Medicine and Health Sciences Commons^™

Rates Of Benign Heart Tumors Diagnosed In Florida Hospitals: 1988-2012, Robert B. Hood, Elliott Smith, Richard B. Early, Zachary Weber, Sharona B. Ross, Alexander S. Rosemurgy Ii, Randall E. Harris

Florida Public Health Review

No abstract provided.

Building The Hiv Public Health Service Structure By Quality Improvement, Graham F. Watts Sr

Florida Public Health Review

Quality improvement (QI) is a tool in the public health inventory. It has value in that it provides a modality for accelerating science-based intervention into routine public health practice. In doing so, it holds promise to make transparent how care and service systems demonstrate efficiencies in the structure, operations, and outputs that should translate into improvements in population health outcomes. One HIV health services grant in Northeast Florida touches the lives of over 4,200 persons. How to render services so that it maximally benefits all clients is ongoing work. Service recipients engage nine HIV care funded providers, who differentiate on …

Medical Marijuana Policy Reform Reaches Florida: A Scoping Review, Khadesia Howell, Alexandria Washington, Paula M. Williams, Arlesia L. Mathis, John S. Luque

Florida Public Health Review

Background: Florida became the first state in the U.S. South to legalize the use of medical marijuana to treat a variety of health conditions including chronic pain, epilepsy, and spasticity symptoms from multiple sclerosis. While there are over 200,000 medical marijuana patients in Florida, there remain financial, psychological, and insurance coverage barriers which reduce access for many patients. Purpose: This scoping review, with a focus on state health policy, first describes some clinical studies examining the therapeutic benefits of medical marijuana. Next, there is a discussion of the Florida regulatory environment and major legislation. Also, the review describes how the …

Social Determinants Of Health And Hiv/Aids In Florida, Alane C. Ertel, Robert J. Zeglin

Florida Public Health Review

As of 2016, there were reported to be 135,986 people living with HIV/AIDS (PLWH) in Florida alone, and its cities lead the nation’s incidence rates at around 5,000 new HIV diagnoses annually. Using a few social determinants of health (SDH) associated with deaths of despair (DOD), this paper aims to connect HIV rates to SDH to gain more understanding of how SDH can aid in the alleviation of HIV through public health policy and social change. Methods: This analysis evaluated the predictive ability of the SDH: Education, Insurance, Race, and RaceXEducation for HIV incidence in Florida using regression analysis. Results: …

Evaluation Of Rapid Syphilis Testing Using The Syphilis Health Check In Florida, 2015–2016, Jennifer Richards, James Matthias, Charlotte Baker, Craig Wilson, Thomas A. Peterman, C Perry Brown, Matthew T. Dutton, Yussif Dokurugu

Florida Public Health Review

The Syphilis Health Check (SHC) had low estimated specificity (91.5%) in one Florida county. We investigated use of SHC by a range of Florida publicly-funded programs between 2015 and 2016 to estimate specificity, positive predictive value (PPV), field staff acceptance, and impacts on programmatic outcomes. All reported SHC results were extracted from routinely collected program data. Field staff were surveyed about SHC’s utility. Analyses investigated differences between SHC and traditional syphilis testing outcomes. Of 3,630 SHC results reported, 442 were reactive; 92 (20.8%) had prior diagnoses of syphilis; 7 (1.6%) had no further testing. Of the remaining 343; 158 (46.0%) …

Lessons From The Field: A Systems Thinking Approach For Case Management Documentation, Graham F. Watts Sr, Angela E. Prince, Heather Vaughan, Porschia Mccray Watts, Beth Parker

Florida Public Health Review

Case management is a core HIV health service that focuses on service coordination—the seamless access to an array of integrated services. Integration aims to reduce barriers to medical care. In the busy HIV health services environment, inadequate documentation of case management activities limits the capacity of stakeholders to know what happens during care encounters. This study used theory and qualitative inquiry to uncover best practices that support optimal case management documentation. Two research questions guided the inquiry: What principles should arise in higher order cognitive functioning among case managers during client encounters? What characteristics of a system level approach to …

