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Articles 211 - 240 of 2212
Full-Text Articles in Public Health
Mortality Disparities Amongst African American Infants In Wisconsin, Enica C. Saffold
Mortality Disparities Amongst African American Infants In Wisconsin, Enica C. Saffold
Walden Dissertations and Doctoral Studies
African American mothers have the highest infant mortality rate of any other racial group, in the United States. In Milwaukee, the rates for non-Hispanic African Americans were two to three times higher than those for non-Hispanic Whites and Hispanics between 2016 and 2018. According to the Wisconsin Department of Health Services in 2022, the infant mortality rate in 2021 was 12.9 for every 1,000 live births. This cross-sectional quantitative epidemiological study explores risk factors correlated with high infant mortality rates among Wisconsin African American mothers who gave birth to live infants between 2011 and 2021. To determine whether there is …
Socioeconomic Status, Obesity, Breast Cancer, And 5-Year Survival Among Men, Taye Oloruntobi Olabode
Socioeconomic Status, Obesity, Breast Cancer, And 5-Year Survival Among Men, Taye Oloruntobi Olabode
Walden Dissertations and Doctoral Studies
Although male breast cancer (MBC) is rare, affecting 2,000 men in the United States each year and comprising approximately 1% of all breast cancer diagnoses, mortality for those diagnosed with MBC is significantly higher than for women diagnosed with breast cancer. Recent research on the disparities in mortality rates between men and women revealed that there may be unexplained factors for the diagnostic disparities between men and women. Bandura’s (1986) SCT was used as the theoretical framework for this quantitative study.The purpose of this quantitative cross-sectional study was to determine whether there was an association between socioeconomic status, obesity, stage …
African American Children’S Risk Of Long Covid-19 Syndrome Based On Daily Intake Of Fruits And Vegetables, Christopher Joseph Waskewich
African American Children’S Risk Of Long Covid-19 Syndrome Based On Daily Intake Of Fruits And Vegetables, Christopher Joseph Waskewich
Walden Dissertations and Doctoral Studies
Although the Covid-19 pandemic emerged in 2020, limited information about how the virus affects adolescents regarding long-term health risks is available. This quantitative study focused on the effect of U.S. adolescents' daily diet, race/ethnicity, levels of income, access to health care, age, and comorbidities on the risks of long Covid-19 syndrome. The constructs of the health belief model were used to understand the impact of those variables. The results of the online survey (n=298) with the parents of adolescent children (ages 11-17) from New York City found that adolescents whose daily vegetable consumption was more than the daily recommendations had …
Socioecological Factors Influencing The Anticipated Medical Help-Seeking Time For Breast Cancer Among Women In Togo, A Sub-Saharan Country, Komi Blewussi Aheto
Socioecological Factors Influencing The Anticipated Medical Help-Seeking Time For Breast Cancer Among Women In Togo, A Sub-Saharan Country, Komi Blewussi Aheto
Walden Dissertations and Doctoral Studies
Breast cancer remains a leading cause of death in sub-Saharan Africa (SSA). The burden of the disease in the region is partly attributed to delayed health-seeking, resulting in advanced disease presentation, delayed diagnosis, poor outcomes, and low survival. This quantitative cross-sectional study was conducted to investigate the socioecological factors that influence the anticipated medical health-seeking time for women in SSA experiencing breast cancer symptoms. The socioecological model (SEM) theoretical framework guided this study. A questionnaire was used to collect data from randomly selected (N = 343) women aged 18 years and older with no personal or familial history of breast …
Understanding The Demographic And Health Factors Associated With The Incidence Of Stroke In Jamaica, Zandy Elliott
Understanding The Demographic And Health Factors Associated With The Incidence Of Stroke In Jamaica, Zandy Elliott
Walden Dissertations and Doctoral Studies
Stroke, the leading cause of death and disability worldwide, is a significant public health issue in Jamaica, affecting individuals, families, and the healthcare system. This study identified demographic and health factors associated with stroke, enabling medical professionals to better understand high-risk factors and implement preventative care strategies in Jamaica—filling a significant gap in public health knowledge. The quantitative cross-sectional study examined Jamaican demographics, health, and stroke rates. Secondary data from the Office of the Consultant Neurologist (OCN) from 2000-2023 was integrated into the Social Ecological Model (SEM). The study included 291 stroke patients aged 18 and older, excluding those under …
