Public Health Commons^™

Geographic Variation Within The Military Health System, Linda G. Kimsey, Samuel Olaiya, Chad Smith, Andrew Hoburg, Stuart R. Lipsitz, Tracey Koehlmoos, Louis L. Nguyen, Joel S. Weissman

Health Policy & Management: Faculty Publications (2006-2018)

Background: This study seeks to quantify variation in healthcare utilization and per capita costs using system-defined geographic regions based on enrollee residence within the Military Health System (MHS).

Methods: Data for fiscal years 2007 – 2010 were obtained from the Military Health System under a data sharing agreement with the Defense Health Agency (DHA). DHA manages all aspects of the Department of Defense Military Health System, including TRICARE. Adjusted rates were calculated for per capita costs and for two procedures with high interest to the MHS- back surgery and Cesarean sections for TRICARE Prime and Plus enrollees. Coefficients of variation …

Epidemiology News, Georgia Southern University

Biostatistics, Epidemiology & Environmental Health Sciences: News & Publications (2011-2018)

• Georgia Southern Masters of Public Health Students win First at Rural Health Conference

Environmental Health News, Georgia Southern University

Biostatistics, Epidemiology & Environmental Health Sciences: News & Publications (2011-2018)

• Georgia Southern Examines Immunomodulating Effects of Bacterial Endotoxin

College Of Public Health News, Georgia Southern University

College of Public Health: News & Publications

• Georgia Southern Masters of Public Health Students win First at Rural Health Conference
• Georgia Southern Examines Immunomodulating Effects of Bacterial Endotoxin

College Of Public Health News, Georgia Southern University

College of Public Health: News & Publications

• Georgia Southern Receives Grant to Study Prenatal and Early Childhood Biomass Smoke Exposure and Child Neurodevelopment
• Georgia Southern Recieves Grant to Optimize Care of Adolescents and Adults with Sickle Cell Disease

Community Health News, Georgia Southern University

Health Policy & Community Health: News & Publications (2011-2018)

• Georgia Southern Receives Grant to Study Prenatal and Early Childhood Biomass Smoke Exposure and Child Neurodevelopment
• Georgia Southern Receives Grant to Optimize Care of Adolescents and Adults with Sickle Cell Disease

Factors Associated With The Utilization Of Community Dental Services Among Newly Incarcerated Adults, Whitney C. Graves, Starla Hairston Blanks, Lee S. Caplan, Katherine A. Erwin, Cynthia S. Ditslear, Henrie M. Treadwell

Journal of the Georgia Public Health Association

Background: Given the high rates of risky behaviors and health conditions among incarcerated individuals and the relationship between oral and general health, receipt of quality dental care is essential to the overall health and well-being of this population. However, few recent studies have focused on access to care and the state of oral health among incarcerated populations in the U.S. For the current study, a secondary data analysis was conducted to: 1) assess factors associated with the use of dental services among a newly incarcerated prison population in Georgia and 2) consider barriers related to utilization of dental services pre- …

The Role Of The Dental College Of Georgia In Meeting The Oral Health Needs Of Georgians, Carol A. Lefebvre

Journal of the Georgia Public Health Association

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The Association Between Dental Coverage And Self-Reported Health In Older Adults Jgpha, Frances M. Yang, Solon T. Kao, Jordan S. Lundeen

Journal of the Georgia Public Health Association

Background: For the older population of the United States, lack of dental insurance coverage is a substantial health problem. The purpose of the present study was to examine the longitudinal relationship between dental coverage and self-reported health among older adults.

Methods: The Health and Retirement Study (HRS), a nationally representative biennial cohort study of community-dwelling individuals, includes 19,595 adults (aged 50 and older) living in the United States. For the 2010, 2012, and 2014 waves, the independent variable of dental coverage and the outcome of self-reported health were examined.

Results: At each time point, dental coverage for older adults had …

Std Services Delivery Arrangements In Georgia County Health Departments, Karmen S. Williams, Gulzar H. Shah, Angela Peden, Bill Livingood

Journal of the Georgia Public Health Association

Background: Uniformity, standardization, and evidence-based public health practice are needed to improve the efficiency and quality of services in local health departments (LHDs). Among the highest priority and most common public health services delivered by LHDs are services related to sexually transmitted diseases (STDs) and sexually transmitted infections (STIs).

Objective: The purpose of this study was to examine potential variations in the delivery of sexually transmitted disease (STD) services among county health departments (CHD) in Georgia, to determine if potential variations were due to varied administrative practices, and to understand delivery arrangements so that future cost studies can be supported. …

Increasing Breastfeeding Duration And Exclusivity In A Sample Of Rural Women: A Pilot Study, Joanne Chopak-Foss, Felicia Yeboah

Journal of the Georgia Public Health Association

Background: Increasing breastfeeding exclusivity and duration is an objective of Maternal and Child Health (MICH-21.4 and 21.5) of the Healthy People 2020 initiative. Breastfeeding rates differ considerably between high-income and low-income women.