Efforts Targeting Factors Of Health Disparities That Impair Hiv Treatment Engagement, Graham F. Watts Sr, Heather Vaughan

Florida Public Health Review

Health disparities exist in Northeast Florida. Some locations experience morbidities at higher rates than others. Health zone 1 is a prime example. Differences in disease rates are interlaced with the social determinants of health, (SDOH). Long-standing social and structural influences of disparities are beyond the scope of Ryan White programs. However, empowerment for health promotion is a strategy for targeting health disparities. The Theory of Health Empowerment targets sense of agency and offers some leverage for helping people living with HIV/AIDS, (PLWHA) despite environments blemished by SDOH. Eclectic leadership occurring in a climate of respectful point-counter point discussions established the …

Understanding Motivations For Sti Testing: Comparing Presenters And Non-Presenters Using The Theory Of Planned Behavior And Health Belief Model, Lindsay Neuberger, Megan Pabian

Florida Public Health Review

Sexually transmitted infections (STIs) are a leading health risk to the college-aged population with young adults age 15- 24 accounting for half the new STI diagnoses in the United States (Centers for Disease Control and Prevention, 2018). Despite these alarming numbers, approximately 50-70% of college students have not been tested for STIs (Barth, Cook, Downs, Switzer, & Fischhoff, 2002; Bontempi, Mugno, Bulmer, Danvers, & Vancour, 2009; Boudewyns & Paquin, 2011). The current manuscript draws on the Theory of Planed Behavior and the Health Belief Model to explore how attitudes, norms, perceived behavioral control, and barriers contribute to STI testing intentions. …

After Implementation Of The Aca – Coverage Gaps Among Rural Latinos Still Remain, Arlesia L. Mathis, Matthew Dutton, Ivette A. López, Alan Becker, C Perry Brown

Florida Public Health Review

In this study, we assessed health needs and insurance coverage among a rural Latino population. A health needs survey was conducted in 2015 with approximately 100 Latino residents living in a rural Florida county. The survey included questions on socio-economic characteristics, type of insurance coverage, lapses in coverage, delays in care and satisfaction with health services. Only 15% of respondents had insurance through their employer, and 11% had Medicaid. Over 45% of participants had no health insurance, and 20% had no insurance for more than three years. One in ten had a medication delay due to lack of coverage/money, and …

The Importance Of Revising Florida’S Motorcycle Helmet Laws To Prevent Traumatic Brain Injury – A Commentary, Mohammed S. Uddin, Iveris L. Martinez

Florida Public Health Review

No abstract provided.

Epidemiology And Ideology: Why Health Equity Is Problematic In The United States, Cynthia R. Hall

Florida Public Health Review

Health and healthcare are central elements to the achievement of social justice. Braveman and Gruskin are proponents of health equity as a means to realize social justice. They define health equity as the “absence of systemic barriers to health” that are derived from the unequal power, influence, and capital of marginalized groups within societies (2003, p. 254). John Rawls and Norman Daniels have theorized that social justice requires a fair distribution of goods in a society and that good health is of moral importance to this effort, respectively. Thus, having fair access to a healthy life is a crucial element …

Community-Based Participatory Research: An Ethical And Practical Model For Academic Public Health And Clinical Research, Cynthia R. Hall

Florida Public Health Review

Community-based participatory research (CBPR) is a strategy for performing health-related research in vulnerable communities that have been exploited by traditional research in the past. CBPR focuses on mutual collaboration between the community and the researchers involved. This form of research is ethically compelled to instill transparency and trust into the research enterprise. CBPR envisions the involvement of the community in all aspects of the research: design, implementation and dissemination of research results. This collaborative process necessitates an analysis of ethical considerations because it implies additional moral principles beyond the traditional ethics enunciated in the Belmont Report, the foundational guideline for …

Public Opinion Report Of Nutrition Education And Nutrition-Related Behaviors, Kristen Hicks-Roof, Robert J. Zeglin, Daniel Manson, Corinne A. Labyak

Florida Public Health Review

Objectives: Sources of obtaining credible evidence-based nutrition knowledge appears to be more and more limited as nutrition information becomes widespread. The purpose of this study was to determine sources of nutrition information and corresponding nutrition-related behaviors among Florida residents. Study Design: A cross-sectional study.

