Public Health Commons^™

Using Observations From The Uaw-Ford Ergonomic Assessment Tool To Predict Low Back Musculoskeletal Disorders, Colins Nwafor

USF Tampa Graduate Theses and Dissertations

Musculoskeletal disorders of the low back are common injuries found in many work environments. Some of the risk factors that workers experience include the weight of object being lifted during a task, frequency, duration, posture, distance the object is lifted, how well the worker can grasp the object, and the degree to which the worker may have to twist and turn their body during a lift. There are many tools that have been developed that are used to assess risk of a worker developing low back pain. The purpose of this study is to determine if the UAW-Ford Ergonomic Surveillance …

The Role Of Threat And Efficacy In Anti-Vaping Ads: A Test Of The Extended Parallel Process Model, Ryan Noone

USF Tampa Graduate Theses and Dissertations

Often thought of as a safer alternative to traditional cigarettes, electronic cigarette use among youth and young adults has steadily increased over the past 10 years. With over 34 percent of high school students and over 7.8 percent of young adults using electronic cigarettes, organizations like the CDC and the FDA have created campaigns and advertisements to combat the epidemic (Truth Initiative). This study uses a 2x2 between subject factoral experiment to gain insights into how varying levels of anti-vaping advertisements’ threat and efficacy elements effect college age students’ perceptions and behaviors towards e-cigarettes. While several of the study’s hypotheses …

Do Similar Exposure Groups (Seg) Differ From Air Force Base To Air Force Base? A Combat Arms Training And Maintenance (Catm) Noise Exposure Comparison Of Moody Afb And Macdill Afb., Miriam F. Escobar

USF Tampa Graduate Theses and Dissertations

Noise is a common hazard for the military. The Department of Defense has set an Occupational Exposure Limit for noise at 85 dBA. The Air Force manages exposures using similar exposure groups (SEGs) which are formed at each Air Force Base. The purpose of this study was to compare the noise levels in SEGs in two Air Force bases across distance and time, and to review the effectiveness of the Air Force Hearing Conservation Program over distance and time. The SEGs chosen were Combat Arms Training and Maintenance (CATM) at Moody Air Force Base and MacDill Air Force Base because …

Non-Invasive Sex Determination And Genotyping Of Transgenic Brugia Malayi Larvae, Santiago E. Hernandez Bojorge

USF Tampa Graduate Theses and Dissertations

Lymphatic filariasis is a very painful and disfiguring helminth disease caused by the tissue nematodes Wuchereria bancrofti, Brugia malayi, and Brugia timori. This parasitosis is considered a Neglected Tropical Disease and it is a major public health burden for 72 tropical countries of Africa, Southeast Asia, the Caribbean, and South America. Despite the effectiveness of many control programs, there remains the need to develop new pharmacological agents to treat lymphatic filariasis, as most programs rely on a limited variety of drugs that are expensive, logistically difficult to obtain, and can lead to drug resistance. The Clustered Regularly Interspaced Short Palindromic …

‘It’S Been A Huge Stress’: An In-Depth, Exploratory Study Of Vaccine Hesitant Parents In Southern California, Mika Kadono

USF Tampa Graduate Theses and Dissertations

In 2015, the US experienced a widespread measles outbreak that originated at Disneyland, California and spread to six other states, Mexico, and Canada. That year, California passed Senate Bill 277 (SB 277), which eliminated the personal belief exemption for vaccinations required for school entry; California became the third state in the country to eliminate nonmedical exemptions. In 2019, Washington, Maine, and New York followed suit eliminating all nonmedical exemptions amid the largest measles outbreak in the US in 25 years. Many countries, including the US, are experiencing a rise in vaccine preventable diseases due, in part, to increasing vaccine hesitancy, …

The Covid-19 Pandemic And The Power Of Numbers, Jessica Ancker

Numeracy

The COVID-19 pandemic has produced a deluge of news coverage of quantitative concepts. In this viewpoint, we provide examples of effective and poor quantitative communication by the professional news media as well as social media communicators. Effective examples include a number of online animations and engaging interactive simulations. Examples of poor quantitative communication include the widespread reporting of raw numbers rather than rates, failing to address uncertainty, not providing sufficient context for numbers, and not discussing the implications of false negative and false positive diagnostic test results. Educators can draw from this body of news to develop compelling quantitative literacy …

“They Will Think We Are The Cancer Family”: Studying Patterns Of Cancer Disclosure And Communication Among Indian Immigrants In The United States, Kanan Mehta

USF Tampa Graduate Theses and Dissertations

Studies of Indian immigrants in Western countries show that the rates of cancer increase significantly within a generation in the host country. The negative social perceptions associated with health outcomes of cancer often perpetuate limited disclosure regarding the diagnosis of cancer among patients and families. This can result in disrupted communication in clinical settings, while causing increased stress among patients and caregivers. These findings demonstrate the need for studying lived experiences of cancer-related illness and its impacts on social relationships in the domestic and public sphere.

