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Articles 6721 - 6750 of 7978
Full-Text Articles in Medicine and Health Sciences
Evaluation Of Lift Up Your Voice! Advocacy Training For Older Adults And Their Caregivers: Executive Summary, Alison Gottlieb, Nina M. Silverstein, Kelli Barton
Evaluation Of Lift Up Your Voice! Advocacy Training For Older Adults And Their Caregivers: Executive Summary, Alison Gottlieb, Nina M. Silverstein, Kelli Barton
Gerontology Institute Publications
The Lift Up Your Voice! (LUYV) training, a component of Community Catalyst’s effort to support the Campaign for Better Care (CBC), is designed to mobilize grassroots advocacy structures of vulnerable older adults by directly engaging and empowering older adults and their caregivers. The goal of the evaluation is to assess the effectiveness LUYV in recruiting potential advocates, educating them about the health care reform, empowering them via advocacy skills training, and engaging them in state-based CBC activities.
The Association Between Emotional Intelligence And Sexual Risk Behavior Among Undergraduate College Students In The Greater Los Angeles, Deborah E. Ortiz
The Association Between Emotional Intelligence And Sexual Risk Behavior Among Undergraduate College Students In The Greater Los Angeles, Deborah E. Ortiz
Scripps Senior Theses
Sexual risk behaviors pose a major public health problem. However, sufficient research has not been done on the relationship between health risk behaviors and emotional intelligence. The purpose of this study was to examine the relationship between emotional intelligence, and sexual, smoking, and alcohol behavior among young adults. As well as explore the relationship between health risk behaviors. Emotional intelligence and sexual, alcohol, and smoking behavior of undergraduate college students from the greater Los Angeles area was assessed through an anonymous online questionnaire (n=80). There was no significant difference found in emotional intelligence between college students engaging in risk behaviors …
Feasibility And Acceptability Of An English-As-A-Second Language Curriculum On Hepatitis B For Older Chinese American Immigrants, Gloria D. Coronado, Elizabeth Acorda, H. H. Do, Victoria M. Taylor
Feasibility And Acceptability Of An English-As-A-Second Language Curriculum On Hepatitis B For Older Chinese American Immigrants, Gloria D. Coronado, Elizabeth Acorda, H. H. Do, Victoria M. Taylor
Journal of Health Disparities Research and Practice
Asian immigrants to the U.S. have an increased prevalence of hepatitis B virus (HBV) infection compared to native born individuals; an estimated 10 percent of Chinese immigrants are infected with HBV. Using qualitative data from focus groups, we developed an English-as-a-Second Language (ESL) curriculum that aimed to improve knowledge about key hepatitis B facts. The curriculum was pilot-tested among 56 students aged 50 and older from intermediate-level ESL classes at a community-based organization that serves Chinese immigrants. Post-curriculum data showed increases in knowledge that hepatitis B can cause liver cancer (73% at pre-test vs. 91% at post-test; p value = …
Evaluating “Not In Mama's Kitchen” Second-Hand Smoke Campaign In Georgia, Jonathan B. Vangeest, Verna L. Welch
Evaluating “Not In Mama's Kitchen” Second-Hand Smoke Campaign In Georgia, Jonathan B. Vangeest, Verna L. Welch
Journal of Health Disparities Research and Practice
In 2003-2005, the Association of Black Cardiologists, Inc. initiated the Not in Mama’s Kitchen (NIMK) second-hand smoke (SHS) prevention campaign in Georgia as part of their effort to reduce exposure to SHS in African American communities statewide. This initiative was evaluated using baseline data from pledge cards as well as data from a self-administered mail survey of 1,000 campaign participants. 14,770 Georgians participated in NIMK, signing pledges to make their homes and cars smoke free. Majorities of those surveyed followed through with their pledge, banning tobacco use in their homes (76.1%) and cars (80.2%). The program was cited by 65.4% …
Talking Glossary Of Genomics Terminology: A Genomics Education Module For American Indian Communities, Jill Peters, Pauline Davies, Naomi Lane, Kathryn Coe
Talking Glossary Of Genomics Terminology: A Genomics Education Module For American Indian Communities, Jill Peters, Pauline Davies, Naomi Lane, Kathryn Coe
Journal of Health Disparities Research and Practice
This paper describes the development of an audio visual genomics glossary that was designed as an education tool for American Indian communities. This “Talking Glossary of Genomics Terminology” is a multimedia DVD that was modeled on the “Talking Glossary of Genetics,” which was developed by the National Human Genome Research Institute (NHGRI). The NHGRI Glossary was modified and expanded with content designed to increase awareness among American Indians about cancer, genomics, and personalized medicine. Partners on the project include the Inter Tribal Council of Arizona, Inc., Phoenix Indian Medical Center, Arizona Cancer Center at the University of Arizona, the Translational …
