Public Health Commons^™

Relationships Between Coping Mechanisms And Perceived Stress Of Portland State University Community Members Amidst Covid-19, Julie Goldman

University Honors Theses

Purpose: The purpose of this study was to assess the coping mechanisms used by the Portland State University (PSU) community and their relationships to perceived stress.

Methods: A virtual survey composed of demographic questions, the Perceived Stress Scale (PSS10), the Brief COPE, and two open-ended questions was distributed to the community. Data were collected from 231 respondents, mostly PSU students. Statistical Package for the Social Sciences (SPSS) was used to compute mean PSS score, adaptive coping score, and avoidant coping score. Pearson correlations and t-tests were run to explore the relationship between perceived stress and coping data.

Results: Perceived stress …

A Hidden Crisis During Covid-19: How Have Intimate Partner Violence Screening Guidelines For Pregnant Patients Changed Since The Start Of The Global Covid-19 Pandemic?, Zayba Afshar

University Honors Theses

Introduction: Due to the risks of pregnancy outcomes in relation to IPV and the increased rates of IPV as a result of COVID-19 precautions, health care screening for IPV in the prenatal process is even more imperative for preventing negative healthcare outcomes for both the pregnant patient and children.

Background: Intimate partner violence (IPV) is a significant public health issue that puts both baby and pregnant patients at risk for severe negative healthcare outcomes. Healthcare screening is a tool to find a condition or to learn more about a patient before symptoms become severe.

Methods: Screening for …

The Digital Divide And Health: Examining Digital Access As A Social Determinant Of Health, Elizabeth Melissa Withers

Dissertations and Theses

This dissertation is comprised of three papers that consider ways in which one's level of digital access may impact self-rated health. Data are from multiple years of three separate nationally representative cross-sectional surveys: National Health Interview Survey, General Social Survey, and Health Information National Trends Survey to address the primary overarching research question: Is there an association between digital access and health? The examination of the relationship between digital access and health is situated within a social determinants of health perspective and draws on van Dijk's (2005) causal and sequential model of digital access. Education, income, race and ethnicity, work …

Estimation Of Excess Mortality Rates Among Us Assisted Living Residents During The Covid-19 Pandemic., Kali S. Thomas, Wenhan Zhang, David M. Dosa, Paula Carder, Philip Sloane, Sheryl Zimmerman

Institute on Aging Publications

The devastating effects of COVID-19 among older adults residing in long-term care settings have been well documented.1 Although much attention has been paid to COVID-19–associated mortality in nursing homes,2 less is understood about its effects on assisted living residents. Most assisted living residents are aged 80 years or older and many have multiple chronic illnesses, making them highly susceptible to poor outcomes of COVID-19.3 This study examines the excess mortality among a US cohort of assisted living residents during the COVID-19 pandemic.

Identifying The Cost Of Preventable Chronic Disease In Prison: Can Illness Prevention Of Adults In Custody Save Money?, Molly Bineham

Dissertations and Theses

This study investigates the cost of preventable health problems and ailments when compared to other costs of incarceration. The purpose of this study is to examine the impact of imprisonment on the costliest chronic illness. The health of adults in custody related to the general population and the overall fiscal cost of the deadliest chronic illness among incarcerated adults is discussed. Linear regression is used to analyze the occurrence of heart disease and diabetes among adults in custody while controlling for other factors. The results of this analysis provide insight that chronic diseases like heart disease and diabetes should be …

Men And Oral Health: A Review Of Sex And Gender Differences, Martin S. Lipsky, Sharon Su, Carlos J. Crespo, Man Hung

OHSU-PSU School of Public Health Faculty Publications and Presentations

Sex and gender related health disparities in oral health remain an underappreciated and often over looked aspect of well-being. The goal of this narrative review is to identify sex and gender related oral health disparities by summarizing the current literature related to differences in oral health between men and women. The review identified that men are more likely to: ignore their oral health, have poorer oral hygiene habits, and experience higher rates of periodontal disease, oral cancer, and dental trauma. Men also visit dentists less frequently and compared to women seek oral treatment more often for an acute problem and …

Cra To Inform Health Related Research In Rural Oregon, Christina Jäderholm

OHSU-PSU School of Public Health Annual Conference

Background

To assess five rural Oregon counties’ readiness to take action towards conducting health-related research within their communities, we conducted a Community Readiness Assessment as a process towards reconciling research aims with community priorities and shared resources.