This study explored cancer disclosure and communication among Indian immigrants in the United States …

Differences In Knowledge Acquisition, Perceived Engagement And Self-Efficacy In Latino Promotores Delivering The Heart Disease Prevention Program Su Corazόn, Su Vida, Samuel Matos-Bastidas

USF Tampa Graduate Theses and Dissertations

Su Corazόn, Su Vida (Your Heart, Your Life) is a community-based, small-group health intervention designed to empower Latinos to enhance cardiovascular disease awareness and initiate enduring lifestyle changes to improve health outcomes and quality of life. Originally developed to be delivered in weekly sessions in Spanish or English language, it addresses several heart disease risk factors including unhealthy eating habits, poor physical activity, high cholesterol, overweight, metabolic syndrome, diabetes and tobacco smoking, among others. Instructors use diverse learning and support strategies such as group discussion, role modeling, problem-solving, health action planning, and self-monitoring. Participants help each other to stay on …

Governmentality, Biopower, And Sexual Citizenship: A Feminist Examination Of Sexual And Reproductive Healthcare Experiences Of 18-24 Year-Olds In The U.S. Southeast, Melina K. Taylor

USF Tampa Graduate Theses and Dissertations

Sexual and reproductive healthcare in the U.S. is a contentious and often stigmatized topic. Conservative politics and Christian religious ideology guide laws and policies that inform narratives of sexual citizenship that promote white, heterosexual, procreative, cis-gendered relationships as the ideal. For young people, exposure to sexuality education greatly influences their self-identity as sexual citizens and guides how they form intimate relationships. While sexual and reproductive healthcare has been included marginally in the discipline of anthropology, almost no research has focused on young people’s sexual and reproductive healthcare within the U.S.

This dissertation examines the viewpoints and experiences of 18-24 year-old …

The Development And Testing Of The Genetic Counseling Communication Checklist (Gcc): A Novel Process Measure, Katherine N. Hehmeyer

USF Tampa Graduate Theses and Dissertations

Given that genetic counseling (GC) is a discipline that relies on communication to help people understand and adapt to the genetic contribution of disease, a practical method of comprehensively documenting GC communication strategies is needed to better understand the communication strategies utilized by genetic counselors and the variability that exists within the process. To this end, we created a novel process measure called the Genetic Counseling Communication Checklist (GCC), utilizing previously validated measures, communication/counseling theories, and research findings. Two researchers independently coded six video-taped mock GC sessions using the GCC. Following each session, the GCC was further modified to improve …

The Role Of Financial Insecurity And Expectations On Perspectives Of Mental Health Services Among Refugees, Jacqueline M. Siven

USF Tampa Graduate Theses and Dissertations

This dissertation examines how perspectives of mental health among refugees are situated within the realities of the refugee resettlement system, a population for which information on this issue is quite limited. Through in-depth interviews and participant observation with Congolese refugees and non-Congolese refugee-serving professionals in a major Florida city, this dissertation examines how perceptions of mental health and mental health services among refugees were affected by financial insecurity and disparities in expectations. Local Congolese refugees expected the American Dream; they believed that once they arrived they would find prosperity through hard work. Instead they experienced frustration and distress because the …

Does Gestational Diabetes Mellitus Increases The Risk Of Preeclampsia Among Primigravid Women?, Astha Kakkad

USF Tampa Graduate Theses and Dissertations

Gestational diabetes mellitus (GDM) and preeclampsia are serious complications of pregnancy which are associated with both short- and long-term adverse health outcomes for the mother as well as the fetus. The increase in prevalence of these conditions has become a major public health concern. The purpose of this study is to examine the association and risk imposed by GDM for preeclampsia in primigravid women. This descriptive study was conducted using data retrieved from the electronic medical records of a large integrated health system in Florida. The data for this analysis included pregnancy records for patients at least 18 years of …

Exploration Of Factors Associated With Perceptions Of Community Safety Among Youth In Hillsborough County, Florida: A Convergent Parallel Mixed-Methods Approach, Yingwei Yang

USF Tampa Graduate Theses and Dissertations

Introduction: Youth perceived safety is not only linked to crime and violence in a neighborhood but is also associated with health risk behaviors and certain neighborhood characteristics. The purpose of this mixed-methods study was to measure the co-occurring effects of individual and community risk factors by conducting a secondary data analysis using structural equation modeling (SEM) and to explore reasons for youth feeling safe/unsafe in their community using photovoice methodology.