Multiple Peer Group Self-Identification And Adolescent Tobacco Use, C. Anderson Johnson, Juliana L. Fuqua, Peggy E. Gallaher, Jennifer B. Unger, Dennis R. Trinidad, Steve Sussman, Enrique Ortega
Multiple Peer Group Self-Identification And Adolescent Tobacco Use, C. Anderson Johnson, Juliana L. Fuqua, Peggy E. Gallaher, Jennifer B. Unger, Dennis R. Trinidad, Steve Sussman, Enrique Ortega
CGU Faculty Publications and Research
Associations between peer group self-identification and smoking were examined among 2,698 ethnically diverse middle school students in Los Angeles who self-identified with groups such as Rockers, Skaters, and Gamers. The sample was 47.1% male, 54.7% Latino, 25.4% Asian, 10.8% White, 9.1% Other ethnicity, and 59.3% children of immigrant parents. Multiple group self identification was common: 84% identified with two or more groups and 65% identified with three or more groups. Logistic regression analyses indicated that as students endorsed more high risk groups, the greater their risk of tobacco use. A classification tree analysis identified risk groups based on interactions among …
The Manufacture Of Lifestyle: The Role Of Corporations In Unhealthy Living, Nicholas Freudenberg
The Manufacture Of Lifestyle: The Role Of Corporations In Unhealthy Living, Nicholas Freudenberg
Publications and Research
Recently, researchers have debated two views on the connection between lifestyle and health. In the first, health-related lifestyles including tobacco and alcohol use, diet, and physical activity are seen as primary influences on health. In the second, social stratification is the dominant influence with lifestyles simply markers of social status. Neither approach leads to interventions that can reverse the world's most serious health problems. This article proposes that corporate practices are a dominant influence on the lifestyles that shape patterns of health and disease. Modifying business practices that promote unhealthy lifestyles is a promising strategy for improving population health. Corporations …
The Efficacy Of An Audio Program And Discussion Guide In Promoting Exclusive Breastfeeding In Cameroon, Africa, Kathryn R. Reinsma
The Efficacy Of An Audio Program And Discussion Guide In Promoting Exclusive Breastfeeding In Cameroon, Africa, Kathryn R. Reinsma
Loma Linda University Electronic Theses, Dissertations & Projects
Background: In the Northwest Region of Cameroon, approximately 90% of women initiate breastfeeding; however, only 34% continue exclusive breastfeeding for the recommended six months (Kakute, et al., 2005; WHO, 2008). Entertainment-education is a mass-media communication strategy of placing educational information into media such as television programs, movies, and radio programs (Siegel & Lotenberg, 2007). This form of behavioral change communication has proven effective in addressing health-related issues in developing countries.
Purpose: The aim was to design an audio program and discussion guide to test the hypothesis that an audio program and discussion guide improves exclusive breastfeeding knowledge, beliefs, benefits, self-efficacy, …
Individual Resilience, Social Support, And Health Risk Behaviors In Adolescents And Young Adults: Study On Cross-Sectional And Longitudinal Samples, Chuong Hong Nguyen
Individual Resilience, Social Support, And Health Risk Behaviors In Adolescents And Young Adults: Study On Cross-Sectional And Longitudinal Samples, Chuong Hong Nguyen
Graduate Theses and Dissertations
Resilience is considered the ability that a person gains positive achievements despite exposure to significantly adverse life conditions. However, a majority of previous research has focused on human developmental tasks or academic achievements. Evidence of resilience on health risk behaviors has not been comprehensively established yet. The purposes of this dissertation were to extend the existing literature about the stability of resilience through time, to examine how the resilience scale concurrently and prospectively predict resilience statuses, and to explore effects of Social support over a long period of lifetime. The dissertation used a secondary database from the public-use version of …
Motivating Men Who Have Sex With Men To Get Tested For Hiv, Magaly M. Blas, Luis A. Menacho, Isaac E. Alva, E. Roberto Orellana
Motivating Men Who Have Sex With Men To Get Tested For Hiv, Magaly M. Blas, Luis A. Menacho, Isaac E. Alva, E. Roberto Orellana
School of Social Work Faculty Publications and Presentations
Although men who have sex with men (MSM) have the highest HIV prevalence in Peru, they are underserved by traditional preventive programs. Interestingly, in Peru the Internet and cell-phones have emerged as a convenient tool to reach this population.
