Public Health Commons^™

Incidences Of School-Based Anti-Gay And Gender-Related Bullying: Differences Across Levels Of Education, Evan Mcewing, Joseph M. Zolobczuk, Kiet D. Huynh, Ariel A. Gonzalez, Debbiesiu L. Lee

Florida Public Health Review

Anti-gay and gender-related bullying and harassment are pervasive public health problems found in schools and are correlated with negative mental health and educational outcomes for students. This study examines the differences in the forms and prevalence of anti-gay and gender-related bullying with students from middle school, secondary, and post-secondary institutions. This information can assist researchers and practitioners in better understanding the prevalence of anti-gay verbal versus physical harassment at particular education levels. The sample comprised 7,007 participants. Multivariate analysis of variance was used to examine differences across levels of education, race/ethnicity, and gender on the 9-item Gender and Orientation Attitudes …

Interdisciplinary Academic And Community Partnerships To Promote Child Well-Being At School: The Outdoor Classroom, Erin Largo-Wight, Katrina Hall, Caroline Guardino

Florida Public Health Review

This community-based participatory research (CBPR) project involved academic-community partners working together to design, build, and implement an outdoor classroom at a local elementary school to improve the school environment and foster child health and learning. A two-week pilot period took place prior to implementation and formative research was gathered. The formative research findings revealed that the school partners had initial concerns with the environmental conditions and outdoor classroom space, timing of the program within the school day, and materials in the outdoor classroom. The concerns were reported and addressed. The participating teachers completed a survey and reported satisfaction with the …

Trends In The Hiv Epidemic Among Men Who Have Sex With Men In Miami-Dade County, Florida, 2004-2014, David W. Forrest, Gabriel Cardenas, Charlene S. Dodson, Lisa R. Metsch, Marlene Lalota, Emma Spencer

Florida Public Health Review

Miami, Florida has a large population of Hispanic and black men who have sex with men (MSM), a population more likely to become HIV infected than white MSM. We present here HIV behavioral trends in this population that reflect the effects of public health prevention in Miami over a 10-year period. Using National HIV Behavioral Surveillance (NHBS) data of MSM in Miami-Dade County, Florida, in 2004-05, 2008, 2011 and 2014, chi-square trend analyses were used to assess the epidemiologic trends related to HIV infection rates, HIV testing rates, undiagnosed HIV infection, use antiretroviral therapy (ART) and access to HIV care. …

A Study Of Employment Outcomes Among Technical And Vocational Secondary Education Graduates In Egypt [Arabic], Salma Nasser, Ali Rashed

Poverty, Gender, and Youth

In Egypt, some 450,000 students graduate from technical and vocational schools each year. Yet just over 50 percent are employed immediately following their graduation. This brief explores the kinds of jobs that are available to these graduates, and the factors that affect the remaining 50 percent who do not join the work force. The report aims to understand the types of training that best prepare students for the available jobs, differences in opportunities for male and female graduates, and connections between work and the home and/or community circumstances that may hinder employment. The report offers recommendations for improving the education …

Adolescent Girls Empowerment Program (Agep): Endline Results—Executive Summary, Population Council

Poverty, Gender, and Youth

Adolescent girls in Zambia face a range of risks and vulnerabilities that challenge their healthy development from girls into young women, and they often lack the social, health, and economic assets that are necessary to mitigate these risks. The issues that confront vulnerable girls—high rates of gender-based violence, unsafe sex that puts girls at risk for unwanted pregnancies and HIV infections, school dropout, lack of economic resources and income-generating options, and lack of agency and participation—are interdependent and have similar causes. The vulnerabilities confronting Zambian adolescent girls formed the basis for designing the Adolescent Girls Empowerment Program (AGEP), which 1) …

Adolescent Girls Empowerment Program (Agep): Financial Literacy And Savings—Two-Year Follow-Up, Karen Austrian, Erica Soler-Hampejsek, Natalie Jackson Hachonda, Paul C. Hewett