Methods: This was a pilot project conducted to assess the feasibility of an intervention to increase breastfeeding practices overall and to improve exclusive breastfeeding rates among a sample of rural women enrolled in the Special, Supplemental Nutrition Program for Women, Infants and Children (WIC) in a rural Georgia county. Participants were recruited from the local regional hospital (n=27). Support group meetings were offered over a four-week period and …

Social Networks As Predictors Of Colorectal Cancer Screening In African Americans, Ernest Alema-Mensah, Selina A. Smith, Mechelle Claridy, Victor Ede, Benjamin Ansa, Daniel S. Blumenthal

Journal of the Georgia Public Health Association

Background: Early detection can reduce colorectal cancer (CRC) mortality by 15%–33%, and screening is widely recommended for average-risk adults beginning at age 50 years. Colorectal cancer mortality rates are higher in African Americans than in whites, while screening rates are somewhat lower. Individual social networks can reduce emotional and/or logistical barriers to healthpromoting but distasteful procedures such as CRC screening. The aim of this study was to examine social network interactions, and their impact on CRC screening among African Americans. We hypothesized a positive association between social network index (SNI) scores and CRC screening.

Methods: In a community intervention trial …

A Review Of Strategies To Increase Access To Oral Health Services, Breyanna Davis, Sara Plaspohl

Journal of the Georgia Public Health Association

Background: Leading Health Indicators (LHIs), a subset of objectives for Healthy People 2020, were selected to communicate at-risk health issues and actions that can be taken to address them. Nationally, the number of children, adolescents, and adults who visited the dentist in the past year has decreased, suggesting that oral health continues to be a problem caused by barriers preventing access to oral health services. This review aimed to identify strategies to increase access to oral health services that will be useful in moving toward the LHI objectives.

Methods: Preliminary research was conducted on the LHI via the Healthy People …

Dental College Of Georgia Teams Up With Richmond County Health Department To Help, Nancy Lyn Wilson, Mark Peacock, Christopher Cutler, Jamie De Stefano

Journal of the Georgia Public Health Association

Background: The Central Savannah River Area remains, for many of the poor, a dental health care shortage area. Each year, from December to March, fourth-year dental students perform outreach with faculty to search the community for unmet dental needs, including dental caries and periodontal disease, the treatment of which is required for the Central Regional Dental Testing Service (CRDTS) Exam, the dental licensing examination.

Methods: Fourth year students at the Augusta University Dental College of Georgia recruit patients for free dental pre-screenings at health fairs, community centers, the Barnyard Flea Market, and the dental school. Persons with periodontitis are invited …

Use Of A Teledentistry Partnership Program To Reach A Rural Pediatric Population, Tara E. Schafer, Bruce Riggs

Journal of the Georgia Public Health Association

Background: Teledentistry is “the practice of using video-conferencing technologies to diagnose and provide advice about treatment over a distance.” Teledentistry has been defined as “the practice of using video-conferencing technologies to diagnose and provide advice about treatment over a distance.” This report describes the partnership of two rural Georgia public health districts. Augusta University Dental College of Georgia’s Department of Pediatric Dentistry partnered with a private practice dentist in Georgia with the goal of increasing access to care.

Methods: A partnership was created that allowed dentists in a remote location to triage dental patients seen in a school-based clinic.

Results: …

Community Engagement To Address Socio-Ecological Barriers To Physical Activity Among African American Breast Cancer Survivors, Selina A. Smith, Mary S. Whitehead, Joyce Q. Sheats, Brittney Chubb, Ernest Alema-Mensah, Benjamin E. Ansa

Journal of the Georgia Public Health Association

Background: With high rates of obesity, low levels of physical activity (PA), and lack of adherence to physical activity guidelines (PAGs) among African American (AA) breast cancer survivors (BCSs), culturally appropriate interventions that address barriers to participation in PA are needed.

Methods: To develop intervention content, members of an AA breast cancer support group participated in four 1-hour focus group discussions (related to the barriers to PA, strategies for overcoming them, and intervention content), which were audiotaped, transcribed, and analyzed.

Results: The support group collaborated with researchers to construct the Physical Activity Intervention Developed (PAID) to Prevent Breast Cancer, a …

Hspm 7333 (Section A) Crn 18906, Julie Reagan Phd,Jd,Mph

College of Public Health: Faculty Syllabi (2014-2021)

This course pertains to the management and governance of healthcare organizations by Trustees or Boards of Directors.

Dental Students Develop Program Addressing Geriatric Oral Health At Local Nursing Home, Nancy Lyn Wilson, Katherine Ciarrocca

Journal of the Georgia Public Health Association

Background: The elderly, especially those who reside in institutions and have a minority or low-income background, often have unmet oral health needs. As life expectancy increases, so will the need for oral health providers skilled in addressing the unique challenges presented by geriatric patients.

