Public Health Commons^™

Sleep Diagnoses And Low Back Pain In U.S. Military Veterans, Kenneth A. Taylor

USF Tampa Graduate Theses and Dissertations

Low back pain (LBP) is a common problem that is the primary contributor to years lived with disability worldwide. In the U.S. LBP is disproportionately experienced by military veterans. In recent years interest has grown in the impact of sleep and sleep-related diagnoses on musculoskeletal pain complaints (including LBP) and despite growth in the scientific literature investigating this, gaps in our understanding of how sleep diagnoses impact LBP remain. To that end, this dissertation uses administrative electronic health record data from veterans seeking care through the Veterans Health Administration in three manuscripts to address the following specific aims: (1) investigate …

Making Change In The Nickel City: Food Banking And Food Insecurity In Buffalo, Ny During The Covid-19 Pandemic, Sarah E. Bradley

USF Tampa Graduate Theses and Dissertations

In March 2020, the coronavirus 2019 (COVID-19) pandemic began to spread across the United States. The pandemic disrupted the food system in an unprecedented fashion, exacerbating existing inequalities and contributing to increased rates of food insecurity and charitable food use. This research project considers the food system of Buffalo, New York and seeks to capture the way in which both food insecure households and the food pantries that serve them adapted to the pandemic. Using data from 75 client surveys, 52 qualitative semi-structured interviews with food pantry staff and clients, and 15 participatory GIS mapping interviews, this mixed-methods project describes …

Evaluating The Development And Implementation Of Campus-Based Sexual And Interpersonal Violence Prevention Programming, Robyn Manning-Samuels

USF Tampa Graduate Theses and Dissertations

1 in 5 women in institutions of higher education experience an attempted or completed sexual assault every year. Sexual and interpersonal violence prevention programming is one of the main ways colleges and universities attempt to address this issue. The purpose of this exploratory qualitative pilot study is to evaluate the development and implementation of campus-based sexual and interpersonal violence prevention programming, looking specifically at facilitators and barriers for prevention staff, what they experience as preventionists, and how COVID-19 has impacted these essential programs. Ten preventionists were recruited from the Campus Advocacy and Prevention Professionals Association for 90-minute interviews. Results of …

Bait-And-Kill: Targeting A Novel Heme Biochemical Pathway In Hundreds Of Cancers, Christopher G. Marinescu

USF Tampa Graduate Theses and Dissertations

Cancer cells are characterized by their ability to grow and proliferate in rates that far exceed normal cells by modifying their iron/heme metabolisms to levels higher than normal. This imbalance of heme biosynthesis can lead to cancer cells having a flux of heme intermediates to the point where they enter a state called heme-overdrive. Heme-overdrive is a process unique to a variety of cancers but absent in normal tissues. With this enhanced production, heme can act as an epigenic regulator for signaling proliferation (18). Through the novel strategy called ‘bait-and-kill,’ cancer cells will be coerced into a state of heme …

Defining Codes Based On The Consolidated Framework For Implementation Research In The Context Of The Implementing Universal Lynch Syndrome Screening, Jasmine A. Burton-Akright

USF Tampa Graduate Theses and Dissertations

Lynch syndrome (LS) is the most common hereditary cause of both colorectal cancer (CRC) and endometrial cancer (EC). Universal tumor screening (UTS) of newly diagnosed EC and CRC patients has been shown to be both an effective and economical approach to identify patients with LS and subsequently reduce future cancer s for patients and their family members. Despite its efficacy, LS UTS has not been consistently adopted across hospital systems and existing programs vary widely in their structure and execution. The Implementing Universal Lynch Syndrome Screening (IMPULSS) study aims to determine the critical factors necessary for successful implementation of LS …

Evaluating The Use Of Behavioral Skills Training To Teach Substitute Caregivers To Identify Hazards, Carlos Abarca

USF Tampa Graduate Theses and Dissertations

The leading cause of death for children across the world is unintentional injuries (UNICEF 2001). Hazards such as accessible pools, poisons, and small ingestible items are the leading causes of unintentional injuries. Behavioral interventions such as Project 12-Ways/Safe Care have been used to teach parents how to be proactive in structuring a home free of accessible hazards by teaching the parents to identify and remove hazards in their home. Though the Project 12-Ways/Safe Care model has over 30 years of literature supporting its efficacy, the model has not been tested with substitute caregivers who often play a critical role in …

Comparison Of The Effectiveness Of Disinfectant-Impregnated Wipes Versus Detergent Wipes For Surface Decontamination, Jacob Amadin