Home And Community-Based Case Manager Job Satisfaction During The Covid-19 Public Health Emergency, Timothy Frederick Conroy
Home And Community-Based Case Manager Job Satisfaction During The Covid-19 Public Health Emergency, Timothy Frederick Conroy
Walden Dissertations and Doctoral Studies
There is limited information on the impact on Home and Community-Based Services (HCBS) case managers’ job satisfaction as COVID-19 policies altered the way their jobs were performed. Many HCBS case managers in the United States experience high levels of turnover and burnout, resulting in difficulty maintaining appropriate service levels. Public health emergency (PHE) policies used to limit exposure of high-risk community-based individuals to COVID-19 resulted in various adjustments to traditional job responsibilities. The purpose of this research was to qualitatively study the impact of HCBS policy changes on the job satisfaction of HCBS case managers prior to and throughout the …
Lived Experiences Of Low-Income African American Burn Survivors In Greater Washington, Dc, Angela White
Lived Experiences Of Low-Income African American Burn Survivors In Greater Washington, Dc, Angela White
Walden Dissertations and Doctoral Studies
Burn injuries are wounds that affect the skin and other organic tissue, categorized according to the mechanism of injury and brought on by heat, electricity, chemicals, fire, or flames. In the United States, researchers have shown that race and other healthcare inequalities lead to increased burn injuries among African Americans but have yet to explore their lived experiences after sustaining these injuries. This phenomenological study explored perceptions and understanding of the manifestation of burn injuries of seven African American burn survivors. Participants were recruited in health services public waiting areas, community storefronts, mailers, and on Facebook. Data were collected via …
Impact Of Drinking Water And Sanitation Facilities On Child Mortality In Sierra Leone, Christie Ben-Carew
Impact Of Drinking Water And Sanitation Facilities On Child Mortality In Sierra Leone, Christie Ben-Carew
Walden Dissertations and Doctoral Studies
Water, sanitation, and hygiene (WASH) are viewed as key contributors to the high rates of under-5 child deaths in sub-Saharan Africa. In one of the countries in the region, Sierra Leone, there was an absence of studies on the potential impacts of WASH on child mortality. The purpose of this quantitative study was to examine how variables related to access to toilet facilities and safe drinking water in rural and urban areas of Sierra Leone impact child mortality. Secondary data from the United Nations Children's Fund 2017 Multiple Indicator Cluster Survey (N = 18,006) were analyzed as part of this …
The Lived Experiences Of Work Related Violence Against Public Health Professionals During Covid-19 Pandemic, Cynthia Howell
The Lived Experiences Of Work Related Violence Against Public Health Professionals During Covid-19 Pandemic, Cynthia Howell
Walden Dissertations and Doctoral Studies
Work-related violence (WRV) against public health professionals is increasingly prevalent worldwide but received much greater attention during the COVID-19 pandemic. This qualitative study addressed a gap in the literature by exploring public health professionals' experiences with WRV threats, what factors contributed to their vulnerability, and the severity of these threats during the COVID-19 pandemic from 2020 to 2023. Rogers' (1975) Protection Motivation Theory was the conceptual framework for phenomenological study. Twelve public health professionals, both male and female, including epidemiologists, nurses, physicians, researchers/scientists, and community health workers, who actively worked during the COVID-19 pandemic and were residents of New York …
Marijuana Legalization And Opioid Use Disorder In Ontario, Canada, From 2015 To 2021, Luke Ome Agada
Marijuana Legalization And Opioid Use Disorder In Ontario, Canada, From 2015 To 2021, Luke Ome Agada
Walden Dissertations and Doctoral Studies
This study examined the trends in opioid-related hospitalizations and deaths in Ontario, Canada, from 2015, to 2021, with a particular focus on the periods before and after cannabis legalization. The social problem addressed was the ongoing opioid crisis, exacerbated by rising opioid-related health issues. Grounded in the harm reduction theory, this research explored whether cannabis legalization could serve as a substitute to mitigate opioid use disorder. Data were extracted from the Discharge Database, Emergency Department Database, National Ambulatory Care Reporting System, and Hospital Morbidity Database. Analysis using the generalized estimation equation (GEE) method revealed a significant increase in opioid-related hospitalizations, …
Black Women’S Perceptions Of Perinatal Healthcare In New York City Community Health Centers, Asiyah Franklin
