Public Health Commons^™

Hiv Stalks Bodies Like Mine: An Autoethnography Of Self-Disclosure, Stigmatized Identity, And (In)Visibility In Queer Lived Experience, Steven Ryder

USF Tampa Graduate Theses and Dissertations

This dissertation examines self-disclosure of Human Immunodeficiency Virus (HIV) status within the context of communication between long-standing friends. For the purposes of my study, I define this type of friendship as those who have known me for at least two years and with whom I communicate regularly. These are friends who tend to know a variety of personal details about me, ranging from superficial to private and trivial to essential. I use autoethnography to ground the study in my lived experience. By doing so, I present intimate accounts of my communication with others across my lifespan to function as background …

The Invisible Victims Of Commercial Sexual Exploitation: Boys And Their Barriers To Access To Services, Amanda L. Connella

USF Tampa Graduate Theses and Dissertations

While there has been a large body of research conducted on girl (under the age of 18) victims of commercial sexual exploitation, boy (under the age of 18) victims do not seem to receive the same attention. From the few studies that have been conducted, boys and young male victims of commercial sexual exploitation have been shown to have gender specific barriers that prevent them from getting help, yet not many papers explore this unique problem. Using survey data from key providers that work in programs that serve commercially sexually exploited boys, the present study fills this hole in the …

Evaluating The Effect Of Public Health Governance Structure And Public Opinion On Covid-19 Disease Control Interventions, Daniel Chacreton

USF Tampa Graduate Theses and Dissertations

Background

Since the start of the COVID-19 outbreak, the responses to the pandemic varied greatly from nation to nation. In the US, state-level variance in responses has likely contributed to the disparate COVID-19 infection-related state-level outcomes such as incidence and case fatality rates. The large variances in national and sub-national responses to COVID-19 when combined with the abundance of factors that influence disease transmission rates has created a number of important research opportunities.

Methods

In this vain, this research study aims to describe the relationship that exists between public health governance structure and public sentiment and COVID-19 control measure effectiveness …

Longitudinal Associations Among Life Values, Alcohol Use, And Alcohol Abuse Symptoms From Adolescence To Adulthood, Connor Habecker

USF Tampa Graduate Theses and Dissertations

Investigating life value trends, the pro-social and anti-social characteristics that play a role in decision making, is an understudied field in adolescents. In addressing adolescent alcohol consumption as a public health concern, life values may provide needed background in understanding and influencing adolescent behavior toward pro-social values and away from known risk factors, such as alcohol consumption. By modeling life value trends of adolescents and the associations between each life value and the outcomes of alcohol use and alcohol abuse, there may be primordial level intervention opportunities as opposed to the current, largely ineffective, tertiary level interventions. This thesis utilizes …

Assessment And Prevention Of Bacterial Regrowth In Stored Household Water In Eastern Coastal Madagascar, Lauren Judah

USF Tampa Graduate Theses and Dissertations

As of 2020, diarrheal diseases were the leading cause of death in Madagascar. A major cause of diarrheal illness is contaminated water, and one crucial aspect of preventing contaminated water is safe household storage. Bacterial regrowth between point-of-collection and household storage has been well established in literature. A frequently implicated source of regrowth is the storage container’s biofilm, which is a community of varying bacteria enclosed in a “slimy” extracellular polymeric substance that forms on surfaces in wet environments and anchors bacteria to those surfaces. The overall goal of this thesis was to quantify and control bacterial regrowth in household …

Exploring Parenthood And The Influence Of Lived Experiences On Parenting Behaviors Among Child Welfare-Involved Adults, Veronica Howell

USF Tampa Graduate Theses and Dissertations

The World Health Organization asserts the healthy development of children is essential. Cases of violence and maltreatment impede the development of children worldwide. Six in 10 adults in the general US population have reported at least one adverse childhood experience (ACE), while vulnerable populations, including child welfare-involved adults (i.e., parents and caregivers), often report more. This history is associated with higher morbidity and mortality rates alongside higher economic costs; therefore, preventing ACEs and promoting safe, stable, and nurturing relationships between parents and children is critical. The purpose of this exploratory qualitative study was to understand the meanings and responsibilities associated …

Joint Models For Repeated Measured, Non-Normally Distributed Multilevel Data, Weiwei He