Results were used to guide OHSU’s clinical researchers with plans to implement an exercise-based pilot program for cancer survivors and their partners in Oregon’s rural counties.

Method

The Community Readiness Assessment (CRA) is a validated interviews-based tool for measuring attitudes, knowledge, beliefs and shared resources within communities; Here, as it relates to health-related research. The 36 open-ended questions were administered to 15 community …

An Intervention To Increase Detection Of Developmental Delays In Wic Programs, Mohadeseh Solgi, Julie A. Reeder, Sherri Alderman, Katharine E. Zuckerman

OHSU-PSU School of Public Health Annual Conference

Background: Low-income children are at risk for under-detection of developmental disabilities DD. WIC clinics see low-income children regularly in early childhood and could be an important source of referrals to developmental services.

Objectives: To increase the number of referrals to EI/ECSE from non-primary care settings such as WIC.

Methods: This was a site-randomized trial of an intervention to train WIC staff in early identification of DD’s, using CDC’s LTSAE developmental monitoring materials. 7 county WIC agencies in Oregon enrolled; 4 intervention agencies and 3 control agencies. The intervention consisted of an on-site, half-day training regarding signs of developmental delays, use …

Primary Preeclampsia In A Second Pregnancy: Comparing Outcomes To Illuminate Preeclampsia Etiology, Rebecca Parmenter, Abigail Newby-Kew, Anna Sandstrom, Jonathan Snowden

OHSU-PSU School of Public Health Annual Conference

Previous preeclampsia is a strong predictor of subsequent preeclampsia. There is a noted evidence gap regarding primary preeclampsia among parous women. We will use the Swedish Medical Birth Register to explore risk factors that may contribute to primary preeclampsia in parous women

Urbanization And Mental Health: The Power Of Green Space, Emma Rosenthal

OHSU-PSU School of Public Health Annual Conference

In this presentation, I will review the negative impacts of urbanization on mental health and the positive role of green space on mental well-being. Moreover, I will provide examples of projects being conducted to increase the amount of green space in urban communities.

Examining The Link Between Acculturation And Reproductive Autonomy Among Oregon Latinas: Work In Progress, Sara M. Diaz-Anaya

OHSU-PSU School of Public Health Annual Conference

Authors: Sara Diaz-Anaya, Edlyn Lopez, & Blair Darney PhD, MPH.

Title

Examining the Link Between Acculturation and Reproductive Autonomy Among Oregon Latinas: Work in progress

Background

Reproductive autonomy is defined as the power a woman has over matters such as pregnancy, childbearing, and contraceptive use and is essential to human rights. Acculturation, or how much of the values, practices, and norms of a host culture an immigrant has adopted, may influence reproductive autonomy. The purpose of this study is to test whether acculturation is associated with reproductive autonomy among Oregon Latinas. We hypothesize that highly acculturated women will report …

Covid-19 Impact Survey For Filipinos In Oregon, Maria Theresa D. Dizon, Anthony Ponticello

OHSU-PSU School of Public Health Annual Conference

COVID-19 Impact Survey for Filipinos in Oregon

Data about Filipino populations tend to be obscured when aggregated into the Asian and/or Asian and Pacific Islander category. Filipinos are hit hard by the COVID-19 pandemic and yet there is little information about them. As a result, COVID-19 Impact Survey was developed for Filipinos in Oregon to better understand their needs arising from the COVID-19 crisis. It is modeled after the Massachusetts Department of Public Health’s COVID-19 Community Impact Survey. It has been translated into both English and Tagalog. After finalization of the survey, it has been piloted by National Alliance for …

Quarantine Ethics: From Past To Covid-19, Chrystal Barnes

OHSU-PSU School of Public Health Annual Conference

Quarantines have been a preventative measure for reducing communicable disease spread for centuries. The method of implementation can vary widely and to some extent requires some level of judgement from enforcing powers, often state police power. As such, historically, some quarantines have been unfairly enforced based on discriminatory practices. COVID-19 has brought about the most widespread and extended quarantine in U.S. history, which makes evaluating the ethics all the more critical. In addition, it is well established that COVID-19 impacts have disproportionately caused harm to populations, such as those who are of a low socioeconomic status and people of color. …