Methods: Syndemic theory/model served as the theoretical framework to guide this mixed-methods study with a convergent parallel design. The quantitative strand (first manuscript) utilized an existing dataset collected from middle …

Identifying Barriers And Facilitators To Improve Hepatitis C Virus Screening, Linh M. Duong

USF Tampa Graduate Theses and Dissertations

Background: Birth cohort hepatitis C Virus (HCV) screening recommendations were issued by the Centers for Disease Control and Prevention (CDC) and United States Preventive Services Task Force (USPSTF) in 2012 and 2013, respectively. Despite this, studies have reported low HCV screening rates. Currently, the prevalence of HCV screening rates nationally is unknown and there are no in-depth studies that have evaluated the barriers or facilitators of HCV screening. Our study aimed to fill this gap by 1) conducting a systematic literature review to assess the national HCV screening prevalence, 2) evaluating temporal trends in HCV screening using a large academic …

Adolescent Asthma And School Disparities: An Ecological Perspective Of Students And Stakeholders, Tali Schneider

USF Tampa Graduate Theses and Dissertations

Asthma is a chronic condition that mainly affects adolescents. Recent reports from the Centers for Disease Control and Prevention (CDC) indicate a gradual increase in rates of lifetime asthma among adolescents from 17.1% in 2005 to 22.8% in 2015. Currently, one in ten adolescents nation-wide experience active asthma; similar trends are seen in the state of Florida (Florida Asthma Program, 2013; Centers for Disease Control and Prevention, Prevention, 2015). As a chronic, lifelong condition, asthma can be life-threatening if not properly controlled. When exacerbated, attacks of asthma constrict airways, leading to restrained breathing, wheezing, coughing and chest pain (Parulekar, Alobaidy, …

Survey Of Histoplasma Capsulatum In Bat Guano And Status Of Histoplasmosis In Slovenia, Central Europe, Janez Mulec, Saša Simčič, Tadeja Kotar, Romina Kofol, Sanja Stopinšek

International Journal of Speleology

There have been increasing reports on the presence of Histoplasma capsulatum in some European countries. The study investigated the presence of Histoplasma in bat guanos, speleologists with records of visiting Histoplasma-endemic regions and patients with histoplasmosis. A commercial ALPHA Histoplasma Antigen enzyme immunoassay was tested as an alternative methodology to detect Histoplasma in environment and compared with polymerase chain reaction (PCR) assays. The presence of Histoplasma antigen in bat guanos was not confirmed by PCR. Among 14 healthy speleologists, two were indicated as having the Histoplasma antigen in urine, but expressed negative PCR-specific results for the Histoplasma antigen. Five …

Effects Of Quantitative Literacy On Healthcare Decision-Making: An Aural Context, Robert G. Root, Sonia Bhala

Numeracy

We propose a relationship between sensory modality, numerical formatting, and performance on a survey simulating healthcare decision-making. We examine the current literature on aural health literacy, and specifically aural literacy coupled with health numeracy. We then create a survey instrument called the Bhala test for this purpose and demonstrate that it is moderately internally consistent and provides results that correlate with the NUMi assessment, a widely accepted measure of health numeracy. The quantitative information provided in the Bhala test has two treatments, percentage and natural frequency formats, in an effort to determine which format is easier for subjects to use …

The Impact Of Covid-19 On Hiv Treatment And Research: A Call To Action, Tiffany Chenneville, Kemesha Gabbidon, Patricia Hanson, Cashea Holyfield

USF St. Petersburg Campus Faculty Publications

The impact of the COVID-19 pandemic is far reaching, with devastating effects on individuals, communities, and societies across the world. People with chronic health conditions may be at greater risk of contracting or experiencing complications from COVID-19. In addition to illness or death for those who contract the virus, the physical distancing required to flatten the curve of new cases is having a negative impact on the economy, the effects of which intersect with mental health and other existing health concerns, thus affecting marginalized communities. Given that HIV also has a disproportionate impact on marginalized communities, COVID-19 is affecting people …

