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Articles 7051 - 7080 of 33746
Full-Text Articles in Medicine and Health Sciences
Western Maine Addiction And Recovery Initiative's Substance Misuse Prevention And Wellness Day: Year 1 Feedback Survey For Ohchs And Telstar, Tyler Egeland Ba, Evelyn Ali Bs, Mary Lindsey Smith Phd
Western Maine Addiction And Recovery Initiative's Substance Misuse Prevention And Wellness Day: Year 1 Feedback Survey For Ohchs And Telstar, Tyler Egeland Ba, Evelyn Ali Bs, Mary Lindsey Smith Phd
Substance Use Research & Evaluation
As part of the evaluation of the Western Maine Addiction Recovery Initiative’s (WMARI) HRSA Rural Communities Opioid Response Program grant, staff from the Catherine Cutler Institute developed a survey to gather feedback from individuals who participated in the SUD Day events. Two separate PRE/POST surveys were deployed at each high school (OHCHS and Telstar) to assess knowledge gain, beliefs, and satisfaction. For more information, please contact Lindsey Smith at [email protected]
Before And After The World Turned Virtual: Examining Intimate Partner Violence And Problematic Alcohol Use Before Versus During The Covid-19 Pandemic In A Couple's Based Sample, Ishita Munshi
ETD Archive
About 1 in 4 women and 1 in 10 men report experiencing intimate partner violence (IPV) in their lifetime. For several decades, problematic alcohol use is a consistent predictor of IPV perpetration. However, as the COVID-19 pandemic transformed the romantic lives of people, it is crucial to investigate how it may have altered the prevalence of IPV perpetration and the link between IPV perpetration and problematic alcohol use. Among a sample of dating young adult couples, this study compared the IPV prevalence pre-COVID-19 pandemic (Wave 1) to during COVID-19 conditions (Wave 2). Furthermore, the study examined if problematic alcohol use …
Post-Traumatic Stress Symptoms And Their Role In Intimate Relationships: Do Ptsd Symptoms Moderate The Relationship Between Conflict And Aggression In Military Servicepeople?, Hannah M. Breen
ETD Archive
Military servicepeople often find themselves facing symptoms of Post-Traumatic Stress Disorder (PTSD) following their service. The symptoms of PTSD can impact the functioning of servicepeople’s intimate relationships, particularly in the aspect of conflict and aggression. The present study aimed to assess the effect of a military-involved partner’s PTSD symptoms on the association between relationship conflict and aggression from the perspectives of both partners. Data were collected from 112 military-involved individuals (active-duty or veteran) and 16 couples (one military-involved partner and one civilian partner) who participated in an online survey which collected data on their romantic relationships. It was hypothesized that …
Associations Between Attachment Style, Emotion Regulation And Well-Being Among Informal Caregivers Of Person With Dementia: A Stress Process Perspective, Meghan V. Paulo
Associations Between Attachment Style, Emotion Regulation And Well-Being Among Informal Caregivers Of Person With Dementia: A Stress Process Perspective, Meghan V. Paulo
ETD Archive
The negative outcomes for a caregiver for a person with dementia (PWD), such as burden and depression, are well-studied and established. However, the individual differences that may buffer against negative outcomes are still to be explored. Attachment orientation and emotion regulatory abilities have been shown to influence health and well-being outcomes within this population. Secure attachment is considered a protective factor in the development of psychopathology and physical health outcomes. Emotion regulation is an important part of a caregiver’s daily functioning for managing challenging care tasks. With a theoretical model of caregiving as the foreground of this work, these variables …
The Overuse Of Advanced Technology And Its Impact On Earlier Signs Of Digital Dementia, Audriana T. Nguyen
The Overuse Of Advanced Technology And Its Impact On Earlier Signs Of Digital Dementia, Audriana T. Nguyen
ETD Archive
This research attempted to answer the question if the increased use of advanced technology can impact an individual’s cognitive abilities. Participants (N=73) were recruited from universities by flyers as well as social media platforms including Facebook, Instagram, Snapchat, and LinkedIn. Participants answered a survey pertaining to their social media use, attention difficulties, memory, and quality of sleep using the Likert Scale. The purpose of this research was to quantify if the duration of exposure to technology can be associated with earlier signs of “digital dementia.” While previous research suggest a correlation between technology and its impact on cognition, my data …