Population-Based Survey Of Lumbar Surgery Beliefs In The United States, Amanda Elyse Mccauley, Zachery Clark Rasmussen
Population-Based Survey Of Lumbar Surgery Beliefs In The United States, Amanda Elyse Mccauley, Zachery Clark Rasmussen
UNLV Theses, Dissertations, Professional Papers, and Capstones
Purpose/Hypothesis: Studies have shown that poor lumbar surgery outcomes may be influenced by a person’s preconceived perceptions of low back surgery (LBS). However, the perceptions of the general population about issues related to lumbar surgery are not known. Therefore, the purpose of this study was to investigate the general population’s perceptions regarding LBS.
Number of Subjects: This study included 262 participants (Average age: 46.1, SD=16.9; 125 Males, 137 Females) who completed the questionnaire from the general population in the Las Vegas area.
Materials/Methods: Questionnaire development involved expert panel feedback from three physical therapists, three spine surgeons, two surgeon assistants/nurses, two …
Mencegah Dan Menanggulangi Plagiarisme Di Dunia Pendidikan, Adik Wibowo
Mencegah Dan Menanggulangi Plagiarisme Di Dunia Pendidikan, Adik Wibowo
Kesmas
Plagiarisme merupakan perbuatan salah yang serius sebab mengambil karya orang lain dan mengakuinya sebagai karya sendiri. Tindakan plagiarisme menurunkan moral dan harkat pelaku serta berdampak pada disintegritas sivitas akademik karena tindakan mengutip tanpa izin harus dicegah dan apabila sudah terjadi harus diatasi. Perilaku menjiplak karya orang lain tanpa mencantumkan sumber dan nama pengarang asli berakibat buruk kepada pengembangan ilmu sebab dengan mengutip tidak akan muncul pemikiran baru. Pada tahun 2010, Direktorat Jenderal Pendidikan Tinggi telah mengeluarkan peraturan tentang cara pencegahan dan penanggulangan plagiarisme termasuk sanksi untuk dosen, mahasiswa, dan calon guru besar sekalipun. Artikel ini bertujuan untuk menguraikan arti dan …
Faculty Requirement For A Portuguese Language Optometry Program: Experience And Challenges Of The Mozambique Eye Care Project, Diane Wallace
Faculty Requirement For A Portuguese Language Optometry Program: Experience And Challenges Of The Mozambique Eye Care Project, Diane Wallace
Conference Papers
Faculty recruitment for a Portuguese-language optometry program: experiences and challenges of The Mozambique Eye Care Project
Ms Diane Wallace BOptom, MPA
University of KawZulu Natal, South Africa
Purpose
The Mozambique Eyecare Project (MEP) is a unique institutional collaboration in a programme for the development, implementation and evaluation of a regional optometry training model for Portuguese-speaking Africa. The Project was initiated in February 2009 with the first cohort of undergraduate students beginning classes at Lúrio University in Northern Mozambique. This is the first Portuguese-language optometry program in Africa, and with no professionally qualified optometrists locally, faculty had to be recruited from …
Family Home Visitors: Increasing Minority Women’S Access To Health Services, Mechthild Meyer, Alma R. Estable, Lynne Maclean, Wendy E. Peterson
Family Home Visitors: Increasing Minority Women’S Access To Health Services, Mechthild Meyer, Alma R. Estable, Lynne Maclean, Wendy E. Peterson
Journal of Health Disparities Research and Practice
The article describes how service access barriers (language, trust) were addressed at different levels (organization, service provider, community) by involving Family Home Visitors to support Nurse Practitioners in providing pre- and postnatal services to linguistic minority women in Ontario. The investigators undertook a secondary analysis of 18 semi-structured interviews with health unit informants, Nurse Practitioners, program users, and community leaders, including Family Home Visitors. Health units facilitated collaboration between two programs aimed at serving mothers with young children, resulting in both programs using Family Home Visitors. They enhanced minority women’s trust in Nurse Practitioner services by providing interpretation, outreach and …
Racial Disparities In Cancer Screening Among Women With Chronic Joint Pain, Edith M. Williams, Laurene Tumiel-Berhalter, Christopher Purdy, Adrianne Ransom, Judith Anderson
