Public Health Commons^™

The Tampa Gym Study: An Ethnographic Exploration Of Gyms, Female Gym-Goers And The Quest For Fitness In Tampa, Fl, Danielle Reneé Rosen

USF Tampa Graduate Theses and Dissertations

The Tampa Gym Study was an ethnographic examination of veteran women exercisers, their workout routines, and their attitudes towards the workouts that they undertake in two Tampa area gyms. The study’s principle objective was to study “fitness culture” in these facilities and the manner in which that culture is embodied in the language women use to describe themselves and their exercise behaviors.

The obesity crisis in the United States has been significantly responsible for an increase in membership in gyms and fitness facilities nationwide. The “culture of fitness” as it is embodied in these facilities has impacted women and their …

Risk And Resilience Pertaining To Mental Health Of Youth Attending A College In Kathmandu Who Were Exposed To The 2015 Earthquakes During Their Adolescence: A Mixed Method Study, Vinita Sharma

USF Tampa Graduate Theses and Dissertations

Background: Adverse mental health outcomes have been previously reported among survivors of natural disasters. Available studies mostly focus on risk factors and not resilience. In 2015, a series of earthquakes caused massive loss of lives and livelihood in Nepal. Epidemiological data pertaining to youth mental health in Nepal is limited. Information about the post-earthquake mental health of youth who were exposed to earthquakes during their adolescence in Nepal is scarce.

Purpose: The purpose of this study was to address risk and resilience factors related to mental health among college-attending Nepali youth (18-20 years) exposed to the 2015 earthquake during their …

Understanding The Implementation Of Integrated Care For People Living With Hiv, Vickie A. Lynn

USF Tampa Graduate Theses and Dissertations

Introduction: The integration of physical and behavioral health services is an innovative method of delivering health care services for persons dual or triply diagnosed with HIV, mental health and/or substance use disorders. Reducing the fragmented delivery of health services by integrating services into one setting is essential to providing holistic patient-centered care and address the complex health needs of this population. Although research shows integrated care improves health outcomes, little is known about the implementation of integrated care in real-world settings because the perspectives and experiences of those delivering and receiving integrated health and social services are underrepresented in the …

The Relationship Between Hand And Wrist Musculoskeletal Disorders And Hand Activity And Posture, Warren M. Henry

USF Tampa Graduate Theses and Dissertations

Musculoskeletal disorders are common in many industries such as automotive, manufacturing and line assembly. Risk factors include high frequency or hand repetition, long duration of work activities with short rest periods, unsustainable postures which put strain on the body and muscles, and activities that require significant force to fulfill duties. The current ACGIH TLV for hand activity uses hand activity level (HAL) and normalized peak force (NPF) to assess an individual’s risk of developing an MSD. The purpose of this study is to propose the use of Posture as an alternative to NPF and couple it with HAL to assess …

Evolutionary Dynamics Of Influenza Type B In The Presence Of Vaccination: An Ecological Study, Lindsey J. Fiedler

USF Tampa Graduate Theses and Dissertations

Understanding the evolutionary dynamics of influenza type B in human hosts is a public health concern as we strive to minimize the disease burden in seasonal epidemics. Vaccination is considered the best defense against contracting influenza, and everyone over the age of 6 months is advised to get vaccinated before each season. The effect that vaccine-acquired immunity has on the evolution of influenza B remains unclear. In the U.S., vaccine-uptake is irregular across the states, and the differing coverages present an opportunity to study how vaccination influences viral evolution. This thesis analyzes the evolutionary patterns of influenza B in the …

Exploring Young Women’S Choice To Initiate Use Of Long-Acting Reversible Contraception: A Mixed Methods Approach, Helen Mahony

USF Tampa Graduate Theses and Dissertations

Background: The United States has the highest rate of unintended pregnancy compared to any other developed country. Unintended pregnancy is associated with negative health outcomes for both parents and children. It is estimated that government expenditures for unintended pregnancy total $21 billion each year. Women ages 18-25 years old have the highest rate of unintended pregnancy. This age group is categorized as emerging adulthood, and this is a unique developmental period in a person’s life. Given the high rate of unintended pregnancies and the associated negative outcomes, increasing the use of more reliable methods of birth control is a public …

Using Predicted Heat Strain To Evaluate Sustainable Exposures, Samantha L. Thacker

USF Tampa Graduate Theses and Dissertations

The most commonly used exposure assessment for heat stress is based on Wet Bulb Globe Temperature (WBGT), and the limits are based on empirical relationships that demonstrate a sustainable exposure. The ISO 7933 (2017) describes Predicted Heat Strain (PHS), which is a rational model for heat stress assessment that is used to assess time-limited exposures. Investigators have examined PHS validity under a variety of time-limited conditions. The purpose of this paper is to evaluate if PHS can predict sustainable exposures.