Nutrition Needs Assessment For Women Of Childbearing Age With Polycystic Ovarian Syndrome, Callie Coleman, Whitney Bignell
Nutrition Needs Assessment For Women Of Childbearing Age With Polycystic Ovarian Syndrome, Callie Coleman, Whitney Bignell
Undergraduate Honors Theses
Polycystic Ovarian Syndrome (PCOS) is an endocrine disorder that affects women’s menstrual cycles, androgen (male hormones) levels, and cysts on the ovaries. This endocrine disorder has various symptoms, with insulin resistance as a hallmark symptom. Approximately 65-70% of women with PCOS have insulin resistance and hyperinsulinemia, whether or not they are overweight, obese, or lean (Marshall & Dunaif, 2012). Many women with PCOS struggle to lose weight because their excess weight is related to nutrition, lifestyle factors, and imbalanced hormones. Understanding PCOS as a metabolic disorder with nutritional implications led to investigating the potential benefit of having registered dietitian nutritionists …
An Economic And Regulatory Analysis Of Breast Cancer Drugs Approved By The Us Food And Drug Administration, Abdullah Althomali
An Economic And Regulatory Analysis Of Breast Cancer Drugs Approved By The Us Food And Drug Administration, Abdullah Althomali
Pharmaceutical Sciences (MS) Theses
Introduction
Breast cancer is the most common cancer among women and the leading cause of cancer death among women worldwide. The pharmacological options for breast cancer include chemotherapy, hormone therapy, targeted therapy, and immunotherapy, which are used for the prevention or treatment of breast cancer. This study assessed trends in FDA approvals and prices at the market entry of new drugs indicated for breast cancer in the period 1980-2022. The study also evaluated the factors associated with the price of the new breast cancer drugs at market entry.
Material and Methods
Regulatory data were collected from the FDA website, and …
Early Childhood Support Specialist Evaluation Report, Emilie Swenson Msw, Rachel Gallo Mph
Early Childhood Support Specialist Evaluation Report, Emilie Swenson Msw, Rachel Gallo Mph
Children, Youth, & Families
The Early Childhood Support Specialist (ECSS) at MaineHealth builds relationships with families who have children aged birth to three, a timeframe when infants and toddlers are rapidly developing, learning, and benefiting from family and community connections. The ECSS assesses a family’s strengths and needs to understand how that family can be supported and connected. The ECSS connects families to resources, provides referrals, coaches families on children’s social and emotional development, and generally serves as a point of contact to assist families with social, emotional, and medical needs. Ultimately, the intended outcome of this model is to increase family connections, decrease …
Adolescents With Family History Of Alcohol-Use Disorders Have Reduced Structural Coherence Of Anterior Insula To Nucleus Accumbens Tract, Grace Wood
Psychological Science Undergraduate Honors Theses
Genetics play a significant role in predisposition towards alcohol use disorders. Analyzing the neural phenotypes related to alcohol use disorder development could allow researchers to predict one’s predisposition. The anterior insula (AIns) contributes to binge drinking tendencies while exhibiting downstream signaling towards the nucleus accumbens (NAcc). Recent research has examined this relationship simultaneously with alcohol consumption, but the genetic effect of the AIns and NAcc functional relationship prior to alcohol consumption has yet to be examined. In this study, we used data from the Adolescent Brain Cognitive Development (ABCD) study to analyze the structural coherence of the AIns to NAcc …
Effects Of Parental Alcoholism On Adolescent Development, Diana Michel-Gonzales
Effects Of Parental Alcoholism On Adolescent Development, Diana Michel-Gonzales
Whittier Scholars Program
Studies assessed the magnitude and specificity of parental alcoholism as a risk factor for internalizing symptomatology, externalizing symptomatology, and alcohol and drug use in adolescence. The results show that alcoholism is a moderate risk factor. The outcome measure has a different risk specificity. The risk of alcoholism is caused by parental psychopathology and environmental stress. The father's alcoholism was a risk for alcohol use that was beyond the effects of stress and family turmoil. The children of problem drinkers are affected by externalities. When designing and financing addiction treatment programs, long-term consequences of alcohol misuse should be taken into account. …
Special Issue: Hunger, Nutrition, And Health, Susan Rice
Special Issue: Hunger, Nutrition, And Health, Susan Rice
