Medicine and Health Sciences Commons^™

Cigar Crisis: The Need For Community Based Practices, Christopher D. Watson

Public Health Theses

Considerable evidence exists that little cigars and cigarillos are popular among young adults and that the prevalence is higher among African American young adults.1,2,4 Two brands of little cigars appear most appealing to young smokers - Swisher Sweets and Black and Mild.2,3 This cigar product have been designed by the tobacco industry to appeal specifically for African Americans. In a survey of tobacco use among freshman at a historically black university, there were high rates of little cigar use.4 Little cigar sales have also benefited from the high visibility offered by many celebrities quoted and photographed with cigars, and the …

Effectiveness Of A Pre-Release Planning Program For Hiv-Positive Offenders Exiting Georgia Prisons: A Qualitative Evaluation Approach, Claire A. Willeford

Public Health Theses

Background: Two-year nationwide prison recidivism rates stand at over 60%, and minorities and the poor are at greatest risk both of first-time incarceration and of offending repeatedly over time. Initiatives that may address prison inmates’ lack of resources and increase their success in their communities after release are now an important topic in the study of criminal justice policy. Over the course of the past two decades, the public health concern of HIV/AIDS has increasingly become a part of this discourse on re-entry, as the disease disproportionately affects minority communities both in and outside of prisons. Affected reentrants face not …

Elevated Bmi-Associated Characteristics Of Patients With Invasive Mrsa Infection In The Atlanta, Georgia Metro Area, 2005-2008, Lauren R. Lorentzson

Public Health Theses

INTRODUCTION: National obesity rates are leading to higher rates of Type 2 Diabetes, increasing the number of people at risk of invasive infections with Methicillin Resistant Staphylococcus aureus (iMRSA) upon onset of ESRD and hemodialysis. However, an association between adiposity and risk of iMRSA has not been researched. AIM: The purpose of this study is to describe the epidemiological characteristics of an iMRSA cohort in the Atlanta metro area between 2005-2008; to examine BMI-related health outcomes within the cohort; and to compare proportions of BMI categories in this cohort to BRFSS data. METHODS: Surveillance data collected by the CDC EIP …

A Geographical Examination Of Social, Behavioral, And Demographic Determinants Association With Hepatitis C Viral Infection In The State Of Georgia, Terran A. Terrell

Public Health Theses

Background: Approximately 170 million persons are infected with the hepatitis C viral infection (HCV), globally. Of this number, 3.2 – 4 million persons in the U. S. are infected with HCV. Although previous research has indicated a decrease in the rates of Hepatitis C in the U.S. approximately 12,000 deaths occur annually from those who suffer from chronic liver disease, as a result of being chronic carriers of HCV. Being a recipient of blood transfusions prior to 1992, intravenous drug users (IDUs), or persons with multiple sex partners are associated with increased risk for HCV infection. IDUs constitute the largest …

A Systematic Review Examining The Added Value Of Water, Sanitation, And Hygiene Interventions For Preventive Chemotherapy Programs On Reducing The Prevalence Of Trachoma, Anyess R. Travers

Public Health Theses

BACKGROUND: Trachoma is a leading cause of avoidable blindness. Currently, trachoma is endemic in 57 countries, infects approximately 84 million people globally, and continues to threaten over 10 % of the world’s population with the risk of blindness. Caused by the bacteria Chlamydia trachomatis, blindness due to trachoma is caused by repeated eye infection resulting in the inflammation of the upper eyelid eventually leading the upper lid to pull inward scratching and tearing the cornea causing it to become opaque resulting in loss of vision. The World Health Organization recommends eliminating trachoma as a public health problem using the SAFE …

A Proposal For Enhancing And Measuring Infant-Directed Maternal Utterances And Incidental Teaching Within The Safecare® Parent-Infant Interaction Module, Megan O. Smith

Public Health Theses

Child maltreatment is a serious and pervasive public health problem in the United States. In 2008, there were 772,000 children who were substantiated victims of maltreatment and 1,740 children died as a result of maltreatment. Approximately 33 percent of maltreatment victims were under the age of four. Among numerous other negative sequelae, children who have been maltreated have an elevated incidence of language delay and poor cognitive functioning, both strong predictors of literacy skills and later academic achievement. Further, maternal language input is critical to a child’s cognitive development and language acquisition. Maltreating mothers provide their children with far less …