The data used for this study were from two previous heat stress studies using a progressive heat stress protocol. The …

Using A Stress Process Model To Examine Longitudinal Racial Differences In Well-Being And Health: Results From A Population-Based Study Of Caregiving, Adrian N. S. Badana

USF Tampa Graduate Theses and Dissertations

As the older adult population of the United States increases over the next decade, many family caregivers will be needed to provide care for aging loved ones. The growing diversity of the population may also mean that more racial/ethnic minority caregivers will be providing care to older family members. Most of the studies examining race and caregiving have focused on racial differences in stress, coping, well-being and health among White and Black family caregivers. However, previous research examining racial differences in caregiving has often been limited to smaller convenience samples of caregivers, which limit generalizability of study findings. In this …

Localization Of Five Target Proteins In Tachyzoites Of Toxoplasma Gondii, Abigail M. Kaiser

USF Tampa Graduate Theses and Dissertations

Five target genes were selected in Toxoplasma gondii tachyzoites for localization studies. These five genes, detected through proteomics studies, included TgME49_227450, TgME49_223080, TgME49_262390, TgME49_230940, and TgME49_269620. Localization of these five target proteins is a first step to confirm their interaction with TgCrk2 and understand their function and role in TgCrk2 regulation of the tachyzoite cell cycle. Gene models for the targets were analyzed using ToxoDB and ApE analysis tools. Endogenous tagging constructs were created for each target. Transgenic parasites were created. Finally, localization analysis of the target proteins in tachyzoites was completed using immunofluorescent microscopy following. One protein was found …

Using The Consolidated Framework For Implementation Research To Investigate Daily Pre-Exposure Prophylaxis (Emtricitabine/Tenofovir Df) Implementation Via Community-Based Hiv Testing Sites In Florida, Deanne E. Turner

USF Tampa Graduate Theses and Dissertations

Background: Pre-exposure prophylaxis (PrEP) is a daily pill that can reduce a person’s chances of acquiring HIV. HIV testing and counseling is a critical point during which non-clinical staff could intervene, discuss and/or refer clients for PrEP. However, not all HIV testing/counseling staff take part in PrEP implementation in the same way. This study investigated: 1) the underlying PrEP implementation subgroups of staff who perform HIV testing and 2) PrEP implementation as a function of key constructs from the Consolidated Framework for Implementation Research (CFIR).

Methods: This study was a mixed methods concurrent triangulation design, in which qualitative and quantitative …

Understanding The Adoption Process Of An Hpv Vaccine School-Entry Requirement In Puerto Rico, Coralia Vázquez-Otero

USF Tampa Graduate Theses and Dissertations

Human Papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the US. Infection with low-risk HPV (i.e., 6 and 11) can cause genital warts, and persistent infection with high-risk HPV types (i.e., HPV 16 and 18) can progress to cancer. Currently, there is an HPV vaccine that is recommended for boys and girls, aged 11 to 12. Healthy People 2020 established a national objective of 80% completion of HPV vaccination among children aged 13 to 15 years old. Although the HPV vaccine is proven to be a safe and effective primary prevention strategy, uptake and completion rates remain …

A Retrospective Study Of The Opioid Epidemic And Fentanyl Related Overdose Fatality Cases In A Florida West Coast Medical Examiner District Population, Anne Terese Powell

USF Tampa Graduate Theses and Dissertations

Opioids are scheduled by the propensity for misuse and abuse with a high rate of dependency and risk of fatal overdose. Opioids can be divided into different classes, including, natural, synthetic, and semi-synthetic. Opiates are naturally occurring and come directly from the opium poppy plant; whereas the semi synthetics opioids are chemical modifications of the poppy plant. Synthetic opioids attach to the opioid receptor but contain no part of the poppy plant. The increased variety and frequency in opioid prescriptions contributed to an opioid epidemic in the United States which is still on going.