Journal of Food Law & Policy
Everyday millions of Americans face barriers to accessing food, housing, and other supports–––making the impossible decision of whether to put food on the table or cover other essential needs. Food insecurity and diet-related diseases, such as heart disease and diabetes, affect people of all ages and in all communities. It was for this reason that the Biden-Harris Administration hosted the White House Conference on Hunger, Nutrition, and Health in September 2022. As the President said at the Conference, “No child should go to bed hungry. No parent should die of a disease that can be prevented.” It will require all …
Healthy School Meals For All: The Role Of Food Law And Policy, Thomas J. Vilsack
Healthy School Meals For All: The Role Of Food Law And Policy, Thomas J. Vilsack
Journal of Food Law & Policy
The first Conference held more than 50 years ago by President Nixon in 1969 had significant impacts on our Department and the prevalence of food insecurity in our country. Most notably, the Conference sparked significant expansions to Food Stamps, now known as the Supplemental Nutrition Assistance Program (SNAP), from 2 million in 1968 to 11 million by 1971. The Conference also increased the reach of the National School Lunch Program (NSLP), which served 2.9 million low-income children at the time of the Conference and expanded to serving nearly 8 million low-income children by 1971. Permanent authorization of the School Breakfast …
Putting The Dietary Guidelines For Americans Into Action Through The National Strategy On Hunger, Nutrition, And Health, Rachel Fischer, Katrina L. Piercy, Janet M. De Jesus, Paul Reed, Rachel L. Levine
Putting The Dietary Guidelines For Americans Into Action Through The National Strategy On Hunger, Nutrition, And Health, Rachel Fischer, Katrina L. Piercy, Janet M. De Jesus, Paul Reed, Rachel L. Levine
Journal of Food Law & Policy
The United States is facing a crisis of widespread food insecurity and exceedingly high rates of diet-related diseases like diabetes, obesity, and hypertension. To address this challenge and set a course for improved nutrition and food access nationwide, the Biden-Harris Administration hosted the first White House Conference on Hunger, Nutrition, and Health in over 50 years on September 28, 2022. In the National Strategy, released in conjunction with the Conference, the Administration identified a set of actions that the federal government will take to help achieve its goal of ending hunger and increasing healthy eating and physical activity by 2030, …
Our Story, Our Song: Assessing And Addressing Black Women's Healthcare Experiences., Jason Deakings
Our Story, Our Song: Assessing And Addressing Black Women's Healthcare Experiences., Jason Deakings
Electronic Theses and Dissertations
Despite advancements in medicine and health sciences, health disparities and declining life expectancy persists among Black women in the United States. Researchers and non-traditional healthcare providers suggest alternative healing (e.g., music and Sister Circles) and research methodologies to achieve a culturally conscious, traumainformed, quality, and holistic care and practice. The intersecting identities and cultural responsibility of Black women highly influences the barriers and facilitators on the uptake of healthcare services. Utilizing a community engaged research approach, this qualitative study assessed the healthcare experiences, as well as the role of music in the lived and retold experiences of Black women navigating …
The Peter Principle In Nfl Coaching Hires: An Analysis Of Success Of Nfl Head Coaching Hiring Based On Experience, Sam Malone-Povolny
The Peter Principle In Nfl Coaching Hires: An Analysis Of Success Of Nfl Head Coaching Hiring Based On Experience, Sam Malone-Povolny
Master of Science in Kinesiology
The NFL is a massive professional sports organization with worldwide impact for its players and coaches. NFL head coaches come from all walks of life but end up falling into two categories once hired: Either a former head coach is hired to helm a new team or a rising assistant coach is brought in to inject some new ideas. Whichever category they fall into, the team members become a reflection of the coach’s ideas and values. And, how well the team does in terms of on-field success is often the main dictation of the coach’s future with the franchise. Using …
An Erp Measure Of Non-Conscious Memory Reveals Dissociable Implicit Processes In Human Recognition Using An Open-Source Automated Analytic Pipeline, Richard J. Addante, Javier Lopez-Calderon, Nathaniel Allen, Carter Luck, Alana Muller, Lindsey Sirianni, Cory S. Inman, Daniel L. Drane