Poverty, Gender, and Youth

Through the Adolescent Girls Empowerment Program (AGEP), the Population Council and partners implemented a social, health, and economic asset-building program in Zambia for over 11,000 vulnerable adolescent girls aged 10–19 years. The AGEP intervention was comprised of three major components: 1) weekly safe spaces groups in which girls met once a week for two years for training on sexual and reproductive health, life skills, and financial education; 2) a health voucher that girls could use at contracted private and public facilities for general wellness and sexual and reproductive health services; and 3) a savings account that was designed by the …

Adolescent Girls Empowerment Program (Agep): Health, Karen Austrian, Erica Soler-Hampejsek, Natalie Jackson Hachonda, Paul C. Hewett

Poverty, Gender, and Youth

The Adolescent Girls Empowerment Program (AGEP) intervention was conducted over two years to support more than 11,000 vulnerable adolescent girls in Zambia. It was led by the Population Council in partnership with the Young Women’s Christian Association of Zambia (YWCA), the National Savings and Credit Bank of Zambia (Natsave), and the Government of Zambia. To assess the impact of AGEP on mediating and longer-term demographic, reproductive, and health outcomes, Population Council researchers designed and implemented a longitudinal, cluster randomized controlled trial across all program areas. This brief presents the final AGEP findings, highlighting, in the Zambian context, what can be …

Adolescent Girls Empowerment Program (Agep): Nutrition, Paul C. Hewett, Amanda L. Willig, Jean Digitale, Erica Soler-Hampejsek, Natalie Jackson Hachonda, Jere R. Behrman, Karen Austrian

Poverty, Gender, and Youth

Adolescence is a critical period in the lives of young people and potentially a time to reap lasting benefits from interventions that improve general, sexual, nutritional, and maternal and child health. The government of Zambia is committed to improving the nutritional status of adolescents and pregnant women and their children. Nonetheless, adolescent girls in Zambia remain at risk for macro- and micro-nutrient deficiencies that have deleterious effects on growth, development, and maternal and child health. The Adolescent Girls Empowerment Program (AGEP) nutritional curriculum, developed in partnership with PATH, was tailored to provide age-appropriate information and covered six sessions on nutrition. …

Adolescent Girls Empowerment Programme: Endline Technical Report, Karen Austrian, Erica Soler-Hampejsek, Paul C. Hewett, Natalie Jackson Hachonda, Jere R. Behrman

Poverty, Gender, and Youth

The theory of change behind the Adolescent Girls Empowerment Program (AGEP) posited that adolescent girls are empowered by building social, health, and economic assets that they can then draw on to reduce vulnerabilities and expand opportunities. In the long term, they will then increase their likelihood of completing school, delaying sexual debut, and reducing risks of early marriages, unintended pregnancies, acquisition of HIV, and other possibly detrimental outcomes. This endline report indicates that, while there were some changes for the program participants in the medium and long term, they did not translate into longer-term effects on reproductive and demographic outcomes …

Climate Change, Resilience, And Population Dynamics In Pakistan: A Case Study Of The 2010 Floods In Mianwali District, Zeba Sathar, Muhammad Khalil, Sabahat Hussain, Maqsood Sadiq, Kiren Khan

Poverty, Gender, and Youth

In 2010, Pakistan experienced massive flooding that went on uninterrupted for more than eight weeks, and seriously affected more than 20 million people. This study explores the effects of the floods on one of the most adversely affected districts, Mianwali, in Punjab province. The study focuses on four areas pertaining to resilience: movements and migration processes; shifts in poverty levels and living conditions; changes in livelihood activities; and health-seeking behavior, particularly fertility-related processes. This study highlights the need to include demographic and health information in the analysis of natural disasters. The report marks the beginning of a research agenda that …

Marriage And Sexual And Reproductive Health Of Rohingya Adolescents And Youth In Bangladesh: A Qualitative Study, Sigma Ainul, Iqbal Ehsan, Eashita Haque, Sajeda Amin, Ubaidur Rob, Andrea J. Melnikas, Joseph Falcone

Poverty, Gender, and Youth

This qualitative study focuses specifically on displaced Rohingya adolescents and youth (ages 14–24) and explores how the crisis has impacted their sexual and reproductive health (SRH), marriage practices, safety and security, and related attitudes and aspirations. This research aims to identify approaches to improve adolescents’ knowledge of SRH issues and their access to and uptake of services, and to identify gaps in programming knowledge and practice. Findings from this formative research and recommended actions will help the Government of Bangladesh, donors, and other relevant stakeholders to mobilize resources and deliver SRH services in a more organized and efficient way and …