A Spatial And Health Burden Analysis Of Census Tract 85: Implications For Prevention And Intervention, Allison C. Edwards

Public Health Theses

New regulations requiring not-for-profit hospitals to provide documented evidence of charitable care and community benefits provide a unique opportunity for strategic and targeted investment within the given community of the hospital. And with a growing number of uninsured and underserved in the US, the need for tactical community benefits is increasing exponentially. The purpose of this capstone is to pool together the relevant resources and data necessary to guide and inform the decision making process involved in creating prevention and intervention programs tailored specifically to census tract 85. Utilizing several different forms of demographic and health data including Census, Online …

An Examination Of Known Tuberculosis Risk Factors And Their Correlation Across The United States, David Young

Public Health Theses

Background: Globally tuberculosis (TB) is one of the leading causes of mortality. There is scientific evidence of sociodemographic, behavioral and health risk factors associated with TB infection and TB disease. In the United States (US), there is a low endemicity of TB and a goal of TB elimination. Objective: The primary objective of the study was to examine the correlation of TB risk factors at the state level in the US to obtain insights specific to the state of TB in the US. The risk factors examined were diabetes rates, smoking rates, alcohol abuse rates, AIDS rates, foreign-born vs. US-born, …

Characteristics And Etiology Of Moderate-To-Severe Diarrhea Of Acute, Prolonged Acute, And Persistent Duration Among Children Less Than 5 Years Old In Rural Western Kenya, 2008-2010, Katharine A. Schilling

Public Health Theses

Worldwide, diarrheal disease is the second leading cause of death in children under 5 years old. Data on diarrhea of extended duration is limited. We described the characteristics associated with acute, prolonged acute and persistent diarrhea in Kenyan children less than 5 years of age participating in the Global Enterics Multicenter Study. Children presenting at a clinic were enrolled if they met the case definition for acute moderate-to-severe diarrhea defined as >3 loose stools in the last 24 hrs, within 7 days of illness onset, with >1 of the following: sunken eyes, skin tenting, dysentery, IV rehydration, or hospitalization. To …

A Survey Of Georgia Adult Protective Services Staff Regarding Elder Abuse Laws And Policies: Determining Training Needs, Judith Kerr

Public Health Theses

Abstract Background: The aging population is a rapidly growing demographic. Isolation and limited autonomy render many of the elderly vulnerable to abuse, neglect and exploitation. As the population grows, so does the need for Adult Protective Services (APS). This study was conducted to examine current knowledge of Georgia older adult protection laws and to identify training opportunities to better prepare the APS workforce in cases detection and intervention. Methods: A primary survey was developed in partnership with the Georgia Division of Aging Services’ leadership to identify key training priority issues APS caseworkers and investigators. A 47-item, electronic questionnaire was delivered …

An Analysis Of Household-Reported Health Status And Socio-Demographic Characteristics Associated With Adolescent Influenza Vaccination Rates In The United States: 2008 National Immunization Survey-Teen, Lindy Liu

Public Health Theses

Background: Influenza is a highly contagious but preventable acute respiratory illness associated with high morbidity. Seasonal influenza affects approximately 20% to 40% of children and adolescents. Annual influenza vaccination is an effective approach to prevent illness but recent studies suggests that adolescents are underutilizing important preventive health services and that influenza vaccination coverage in high risk adolescents is also suboptimal. The purpose of this study was to examine the association between household reported health status and socio-demographic characteristics of U.S. adolescents who reported receiving an influenza vaccination.