Racial Disparities In Cancer Screening Among Women With Chronic Joint Pain, Edith M. Williams, Laurene Tumiel-Berhalter, Christopher Purdy, Adrianne Ransom, Judith Anderson
Journal of Health Disparities Research and Practice
Chronic pain related disorders and breast and cervical cancer are more prevalent among African-American women compared with non-Hispanic White women. However, few studies address how racial differences in the context of comorbidity may compound these disparities. This study used secondary analysis of the National Health Interview Survey (NHIS) to assess racial differences in breast and cervical cancer screening and patient education among adult women with chronic joint pain conditions. Statistical analyses included chi-square and independent samples t-tests. African-American women compared with non-Hispanic White women were less likely to receive a pap smear or mammogram within the last two years and …
Institute For Community Inclusion (Ici) Leadership Education In Neurodevelopmental Disabilities (Lend) Partners With Community-Based Organizations (Cbos), David Helm, Institute For Community Inclusion, University Of Massachusetts Boston
Institute For Community Inclusion (Ici) Leadership Education In Neurodevelopmental Disabilities (Lend) Partners With Community-Based Organizations (Cbos), David Helm, Institute For Community Inclusion, University Of Massachusetts Boston
Office of Community Partnerships Posters
This Interdisciplinary Leadership Education in Neurodevelopmental and Related Disabilities (LEND) and Maternal and Child Health Bureau (MCHB) funded-program aims at providing long-term, graduate level interdisciplinary training to health professionals and family members. The purpose of this project is to develop leadership potential to improve the health status of infants, children, and adolescents with or at risk for neurodevelopmental and related disabilities and to enhance the systems of care for these children and their families.
Working Together: Recruiting African American Female Caregivers And Pre-Adolescent Girls For Longitudinal Study, Teri Aronowitz, Wendy Pavlovich
Working Together: Recruiting African American Female Caregivers And Pre-Adolescent Girls For Longitudinal Study, Teri Aronowitz, Wendy Pavlovich
Office of Community Partnerships Posters
The aim of this project is to implement an enhanced sexual communication intervention with mother-pre adolescent girls. It also aims to maintain the short term enhanced sexual communication intervention and evaluate the long term efficacy (9 months) of an enhanced sexual communication intervention with mothers and pre-adolescent girls. Finally the project aims to determine whether the constructs of the Information-Motivation-Behavioral skills (IBM) Model can account for variability in enhancing sexual communication intervention of mother and pre-adolescent girls.
Gokids Boston Youth Fitness, Training, And Research Center, Meghan Feeley, Sarah Camhi, Dana Commesso, Gokids Boston, University Of Massachusetts Boston
Gokids Boston Youth Fitness, Training, And Research Center, Meghan Feeley, Sarah Camhi, Dana Commesso, Gokids Boston, University Of Massachusetts Boston
Office of Community Partnerships Posters
GoKids Boston embodies innovation and leadership in youth health through life-changing programs, groundbreaking research, exceptional training opportunities, and dedication to the community with a focus on eliminating health disparities.
Increasing Physical Activity In Inner City Youth Using Novel Interactive Gaming, Sd De Ferranti, Sk Steltz, Scott Crouter, A Kim, Sk Osganian, Jessica Whiteley, H Feldman, Laura L. Hayman, Gokids Boston, University Of Massachusetts Boston
Increasing Physical Activity In Inner City Youth Using Novel Interactive Gaming, Sd De Ferranti, Sk Steltz, Scott Crouter, A Kim, Sk Osganian, Jessica Whiteley, H Feldman, Laura L. Hayman, Gokids Boston, University Of Massachusetts Boston
Office of Community Partnerships Posters
The aim of this project was to assess the feasibility of participation in an afterschool physical activity program incorporating novel exercise technologies on changing physical activity level and physical fitness, compared to a nutrition education intervention alone. A second objective was to assess whether this type of intervention could modify cardiovascular risk factors and anthropometrics.