Methods: Dentists for Della is a student organization at the Dental College of Georgia that aims to improve the oral health status of residents at the Georgia War Veterans Nursing Home (GWVNH) in Augusta, Georgia. The students conduct fundraising activities so that third and fourth year students can provide needed dental treatment at no cost to …

Recognizing And Addressing The Oral Health Needs Of Georgia, Carole Hanes, Ketarya Hunt, Stephanie Perry

Journal of the Georgia Public Health Association

Background: The intent of this report is to provide an assessment of oral health needs for Georgia and to highlight the efforts underway at the Dental College of Georgia (DCG) at Augusta University to address these needs. In underserved areas of Georgia, the burden of untreated oral disease remains high. Because of in-migration and the inadequate availability of educational programs, the population continues to grow faster than the number of health care providers.

Methods: An overview of the oral health needs in Georgia is provided, along with a review of the ongoing outreach by the DCG to address those oral …

Using The Roc Curve To Measure Association And Evaluate Prediction Accuracy For A Binary Outcome, Jingjing Yin, Robert L. Vogel

Biostatistics: Faculty Publications

This review article addresses the ROC curve and its advantage over the odds ratio to measure the association between a continuous variable and a binary outcome. A simple parametric model under the normality assumption and the method of Box-Cox transformation for non-normal data are discussed. Applications of the binormal model and the Box-Cox transformation under both univariate and multivariate inference are illustrated by a comprehensive data analysis tutorial. Finally, a summary and recommendations are given as to the usage of the binormal ROC curve.

Epidemiology News, Georgia Southern University

Biostatistics, Epidemiology & Environmental Health Sciences: News & Publications (2011-2018)

• Georgia Southern study shows number of obese adults trying to lose weight is decreasing

College Of Public Health News, Georgia Southern University

College of Public Health: News & Publications

• Understanding Obesity and Self-Esteem:What your weight in middle School says about you now.
• Georgia Southern study shows number of obese adults trying to lose weight is decreasing

Community Health News, Georgia Southern University

Health Policy & Community Health: News & Publications (2011-2018)

• Understanding Obesity and Self-Esteem: What Your Weight in Middle School Says about You Now
• Georgia Southern study shows number of obese adults trying to lose weight is decreasing

I Am More Than My Label, Taylor L. Teichman, Enid Melendez

National Youth Advocacy & Resilience Conference

This workshop will offer experiential activities for youth allies to explore the foundational intersections between LGBTQ youth experiencing homelessness and sexual violence. Introducing a framework of concrete tools, participants will identify at least three core resiliency factors of LGBTQ youth and be able to identify at least three concrete components for fostering community-wide support for these youth.

Environmental Health News, Georgia Southern University

Biostatistics, Epidemiology & Environmental Health Sciences: News & Publications (2011-2018)

• Georgia Southern Receives Grant to Survey Mosquito Control Capacity

Epidemiology News, Georgia Southern University

Biostatistics, Epidemiology & Environmental Health Sciences: News & Publications (2011-2018)

• Georgia Southern Examines Sleep in Families with Children

College Of Public Health News, Georgia Southern University

College of Public Health: News & Publications

• Georgia Southern Examines Sleep in Families with Children
• Georgia Southern Receives Grant to Survey Mosquito Control Capacity

Using Ranked Auxiliary Covariate As A More Efficient Sampling Design For Ancova Model: Analysis Of A Psychological Intervention To Buttress Resilience, Rajai Jabrah, Hani Samawi, Robert Vogel, Haresh Rochani, Daniel Linder

Biostatistics: Faculty Publications

Drawing a sample can be costly or time consuming in some studies. However, it may be possible to rank the sampling units according to some baseline auxiliary covariates, which are easily obtainable, and/or cost efficient. Ranked set sampling (RSS) is a method to achieve this goal. In this paper, we propose a modified approach of the RSS method to allocate units into an experimental study that compares L groups. Computer simulation estimates the empirical nominal values and the empirical power values for the test procedure of comparing L different groups using modified RSS based on the regression approach in analysis …

College Of Public Health News, Georgia Southern University

College of Public Health: News & Publications

• Georgia Southern Examines Markov Chain Monte-Carlo Methods for Missing Data User Under Ignorability Assumptions
• Georgia Southern Explores Improving the Efficiency of the Monte-Carlo Methods for Missing Using Ranked Simulated Approach

Environmental Health News, Georgia Southern University

Biostatistics, Epidemiology & Environmental Health Sciences: News & Publications (2011-2018)

• Georgia Southern Receives $15,000 grant to Study Reference Collection of Borrelia
• Georgia Southern Receives Grant to Study Nanoparticle Levels and Field Evaluation of N-95 Respirator Masks in Construction Sites