Pedaleando Hacia El Futuro: Una Oportunidad Para Incrementar Y Mantener La Asistencia Escolar De Niñas Adolescentes Encomunidades Indígeneas Del Árearural En Guatemala, Paola Broll

Poverty, Gender, and Youth

Population Council Guatemala, con el apoyo de UNFPA y otros donantes, desarrolló la estrategia de expansión y escala de Abriendo Oportunidades (AO) a través de conglomerados geográficos con abordaje ecológico. La provisión de 250 bicicletas fue un componente adicional de AO para probar su efectividad en el aumento de movilidad y la asistencia escolar en cuatro municipios guatemaltecos. Este reporte describe como el proyecto fue exitoso en el aumento de la movilidad, reinserción, y finalización del ciclo escolar 2017 de sus participantes. Los resultados muestran como la dotación de las bicicletas incrementó en 24% la reinserción escolar del ciclo 2016 …

Pedaling Toward The Future: Increasing And Maintaining The School Attendance Of Adolescent Girls In Indigenous Communities Of Rural Guatemala, Paola Broll

Poverty, Gender, and Youth

Population Council Guatemala, with the support of UNFPA and other donors, developed a strategy of expansion and scale up of Abriendo Oportunidades (AO) through geographic conglomerates with an ecological approach. They provided 250 bicycles as an additional component of AO to assess its effectiveness in increasing mobility and school attendance in four municipalities in Guatemala. This brief describes how the project was successful in increasing mobility, reinsertion, and completion of the 2017 school year among its participants. Results show that the provision of bicycles to adolescents participating in the Abriendo Oportunidades program increased school reintegration from the 2016 cycle to …

Skill Retention After School-Leaving: Analysis Of Data From The Malawi Schooling And Adolescent Study, Erica Soler-Hampejsek, Barbara Mensch, Stephanie Psaki, Monica J. Grant, Christine A. Kelly, Paul C. Hewett

Poverty, Gender, and Youth

The skills young people develop in school provide an essential foundation that can either be reinforced or deteriorate depending on the strength of the foundation and opportunities after leaving school. This brief describes findings from an analysis of a longitudinal data set of Malawian adolescents aged 14–17 attending school when first interviewed in 2007. The study investigated whether literacy and numeracy skills at school-leaving—among those who dropped out before completing secondary school—were retained several years after. Results show a significant gender difference in skill level after school-leaving for English skills, even after controlling for initial skill level and grade attainment, …

Community-Level Assessment Of Droughts In Odisha: Effects, Resilience, And Implications, Sangram Kishor Patel

Poverty, Gender, and Youth

India has been severely affected by drought—one-third of the country is either drought-prone or classified as desert. Odisha’s geographic location makes it vulnerable to various natural disasters and climatic risks so the Population Council conducted a study there to explore the impact of drought on people and their resilience, as well as examine the perceptions of state-level infrastructure and institutional initiatives to strengthen responses to droughts. The study found that farmers, laborers, and the poor are severely affected physically, financially, and psychologically as a result of consecutive droughts that have affected agriculture and livelihoods. The report notes a number of …

Community-Level Assessment Of Floods And Cyclones In Coastal Odisha, India: Impact, Resilience, And Implications, Sangram Kishor Patel

Poverty, Gender, and Youth

India is among the countries that have been severely affected by both floods and cyclones. In 2012, the Government of India estimated that nearly 12 percent of India’s land is prone to floods and river erosion. The Population Council conducted formative research in the state of Odisha to explore the people’s perceptions on impact and resilience to cyclones and floods, and to examine the state-level infrastructure and institutional initiatives to strengthen responses to these events. Findings reported in this brief indicate that flooding and cyclones have had a disproportionate affect on vulnerable groups, including women, children, the elderly, and disabled …

The Effects Of Recreational Marijuana Legislation On The Opioid Epidemic In Washington State, Steven Dickerson

CMC Senior Theses

This paper analyzes the impact of the 2012 legalization of recreational marijuana in Washington State on opioid abuse. Using synthetic control methodology, this paper finds that the legislation prevented 638 overdose deaths and lead to over 3,600 individuals seeking treatment for opioid abuse disorders. Due to the large health, social, and economic impacts of the opioid epidemic, further research should be conducted into ways to reduce the number of opioid prescriptions, the number of opioid overdoses, and opioid abuse generally.