According to the CDC, the opioid …

Effects Of Medications With Anticholinergic Properties And Opioids On Cognitive Function And Neural Volumetric Changes In Elderly Australians, Malinee Neelamegam

USF Tampa Graduate Theses and Dissertations

Introduction: Multiple comorbidities are common among older adults. Pharmaceutical interventions are the most common form of medical management of the multiple health conditions that the older adult population faces. Almost 90% of adults aged 65 years and above take at least one prescription medication. Polypharmacy (5 medication or more) occurs with 50% of the older adult population. Most medications used to treat common ailments affecting the geriatric population have anticholinergic properties. These medications are known to cause a range of side effects from peripheral effects to central nervous system effects. These adverse effects are of particular concern in the older …

Respiratory Infections And Risk For Development Of Narcolepsy: Analysis Of The Truven Health Marketscan Database (2008 To 2010) With Additional Assessment Of Incidence And Prevalence, Darren Scheer

USF Tampa Graduate Theses and Dissertations

Background and Significance: Narcolepsy is a chronic neurological disorder. These patients experience various psychiatric and physical comorbid diseases and mortality at an increased rate compared to the general population. Additionally, patients with narcolepsy experience approximately a doubling of various annual healthcare related facility visits, transactions, and costs comparatively. Narcolepsy with cataplexy is generally believed to be more prevalent than narcolepsy without cataplexy. However, incidence and prevalence estimates of narcolepsy (with or without cataplexy) vary widely with few large epidemiological studies conducted worldwide and none in the U.S evaluating these proportions in both children and adults utilizing a large health care …

Effects Of An Academic Enrichment Program On Elementary-Aged Students' Performance, Lauren E. Nieder

USF Tampa Graduate Theses and Dissertations

The goal of this research was to develop a greater understanding of the effectiveness of enrichment programs outside of the school setting. This study was also intended to contribute to the broader understanding of the mechanism of student school-related stress, reported by parents, as it relates to student academic performance, specifically in a population which primarily consists of students and parents who are of Asian-Indian-American descent. With rising standards and intensifying pressure on students to be academically successful, it is necessary to examine the stress students experience due to their academics, as well as its effects on their academic performance. …

The Ability Of The U.S. Military’S Wbgt-Based Flag System To Recommend Safe Heat Stress Exposures, David R. Almario

USF Tampa Graduate Theses and Dissertations

The U.S. military currently uses a flag system based on wet-bulb globe temperature (WBGT) and metabolic rate to recommend heat stress exposure limits. This paper addresses the ability of the flag system to recommend safe heat exposures in a non-military population.

Two progressive heat stress studies provided data on 528 observations of safe or unsafe exposures of 4 hours over a range of WBGT conditions and metabolic rates using 29 participants wearing woven cotton clothing. For the two studies, range of WBGT conditions was 25 to 42C, and the range of metabolic rates was 100 to 650 watts. These exposures …

Investigating Air Pollution And Equity Impacts Of A Proposed Transportation Improvement Program For Tampa, Talha Kemal Kocak

USF Tampa Graduate Theses and Dissertations

Transportation infrastructure is important for human mobility and population well-being. However, it can also have detrimental impacts on health and equity, including through increased air pollution and its unequal social distribution. There is a need for better understanding of these impacts and for better approaches that improve health and equity outcomes of transportation planning programs. In this study, we are investigating the air pollution and health equity impacts of an ongoing large-scale metropolitan transportation improvement program, Tampa Bay Next (TBNext). Specific objectives are: 1) to characterize and quantify the air pollution levels and population exposures resulting from the roadway expansion …

Self-Collected Sampling Methods For Chlamydia And Gonorrhea Screening Among College Women: Exploring Patient-Centered Intervention Characteristics, Stacey B. Griner

USF Tampa Graduate Theses and Dissertations

Background: Young adults are disproportionately burdened by sexually transmitted infections (STIs) such as chlamydia and gonorrhea; however, STI screening rates are low among this population. Given the barriers associated with screening, self-sampling methods used at home may be an innovative solution to improve STI screening rates.

Purpose: The purpose of this study was to explore factors influencing chlamydia and gonorrhea screening among college women. This study had two aims: (1) assess factors associated with STI screening among college women and (2) identify informational needs and key intervention characteristics to inform the development of a patient-centered STI screening intervention.