An Erp Measure Of Non-Conscious Memory Reveals Dissociable Implicit Processes In Human Recognition Using An Open-Source Automated Analytic Pipeline, Richard J. Addante, Javier Lopez-Calderon, Nathaniel Allen, Carter Luck, Alana Muller, Lindsey Sirianni, Cory S. Inman, Daniel L. Drane
Psychology Faculty Publications
Non-conscious processing of human memory has traditionally been difficult to objectively measure and thus understand. A prior study on a group of hippocampal amnesia (N = 3) patients and healthy controls (N = 6) used a novel procedure for capturing neural correlates of implicit memory using event-related potentials (ERPs): old and new items were equated for varying levels of memory awareness, with ERP differences observed from 400 to 800 ms in bilateral parietal regions that were hippocampal-dependent. The current investigation sought to address the limitations of that study by increasing the sample of healthy subjects (N = 54), applying new …
Daughters Of Depression : A Critical-Hermeneutic Phenomenological Examination Of Adult Black Women’S Experiences With Strong Black Woman’S Role When Mothered By Women With Perceived Depression, Christin D. Haynes
Theses, Dissertations and Culminating Projects
Black American women are experiencing chronic depression at alarming rates. Major racial/sex disparities in disease prevalence indicates Black American women are at increased risk for depression onset due to exposure to poverty and traumatic life events. With the rise of single, female-headed households, children are at increased risk for exposure to maternal mental illness which is defined as an adverse childhood experience impacting their development through adulthood. Black American mothers have the additional burden of racially socializing all children to learn how to manage systematic racist structures embedded in American society, yet daughters require the additional socialization for gender biases. …
Medication Errors In Pediatric Care And Preventative Solutions, Tyler Tidwell
Medication Errors In Pediatric Care And Preventative Solutions, Tyler Tidwell
Political Science Undergraduate Honors Theses
The research presented extensively examines previous reports covering pediatric medication errors (PMEs). Utilizing specific studies into the frequency and types of medication errors along with public surveys and policy discussion, the data and suggestions here provide commentary on the scope of PMEs, suggested institutional reform, and most importantly, legislative recommended action necessary to stymie the tide of PMEs. A significant portion of the research contained fixates on the literature review to provide ample familiarity with the background and scope of PMEs, but the subsequent sections will discuss their implication. After providing details on the magnitude of the issue, regulatory and …
Mental Health Disorders And Psychotropic Medication: Prevalence And Related Characteristics Among Individuals In Foster Care, Jill Mcleigh, Lauren Malthaner, Madeline Tovar, Mohsin Khan
Mental Health Disorders And Psychotropic Medication: Prevalence And Related Characteristics Among Individuals In Foster Care, Jill Mcleigh, Lauren Malthaner, Madeline Tovar, Mohsin Khan
Behavioral Health/Developmental Delay
This study sought to provide prevalence data for mental health (MH) diagnoses and psychotropic medication prescriptions among individuals in foster care and to examine their relationships with physical health status, maltreatment type, placement type, and demographic variables.
For questions about this study or others, please email [email protected]
childrens.com/fostercare
Toolkit: Strengthening Resilience: Promoting Positive School Mental Health Among Indigenous Youth, Lavonne Fox, Sarah Nielsen, Thomasine Heitkamp, Shawnda Schroeder
Toolkit: Strengthening Resilience: Promoting Positive School Mental Health Among Indigenous Youth, Lavonne Fox, Sarah Nielsen, Thomasine Heitkamp, Shawnda Schroeder
Indigenous Health Faculty Publications
The purpose of this document is to provide tools for k-12 educators, administrators, and mental health treatment providers to better address the learning and behavioral health needs of Indigenous youth in a holistic manner. It is also a resource for faculty working in higher education to prepare future professionals, particularly those planning to work in tribal communities with children and youth. The focus of this document is on the resilience and well-being of Indigenous youth in a historical context. The historical review provides a greater understanding of the role of boarding schools, forced colonization, and assimilation resulting in cultural genocide …
Attitudes Towards Gluten Free Foods And Celiac Disease In Italy, Joellyn Speredelozzi
Attitudes Towards Gluten Free Foods And Celiac Disease In Italy, Joellyn Speredelozzi