The Effect Of Fast Food Restaurants On Type 2 Diabetes Rates, Grace Bailey

CMC Senior Theses

This paper conducts an analysis of county level data to determine the effect of fast food restaurants on type 2 diabetes rates. Due to endogeneity concerns with respect to the location of fast food restaurants, this paper follows the work of Dunn (2010) and uses the number of interstate exits in a given county to serve as an instrument for fast food restaurants. The strength of the instrument, which is theoretically and empirically tested in this paper, imposes some restraints on the interpretation of the findings. Using the Two-Stage Least Squares estimation method, I find that the presence of fast …

Black Males, Trauma, And Mental Health Service Use: A Systematic Review., Robert Motley, Andrae Banks

Brown School Faculty Publications

Objective: To systematically review the evidence of and synthesize results from relevant studies that have examined barriers and facilitators to professional mental health service use for Black male trauma survivors ages 18 and older.

Methods: A thorough search of selected databases that included EBSCO, ProQuest, and Web of Science Core Collection and careful consideration of inclusion and exclusion criteria yielded a final six studies for detailed review.

Results: Black male trauma survivors were significantly less likely to be utilizing mental health services than other sex-ethnic groups. High levels of daily crises, a lack of knowledge of steps to …

Risk In Privacy Breach Determination: The Application Of Prospect Theory To Healthcare Privacy Officers, Amanda Walden

Electronic Theses and Dissertations

A significant concern in healthcare is that of patient privacy and how organizations protect against unauthorized access to protected health information. The federal government has responded by instituting policies and guidelines on requirements for protection. However, the policy language leaves areas open to interpretation by those following the guidelines. Reporting to the Office for Civil Rights and/or the patient can open an organization to risk of financial and possible criminal penalties. There is a risk of harm to their reputation which could impact patient visits and market share. Therefore, Privacy Officers might view risk in different ways and therefore handle …

The Morality Of Compulsory Licensing As An Access To Medicines Tool, Margo A. Bagley

Faculty Articles

This Article contemplates the validity of theft rhetoric in relation to the right of countries to grant compulsory licenses from an unconventional perspective; that of biblical teachings on what it means to steal.

Part I describes the use of theft rhetoric in relation to IP infringement broadly and drug-patent compulsory licenses in particular.

Part II challenges the contention, suggested by theft rhetoric, that compulsory licenses are morally wrong as a form of stealing, by considering the meaning of theft in the context of its Judeo-Christian origins.

Part III considers the cogency of the accusation that the issuance of compulsory licenses …

Understanding Perceptions Of Child Maltreatment Risk: A Qualitative Study Of Early Head Start Home Visitors, Alayna Schreier, Kelsey Mccoy, Mary F. Flood, Brian Wilcox, David J. Hansen

Department of Psychology: Faculty Publications

Infants and toddlers enrolled in Early Head Start are at increased risk for child maltreatment. Within Early Head Start, home visitors are in a unique position to identify the families most likely to experience maltreatment by identifying characteristics and behaviors of children, caregivers, families, and environments that are of concern. However, research has demonstrated that home visitors are often ill-equipped to identify and address risk factors such as parental mental health concerns, substance abuse, and domestic violence. Further, little is known about how home visitors understand and perceive risk for maltreatment and identify vulnerable families. The study sought to identify …

Ethics And Cost-Effectiveness Of Naloxone, Allison Groch

Augustana Center for the Study of Ethics Essay Contest

This essay discusses the ethical components involved with using, distributing, and making naloxone readily available for reversing opioid overdoses. The cost-effectiveness of naloxone is also discussed as a reason why naloxone should be widely used in order to help fight the opioid epidemic.

