El Khoury, Hala Ghattas Ph.D., Stephen J. Mccall

Faculty Publications

This study assesses COVID-19 vaccine intentions among a sample of older Syrian refugee beneficiaries of a humanitarian organization in Lebanon, and explores factors associated with vaccine refusal. The findings are part of an ongoing rotating 4-wave panel study. The sample was limited to participants from the first panel who completed a phone interview between January-February 2021. Out of 1,037 beneficiaries, almost a third (29%) reported no intention to vaccinate. Reasons for refusal were: newness of the vaccine (35%); preference to maintain precaution measures (21%); belief that the COVID-19 vaccine is not essential (21%); and other (23%). COVID-19 vaccine refusal was …

Occasions, Purposes, And Contexts For Offering Snacks To Preschool-Aged Children: Schemas Of Caregivers With Low-Income Backgrounds, Christine E. Blake, Kirsten K. Davison, Rachel E. Blaine, Jennifer O. Fisher

Faculty Publications

Objective Snacking among preschool aged children is nearly universal and has been associated with overconsumed nutrients, particularly solid fats and added sugars (SoFAS). This research examined caregivers’ schemas, or cognitive frameworks, for offering snacks to preschool-aged children.

Methods A qualitative design utilizing card sort methods was employed. Participants were 59 Black, Hispanic, and White caregivers of children aged 3–5 years with low-income backgrounds. Caregivers sorted 63 cards with images of commonly consumed foods/beverages by preschool-aged children in three separate card sorts to characterize snacking occasions, purposes, and contexts. The mean SoFAS content (kcal/100 g) of foods/beverages was evaluated by snacking …