Nhanes Iii Mortality Follow Up: Social Determinants Creating Disparity Within The Health Outcomes Of Persons With Diabetes, Claire B. Adams

University Honors Theses

Given the recent research into the social determinants affecting health outcomes, the goal of this thesis is to examine whether a non-urban setting, among other social determinants of health, increases the risk of mortality among the United States diabetic population. We examined the relationship of urban and non-urban diabetes rates among those aged 40-74 years using a national sample of diabetic and nondiabetic Americans. The data was pulled from the Third National Health and Nutrition Examination Survey (NHANES III) which was conducted from 1988 to 1994. After excluding pregnant women, those who did not complete a fasting AM glucose, and …

Community Readiness Assessment: How Ready Is Central Oregon To Foster Resilience, Christina Jäderholm

OHSU-PSU School of Public Health Annual Conference

Overview

Adverse Childhood Experiences (ACEs) has devastating human impact and a major financial burden on the health care system. Fostering resilience in the individual and on the community-level to address this issue is a priority for the Central Oregon communities.

To measure community capacity to address resilience, the Community Readiness Assessment (CRA) was chosen. The assessment results have presented an opportunity for the communities to guide their own efforts through collaboration and reorganizing resources.

Method

The CRA is a validated tool for assessing community capacity. The CRA consists of 36 open-ended survey questions about the community’s attitudes, knowledge, and beliefs …

Get Your Model Out There: Advancing Methods For Developing And Using Causal-Loop Diagrams, Erin Suzanne Kenzie

Dissertations and Theses

As simple visual diagrams of key dynamics in complex systems, causal-loop diagrams could meet known needs in settings such as theory-based program evaluation and qualitative research. Methods for developing and using causal-loop diagrams, however, are underdeveloped. This dissertation comprises three articles that advance these methods. The first paper describes a systematic review of evaluation studies utilizing causal-loop diagramming to illustrate program theory. The second paper pilots an improved method for systematically generating causal-loop diagrams from qualitative data. The third paper presents a protocol for an interview-based approach to mapping mental models. Together, this research contributes to recognizing the modeler as …

Understanding The Impact Of The Sars-Cov-2 Pandemic On Hospitalized Patients With Substance Use Disorder, Caroline King, Taylor Vega, Dana Button, Christina Nicolaidis, Jessica Gregg, Honora Englander

School of Social Work Faculty Publications and Presentations

Background: The SARS-COV-2 pandemic rapidly shifted dynamics around hospitalization for many communities. This study aimed to evaluate how the pandemic altered the experience of healthcare, acute illness, and care transitions among hospitalized patients with substance use disorder (SUD).

Methods: We performed a qualitative study at an academic medical center in Portland, Oregon, in Spring 2020. We conducted semi-structured interviews, and conducted a thematic analysis, using an inductive approach, at a semantic level.

Results: We enrolled 27 participants, and identified four main themes: 1) shuttered community resources threatened patients' basic survival adaptations; 2) changes in outpatient care increased reliance on hospitals …

Distribution And Antibiotic Resistance Profiles Of Salmonella Enterica In Rural Areas Of North Carolina After Hurricane Florence In 2018, Yuqing Mao, Mohamed Zeineldin, Moiz Usmani, Sital Uprety, Joanna Shisler, Antarpreet Jutla, Avinash Unnikrishnan, Thanh H. Nguyen

Civil and Environmental Engineering Faculty Publications and Presentations

The frequency and magnitude of extreme events are increasing globally (Arnell & Gosling, 2016). Inundation, as a result of massive flooding, has the potential to change environmental conditions abruptly, and as a result, add pressure to the metabolism and proliferation of microorganisms (Furtak et al., 2020). The resulting overland flows and additional burden from domestic sewer and septic tank systems during an extreme flood event can introduce pathogens into ecologically unstable water bodies. For example, Yu et al. (2018) reported elevated levels of Escherichia coli and antibiotic resistance genes (ARGs) in river water samples 6 months after flooding in Houston, …