Methods: Data from the 2008 National Immunization Survey were assessed examining various demographic …

Delivery Of Asthma Management Services By A Federally Qualified Health Center In An Urban Setting, Tyra T. Buckley

Public Health Theses

As a chronic disease, asthma presents a significant public health challenge nationally and in Georgia. In 2007, over 22 million people, including over 9 million children, had asthma in the United States. In Georgia, 230,000, or 10% of children have asthma, which is more prevalent among children less than 18 years of age than among adults. While asthma affects people of all ages and socioeconomic status, low income and minority populations have the highest asthma morbidity. This has proven to be the case with residents of Neighborhood Planning Unit V (NPU-V), a low-income minority community located in southeast Atlanta. Children …

Creating A Tobacco-Free Residential Substance Abuse Treatment Facility: A Toolkit For Designing An Effective Intervention, Carrie F. Whitney

Public Health Theses

Individuals with a substance addiction and/or mental illness use tobacco at rates much higher than the general population. Approximately 21% of the U.S. population smokes, yet 40%-80% of substance abuse and mental health patients smoke and consume more than 44% of all the cigarettes sold in the United States each year. As a result, these individuals experience increased tobacco related morbidity and mortality. Tobacco use is common and accepted within this population, and has become a norm even within treatment programs. Only 30%-40% of treatment facilities offer smoking cessation resources, and many organizations are hesitant to address cessation or to …

An Examination Of Foodborne Outbreaks Of Salmonella Enteritidis In The United States, 1973-2008, Ashton P. Wright

Public Health Theses

Salmonella is a common enteric pathogen and is the most frequently reported bacterial infection in the United States. The two most commonly reported serotypes causing human illness in the United States are Salmonella serotype Typhimurium and Salmonella serotype Enteritidis (SE). The incidence and number of foodborne outbreaks of SE started to increase in the 1970s and by 1994, SE was the most common Salmonella serotype reported to the Centers for Disease Control and Prevention (CDC). SE has been most commonly associated with consumption of shell eggs. Outbreak reports were obtained from the Foodborne Disease Outbreak Surveillance System (FDOSS) and analyzed. …

An After School Program To Reduce Teen Violence, Recidivism, And Prepare Teens For The Workplace In Douglas County, Georgia, Christina E. Crane

Public Health Theses

Violence is a leading cause of death and injury for juveniles and is projected to increase in the state of Georgia. Many if not most of these violent acts occur while teens are unsupervised between after school and when guardians return from work. After school programs have been proven effective in improving academic preparation and social skills while also providing adequate supervision. An additional and important component in reducing violence and other high-risk opportunities is related to workplace readiness. However, a review of existing programs concludes that there are currently no programs that contain all three components of academic preparation, …

Examining The Impact Of Development, Tobacco Taxation, And Tobacco Prices On Global Adult Male Smoking Prevalence, Michael Brandon Talley

Public Health Theses

Tobacco use is the leading cause of preventable death in the world. Nevertheless, the global tobacco epidemic continues to spread throughout much of the world, particularly in developing countries. Previous research suggests that smoking status may be associated with a variety of social, economic, and cultural factors. This study examines the impact of development, tobacco taxation, and tobacco prices on estimates of global adult male smoking prevalence. Data for this study was obtained from the United Nations’ Human Development Indices: A Statistical Update, 2008 and the World Health Organization’s Report on the Global Tobacco Epidemic, 2009: Implementing Smoke-free Environments. Global …

The Health Workers Crises In Cameroon, Adidja Amani

Public Health Theses

The physician’s crisis in Cameroon has reached an alarming stage and has the potential to worsen existing health problems including the attainment of millennium development goals. This report emphasized the challenges faced by Cameroonian physicians, and recommended alternative solutions to the current government health workers policies. The report was done through a review of articles and documents covering the topic. At the center of the physician’s crises in Cameroon is the discrepancy between financial, social and professional expectations and what the government offers. The analysis showed that, there is a general dissatisfaction, despite some corrective measures implemented by the government. …

Using Benchmarking Methodology To Evaluate The Effectiveness Of In-Home Parent-Child Interaction Therapy (Pcit), Jessica R. Valente

Public Health Theses

Benchmarking offers community practitioners more systematic judgments about research effectiveness when control groups are not feasible, while also providing a standard for program transportability from clinical to community settings. The purpose of the current study was to outline the necessary decisions, calculations, and strengths and limitations of applying benchmarking methodologies to a behavioral parent training (BPT) program, a field in which benchmarking remains relatively underutilized. The implementation of in-home Parent-Child Interaction Therapy (PCIT), an evidence-based practice shown to be successful in reducing child maltreatment and neglect, was evaluated as a case study of the application of benchmarking. Of those parents …