Cancer-Related Risk Behaviors And Screening Intention Among Recreational Sport Athletes, Aldenise P. Ewing

USF Tampa Graduate Theses and Dissertations

The recreational sports arena provides a venue for young adults to increase physical activity and engage in a socially supportive environment. These are both important ways to decrease the risk for chronic diseases. It is assumed that physically active individuals lead healthier lifestyles and are more attuned to their long-term health needs. Recreational sport athletes also engage in risks for adverse cancer outcomes through increased sun exposure, intake of unhealthy diets, and recreational tobacco and alcohol use. It was of interest to assess cancer-related risk factors, cancer knowledge, and theory of planned behavior constructs in this group.

This study involved …

Least Of My Worries: Food Security, Diet Quality, And Antiretroviral Adherence Among People Living With Hiv, Charlotte Ann Noble

USF Tampa Graduate Theses and Dissertations

More than forty years into the epidemic, HIV continues to impact the health and well-being of millions of people – nearly 37 million across the globe and in excess of 1 million in the U.S. – more than 44% of which live in the Southern United States. HIV continues to disproportionally affect marginalized populations, and vast amounts of money, time, and effort have been spent to understand how to slow the rate of new infections and improve health outcomes for People Living with HIV (PLWH). This study aims to understand the experience of living with and managing HIV while on …

“We Can Learn Some Things From Them, But They Can Learn Some Things From Us Too”: Intergenerational Perceptions Of Shared Infant Feeding Information, Alexis L. Woods Barr

USF Tampa Graduate Theses and Dissertations

Breastfeeding is associated with unparalleled benefits for infants, mothers, families and society. In light of the breastfeeding disparities and health disparities experienced by the African American community, their women and children stand to gain the most from breastfeeding practices compared to other first-food feeding methods. Moreover, African American mothers are constantly exposed to messages, images, and stereotypes about motherhood (from multiple channels of communication) which influences their infant feeding practices. Many of these exposures send mixed messages and tend to be cultural contradictions of Black motherhood. What complicates this issue is the shortage of research that investigates the intergenerational infant …

“Man Plans But Ultimately, God Decides”: A Phenomenological Investigation Of The Contextual Family Planning Beliefs Of Recently Resettled Congolese Refugee Women In West Central Florida., Linda Bomboka Wilson

USF Tampa Graduate Theses and Dissertations

Existent demographic changes in the United States are largely a result of the current international refugee crisis. Within the past three years, there has been an influx of refugees who were affected by the wars in the Democratic Republic of Congo (DRC). Congolese refugees were the highest number of all refugee groups to arrive in the United States in Fiscal Years 2016-2018, yet little is known about their lived experiences, particularly as they apply to reproductive health and family planning in general. Congolese refugee women who resettle in the United States are unique because many lived in refugee camps for …

An Assessment Of The Role Of Florida Pharmacists In The Administration Of Inactivated Influenza Vaccine To Pregnant Women, Oluyemisi O. Falope

USF Tampa Graduate Theses and Dissertations

The influenza vaccine is a safe and effective vaccine in preventing influenza infection in the general population. The Centers for Disease Control (CDC) recommend that pregnant women receive influenza inactivated vaccine (IIV) due to the high morbidity and mortality associated with influenza infection in pregnant women. Despite the recommendation, the U.S. national influenza vaccine uptake rates among pregnant women continue to remain low. Studies have shown barriers to influenza vaccine uptake in pregnant women to include issues with access, unavailability of vaccine, and lack of time during prenatal visits. These barriers can be overcome using pharmacists because, among healthcare providers, …

Understanding The Family Planning Care Experiences Of Young Black Women Using An Intersectionality Mixed Methods Approach, Rachel G. Logan

USF Tampa Graduate Theses and Dissertations

Introduction: Black women in the U.S. disproportionately experience unintended pregnancy, particularly as compared to their white counterparts. When racial and ethnic disparities in reproductive health are combined with other marginalized identities, such as low social status and young age, Black women’s risk of negative health outcomes may increase and further produce disadvantage.

Objective: The overall objective of this research was to understand the family planning care experiences of young Black women.