Thematic Content Analysis Of Newspaper Coverage Of The Causes Of The Opioid Crisis, Joseph Daniel Eichenlaub, Essma Nasher

Sociology Faculty Publications and Presentations

This nation pioneered modern life. Now epic numbers of Americans are killing themselves with opioids to escape it”[1]. According to the CDC, In 2017 alone, 47,600 people died from opioid-related overdoses [2]. The current opioid epidemic has developed in three distinct waves. Initially there was a sharp rise in opioid overdoses after doctors began prescribing drugs such as Oxycontin, which they were assured by pharmaceutical companies were less addictive than traditional opiates. The second wave began around 2010, when a rapid …

A Comparison Of Safety, Health, And Well-Being Risk Factors Across Five Occupational Samples, Ginger C. Hanson, Anjali Rameshbabu, Todd Bodner, Leslie Hammer, Diane S. Rohlman, Ryan Olson, Nancy Perrin, Bradley Wipfli, Kuehl S. Kerry, Lindsey Alley, Multiple Additional Authors

OHSU-PSU School of Public Health Faculty Publications and Presentations

Objective: The aim of this study was to present safety, health and well-being profiles of workers within five occupations: call center work (N = 139), corrections (N = 85), construction (N = 348), homecare (N = 149), and parks and recreation (N = 178).

Methods: Baseline data from the Data Repository of Oregon’s Healthy Workforce Center were used. Measures were compared with clinical healthcare guidelines and national norms.

Results: The prevalence of health and safety risks for adults was as follows: overweight (83.2%), high blood pressure (16.4%), injury causing lost work (9.9%), and reported pain (47.0%). Young workers were least …

Shifting Coronavirus Disease 2019 Testing Policy And Research To Include The Full Translation Pipeline, Joseph Catania, Jeffrey Martin, M. Margaret Dolcini, E. Roberto Orellana, Jeffrey Henne

School of Social Work Faculty Publications and Presentations

The current severe acute respiratory syndrome coronavirus 2 testing policy and practice limits testing as a prevention tool. Radical shifts are required to increase the scale of rapid testing strategies and improve dissemination and implementation of venue-based and self-testing approaches. Attention to the full translation pipeline is required to reach high-risk segments of the population.

Decolonizing Healthcare: A Black Feminist Analysis Of Sisters Informing Sisters On Topics Of Aids (Sista), Joy Mutare Fashu Kanu

Dissertations and Theses

This mixed methods project combines the conceptual insights offered by institutional ethnography, the deductive and inductive attributes of content analysis, semi structured interviews, and quantitative data analysis to study Sisters Informing Sisters on Topics of AIDS (SISTA), a social skills training program designed for sexually active, heterosexual African American women. This progressive program serves as a site to examine the complex relationship the U.S. state has had, and continues to have, with marginalized populations, particularly African Americans. The program reveals how the state, through the public health service, partners with scholars, researchers, and community-based organizations to produce, reproduce and perpetuate …

Strategic Management Of Digital Contact Tracing Technologies: Covid-19 And Singapore, Yaya Sirimongkarakorn

Engineering and Technology Management Student Projects

The emergence of the COVID-19 virus and global health pandemic has sparked a rapid need for new digital solutions. Singapore took a strategic lead by paving the path towards innovating digital contact tracing (DCT) technologies to contain the spread of the virus. The nation’s expedited response and model for DCT has shown to be one that many countries can take example from, regardless of experiencing hurdles in gaining sufficient user uptake initially. The concerns surrounding data security and privacy has fueled the movement for DCT technologies. With the vast majority of the population being involved, many aspects need to be …

Dual Panics: A Media Analysis Of Narratives On The Role Of Unauthorized Migration In America's Overdose Crisis, Morgan Godvin

University Honors Theses

Background: The realms of drug policy and immigration policy have long been fueled by misinformation, where sensationalism and panics help shore up political support. Most recently, the "border crisis" has been invoked to explain the "overdose crisis" in mass media narratives. Although the increase in migration is being blamed for illicit drug flows, drug importation occurs primarily through legal points-of-entry. The extent and excess visibility of false narratives linking overdose to migration in mainstream media is unknown.

