Medicine and Health Sciences Commons^™

Cross-Cultural Adaptation Of An Instrument To Address The Mental Health Needs In Nepal, Dene S. Berman

Master of Public Health Program Student Publications

Nepal has had devastating earthquakes compounded by economic struggles, social and political crises. There is evidence of significant psychological distress but few mental health resources. The current project’s aim is to provide the people of Nepal who are experiencing emotional distress with information about improving their lives in a way that otherwise would not be available in rural health centers. For this purpose, a culturally sensitive and valid adaptation of Healthy Habits for Emotional Well-being into Nepali was created following World Health Organization guidelines. Implications for its use were discussed, along with possible future directions for continued outreach efforts.

Choosing A Second-Generation Antidepressant Using Demographic Characteristics And Clinical Symptoms Of Depression, Amanda Lin

Master of Public Health Program Student Publications

Depression is the sixth most costly health condition in the United States, and depression that does not respond to its first trial of antidepressant treatment adds an annual cost of $9,529 per person per year. Thus, choosing an effective starting antidepressant can decrease the overall cost of depression to society. A secondary analysis of data from the Collaborative Psychiatric Epidemiology Survey (CPES) was performed to create models that can predict the efficacy of second-generation antidepressants in treating sadness. Two sets of Principal Component Analyses (PCAs) and logistic regressions were performed on variables associated with patient demographics, clinical symptoms, past medical …

Lead Exposure And Metabolic Syndrome In U.S. Population, Nhanes 2013-2014, Khadra Gukadowr

Master of Public Health Program Student Publications

Background: Lead is a known endocrine disruptor and can impair regulation of blood glucose, blood pressure, abdominal adiposity, blood lipid levels which are risk factors for metabolic syndrome (MetS).

Objective: To study the association of lead exposure and MetS in United States (U.S.) adults.

Methods: Data from 523 male and 528 female participants aged 20 years and older from the 2013 to 2014 National Health and Nutrition Examination Survey (NHANES) were analyzed. Based on blood lead distribution in males and females, participants were categorized into low and high blood lead groups in both genders. Adjusted logistic regression analysis was used …

Sex Differences In The Outcomes Of Mild Traumatic Brain Injury In Children Presenting To The Emergency Department, Taylor M. Yeates

Master of Public Health Program Student Publications

Mild traumatic brain injuries (mTBI) put children and adolescents at risk for short and long-term health risks. The purpose of this study was to evaluate sex differences in post-acute outcomes among children and adolescents presenting to the Emergency Department (ED) for mTBI. The study is a secondary analysis of a de-identified dataset which was drawn from a concurrent cohort, prospective, and longitudinal study design that included 8 to 16 year-old children with mTBI and a comparison group of children with mild orthopedic injuries (OI) not involving the head. Participants were recruited and completed an initial assessment during their initial visit …

Evaluation Of Safe Sleep Practices Of Cribs For Kids Class Attendees, Halimat Adeshola Olaoluwa

Master of Public Health Program Student Publications

Sudden Infant Death Syndrome (SIDS) is a major cause of infant mortality, and sleep-related causes of SIDS are a focus of many strategies to combat infant mortality because they are largely preventable. One intervention that combines the distribution of a portable crib and safe sleep education to families that indicate a financial need is the Cribs for Kids program. The purpose of this study was to assess any changes in recommended safe sleep practices by Cribs for Kids attendees before and after the receipt of a portable crib and safe sleep education. Families who met eligibility criteria were enrolled in …

The Association Of Perfluoroalkyl Substance Exposure And Lung Function In The U.S. Population, Brenna C. Heinle

Master of Public Health Program Student Publications

Background/Aim: Perfluoroalkyl substances (PFASs) are chemical compounds used in consumer products and are linked with increase in cholesterol, thyroid disease, and pregnancy-induced hypertension. However, their association with lung function is not completely understood.