USF Tampa Graduate Theses and Dissertations

Clinical trials have tended to collect both survival information and longitudinal biomarkers, as well as other covariates. In order to better assess the severity of diverse diseases, we need to collect various longitudinal outcomes. Furthermore, longitudinal data could consist of a number of different measurements of varying types. The multilevel item response theory (MLIRT) model has been widely used in several fields such as public health and health sciences for multivariate longitudinal outcomes. Joint models combining the longitudinal and survival processes, as well as the relation between them, have been developed to minimize bias and improve the efficiency of estimates. …

A Convergent Approach To Aqueous Lead (Pb) Mitigation Of A Supplemental Self-Supply Shallow Groundwater Source Accessed By Handpumps In Madagascar, Adaline Marie Buerck

USF Tampa Graduate Theses and Dissertations

The World Health Organization (WHO) has consistently listed lead (Pb) as one of the ten chemicals of major public health concern. Though the toxic nature of lead has been known since the 20th century it is still utilized in a wide variety of products due to its favorable properties. Exposure to lead still accounts for approximately 900,000 deaths annually and disproportionately impacts those in low- and middle-income countries (LMIC) due to a variety of reasons such as poverty, malnutrition, and lack of knowledge on the toxic nature of lead. Lead exposure routes include air, soil, dust, diet, and water. Though …

Characterizing And Explaining Prevalence And Factors Associated With Non-Fatal Opioid Overdose In Florida, Jesse M. Bell

USF Tampa Graduate Theses and Dissertations

Many factors contribute to the opioid epidemic in Florida, including, but not limited to, physician over prescribing, opioid manufacturer malfeasance (direct marketing to physicians, hospitals, and universities, as well indirect political contributions, and deliberately obfuscating the impact of the addictive properties of their various drugs), and as the epidemic approaches its 25th year, sociodemographic characteristics. This body of work examines three of these. First, because an opioid naïve persons’ typical initial encounter with the drug is through a physician, we sought to shed light on the impact of direct pharmaceutical marketing to physicians. We identified opioid providing physicians from the …

Examining The Relationship Between Racial Respect Among Black Early Childhood Professionals And Their Perceptions Of Black Children, Kayla Nembhard

USF Tampa Graduate Theses and Dissertations

Black children are exposed to the highest rates of negative teacher perceptions and punitive consequences. Healthy People 2020 acknowledges the significance of the first five years of child development and the various factors that promote or hinder health outcomes during this time. Furthermore, it highlights the significance of quality relationships between children and their caregivers, including their ECE teachers. Overall, Black children tend to fare better academically when they are able to engage with Black educators and other ECE professionals. However, there is recent evidence Black educators in ECE settings, specifically, also uphold racialized negative perceptions of Black students that …

Japan’S Covid 19 Infection Rate: A Focus On Tokyo Neighborhoods, Lauren Koerner

USF Tampa Graduate Theses and Dissertations

This thesis asks, are neighborhood demographic and economic variables connected to COVID-19 infection rates in Tokyo, Japan? I hypothesize that variation in urbanization and neighborhood demographics account for Japan’s low, though not uniform COVID-19 infection rates. This thesis applies several anthropological perspectives: The biocultural perspective because I look at epidemiology of COVID 19 considering socio-cultural, economic, and ecological factors as well as biological susceptibilities. The critical biocultural perspective because I look at how structures of power and inequality may impact health and healthcare access. Biomedical/applied anthropology, well placed to study the current epidemiologic situation of COVID 19 in Japan and …

Nonparametric Estimation Of Transition Probabilities In Illness-Death Model Based On Ranked Set Sampling, Ying Ma

USF Tampa Graduate Theses and Dissertations

The ranked set sampling (RSS) design is applied widely in agriculture, environmental science, and medical research where the exact measurements of sampling units is costly, but sampling units can be ranked by a correlated concomitant variable. RSS is usually a cost-efficient alternate to simple random sampling (SRS) for selecting more representative samples. This study presents a novel methodology to investigate the nonparametric estimation of transition probabilities in illness-death model using the RSS design. We study the Aalen–Johansen estimator of transition probabilities in illness-death Markov model based on RSS design under random right censoring time and propose nonparametric estimators of the …

"Are We Done?": The Minimization Of Covid-19 And The Individualization Of Health In The United States, Cassidy R. Boe