Methods: This study used a transformative mixed methods design to understand young Black women’s most recent family planning care experience in the last 12 months through Intersectionality, Psychological Reactance, …

Epidemiological Analysis Of Malaria Decrease In El Salvador From 1955 Until 2017, Tatiana I. Gardellini Guevara

USF Tampa Graduate Theses and Dissertations

The disease of malaria is complex, with clinical presentation that ranges from severe and complicated to mild and uncomplicated or even to asymptomatic malaria. A recent effort made by several world organizations has shown important advances in the effort to control and eradicate malaria. Following the general ordinance established by the trans-border organizations, each country has tried to define, according to their local geopolitical scenario, individual ¨road maps¨ to succeed in reducing the morbidity and mortality caused by malaria. Moreover, it is now accepted universally that these road maps need to be revised and appropriated in order to correct actions …

Evaluating The Effect Of Temperature On A Human Parasite And Its Intermediate Snail Host: Implications For A Changing Climate, Karena H. Nguyen

USF Tampa Graduate Theses and Dissertations

Global climate change is impacting the emergence, re-emergence, prevalence, and incidence of infectious diseases worldwide, including parasitic diseases of humans (Blum and Hotez 2018). Neglected tropical diseases, defined as a group of parasitic diseases affecting developing countries in the tropics (Hotez et al. 2007), are of particular concern because these diseases occur in areas that are also expected to experience rapid population growth and agricultural development in the coming decades. As human population and food demand increase, the greater the likelihood of humans encountering intermediate hosts that either inhabit agricultural areas or are impacted by agricultural development, which will influence …

Isokinetic Sampling Efficiency Differences For Blunt Edge Vs Sharp Edge Sampling Probes, Cory A. Treloar

USF Tampa Graduate Theses and Dissertations

This project aims to determine if sampling efficiency differences are present between a sharp edge probe and a blunt edge probe during isokinetic sampling. To answer this question, isokinetic sampling was performed inside a wind tunnel. Sampling was performed with the sharp edge probe and compared to data previously obtained using the blunt edge probe. Two different particle sizes were used, 0.50 m and 2.00 m, at air velocities of 0.5 m/s, 1.0 m/s and 2.0 m/s in the wind tunnel. Results showed that there is a difference in sampling efficiency between the two probes and a larger difference in …

Sundaas Story: A Mixed-Methods Study Of Household Sanitation Provisioning In Urban Informal Housing In India, Sarita Vijay Panchang

USF Tampa Graduate Theses and Dissertations

The aims of this research were to examine sanitation insecurity in urban informal housing through the lens of the built environment, social disparities, and health implications. While the Millennium Development Goals for halving the global proportion of people without access to safe drinking water were met ahead of schedule, progress fell short for sanitation, creating new objectives for the Sustainable Development Goals to be met in 2030. Much research in the Global South is dedicated to community-level sanitation promotion, but often presumes a rural rather than urban setting. Urban informal housing settings constitute a unique challenge due to the range …

The Relationship Between Continuous Glucose Monitor (Cgm) Derived Metrics And Indices Of Glycemic Control, Ryan Bailey

USF Tampa Graduate Theses and Dissertations

Introduction: Both hypoglycemia (low blood glucose) and hyperglycemia (high blood glucose) are common among individuals with type 1 diabetes and are associated with severe medical complications, therefore it is essential that health care providers are able to accurately measure glycemic control. Measures derived from continuous glucose monitoring (CGM) may provide more accurate measurements of glycemia than the commonly used HbA1c blood test.

Methods: Data from the Juvenile Diabetes Research Foundation (JDRF) clinical trial to assess the efficacy of continuous glucose monitoring was used to estimate the ability of CGM composite scores to predict time in range, time in hyperglycemia and …

Mitigating Barriers To Chronic Disease Risk Factor Prevention And Management In Disadvantaged Communities, Krys M. Johnson

USF Tampa Graduate Theses and Dissertations

Background: The incidence and prevalence of chronic disease (CD) has increased in recent decades due to the advent of CD management and life-extending technologies. To address this burden on the population and healthcare system, evidence-based CD prevention programs have been developed to reduce the incidence and therefore the prevalence of these diseases. Despite the development and dissemination of effective interventions, African-Americans and Hispanics have disproportionately higher prevalence of CD and associated risk factors and disproportionately lower participation in CD prevention programs. Overweight/obesity and CDs may have intergenerational effects, with overweight adults being more likely to have overweight children who are …