Methods: Guided …

“What I Hadn’T Realized Is How Difficult It Is, You Know?”: Examining The Protective Factors And Barriers To Breastfeeding In The Uk, Cheyenne R. Wagi

USF Tampa Graduate Theses and Dissertations

The international recommendation for breastfeeding is that a baby should be exclusively breastfed for six months. Breastfeeding should be continued for up to two years and beyond with complementary foods (WHO, 2016). The United Kingdom exhibits some of the lowest breastfeeding rates in the world (HSCIC, 2012). The percentage of mothers who breastfed in the United Kingdom falls below 34% at six months, with only 1% of mothers breastfeeding exclusively at this point (HSCIC, 2012:31). This study sought to examine the protective factors and barriers for breastfeeding in the UK. Mums (n=28), their partners (n=6), and facilitators at breastfeeding support …

“Right In The Trenches With Them”: Caregiving, Advocacy, And The Political Economy Of Community Health Workers, Ryan I. Logan

USF Tampa Graduate Theses and Dissertations

While the concept of the community health worker (CHW) has existed since the mid-20th century, their function as a legitimate branch of the broader workforce in the United States has been tenuous. Their unique roles have the potential to reduce health disparities within marginalized communities, but stakeholder development of this position risks diminishing the crucial skills of these workers. Anthropological research on these workers has typically assessed them in the developing world, while public health research has focused primarily on their ability to impact specific health outcomes through quantitative studies. As a result of the limited and predominantly quantitative assessments …

Essays In Applied Microeconomics, Lijuan Feng

USF Tampa Graduate Theses and Dissertations

Chapter 1 studies the effect of body weight on labor market outcomes. Using longitudinal data from the China Health and Nutrition Survey (CHNS) from 1989 to 2011, and both instrumental variable and fixed effects estimation to control for the endogeneity of body weight, I examine the wage effect of BMI by gender, type of residence area, and occupation. Results from linear OLS regression show a positive relationship between body weight and income for males in both rural and urban areas and females in rural areas, while a negative one for females in urban areas. After controlling for the unobserved individual …

‘If He Hits Me, Is That Love? I Don’T Think So’: An Ethnographic Investigation Of The Multi-Level Influences Shaping Indigenous Women’S Decision-Making Around Intimate Partner Violence In The Rural Peruvian Andes, Isabella Li Chan

USF Tampa Graduate Theses and Dissertations

This dissertation examines how the intersections of gender, ethnicity, place, and class shape indigenous women’s risks for and experiences of intimate partner violence and related decision-making in Carhuaz province, an underserved, resource-poor setting in the Peruvian Andes. This dissertation applied a mixed-methods, community-based approach to 11 months of ethnographic fieldwork in Peru, which included 82 face-to-face surveys using the World Health Organization’s Multi-Country Study Instrument, 38 semi-structured interviews with survivors, community members, and IPV-related service providers, and 6 participatory action research workshops (n=64).

Through this dissertation, the voices of indigenous women struggling with intimate partner violence illuminate the lived realities …

Patient Experiences And Satisfaction With Homeopathic Treatment In Pune, India, Asmita R. Mhaskar

USF Tampa Graduate Theses and Dissertations

Introduction: Global populations are increasingly pursuing Complementary and Alternative Medicines (CAM) as safe, holistic options to attain health and wellness. Homeopathy is one such system of medicine whose demand is growing across the world, with maximum users in India. Yet, patient satisfaction and experiences with Homeopathy have not been addressed comprehensively in India.

Methods: A two-phase, mixed-methods study was designed to assess patient satisfaction and patient experiences with Homeopathic medicines and clinics in Pune, India. Phase I included the design and validation of a survey on Homeopathy specific experiences in English and Marathi for collecting data. Phase II employed a …

Validation Of A New Concept For Measuring Respirable Dusts, Xiao Liu

USF Tampa Graduate Theses and Dissertations

Sampling of airborne dust in industry is influenced by the potential health effects associated with human exposure. Health effects depend on mass concentration and particle size which influences the site of pulmonary deposition. Occupational diseases tend to be associated with dust deposition in specific regions of the respiratory tract. The ACGIH size selective TLVs are expressed in three forms: Inhalable Particulate Matter, Thoracic Particulate Matter, and Respirable Particulate Matter. In pneuomoconioses, the amount of dust deposited in the lungs can be estimated by sampling the respirable fraction. Dose-response relationships are derived by relating the health experience of workers to the …