USF Tampa Graduate Theses and Dissertations

As the death toll from Covid-19 in the United States exceeds 1 million in just over two years, more variants continue to emerge, threatening more waves of Covid-19 and ultimately, more deaths. Despite this, mask use continues to decline, and one third of Americans say that the pandemic is over. The Centers for Disease Control and Prevention (CDC) has been central in publicly disseminating biomedical knowledge using Twitter. The CDC’s Twitter account (@CDCgov) shares information related to the spread of Covid-19, including mitigation measures such as mask recommendations and vaccine information. I have conducted a narrative analysis of the replies …

Outcomes Of A Periodic Exposure Assessment Of Workers At A University Campus, Logan M. Armagast

USF Tampa Graduate Theses and Dissertations

Standards promulgated by the Occupational Safety and Health Administration (OSHA)are applicable to most businesses in the private sector, however, state and local government entities are not under OSHA’s jurisdiction. Universities that receive public funding fall under the category of state and local government entities and, unless an OSHA-approved State plan explicitly states otherwise, they are not required to demonstrate compliance with OSHA standards and are not subject to OSHA inspections. Without being constrained by federal regulation, those responsible for ensuring the health and safety of employees at publicly funded universities have some leeway in their methods for evaluating the conditions …

Understanding Food Insecurity As A Multidimensional Construct: A Mixed Methods Approach To Assess Changes In Food Insecurity Status Among People Seeking Emergency Food Assistance, Whitney M. Fung Uy

USF Tampa Graduate Theses and Dissertations

Background: In the United States, 13.8 million households were food insecure in 2020, or 10.5% of the country’s population. Although the annual food insecurity rates remained stable between 2019 and 2020, largely due to increased COVID-19 pandemic relief efforts, many households experienced food insecurity and hardship at unprecedented rates. Food assistance provided by the largest government nutrition and food program, Supplemental Nutrition Assistance Program (SNAP), and emergency food providers (EFPs) such as food banks and pantries intended to provide short-term solutions have ended up as chronic, long-term methods of survival for many of these families, especially during COVID-19 and the …

A Macro Social Examination Of The Relationship Between Disabilities And Crime Using Neighborhood And County Level Data, Natasha A. Baloch

USF Tampa Graduate Theses and Dissertations

Over the last few decades, there has been a consistent increase in mental illnesses in the US population. This has also lead to increased interactions of those with mental illnesses and/or disabilities with law enforcement and the criminal justice system. Despite these instances, there is limited research on the relationship between disabilities, mental health issues and crime in the large body of criminological research. Further, the current extant research is a) outside the field of Criminology, b) primarily focuses on those with only intellectual or developmental disabilities and/or c) does not examine this relationship at the macro level, despite evidence …

Crosswalking Wet Bulb Globe Temperature And Heat Index, Paul Irvin

USF Tampa Graduate Theses and Dissertations

Wet bulb globe temperature (WBGT) is a common metric to represent the environmental conditions in the assessment of heat stress. Because WBGT requires some technical expertise and sufficiently accurate equipment, there is interest in using heat index (HI) as a substitute index for the environment. Because the underlying science for understanding heat stress exposures does not exist for HI, it is necessary to crosswalk between HI and a data-driven exposure method. Expanding upon previous research, the focus of this study is the exploration of the interrelationships between WBGT and HI. The simulated weather data of Morris et. al. (2019) served …

A Study Of Noise Exposures For Amusement Park Employees By Positions And Ride Categories, Danielle M. Dao

USF Tampa Graduate Theses and Dissertations

Millions of workers in the United States encounter daily noise exposures in their workplace, associated with millions of dollars in workers compensation annually. Many industries have been well studied for the presence of hazardous noise, but little exposure data exists for the amusement park industry.Major attractions found at amusement parks fall within one of three categories and in each of those categories, five employee positions are common. This thesis sought to identify if there are differences in potential employee noise exposure among the ride types and if there are differences in noise exposure among the employee positions. The analysis of …

Ongoing Genocides And The Need For Healing: The Cases Of Native And African Americans, Benjamin P. Bowser, Carl O. Word, Kate Shaw