An Exploratory Examination Of Afghan Women Socio Economic Status (Ses) And Child Health Indicator, Zakia Maroof

Public Health Theses

In this study we used the data from Afghanistan Health Survey 2006. For this study, 8278 households were randomly selected in which 8281 women aged 10-49 years were interviewed by survey teams using a structured questionnaire. The information was also collected for all children aged 5 years or less from all these households. The sample includes 7843 (13.8%) children under the age of 5 years old. Literacy of mothers (ability to read), age of mother at marriage, number of children, exposure to mass media (listening to radio or watching TV) were the independent variables and BCG vaccination, initiation of breastfeeding …

Public Health In Georgia, An Internet Advocacy Tool: A Capstone Project, Patricia B. Garcia

Public Health Theses

Local Public Health programs are at the frontline of Georgia’s struggle to prevent disease, prolong citizens’ lives, and promote health. In recent history it has been observed that both Georgia’s citizens and state government do not completely understand the breadth of the Public Health system and all it beneficiaries. Unfortunately this lack of comprehension about the scope of Public Health programs has lead to a significant decrease in support and funding. This capstone project describes the systematic development of an online educational portal that is a central tool used in the Public Health advocacy campaign in Georgia, “Partner-Up for Public …

Epidemiology Of Adiposity In Childbearing Ghanaian Women, Emma Roselyne Konan Mrs

Public Health Theses

ABSTRACT BACKGROUND: The prevalence of adiposity (overweight and obesity) is increasing in among Ghanaian women. The disparity between urban and rural Ghanaian women in adiposity is seldom described due to data paucity. The purpose of this study was to provide a comparative analysis between urban and rural women in regards to the socio-demographic factors associated with adiposity. METHODS: The analyses used cross-sectional data from the Ghana Demographic Health Survey involving child bearing women ages14 to 49 years old. The eligible population comprised 4848 non-pregnant women (2023 from urban and 2825 from rural areas). Residence-specific (urban versus rural) associations between selected …

Injection Safety Patient Notification Communication Toolkit, Brian J. Panasuk

Public Health Theses

Unsafe injection practices put patients and healthcare providers at risk of infectious disease and have been associated with a wide variety of procedures and settings. Safe Injection Practices are part of Standard Precautions and are aimed at maintaining basic levels of patient safety and provider protections. However, from 1999 - 2009, more than 30 outbreaks of Hepatitis B or Hepatitis C from unsafe injection practices have occurred resulting in more than 150,000 patients being notified of potential exposure.

Breaches in injection safety have the potential to be high profile and sensitive, and although individual incidents may vary, the actions that …

A Comparison Of Methods To Assess Practitioner Fidelity In A Parent-Training Program, Ashwini Tiwari

Public Health Theses

As evidence-based programs are implemented in real world settings, there is a strong need to effectively and efficiently monitor fidelity, or adherence to a program, in order to maintain the expected effects demonstrated in research settings. The purpose of this study was to compare two methods of assessing fidelity to an evidence-based, parent-training model (SafeCare®) as implemented by community service providers. Specifically, analyses compared fidelity assessed via video versus audio recordings. SafeCare modules often require mobility and high interaction, thus, video recordings may provide a more accurate view of home visitor and family interactions for scoring fidelity. However, videos are …

Promoting Older Adults' Health Through Policy, Pamela L. Buckmaster

Public Health Theses

The purpose of this capstone project was to develop the content for an online training module entitled Promoting Older Adults’ Health through Policy. The Centers for Disease Control and Prevention (CDC) Aging and Health Work Group was interested in complementing their workshop, Promoting Older Adults’ Health: Opportunities and Resources for CDC Professionals with an online training module on aging and policy.