USF Tampa Graduate Theses and Dissertations

Over time, there is an increased need to adopt more advanced and effective ways of disinfection. The emergence of the coronavirus-2019 (COVID-19) pandemic reminded the world on the importance of disinfection. Disinfection has been a routine in the healthcare setting. However, with the current pandemic problem, it is more prominently and persistently done in the domestic setting and other business settings beyond healthcare. As such, the use of most disinfectants and detergent wipes to achieve a near sanitized environment has become a common practice around the globe. This research presents the efficacy of disinfectant impregnated versus detergents wipes through comparison. …

Acclimatization Protocols And Their Outcomes, Ayub M. Odera

USF Tampa Graduate Theses and Dissertations

Heat acclimatization provides the opportunity to better tolerate heat stress. Different methods are used to acclimatize participants as part of heat stress studies in the laboratory. The usual acclimatization protocols are greater than the occupational exposure limit represented by the ACGIH TLV® and NIOSH REL. The purpose of this paper was to examine the acclimatization state prior to and at the end of a one-week acclimatization program using two acclimatization protocols.

Prior heat stress studies at the University of South Florida (USF) used two heat stress conditions for participants’ acclimatization. Participants (n = 43) were evaluated using four different studies …

Does Time-Weighted Averaging For Wbgt And Metabolic Rate Work For Work-Recovery Cycles?, John W. Flach

USF Tampa Graduate Theses and Dissertations

Heat stress affects thousands of works annually by causing heat-related illnesses. Wet bulb globe temperature (WBGT) is a widely accepted metric to assess the environmental contributions to heat stress. WBGT-based occupational exposure limits (OELs) include the ACGIH TLVs and the NIOSH RELs. The OEL threshold is adjusted downward with increasing metabolic rate. Further, there is an OEL for acclimatized and non-acclimatized workers. An often-recommended intervention found within a heat stress management program is work-recovery cycles to manage exposure. To prescribe work-recovery cycles, the common practice is to use time-weighted averaging (TWA) for the WBGT and the metabolic rate. The purpose …

Face Mask Use To Protect Against Covid-19; Importance Of Substrate, Fit, And User Tendencies, Evelyn Kassel

USF Tampa Graduate Theses and Dissertations

In 2019, a novel respiratory illness appeared in China and spread rapidly though the country. It was determined that the SARS–CoV-2 virus was the cause of the COVID-19 pandemic. By the end of 2020, almost every continent was experiencing the effects of COVID-19. The virus caused health officials difficulty in determining its route of transmission. They worked tirelessly to discover it was spread via respiratory droplets. Panicked buyers wiped out protective equipment like medical masks and respirators, regardless of what was needed. Essential employees and first responders were subject to large scale personal protective equipment (PPE) shortages as health organizations …

The Distribution In Native Populations From Mexico And Central America Of The C677t Variant In The Mthfr Gene, Lucio A. Reyes

USF Tampa Graduate Theses and Dissertations

Objectives: To explore evolutionary hypotheses for the high frequencies of a substitution in the methylenetetrahydrofolate reductase (MTHFR) gene, in Mexican and Central American Indigenous populations.

Materials and methods: We obtained allele frequencies for the C677T variant in the MTHFR gene and ecological information for 37 indigenous samples from Mexico and Central America. We calculated Hardy–Weinberg equilibrium and computed Fst statistics. We computed correlations between the samples' allele frequencies and ecological and geochemical variables.

Results: Many of the samples have extremely high frequencies of the T allele (q̄ = 0.62, median = 0.66). In this region, the frequency of the T …

Eating And Body Image Disorders In The Time Of Covid19: An Anthropological Inquiry Into The Pandemic’S Effects On The Bodies, Theresa A. Stoddard

USF Tampa Graduate Theses and Dissertations

This thesis examines how the COVID-19 pandemic and its associated lifestyle changes are impacting the experiences of self-identifying women and females with body image disorders (BIDs) and/or eating disorders (EDs), focusing on the mental, physical, and emotional health of participants. Using surveys, person-centered semi-structured interviews, and autoethnography, I collected qualitative and quantitative data regarding the challenges, triumphs, hopes, and fears of participants regarding their EDs/BIDs during the pandemic and situated their experiences within their sociocultural context. Drawing on anthropological and psychological theory, I examine the data through the lenses of Scheper-Hughes’s and Lock’s “The Three Bodies” (the body politic, body …