Give Us Your Poor: A National Public Education Campaign Addressing Homelessness, Barbara L. Graceffa, Center For Social Policy, University Of Massachusetts Boston
Give Us Your Poor: A National Public Education Campaign Addressing Homelessness, Barbara L. Graceffa, Center For Social Policy, University Of Massachusetts Boston
Office of Community Partnerships Posters
The objective of this campaign to create awareness that the Government alone cannot solve homelessness. The campaign also creates awareness that corporations need to be involved to help bring to scale solutions as well as promote innovation. The aim of the project is to create an awareness that collaboration between government, non-profits, academia, corporations, faith communities, and individuals is key to solving the issue.
Health Careers Opportunity Program, Kunthary Thai-Johnson
Health Careers Opportunity Program, Kunthary Thai-Johnson
Office of Community Partnerships Posters
Located on the University of Massachusetts Boston campus, the Health Careers Opportunity Program (HCOP) is an educational program funded through the federal Health Resources and Services Administration (HRSA). The mission of the program is to create a “pipeline” that starts at the middle and high schools in Boston, continues through the undergraduate programs at Tufts University and UMass Boston, and culminates in the graduate-level public health and/or medical programs at Tufts University School of Medicine or other medical schools.
Do No Harm: Perceptions Of Short-Term Health Camps In Nepal, Dena Seabrook
Do No Harm: Perceptions Of Short-Term Health Camps In Nepal, Dena Seabrook
Independent Study Project (ISP) Collection
Short-term health camps are a growing form of delivering health care services to needy populations. Often these camps, usually lasting around 2 weeks, are led by I/NGOs in developing nations like Nepal and are staffed with volunteers from the Global North. These camps are largely ungoverned, and there are no evaluative techniques in place to monitor the effectiveness of the work done, raising concerns about the unintended consequences of short-term health camps camps. Nepal is particularly vulnerable to this issue because of the vast number of I/NGOs currently operating within its boundaries.
This research sought to expand the conversation surrounding …
Lo Personal Es Político: La Lucha Por La Legalización Del Aborto En Chile, A Través De La Organización Feminista, Católicas Por El Derecho A Decidir, Gavin Odabashian
Lo Personal Es Político: La Lucha Por La Legalización Del Aborto En Chile, A Través De La Organización Feminista, Católicas Por El Derecho A Decidir, Gavin Odabashian
Independent Study Project (ISP) Collection
This paper investigates the work of a small collective of women—Católicas por el Derecho a Decidir—and the practice of their activism in Valparaíso, Chile. I focus on the ways in which these women are strategically mobilizing as an organization to fight for justice for women in Chile—more specifically, for gender equality, access to reproductive rights, and the legalization of abortion in all cases. I examine the history of the organization, its form and structure, the projects and campaigns they are currently working on, the individual experiences of the women working within the organization, their perspectives on their work, …
“The Invisible Disability:” Perceptions And Potential Of Children With Autism In Kisumu, Kenya, Talia Cohen
“The Invisible Disability:” Perceptions And Potential Of Children With Autism In Kisumu, Kenya, Talia Cohen
Independent Study Project (ISP) Collection
Awareness and prevalence of autism around the world is on the rise; however, much remains unknown about this developmental disability. This study is a survey of perceptions of individuals with autism in Kisumu and the services available to facilitate their development. Two areas of interest arose during this study. First, many children do not receive intervention services until a very late age, seriously hindering the success of the intervention. Many special schools do not accept children until they are well into vital stages of development, and the Educational Assessment and Resource Center (EARC) lacks the personal and funding to provide …
Measles Vaccinaiton In Developing Nations: A Statistical Analysis Looking At Factors That Affect Measles Vaccination Percentages, Jeffrey Judkins
Measles Vaccinaiton In Developing Nations: A Statistical Analysis Looking At Factors That Affect Measles Vaccination Percentages, Jeffrey Judkins
Independent Study Project (ISP) Collection
Why do two developing countries in the same region have vastly different vaccination rates? What specific factors have the greatest influence on the vaccination rates in differing developing nations? This papers objective is to use a statistical model to try to determine what factors, education, healthcare system and infrastructure, play the largest role in impacting both positively the measles vaccination rate in 20 African countries. The results found only two of the six variables originally chosen to be statistically significant. These variables were the percentage of paved roads and the percentage of the GDP spent on education.