Exploring Explicit Fanfiction As A Vehicle For Sex Education Among Adolescents And Young Adults, Donna Jeanne Barth

USF Tampa Graduate Theses and Dissertations

Fanfiction consists of works written by amateurs using pre-existing characters and plots, often shared online for free. Although fanfiction began long before the advent of the internet, the worldwide web has created a platform wherein fanfiction is allowed and encouraged to spread almost unconditionally, reaching new populations and rising slowly but surely into the public eye. As the internet has made fanfiction more accessible and public, it has also increased the number of children and young adults involved in the process. And in the unsupervised wilderness of the internet, sexual content is a common feature of fanfiction, with a varying …

Positive Deviance As A Framework For Understanding Motivations And Barriers To Exercise For University Students At Campus Recreation, René Dario Herrera

USF Tampa Graduate Theses and Dissertations

The purpose of this thesis was to use qualitative research methodologies to better understand motivations and barriers to exercise for university students at campus recreation. The secondary purpose was to identify any correlations between physical activity habits and academic success. Ethnographic data obtained from a positive deviance sample and critically analyzed with feminist and postmodern theory could provide additional validation for campus recreation's value in positively contributing to the academic success of university students.

Participant observation, questionnaire, cultural domain analysis, interview, and focus group provided qualitative data.

Results indicate university students who frequent campus recreation to exercise are highly motivated …

Comparison Of Modeled And Measured Pesticide Concentrations In Air, Trenell Davis Boggans

USF Tampa Graduate Theses and Dissertations

Chlorpyrifos (CPF) is a popular organophosphorus insecticide that is heavily used in the agriculture industry as a means of pest control. Chlorpyrifos is known for its toxic effect to inhibit the enzyme acetylcholinesterase (ACHE) in humans and is widely used in areas of California where the site of application is close to occupied areas, such that exposures to residents and bystanders can occur due to secondary drift. Secondary drift refers to the volatilization of a pesticide from the surface to which it was applied (e.g. soil or plant foliage) and subsequent off-site movement in ambient air. Secondary drift is different …

An Examination Of The Relationship Between Health Literacy And Dietary Practices Among College Students: A Test Of The Integrated Model Of Health Literacy, Alison B. Oberne

USF Tampa Graduate Theses and Dissertations

Overweight and obesity continue to plague Americans and contribute to decreased quantity and quality of life. Americans of all ages experience overweight and obesity; however, increasing rates occur during young adulthood. Young adults develop dietary practice behaviors that persist into adulthood and can contribute to weight-related chronic diseases. Approximately half of all young adults are enrolled in college, and, approximately 38% of college students are either overweight or obese.

Dietary practices are health behaviors that can either increase or decrease risk for overweight and obesity. Much research has explored predictors of dietary practices among college students; however, there is a …

Star Power, Pandemics, And Politics: The Role Of Cultural Elites In Global Health Security, Holly Lynne Swayne

USF Tampa Graduate Theses and Dissertations

Celebrities have historically served a variety of roles in society ranging from the inspirational to the cautionary, utilizing their platforms of visibility to promote themselves, their work, as well as their social and political causes. This study focuses on celebrities as activists engaging with global health issues, with particular attention to the form this engagement takes, the publicity it receives in the mass media, and the types of global health issues that receive the most celebrity attention. An interdisciplinary approach drawing from theories of power, social movement theory, agenda-setting, and cultural studies is used to achieve greater understanding of underlying …

Factors Related To Hearing Aid Use Among Older Adults From Hispanic/Latino Backgrounds: Findings From The Hispanic Community Health Study/Study Of Latinos, Michelle L. Arnold

USF Tampa Graduate Theses and Dissertations

The purpose of this dissertation was to understand perceived hearing loss and hearing health care use among older adults from Hispanic/Latino backgrounds using the Andersen model of health care utilization as a framework. A cross sectional analysis of audiometric and survey data from the Hispanic Community Health Study/Study of Latinos was used to estimate factors that characterize perceived hearing handicap and hearing aid use, and to determine hearing aid use rates in a large group of older Hispanic/Latino adults. Data came from 6970 adults aged 45 to 76. Results revealed that self-perceived hearing handicap is significantly correlated to measured hearing …