Genocide Studies and Prevention: An International Journal

The elimination of Native peoples and the enslavement of Africans in the U.S. more than qualify as acts of historical state sponsored genocide. A feature of both genocides is that they ended as institutional practices but have continued culturally and psychologically. The primary contemporary legacy of these genocides is racism which reinforces historical trauma and grief. Suggestions are made for how healing for Native and African Americans can begin despite ongoing racism. This includes psychological counseling for White Americans with beliefs in White supremacy. Suggestions are also made for how reconciliation can begin at the county-level between descendants of slave …

The Debate On Physician-Assisted Death In The United States: A Narrative Analysis Of Formula Stories, Rebecca Blackwell

USF Tampa Graduate Theses and Dissertations

Public policy discussions can be viewed as empirical windows into broadly shared culturalvalues and emotions of the social contexts in which the policy discussions take place. This project is a narrative analysis of the public debate on physician-assisted death (PAD), drawing from three data sources: newspaper articles, the websites of social movement organizations, and testimonies from a state legislative hearing. This analysis explores ways in which social actors deploy personal stories that contribute to shape the policy-making process by appealing to cultural beliefs and broadly shared emotions. The findings of this project constitute a contribution to the study of emotions …

Community Assessment Of Water Perceptions And Household Point-Of-Use Treatment Methods In Madagascar, Isabella Rose Silverman

USF Tampa Graduate Theses and Dissertations

One in four people around the world do not have access to safe drinking water, which means that two billion people globally lack access. In high-income countries, 0.02% of yearly deaths are attributed to unsafe water sources; however, an alarming 10.6% of deaths occur in Madagascar, for the same reason.

To achieve Sustainable Development Goal 6: Ensure access to water and sanitation for all, a collaboration between public health and engineering is critical. Within the public health sector, social marketing is commonly utilized to address a problem by using commercial marketing principles to change behavior for the good of society. …

Seasonality In Competence To Transmit West Nile Virus For A Widespread Reservoir, Kyle L. Koller

USF Tampa Graduate Theses and Dissertations

All organisms face a central conflict; a limited supply of resources must beoptimally allocated to competing biological functions. Utilizing robust immune defenses can be energetically costly;, thus, immune function is often diminished when other processes, such as reproduction, molt, or migration demand energy. As wild animals residing in temporally dynamic environments face seasonal patterns in resource availability, infectious disease risk, and environmental suitability, many species have evolved endogenous biological rhythms so that the performance of reproduction, molt, or migration and the associated trade-off with immune function be completed when doing so best promotes fitness. In turn, this demand to optimize …

Synthesis Of A Multimodal Ecological Model For Scalable, High-Resolution Arboviral Risk Prediction In Florida, Sean P. Beeman

USF Tampa Graduate Theses and Dissertations

West Nile virus (WNV) and Eastern Equine Encephalitis virus (EEEV) represent the two greatest endemic arboviral risks to the state of Florida. Currently, no approved human vaccine exists for the prevention of either virus. In the absence of a vaccine, effective disease surveillance is paramount for public health. In Florida, WNV and EEEV sentinel chicken surveillance is conducted by mosquito control programs operated at the county, municipality, or special taxing district level. This program was implemented in 1978 following human outbreaks of St. Louis Encephalitis virus (SLEV) that occurred between 1959 and 1977, with initial sentinel coops placed in proximity …

Who To Choose? Rating Broker Best Practices In The Medicare Advantage Industry, Darwin R. Hale

USF Tampa Graduate Theses and Dissertations

The purpose of this study is to help navigate the U.S. Healthcare system in a way that maximizes value and minimizes risk to Medicare Beneficiaries. We do this through the creation of a tool that will aid in the selection of an independent health broker. Brokers are the trusted resource who have the responsibility and expertise to optimize client value through needs analysis, education, and expectations setting. Beneficiaries need help with life impacting health and wellness decisions and ongoing support across the continuum of care. The qualitative research included interviews of industry experts with combined Medicare experience of more than …

“Practice Basic Hygiene, And You’Ll Stay Healthy”: How Primary School Reading Textbooks Transmitted Cultural Education In The Soviet Union, Victoria Storozenko