This project highlights significant pieces of U.S. legislation that promotes older adults’ health and draws attention to emerging policy, systems, and environmental changes on the horizon. An anticipated short-term outcome is a demonstrated sensitivity to population aging in all …

Health Care Disparities And Chronic Disease Burden: Policy Implications For Ngos, Stella S. Obot

Public Health Theses

The purpose of this capstone is to develop a program to address health literacy among African American adults. The social cognitive theory and the health belief model was used to create a model of an age appropriate, culturally sensitive program with a pre and post test to improve the health literacy in this population. The Community Health Literacy Improvement Program (CHIP) is a pilot program that will consist of a four week didactic intervention focused on combating prose, document, and quantitative health illiteracy. This program will be implemented through a community based nonprofit organization. Participants who complete the CHIP program …

Outcomes Of The Implementation Of The Mental Health Recovery Measure In The Dekalb Community Service Board Population, Sharon H. Davis

Public Health Theses

The relationship between mental health and public health has been debated for decades. But when services are delivered through publically funded mental health clinics, it clearly becomes a public health endeavor. One of the latest trends in mental health service delivery is the recovery concept. Developed in the 1990’s, the recovery concept represents a paradigm shift where successful treatment is defined by self-awareness, self-care, and self-fulfillment. Furthermore, patients are encouraged to assess their own progress in the recovery process. There are currently nine unique assessment tools to measure recovery progress, including the Mental Health Recovery Measure (MHRM), which was used …

Assessment Of Existing Mercury Fact Sheets For Development Of A Revised Mercury Fact Sheet, Subash C. Patel

Public Health Theses

Introduction:

A mercury fact sheet that contains essential information and can be clearly understood by majority of adults is needed. In Fiscal Year 2009, EPA responded to more releases related to mercury than any other release. Since 2003, EPA has responded to more than 200 mercury releases. The American Association of Poison Control Centers estimate more than 50,000 people have been exposed to mercury vapors from 2003 to 2008, and 19,000 mercury cleanups have occurred from 2006 to 2008.

Purpose:

To determine what information needs to be included in a mercury fact sheet and how it should be created to …

Alcohol Misuse And Depressive Symptomology Among Males With A History Of Service In The U.S. Armed Forces, Ashley Davis

Public Health Theses

BACKGROUND: Soldiers face extraordinary circumstances while serving in the U.S. Armed Forces. Soldiers are required at times to live away from family and friends for extended periods of time and work in hazardous environments. Once soldiers become veterans, the experiences of military life may continue to affect them long after their duties have been carried out. These conditions put them at greater risk for alcohol misuse and depression. The purpose of this is to determine whether there is an association between alcohol misuse and depression symptomology among males who have a history of service in the U.S. Armed Forces. METHODS: …

A Comparative Analysis Of The Attitudes Towards People Living With Hiv/Aids Between Haiti And The Dominican Republic, Georges Perrin

Public Health Theses

BACKGROUND: HIV-related stigmatizing attitudes are persistent concerns in developing countries and have been shown to fuel the spread of the epidemics. The purpose of this study is to provide a comparative analysis between Haiti and the Dominican Republic in regards to the population’s attitude towards People Living with HIV/AIDS (PLWHA).

METHODS: Cross-sectional data from the Demographic Health Surveys involving 15,715 Haitians and 55,170 Dominicans from 2005 to 2007 were used. A score of attitudes was established from six items such as the willingness to care for infected relatives, the willingness to buy vegetables from an HIV infected vendor, the perception …

Examining The Influence Of Economic And Political Factors Upon Access To Improved Water And Sanitation In Select African Nations, 2005-2008, Dlorah C. Jenkins

Public Health Theses

Background:Today, 884 million people worldwide lack access to safe drinking water, and 2.6 billion are without access to improved sanitation facilities, with the majority of this burden falling upon citizens of the developing world. The purpose of this study was to determine what influence political and economic factors have upon the availability of improved water and sanitation services in developing nations, with a focus on sub-Saharan Africa.

Methods:Data from the Demographic and Health Surveys of 11 sub-Saharan African nations conducted from 2005-2008 were analyzed using SPSS 18.0. Five WASH-related dependent variables were examined: access to an improved water source, travel …