Methods: Cross sectional 2011-12 U.S. population data from the National Health and Nutrition Examination Survey (NHANES) was used (N=1,450, aged 12 to 79 years, 52% men). Serum concentration of four PFASs, perfluorononanoic acid (PFNA), perfluorooctanoic acid (PFOA), perfluorooctane sulfonic acid (PFOS), and perfluorohexane sulfonic acid (PFHxS) were assessed using mass spectrometry and were categorized into tertiles. Lung function was measured by spirometry as forced vital capacity (FVC), …

Who Is Testing? Demographic And Sexual Risk Factors Associated With Hiv Testing Among African American College Students, Elizabeth Gonder-Strutz

Master of Public Health Program Student Publications

Despite significant progress made in reducing HIV diagnoses, many populations are still disproportionately affected. Although African American college students tend to engage in safer sex practices than their peers, they are still at an elevated risk for contracting HIV. Therefore, it is important that HIV prevention programs understand the unique needs and risk factors among African American college students. HIV testing is an essential component of HIV prevention. This study examined the relationship between HIV testing and demographic and behavioral factors among African American college students from two universities. The study found that older students (upperclassmen) are significantly more likely …

Perfluoroalkyl Substances Exposure And Cancer In Nhanes 2011-2016 U.S. Population, Michael Crowder

Master of Public Health Program Student Publications

Background: Perfluoroalkyl and polyfluoroalkyl substances (PFASs) are persistent synthetic compounds that may have associated health risks.

Purpose: To explore the association between four common detectable serum PFASs perfluorooctanoic acid (PFOA), perfluorooctyl sulfonate (PFOS), perfluorohexane sulfonate (PFHxS), and perfluorononanoic acid (PFNA) and cancer risk in United States (U.S.) adults.

Methods: Data from 4,497 participants from the 2011–2016 National Health and Nutrition Examination Survey (NHANES) were analyzed. Gender stratified adjusted logistic regression analysis was conducted to determine association between serum PFASs tertiles and risk of cancer.

Results: Median (IQR) PFASs were significantly higher in men compared to women, and among individual with …

Assessing The Social Determinants Of Health Needs Of Older Lgbt People In The Greater Miami Valley Of Ohio, Jessica L. Sokol

Master of Public Health Program Student Publications

Background: While the older LGBT population continues to grow, they remain an underserved, invisible, and under-researched segment of the population. They experience many of the same risk and protective factors of all older adults, but discrimination is one social determinant of health that is quite prevalent among this community, causing lasting impacts on health.

Objective: The purpose of this study was to assess the social determinants of health issues and needs of the aging LGBT population in Dayton, Ohio, in order to direct advocacy strategies and better targeting of local support efforts.

Methods: Data were collected through a cross-sectional survey …

The Perspectives Of African American Women: Their Pregnancy Experience And Their Babies’ Birth Outcomes, Kayla M. Hairston

Master of Public Health Program Student Publications

The health disparity surrounding infant mortality has been a challenge for public health professionals for the past two decades. Today African American babies continue to die at a rate two times higher than the nation’s average rate. The purpose of this study was to explore African American mothers’ perspectives on their pregnancy experience and their babies’ birth outcomes, as a way to provide suggestions for current efforts and interventions being used to lower the rate of infant mortality in the African American population. This study examined fifteen peer reviewed articles that shared the perspectives of African American women who were …

Dichlorophenol Exposure And Chronic Kidney Disease, Karla James

Master of Public Health Program Student Publications

Purpose: To explore the relationship between the common pesticides, 2,4-dichlorophenol (2,4-DCP) and 2,5-dichlorophenol (2,5-DCP) with serum creatinine as a biomarker of kidney function. Methods: National Health and Nutrition Examination Survey (NHANES) 2013 to 2014 data (N = 2,063, 47% male and 53% female) was used to statistically analyze the relationship between either of two common pesticides 2,4-DCP or 2,5-DCP and serum creatinine levels. Gender stratified analysis was completed using multivariate adjusted linear regression. Variables adjusted were age, ethnicity and annual household income. Results: In both males and females exposure to 2,4-DCP did not elevate serum creatinine and regression results …

Description Of Race And Preterm Birth In Six Ohio Counties From 2013-2018, Kelly Trabue

Master of Public Health Program Student Publications

Objective: The purpose of this research was to describe preterm birth rates, and the risk of preterm birth among maternal race groups in Ohio, Cuyahoga County, Franklin County, Hamilton County, Lucas County, Montgomery County, and Summit County from 2013 to 2018. For the purpose of this study, preterm birth was defined as the live birth of a baby with a period of gestation less than 37 weeks. The maternal race groups were African American, White, and Other.

Methods: A descriptive analysis of retrospective data was conducted on 798,957 live births in Ohio over six years. The data was further divided …