University of South Florida (USF) M3 Publishing

Russia’s Cultural Revolution, beginning after the October Revolution in 1917, produced a broadly defined understanding of culture and cultural education at Russian schools that encompassed even basic hygiene and health. Drawing from postdoctoral research, this paper discusses the Cultural Revolution’s impact and its ideas on cultural education as presented in textbooks for 10-year general education schools in the Soviet Union. Discourse analysis revealed that the schoolbooks acted as an interface between a functional education system and changes in its surrounding environment, especially changes due to the Cultural Revolution. Amid today’s COVID-19 pandemic, the study’s findings raise several questions about what …

Multidimensional Well-Being Across Time Scales In Caregivers And Non-Caregivers, Victoria R. Marino

USF Tampa Graduate Theses and Dissertations

Contemporary research on informal caregiving recognizes that, though stressful, providing care for a disabled family member or friend can bring psychological benefits, such as increased meaning or purpose in life, growing closer to the care recipient, and learning new skills. Scales of eudaimonic well-being (EWB – e.g., meaning in life, personal growth, and positive relations with others) developed in positive psychology literature offer an innovative solution to incorporating caregiving benefits into between-groups comparisons of caregiver and non-caregiver well-being, which have typically focused on cross-sectional assessment of hedonic well-being (HWB – i.e., negative/positive affect and life satisfaction). Moreover, using daily using …

Predictors Of Goal Attainment Among High School Students In Accelerated Academic Curricula Receiving School-Based Motivational Interviewing Intervention, Camille E. Hanks

USF Tampa Graduate Theses and Dissertations

Students enrolled in Advanced Placement (AP) courses and International Baccalaureate (IB) programs represent a unique group of adolescents given the high demands of their rigorous coursework and the elevated stress they experience compared to peers in the general education (Suldo & Shaunessy-Dedrick, 2013). These students are often missed in traditional screening procedures that tend to identify students struggling academically or exhibiting disruptive behaviors. Fortunately, Shaunessy-Dedrick and colleagues (2021) developed a comprehensive school-based intervention program, including universal (Tier 1) and selective (Tier 2) components, which aims to support the well-being of AP/IB students. The Tier 2 component of this program (i.e., …

Exploring Adult Attachment In Intimate Relationships Among Women Who Were Exposed To Intimate Partner Violence In Childhood: A Convergent Mixed Methods Approach, Ngozichukwuka C. Agu

USF Tampa Graduate Theses and Dissertations

Background: Trauma in childhood including exposure to intimate partner violence is associated with a myriad of negative outcomes in physical health, mental health, academic performance, and relationship domains. Adult attachment in intimate relationships is a key factor that determines several health outcomes as well as healthy relationships. This study explored: 1) the perceptions of childhood exposures to intimate partner violence and how these exposures could have impacted adult attachment; 2) the perceptions of relationship factors that play a role in the development of adult attachment in intimate relationships; and 3) the behavioral and socioenvironmental influences that frame perceptions of adult …

Feasibility Of A Virtual Group Nutrition Intervention For Adolescents With Autism Spectrum Disorder, Acadia W. Buro

USF Tampa Graduate Theses and Dissertations

Background: Youth with autism spectrum disorder (ASD) have an increased likelihood of being overweight or developing obesity. As children and adolescents with ASD exhibit problematic eating behaviors and may consume more energy-dense foods and fewer fruits and vegetables than typically developing youth, nutrition represents a modifiable obesity risk factor for adolescents with ASD, yet there is a lack of interventions to improve healthy eating and reduce the risk of obesity in this population.

Purpose: The purpose of this study was to examine the feasibility, acceptability, and preliminary efficacy of a virtual implementation of BALANCE (Bringing Adolescent Learners with Autism Nutrition …

Chorine Conversion: Biological And Water Quality Impact On Activated Carbon Block Point Of Use Filters, Horace S. Jakpa

USF Tampa Graduate Theses and Dissertations

Point-of-use (POU) activated carbon (AC) filters are ubiquitous in many U.S. households. AC can reduce concentrations of lead, other heavy metals, and mitigate taste and odor issues. However, AC filters also remove residual disinfectants, thus allowing for the proliferation of microbes in the filter. In chloraminated systems, this can lead to localized, filter-induced nitrification. Most notably, high nitrite and nitrate in drinking water can cause methemoglobinemia (blue baby syndrome) in children under the age of three, raising public health concerns.

As a control measure for nitrification within distribution systems, utilities practice periodic, short-term secondary disinfectant switches from chloramine to free …