Black Women’S Perceptions Of Perinatal Healthcare In New York City Community Health Centers, Asiyah Franklin
Walden Dissertations and Doctoral Studies
The purpose of this qualitative study was to explore the experiences of Black women who have received perinatal care in New York City (NYC) community health centers and the perceived impact on their maternal health behaviors and outcomes. Although maternal health care delivery and outcomes among Black women have been explored in research, socially and economically disenfranchised Black women in NYC who rely on community health centers for perinatal care have not been included in this research. This study involved addressing the lack of knowledge of Black women’s experiences with perinatal care in NYC’s community health system and consisted of …
Examining The Relationship Between Employment And Health Status Among Adults With Autism Spectrum Disorder (Asd) In The United States, Winifred Beckles
Examining The Relationship Between Employment And Health Status Among Adults With Autism Spectrum Disorder (Asd) In The United States, Winifred Beckles
Walden Dissertations and Doctoral Studies
Autism spectrum disorder (ASD), characterized by challenges in social communication and repetitive behaviors, is a developmental disability that impacts over five million adults in the United States. Despite the significant amount of research literature on the association between health and employment in the general population, there remains a gap in research on the relationship between health and employment in adults with autism. Utilizing the Social Ecological Model (SEM) framework, this study examined whether there is a relationship between employment, current living status, non-paid activities, United States Census regions, type of health insurance, and health status when controlling for age, race, …
Racial Bias In The Treatment Decision Of Breast Cancer In African American And Caucasian Women, Hayaat Mariette Amara
Racial Bias In The Treatment Decision Of Breast Cancer In African American And Caucasian Women, Hayaat Mariette Amara
Walden Dissertations and Doctoral Studies
Breast cancer stands as a formidable health challenge in the United States, ranking as the most prevalent and deadly diagnosed cancer and the second leading cause of cancer-related death among women. Of particular concern is the disproportionate impact on African American women, who experience elevated mortality rates compared to other demographic groups. This quantitative study, grounded in critical race theory, investigated whether there is an association between race as well as comorbidity score and first-course treatment plans for breast cancer among women in the State of Georgia, United States, adjusting for the stage of breast cancer, age, and household income. …
Factors Affecting The Quality Of Reporting Dispensing Errors Among Pharmacists, Kelley Latrece Lavallais
Factors Affecting The Quality Of Reporting Dispensing Errors Among Pharmacists, Kelley Latrece Lavallais
Walden Dissertations and Doctoral Studies
Medication dispensing errors, which are the inconsistency between the dispensing of medication to the patient against the prescribed medication, continue to be a public health challenge. Many studies have been conducted to examine their causes, including burnout, illegible handwriting, workload, and interruptions. There have also been studies on the types of medication dispensing errors. This study focused on the reporting of errors. The purpose of this quantitative study involving secondary data analysis was to examine the factors affecting the quality of reporting dispensing errors among pharmacists and the seriousness of the adverse events. The social-ecological model served as the theoretical …
Association Between Particulate Matter And Copd Among Adults In Alaska, Adeyemi Samuel Alimi
Association Between Particulate Matter And Copd Among Adults In Alaska, Adeyemi Samuel Alimi
Walden Dissertations and Doctoral Studies
Exposure to high levels of fine particulate matter (PM2.5) is emerging as a crucial risk factor for chronic obstructive pulmonary disease (COPD), a deadly lung disease with a significant public health burden. The Fairbanks North Star Borough (FNSB) in Alaska has one of the worst PM2.5 issues in the United States. The PM2.5 issues in the area are associated with increased wood-burning and temperature inversions in the winter and wildfires in the summer. Given these prevailing PM2.5 issues, this quantitative study was conducted using Alaska BRFSS datasets and a chi-square test to compare the COPD prevalence in the FNSB with …
Reactions To The Mpox Vaccine Regarding Absences And Disruption Of Daily Activities In The United States, Robert Rossi
Reactions To The Mpox Vaccine Regarding Absences And Disruption Of Daily Activities In The United States, Robert Rossi
Walden Dissertations and Doctoral Studies