Methods: A telephone survey was conducted using probability sampling with residents of Florida in October 2017.Results: A total of 611 respondents completed the survey from 45 different counties across Florida. A significant relationship was established between age and primary source of obtaining nutrition information. Young, middle age and elderly adults preferred media, registered dietitians and physicians/nurses …

A Cross-Sectional Questionnaire-Based Descriptive Study Exploring The Presence Of Behavioral Risk Factors For Infection With Zika Virus Among Students And Employees At An Institution Of Higher Education In South Florida., Dorothy Contiguglia-Akcan, Shasank Chennupati, Sebastian Cuitiva, Christian-Immanuel Oliveros, Carol Marie Fraley, Tiffany Race, Daniel Garrido

Florida Public Health Review

In 2016 and 2017, South Florida was involved in an outbreak of locally-transmitted Zika virus. This questionnaire- based descriptive pilot study demonstrated the presence of behaviors that may be associated with increased risk of Zika transmission in a sample of respondents selected from an institution of higher education in the region. The majority of the 101 respondents living in Miami-Dade County reported inconsistent or no use of mosquito bite prevention methods, over one third (38.6%) traveled to local areas of active transmission, and almost two thirds (64.7%) of those reporting that their sexual partners traveled to local zones of viral …

Sociodemographic Correlates Of Bariatric Surgery By Procedure Type Among A Statewide Ethnically Diverse Patient Population, Alisha Monnette, Tulay Koru-Sengul, Nadia L. Fleurantin, Sarah E. Messiah, Wayway M. Hlaing

Florida Public Health Review

Florida Agency for Health Care Administration (AHCA) 2013 inpatient data was used to conduct a retrospective review using International Classification of Diseases 9th edition (ICD-9) procedure codes to examine the sociodemographic correlates of three bariatric procedures [Laparoscopic Roux-en-Y Gastric Bypass (RYGB), Laparoscopic Adjustable Gastric Banding (LAGB), and Sleeve Gastrectomy (SG)]. Race-ethnic groups included non-Hispanic white (NHW), non- Hispanic black (NHB), Hispanic, and other. The sample (n=6,424, mean age 46 years) was predominantly NHW (57.4%), female (74.9%), commercial-insurance carriers (51.2%), and severely obese (98.8%). SG was the most common procedure (57.9%) followed by RYGB (39.3%), and LAGB (2.8%). Regardless of bariatric …

Differences In Current Hookah And Cigarette Smoking Status Attitudes And Beliefs At A Florida University: A Discriminant Analysis, Gail Castañeda, Tracey E. Barnett, Sergio Romero, Mi Jung Lee, Jann Macinnes

Florida Public Health Review

Rising college hookah use, in the absence of cigarettes, suggests attitudinal differences among both forms of tobacco consumption. This study examines which smoking attitudes/beliefs are most distinguishing across current non-smokers, cigarette smokers, hookah smokers, and dual (cigarette and hookah-only) smokers at a Florida university. Self- administered questionnaire data from 373 university students were categorized into four groups based on self-reported 30-day smoking status. Discriminant analysis was used to examine maximal differences between groups across perceived peer acceptability of cigarette smoking, peer acceptability of hookah smoking, hookah smoking harmfulness, and attitude toward peer hookah smoking. Descriptive analyses indicated an overall awareness …

Changes In Hiv Related Risk Behaviors: A Comparative Analysis Of Florida’S 2013 And 2016 Behavioral Risk Factor Surveillance System Survey., Daniel Diyaolu

Florida Public Health Review

Background: Identifying changes in HIV related risk factors is essential to reducing HIV rates in Florida. This study examines if changes occurred in HIV risk factors between 2013 and 2016. Methods: The study utilized secondary data from the Behavioral Risk Factor Surveillance System from 2013 and 2016. A logistic regression analysis was conducted to examine the changes between the years regarding health care coverage and routine HIV testing. Additionally, a separate analysis was performed for the 2016 dataset analyzing if HIV risk behaviors varied by gender, race, age, insurance coverage and HIV testing.

Results: The findings of this study suggest …