Does Better A1c Control Worsen Osteoarthritis? An Electronic Health Record Cross-Sectional Study, Sarah C. Cattaneo

USF Tampa Graduate Theses and Dissertations

Obesity is a major risk factor for osteoarthritis (OA). There is evidence that diabetes also increases risk. Our hypothesis is that A1C is a predictor of OA severity. The aim is to investigate the association between A1C, BMI, and knee and hip OA severity. This is a cross-sectional study within the Veterans Health Administration (VHA) database containing 818 patients with diagnosed diabetes. Patients at one VHA facility with recorded diabetes in fiscal year 2020 were identified. A1C and BMI data was obtained from the electronic health record. Chart reviews were performed to collect data on imaging reports of weight-bearing joints …

Quantifying The Impact Of Chronic Stress On Racial Disparities In Cardiovascular Disease, Nnadozie Emechebe

USF Tampa Graduate Theses and Dissertations

Background: Despite declining mortality in cardiovascular diseases (CVD), racial disparities between non-Hispanic Blacks (NHB) and to non-Hispanic Whites (NHW) persist. Although the prevalence of traditional risk factors of CVD such as hypertension, is higher in NHB compared to NHW, adjusting for this difference does not eliminate the disparity completely. This suggests other factors might explain the persisting disparities. Thus, the purpose of this dissertation is to quantify the impact of chronic stress in explaining the racial disparities in cardiovascular diseases (CVD). This dissertation contains three studies that addressed the following Specific Aims: Specific aims: 1) To create and assess the …

A Review Of American College Campus Tobacco Or Smoke Free Policies: A Case Study Of A Large Urban University, Sarah E. Powell

USF Tampa Graduate Theses and Dissertations

Objective: A year after a tobacco free policy was passed, the University of South Florida (USF) was interested in the overall policy opinions and efficacy. To assess this a project was completed that included a survey and geospatial data. The survey measured tobacco policy enforcement behavior and a geographic information system (GIS) mapped tobacco policy violation. This project introduces an evaluation process that can efficiently assess an institutions tobacco-free policy. Methods: Using a cross-sectional survey sent to students, faculty, and staff, understanding of policy and resources, tobacco use observations, stage of change regarding policy enforcement, self-efficacy to enforce, and perceived …

On The Importance Of Context: Examining The Applicability Of Infertility Insurance Mandates In The United States Using A Mixed-Methods Study Design, Nathanael B. Stanley

USF Tampa Graduate Theses and Dissertations

Accessibility of infertility services is disproportionately experienced in the United States. Although there exist state-based health insurance mandates for infertility services, these mandates contain language that disqualify people from using them. In order to better understand why these mandates are not able to reduce the financial burden and bridge the income disparity for using infertility services, the purpose of this study is to add context to the applicability of these insurance mandates through qualitative and quantitative inquiry. Using the Glass and McAtee model of risk regulators as an operational paradigm, this research explores the role of environmental context, or “place”, …

Evaluating Public Posting, Goal Setting, And Rewards To Increase Physical Activity In Children, Bryon G. Miller

USF Tampa Graduate Theses and Dissertations

In Experiments 1 and 2 we evaluated a pedometer-based intervention consisting of public posting between two teams of students, with additional self-monitoring, goal setting, and reinforcement components, to increase physical activity during school recess. In the absence of self-monitoring, performance feedback alone did not increase physical activity levels above those observed during baseline. Additionally, higher levels of physical activity were observed when goal-setting was introduced, with the highest levels of activity observed when raffle tickets could be earned for exceeding a specified step-total goal. In Experiment 3 we removed the team component and evaluated similar intervention components across an entire …

Using Observations From The Uaw-Ford Ergonomic Assessment Tool To Predict Distal Upper Extremity Musculoskeletal Disorders, Zachariah T. Brandes-Powell

USF Tampa Graduate Theses and Dissertations

Distal upper extremity (DUE) musculoskeletal disorders (MSDs) affect thousands of workers annually. Job tasks can have a significant amount of MSD risk depending on the presence of certain risk factors The UAW-Ford Ergonomic Surveillance Tool (EST) is a method specifically designed for the UAW and Ford Motor Company to assess MSD risk in its facilities. The purpose of this report is to evaluate which risk factors in the UAW-Ford EST predict the risk of developing DUE MSDs. Data collected by a previous study on four UAW-Ford automotive manufacturing plants were analyzed. Target jobs were selected based on associated First Time …

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, …

“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 …