An Outline Of Contraceptive Use In Mali, Lillie Carlile
An Outline Of Contraceptive Use In Mali, Lillie Carlile
Independent Study Project (ISP) Collection
The global community continues to increase at alarming rates. October 2011 marked the world’s population at a record high of 7 billion people, and counting. This population growth is linked to many complex factors, an important one of which is maternal health. The World Bank reports that over 99% of maternal deaths occur in developing countries, more than half of which occurred in Sub-Saharan Africa.[1] The term “maternal health” refers to the health of women before, during, and after pregnancy. A crucial factor in maternal health is contraception, as its use allows women to avoid or space pregnancies, effectively …
Hospital Collaboration With A Public Library, Margot Malachowski Mls
Hospital Collaboration With A Public Library, Margot Malachowski Mls
All Scholarly Works
Baystate Health is a teaching hospital located in Springfield, MA. Our city’s population is 52% White; 22% Black; 39% Hispanic (regardless of race). Nearly 24% of our families speak Spanish at home. Poverty rates are 27%, as compared with 10% statewide. These populations are less likely to use the internet to find health information. The Dept of Health & Human Services draws a correlation between internet-based information seeking and the status of people experiencing disease, finding inverse relationships between internet use and incidence of asthma, diabetes, heart disease and other conditions. Libraries play a role in Healthy People 2020 by …
Indicadores De Maduracion Sexual Y Su Relacion Con Indices De Masa Corporal (Imc) Y Habitos De Alimentacion En Escolares Femeninas De Arica, Chile, Melissa Colden
Independent Study Project (ISP) Collection
The basis of this investigation came from recent evidence that the age of puberty, specifically with respect to young girls, has fallen notably in the past decade. This trend exists in Chile, as well as other countries such as the United States, and has presented itself alongside a portentous epidemic of obesity and malnutrition. Knowing the risks of both disorders, and how their affects have already been manifested in the adolescent population in Chile and the city of Arica, this study sought to develop a relationship between body mass index (BMI) and pubertal development, including the appearance of secondary sexual …
Cancer Awareness In Alternative Settings: Lessons Learned And Evaluation Of The Barbershop Men’S Health Project, Cheryl L. Holt, Theresa A. Wynn, Katrina Debnam, Mark S. Litaker, Sanford Jeames, Yu-Mei Schoenberger, Penny Southward, Virgil Simons
Cancer Awareness In Alternative Settings: Lessons Learned And Evaluation Of The Barbershop Men’S Health Project, Cheryl L. Holt, Theresa A. Wynn, Katrina Debnam, Mark S. Litaker, Sanford Jeames, Yu-Mei Schoenberger, Penny Southward, Virgil Simons
Journal of Health Disparities Research and Practice
Prostate and colorectal cancer are two of the leading causes of cancer deaths among African American men. This study describes lessons learned from the development, implementation and evaluation of a culturally appropriate, barbershop-based intervention to improve prostate and colorectal cancer screening awareness among African American men. Working with an Advisory Panel of shop owners, barbers, and cancer survivors, local barbers were recruited and trained as Community Health Advisors to educate, motivate, and assist their clients in becoming more knowledgeable about prostate and colorectal cancer. Survey results reveal increases in prostate and colorectal cancer knowledge and self-reported screening among participants. Lessons …
Colorectal Cancer Screening Behaviors Among American Indians In The Midwest, Christine M. Daley, Niaman Nazir, K. A. Greiner, Aimee S. James, Won S. Choi
Colorectal Cancer Screening Behaviors Among American Indians In The Midwest, Christine M. Daley, Niaman Nazir, K. A. Greiner, Aimee S. James, Won S. Choi
Journal of Health Disparities Research and Practice
Colorectal cancer is the second most diagnosed cancer among American Indians and is also the second leading cause of cancer death. We used a community-based participatory approach to conduct a mixed methods study to examine colorectal cancer screening behaviors. Here we report on the screening behaviors of our focus group participants (n=153). There were significant gender differences in the colorectal cancer screening rates for FOBT and colonoscopy. Although over 80% of participants reported having health insurance, only 35% of males over 50 years old and 57% of females reported ever having a colonoscopy. More research is needed to identify the …