Since its global outbreak in 2022, the monkeypox (Mpox) virus has infected over 32,000 individuals in the United States, resulting in approximately 58 deaths. Although the JYNNEOS vaccine is effective at disease prevention, it has also been found to cause side effects, such as a disruption in daily activities and/or attendance at work or school. This quantitative, cross-sectional study was conducted to investigate whether differences existed in reactions to the Mpox vaccine, using secondary data from the Centers for Disease Control and Prevention’s V-safe Mpox survey. The two dependent variables were work/school absenteeism and disruption of daily activities, and the …
Parental Knowledge And Perception Of Obesity And Effect On Feeding Behavior And Child's Weight Status, Fidelia Senayah
Parental Knowledge And Perception Of Obesity And Effect On Feeding Behavior And Child's Weight Status, Fidelia Senayah
Walden Dissertations and Doctoral Studies
Childhood obesity is a significant public health problem that leads to poor health outcomes in affected children, including the potential for developing chronic diseases in adulthood if not addressed at an early stage. While there are several studies on childhood obesity, data on parental obesity knowledge and risk perception as it relates to feeding behavior and child weight outcome is inadequate. No data were found on the topic in Ohio, which has a high rate of childhood obesity and overweight. This study examined how parental obesity risk knowledge and risk perception influenced parental feeding behavior and children’s weight status in …
Demographic Characteristics As Moderators For The Association Between Cigarette Smoking And Type 2 Diabetes Mellitus, Aregash Tewoldeberhan Kidane
Demographic Characteristics As Moderators For The Association Between Cigarette Smoking And Type 2 Diabetes Mellitus, Aregash Tewoldeberhan Kidane
Walden Dissertations and Doctoral Studies
Diabetes mellitus is a major public health problem and is associated with increased morbidity, mortality, and healthcare expenditure in the United States. Several studies have been conducted that showed cigarette smoking is associated with an increased incidence and prevalence of diabetes mellitus (DM); however, there is no published information in the literature on the moderating effects of gender/sex and race/ethnicity on this association. The purpose of this quantitative, cross-sectional study was to address this gap in the literature and examine the association between cigarette smoking and DM and the moderating effect of sex and race/ethnicity on the association between cigarette …
Relationship Between Household Water Sanitation And Hygiene Behaviors And Diarrhea Between 2010-2020 In Rwanda, Amans Ntakarutimana Dr., Patrick A. Tschida Dr.
Relationship Between Household Water Sanitation And Hygiene Behaviors And Diarrhea Between 2010-2020 In Rwanda, Amans Ntakarutimana Dr., Patrick A. Tschida Dr.
Journal of Social, Behavioral, and Health Sciences
Rwanda has made considerable progressive policy efforts to significantly reduce diarrhea among children under 5 years old, especially since 2010. This cross-sectional study aimed to assess the relationship between household water sanitation and hygiene (WASH) behaviors and diarrhea among children under 5 years old between 2010 and 2020. We used secondary data from the 2010, 2015, and 2020 Rwanda Demographic Health Surveys. We used descriptive statistics, pairwise comparisons, and linear regression designs to assess (a) the prevalence of household WASH behaviors across districts, regions, urban areas, and rural areas, (b) the variation of household WASH behaviors over time, and (c) …
Health Risk Factors Of Female African American Informal Caregivers For Alzheimer’S Disease Patients In Low-Income Communities, Rosaline Elaine Elliott
Health Risk Factors Of Female African American Informal Caregivers For Alzheimer’S Disease Patients In Low-Income Communities, Rosaline Elaine Elliott
Walden Dissertations and Doctoral Studies
By 2050, 152 million people worldwide, primarily low-income populations, will have Alzheimer's disease (AD). African American (AA) women informal caregivers are primary caregivers in low-income neighborhoods, and they suffer from burnout and poor health, including physical and mental fatigue, despair, anxiety, hypertension, and stressors that can lead to heart attacks, strokes, or premature mortality. The Informal Caregiver Integrative Model (ICIM) theoretical framework was used to survey 120 participants using SurveyMonkey was administered to collect data for this cross-sectional quantitative study. The multiple hierarchical regression analyses revealed caregiving appraisal had no significant impact on burnout. A higher quality of the caregiver-care …
The Association Between Race And Obesity After Controlling For Dietary Behaviors Among Adolescents, Jasmine Nicole Williams
The Association Between Race And Obesity After Controlling For Dietary Behaviors Among Adolescents, Jasmine Nicole Williams
Walden Dissertations and Doctoral Studies