Senior Honors Projects
This project addresses the perception and realities of living with Celiac’s Disease in Italy. I combine a literature review with my own anecdotal experiences as an individual with Celiac’s Disease who has lived and studied in Italy. In my paper, I first describe the high awareness of gluten-free living that I noted the first time I studied abroad, being the impetus of this project. I follow this with the history and science of Celiac’s Disease for those who may be unaware of this serious chronic medical condition. I then continue to describe personal experiences I had while living in Naples, …
Program And Proceedings: Nebraska Academy Of Sciences 1880–2023, 143rd Anniversary Year, One Hundred-Thirty-Third Annual Meeting, April 21, 2023
Nebraska Academy of Sciences: Programs and Proceedings
Program
Aeronautics and Space Science
Humans Past and Present
Applied Science and Technology Section
Biology
Biomedical Sciences
Chemistry
Earth Sciences
Environmental Science
Physics
Science Education
2023 Maiben Lecture: Jason Bartz
2023 Friend of Science Award: Ray Ward and Jim Lewis
Pilot Study: The Effect Of Individual Versus Group Animal-Assisted Therapy On Undergraduate Student Anxiety, Jessica Hanson, Hannah Tucker
Pilot Study: The Effect Of Individual Versus Group Animal-Assisted Therapy On Undergraduate Student Anxiety, Jessica Hanson, Hannah Tucker
The Eleanor Mann School of Nursing Undergraduate Honors Theses
Purpose: The purpose of this study was to evaluate the relationship of Animal-Assisted Therapy (AAT) on undergraduate student test anxiety; comparing an individual AAT session to a group AAT session. AAT may be a solution for decreasing anxiety for undergraduate students. The study adds empirical knowledge to the field of AAT and student anxiety coping methods. The study question was: What is the effect of one-on-one and group Animal-Assisted Therapy sessions on undergraduate student anxiety?
Methods: This study used a convenience sample randomly assigned to either a group of 3 to 5 students (n=9) or an individual AAT session (n=10) …
Toolkit: Healing Our Protectors: Building Resilience Among Tribal Law Enforcement Officers Through Cultural Interventions, Lavonne Fox, Leo Sr. Belgarde, Thomasine Heitkamp, Shawnda Schroeder
Toolkit: Healing Our Protectors: Building Resilience Among Tribal Law Enforcement Officers Through Cultural Interventions, Lavonne Fox, Leo Sr. Belgarde, Thomasine Heitkamp, Shawnda Schroeder
Indigenous Health Faculty Publications
Introduction: The U.S. and Native Americans have a government-to-government relationship. The result of 375 treaties, established laws and instituted policies promote Tribal sovereignty and are intended to support the general wellbeing Indigenous persons and protect their lands and resources. The Tribal sovereignty includes law enforcement. This resource is intended to provide a broad understanding of the challenges both Tribal and Bureau of Indian Affairs (BIA) law enforcement officers face; many struggle dealing with the traumatic events they have experienced. We acknowledge that there is a scarcity of current information related to Tribal and BIA police officers’ mental health. This document …
Accelerating Colorectal Cancer Screening And Follow-Up Through Implementation Science (Accsis) In Appalachia: Protocol For A Group Randomized, Delayed Intervention Trial, Electra D. Paskett, Aaron J. Kruse-Diehr, Jill M. Oliveri, Robin C. Vanderpool, Darrell M. Gray Ii, Michael L. Pennell, Bin Huang, Gregory S. Young, Darla Fickle, Mark Cromo, Mira L. Katz, Paul L. Reiter, Melinda Rogers, David A. Gross, Vickie Fairchild, Wendy Xu, Angela Carman, Jean M. Walunis, Ann Scheck Mcalearney, Timothy R. Huerta, Saurabh Rahurkar, Erika Biederman, Mark B. Dignan
Accelerating Colorectal Cancer Screening And Follow-Up Through Implementation Science (Accsis) In Appalachia: Protocol For A Group Randomized, Delayed Intervention Trial, Electra D. Paskett, Aaron J. Kruse-Diehr, Jill M. Oliveri, Robin C. Vanderpool, Darrell M. Gray Ii, Michael L. Pennell, Bin Huang, Gregory S. Young, Darla Fickle, Mark Cromo, Mira L. Katz, Paul L. Reiter, Melinda Rogers, David A. Gross, Vickie Fairchild, Wendy Xu, Angela Carman, Jean M. Walunis, Ann Scheck Mcalearney, Timothy R. Huerta, Saurabh Rahurkar, Erika Biederman, Mark B. Dignan
UK CARES Faculty Publications
Appalachian regions of Kentucky and Ohio are hotspots for colorectal cancer (CRC) mortality in the USA. Screening reduces CRC incidence and mortality; however, screening uptake is needed, especially in these underserved geographic areas. Implementation science offers strategies to address this challenge. The aim of the current study was to conduct multi-site, transdisciplinary research to evaluate and improve CRC screening processes using implementation science strategies. The study consists of two phases (Planning and Implementation). In the Planning Phase, a multilevel assessment of 12 health centers (HC) (one HC from each of the 12 Appalachian counties) was conducted by interviewing key informants, …