Examining The Credentials Of Food Bloggers And The Online Environment Of Food Blogs, Jessica Coburn

Master's Theses and Doctoral Dissertations

This study evaluated characteristics of food blogs and food bloggers that potentially affect food choices. It was hypothesized that most food bloggers would not have a nutrition-related degree and food blog environments wouldn’t be supportive of health-conscious food choices. A cross-sectional study was conducted using a novel evaluation tool on 187 blogs, out of which 100 blogs met inclusion criteria. Because some blogs had multiple bloggers, two samples were investigated: 111 bloggers (n1 = 111) and 100 food blogs (n2 = 100). Data were gathered from a randomized list of blogs taken from americanfoodbloggers.com. Results showed that 6% of bloggers …

Intimate Partner Violence: A Systematic Literature Review, Shailynn Shipley

All Graduate Theses, Dissertations, and Other Capstone Projects

Intimate partner violence (IPV) and domestic violence have devastating effects on the health and well-being of people exposed to abuse. It is known that up to 75% of IPV episodes occur after a woman leaves her abuser, and women who seek help are most likely to suffer aggravated assaults or murder when trying to leave an abusive relationship (Cook & Nash, 2017). IPV screening has been well-studied as evidenced by the prolific research literature, however a synthesis of primary care actions that support the safety and well-being of women experiencing IPV is lacking. This systematic review compares traditional primary care …

Children And Adolescents At Risk Of Drug Addiction, Doreen Nambafu, Mahmoud Sabry, Maha Tantawy

Papers, Posters, and Presentations

This paper was commissioned to examine the reasons beyond the increasing rate of drug abuse and addiction among children and adolescents in Egypt since 2004 and to recommend policy alternatives to tackle the problem.

لأطفال والمراهقون المعرضون لخطر إدمان المخدرات, Doreen Nambafu, Mahmoud Sabry, Maha Tantawy

Papers, Posters, and Presentations

This paper was commissioned to examine the reasons beyond the increasing rate of drug abuse and addiction among children and adolescents in Egypt since 2004 and to recommend policy alternatives to tackle the problem.

1.5/2nd Generation Vietnamese-Americans And Their Health Beliefs And Attitudes, Theresa Dang

Pitzer Senior Theses

Vietnamese immigration is distinct from other Asian/Pacific Islander groups in its context – the bulk of Vietnamese immigration was not of educational, economic, or career opportunity, but a diaspora. After the Fall of Saigon during the Vietnam War, Vietnamese immigrants faced extreme adversities and trauma as they fled to neighboring countries. Understanding the context and history of Vietnamese immigration plays a huge role in the acculturation process, management of health, and ability to navigate institutions among these families. As these immigrant families learn to survive in a new country, they also must face and heal from the emotional, psychological, and …

Targeting Internal Publics During The 2014 Ebola Outbreak: An Analysis Of Kaiser Permanente’S Crisis Communication Strategy, Ingrid S. Greene, Denise P. Ferguson

International Crisis and Risk Communication Conference

Issues management in today’s quickly changing world can be complex and unpredictable, and in the case of the spread of Ebola, carry lethal implications. Kaiser Permanente (KP) faced a potential internal crisis due to the involvement of medical staff during the spread of the disease in the United States. In addition, KP needed to ensure the safety of the patients the healthcare provider serves. This case study examines how the corporate communications team at KP in Southern California communicated the necessary messages during this crisis in the U.S. in the fall of 2014. The methodology of this case is a …

Work And Family Conflict: A Comparative Analysis Among Staff Nurses, Nurse Managers, And Nurse Executives, Amanda Raffenaud

Electronic Theses and Dissertations

The nursing workforce increasingly faces issues that affect clinical and managerial practice. One such issue is work-family conflict (WFC) and family-work conflict (FWC). Nurses face role strain as they confront the pressures from often competing work-and-family roles. This study assessed WFC/FWC among varying nurse roles: staff nurses, managerial nurses, and nurse executives. A random sample of 5,000 nurses, generated from registered nurses practicing in the state of Florida, was surveyed for this research study. Nurses were surveyed on demographics, perceptions regarding the work environment, and perceptions of WFC/FWC. Descriptively, nurses experienced more work-family conflict than family-work conflict. Regression analyses and …