Childhood obesity has become a critical global public health concern due to its significant, long-term impact on overall quality of life and physical health. Despite efforts, there is a lack of information that includes all races and ages to combat childhood obesity. This study addressed the association between race and obesity after controlling for dietary behaviors among adolescents in Georgia, using quantitative cross-sectional data from the 2021 Youth Risk Behavior Surveillance System (YRBSS). Guided by the social ecological model, the research investigated how demographic factors and dietary behaviors influence obesity rates. Specifically, the study explored the association between age, race, …
Determinants Of Testicular Cancer Survival Rates In American Indian/Alaska Natives, Mufaya Nganzi
Determinants Of Testicular Cancer Survival Rates In American Indian/Alaska Natives, Mufaya Nganzi
Walden Dissertations and Doctoral Studies
Testicular cancer is the most common solid tumor among male young adults between 15 to 34 years old. Despite progress with the testicular cancer survival rate, American Indians or Alaskan Natives (AI/ANs) have the highest mortality rate of testicular cancer compared to all other racial groups in the United States. There is a shortage of reported studies on social-related factors that affect the survival rate of testicular cancer patients among AI/ANs. The purpose of this study was to examine the association between stage at diagnosis, treatment, insurance status, and marital status as independent variables and the survival rate (in months) …
The Influence Of Individual Characteristics On Human Immunodeficiency Virus Testing In Puerto Rico, Jose Au Lay
The Influence Of Individual Characteristics On Human Immunodeficiency Virus Testing In Puerto Rico, Jose Au Lay
Walden Dissertations and Doctoral Studies
In 2016, there were 17,072 people living with HIV in Puerto Rico. Most HIV cases were among men, with the primary mode of transmission identified as men who have sex with other men followed by heterosexual contact. Among women, heterosexual contact was the primary mode of HIV transmission. The rise in the numbers of individuals infected with HIV through heterosexual contact suggest the prevalence of high-risk sexual behaviors including multiple sexual partners and unprotected vaginal and anal sex. Guided by the health belief model, the purpose of this study was to explore the relationship between the likelihood of HIV testing …
Obese African American Women’S Perceptions Of Transition From College To Workforce, Alea Lycorish
Obese African American Women’S Perceptions Of Transition From College To Workforce, Alea Lycorish
Walden Dissertations and Doctoral Studies
The rate of obesity continues to rise among adults in the United States, and African American (AA) women are at greater risk in comparison with any other group. This matter has become an alarming public health crisis. Obese AA women also face a higher risk of discrimination in the workforce. The purpose of this qualitative, multiple case study was to increase the understanding of the perceptions and experiences of bachelor degree educated, overweight AA women during the postgraduate phase, who entered the workforce within the past 10 years. The theoretical framework used in this study was Crenshaw’s intersectionality theory. The …
Examining Coping Mechanisms Among Teachers And Administrators After Experiencing Gun Violence At School, Tracey Yvonne Holt
Examining Coping Mechanisms Among Teachers And Administrators After Experiencing Gun Violence At School, Tracey Yvonne Holt
Walden Dissertations and Doctoral Studies
According to recent research, gun violence at schools has become a public health issue. Teachers, administrators, students, and communities are trying to cope with the aftermath of gun violence at schools. The purpose of this qualitative phenomenological study was to identify coping mechanisms among teachers and administrators after experiencing gun violence at school. The theoretical framework was the transactional model of stress and coping, contending that a person’s capacity to cope and adjust to challenges and problems is a consequence of transactions. Data collection included Zoom interviews with 10 participants. Findings from coding and thematic analysis indicated that experiencing gun …
Concussions And Their Relationship With Cheerleading, Jazmin Hampton
Concussions And Their Relationship With Cheerleading, Jazmin Hampton
Walden Dissertations and Doctoral Studies
Concussions are a major public health issue that impacts a variety of persons. Cheerleading is an emerging popular sport that has seen increased participation. Minimal information about cheerleading and concussions is known. This study aimed to investigate sustaining a concussion as a cheerleader while accounting for demographics (age, race, and gender), mechanism of injury, and injury setting. The precaution adoption process model was the theoretical framework for this study. Chi-square analysis and binary logistic regression were applied to address research questions. Data from 3,536 patients were obtained from the 2018-2022 National Electronic Injury Surveillance System. Findings indicated there were associations …