Does Family Size Moderate The Relation Between Resource Transfers And Intimate Partner Violence Rates?, Paul Gramling
Does Family Size Moderate The Relation Between Resource Transfers And Intimate Partner Violence Rates?, Paul Gramling
Psychological Science Undergraduate Honors Theses
Intimate partner violence (IPV) refers to physical, sexual, or psychological abuse within an intimate relationship. It is a global issue, particularly for women in developing countries where data show higher rates of IPV for these women than in developed countries. IPV can lead to physical harm, chronic health problems, and even death. It also has negative effects on mental health, economic stability, and the overall well-being of the woman and their children. Family size has been shown to be a predictor of IPV risk; women from larger families face a higher risk. Cash transfer programs in developing countries have been …
Social Media And Wellbeing, Aditya Adsule
Social Media And Wellbeing, Aditya Adsule
Honors College Theses
This psychology thesis paper investigates the existing body of scientific literature surrounding the effects of social media on the wellbeing of adolescents and adults ages 18-29. The current body of scientific literature supports the overall finding that social media has a negative impact not only on mental health, but on physical health. There are also key findings showing the impact of social media on other facets of life such as sleep patterns, social interactions, and physical activity. Current intervention therapies need to be revisited and the DSM categorization of social media addiction needs to be investigated further.
Healthcare Experiences By Race, Sex, And Weight Status In A Sample Of Low Wage Workers Before And During The Covid-19 Pandemic, Michael Ampofo
Healthcare Experiences By Race, Sex, And Weight Status In A Sample Of Low Wage Workers Before And During The Covid-19 Pandemic, Michael Ampofo
Honors Scholar Theses
There is longstanding evidence of racial, sex-based, weight-based, and socioeconomic status (SES) disparities in the quality of healthcare. These disparities can result from provider bias and discrimination in the healthcare system and can contribute to disparities in health outcomes. The emergence of the COVID-19 pandemic may have exacerbated differential treatment in healthcare due to the strain it placed on the healthcare system. The purpose of this study was to examine the impact of the COVID-19 pandemic on U.S. healthcare experiences among low SES non-Hispanic Black and non-Hispanic White patients. This secondary analysis utilized survey measures from 225 low-wage workers, ages …
Education, Beliefs, And Health Literacy Of Care Providers On Mouth Care Of Older Adults, Molly Lakin
Education, Beliefs, And Health Literacy Of Care Providers On Mouth Care Of Older Adults, Molly Lakin
Honors Program: Senior Projects (Public)
Oral health is important to one’s overall health and quality of life as it can lead to chronic illnesses such as cardiovascular disease, stroke, and neurodegenerative disorders (Haumschild et al. 2021). In long-term care facilities, it is important that dependent older adults are provided mouth care to maintain their oral health and decrease their chances of developing a chronic illness; however, there are barriers affecting the level, quality, and quantity of mouth care being provided in these facilities. A survey was developed to look at the education, beliefs, and health literacy of care providers on providing mouth care in hopes …
Difference In Smoking Patterns And Quitting Status Between Premium And Non-Premium Cigar Users After Two Years Of Follow Up In Us Adults: Findings From The Population Assessment Of Tobacco And Health (Path) Study, 2016-2019, Sarah Valencia
Dissertations and Theses (Open Access)
Previous studies have described the demographics, purchasing behaviors, trends in frequencies of cigar use, and quitting status among cigar poly users, however, there has not been a study that evaluates differences in demographic characteristics and quitting status for premium and non-premium U.S. adult cigar users. This study used secondary data analyses of the Population Assessment of Tobacco and Health (PATH) Study public-use files dataset for adult traditional cigar users in wave 4 (2016-2018) and wave 5 (2018-2019). Traditional cigars were classified as premium or non-premium at wave 4 (2016-2018) using the brand and price per stick of cigar that was …