Methods: We used the Media Cloud ecosystem to compile and characterize mainstream media content published between June 2021 and July 2021 regarding the …

Evaluation Of The Livewell Method: Final Report, Paula Carder, Serena Hasworth, Diana Cater

Institute on Aging Publications

The LiveWell Method uses a practice-based framework to improve the quality of life for people living and working in long-term care settings, including assisted living and memory care. It is designed to improve teamwork, communication, and morale by helping staff organize, track, measure, and improve daily operations. This evaluation is informed by the LiveWell Method’s “bottom-up and top enabled” approach, which engages and empowers direct care staff and administrators to create a more democratic and transparent workplace. In addition, the evaluation included questions to assess LiveWell’s core values, such as creating care innovations, nurturing dignity, creating community, and honoring elders, …

Brief Report: The Impact Of Disease Stage On Early Gaps In Art In The "Treatment For All" Era - A Multisite Cohort Study., Ingrid T. Katz, Nicholas Musinguzi, Kathleen Bell, Anna Cross, Mwebesa Bosco Bwana, Gideon Amanyire, Stephen Asiimwe, Catherine Orrell, David R. Bangsberg, Jessica E. Haberer

OHSU-PSU School of Public Health Faculty Publications and Presentations

Adoption of "Treat All" policies has increased ART initiation in sub-Saharan Africa; however, unexplained early losses continue to occur. More information is needed to understand why treatment discontinuation continues at this vulnerable stage in care.

Aligning Food Environments With Institutional Values: A Mixed Methods Study Of Oregon Health Care Organizations, Elizaveta Walker

Dissertations and Theses

A major driver of the obesity epidemic is obesogenic food environments, characterized by nutrient-poor and energy-dense foods that saturate the collective physical, economic and sociocultural conditions that influence nutritional status. Food environments in organizations such as hospitals and public health agencies warrant special consideration given their health-focused mission. Improving food environments within health care settings has been highlighted by the Centers for Disease Control and Prevention (CDC) as one of seven key strategies to prevent obesity. However, most of the refereed literature examining healthy food environment policies (HFEPs) within hospitals focuses on the inpatient dietary environment, leaving a paucity of …

Smoking Behaviors In Patients Offered Lung Cancer Screening, Sara Elizabeth Golden

Dissertations and Theses

In the United States, smoking causes preventable diseases, including lung cancer, which is the leading cause of cancer deaths. Improving smoking cessation rates is important to decrease lung cancer deaths. Health care visits with a discussion about lung cancer screening (LCS) may help in increasing prevalence of smoking cessation. Importantly, insurers now require clinicians to have a shared decision-making discussion with patients that includes discussion of smoking abstinence before they can receive an LCS scan (i.e., a low-dose computed tomography scan). This discussion may represent a unique opportunity to encourage smoking cessation since it may prompt positive smoking behavior change. …

Provider Perspectives On Persistent Urinary Incontinence Following Obstetric Fistula Repair In Ethiopia, Laura E. Jacobson, Melaku Abriha Marye, Elena Phoutrides, Rahel Nardos

OHSU-PSU School of Public Health Faculty Publications and Presentations

Each year an estimated 50,000 to 100,000 women worldwide are affected by obstetric fistula. This devastating but preventable maternal morbidity leaves women incontinent, stigmatized, isolated, and often with a still birth. While fistula rates in Ethiopia have declined in recent years, estimates range from 7 to 40 percent of women suffer from persistent urinary incontinence after successful closure of their fistula. Few studies have focused on the unique experiences and challenges that providers face treating fistula patients, particularly those who experience persistent urinary incontinence. The goal of this research is to characterize the fistula provider's accounts of how to manage, …

Assisting Students And Families During The Covid-19 Crisis: Diversity & Equity In Action Through A Educator-Family-Community Health Worker Intersection, Eric J. López, Oscar J. Muñoz, Eva Menchaca-López

Northwest Journal of Teacher Education

The current COVID-19 crisis has exposed new and existing issues related to access and equity for our students and families. The following article discusses a model for interconnecting educators, families, and community health workers (CHW) that can integrate diversity and equity for practitioners and educator preparation programs. Integrating CHWs provides a unique opportunity to utilize their cultural responsive skills and knowledge. Implications for practitioners and educator preparation programs are discussed.