The Worry Of Food Insecurity And The Manifestation Of Generalized Anxiety In Relation To Perceived Health Status, Ramona Lynnette Taylor
The Worry Of Food Insecurity And The Manifestation Of Generalized Anxiety In Relation To Perceived Health Status, Ramona Lynnette Taylor
Walden Dissertations and Doctoral Studies
This study examined the association between the worry of food insecurity and the manifestation of generalized anxiety, and how these factors related to perceived health status among adults aged 18 years and older in the U.S. The study controlled demographic factors such as gender, age, race, and education. Utilizing data from the 2019 National Health Interview Survey (NHIS), a binomial logistic regression analysis was employed. The findings indicated a significant association between those persons who often worry about food insecurity, severe (OR = 7.324, p < .001) and frequent generalized anxiety (OR = 5.185, p < .001) suggesting that individuals who worry about food insecurity have higher odds of experiencing severe and frequent (more than 3 times per week) generalized anxiety. Furthermore, both the worry of food insecurity in persons not sure (OR = 0.120, p = 0.004) and generalized anxiety (OR = 0.623 for severe anxiety, p = 0.009) were found to be significantly associated with lower perceived health status. These results suggest a potential association between worry about food insecurity and negative impacts on mental health and perceived overall well-being. Overall, these findings underscore the significant impact of food insecurity on mental health. Further research, including experimental and longitudinal studies, is necessary to elucidate the causal relationship between food insecurity and the manifestation of generalized anxiety in order to impact positive social change.
Association Between High Health Literacy, Doctor's Recommendation, And Prostate Cancer Screening Among Men In The United States, Felicia Njideka Akunna
Association Between High Health Literacy, Doctor's Recommendation, And Prostate Cancer Screening Among Men In The United States, Felicia Njideka Akunna
Walden Dissertations and Doctoral Studies
To efficiently identify and prevent the advancement of prostate cancer and decrease mortality rates, it is crucial to examine the impact of health literacy. Despite potential advantages associated with enhanced health literacy and early detection, the United States continues to witness a significant rise in both new prostate cancer cases and mortality rates, emphasizing the severity of the condition. However, it is unclear if those with high health literacy are discouraged from participating in prostate cancer screening due to the risks associated with screening. Based on the stimulus organism response model, 2016 Behavioral Risk Factor Surveillance System data were analyzed …
Socioeconomic Determinants And Maternal Mortality In Liberia, Monee Sherman
Socioeconomic Determinants And Maternal Mortality In Liberia, Monee Sherman
Walden Dissertations and Doctoral Studies
High rates of pregnancies and childbirth contribute to a heightened risk of maternal mortality among women between 15 and 49 in Liberia. Most women are uninformed about their maternal risk behaviors, symptom severity, and delayed care-seeking. The mortality rate for women between 25 and 34 during pregnancy and childbirth is unacceptably high. The highest increase in maternal mortality rates is seen among women between 40 and 44 who choose to delay motherhood. In Liberia, the deaths of 4.5 women a day are caused by complications during pregnancy and childbirth. We examined the influence of participant background characteristics, socioeconomic factors, and …
Exploring Lived Experiences Of Mothers Raising Children With Down Syndrome In Western Nigeria, Vivian N. Aruwajoye
Exploring Lived Experiences Of Mothers Raising Children With Down Syndrome In Western Nigeria, Vivian N. Aruwajoye
Walden Dissertations and Doctoral Studies
Having a child with Down syndrome (DS) negatively impacts mothers’ health and well-being. Families raising a child or children with DS encounter significant financial burdens, inadequate support services, and cultural influences, which have adverse effects on the families. The purpose of this phenomenological qualitative study was to understand the accessibility and utilization of support services through the lived experiences of Western Nigerian mothers raising children with DS. The study involved 10 mothers who were recruited using a purposive sampling technique. Data were collected through semi-structured interviews via Zoom and observational notes. Thematic analysis was guided by Bronfenbrenner's ecological model. NVivo …