Public Health Commons^™

Covid-19 And Digital Health Literacy In University Students / Narrative Competence And Cognitive Mapping As A Culturally Sustaining Pedagogy In The Education Of Emergent Bilinguals, Molly Kathleen Hadley

Legacy Theses & Dissertations (2009 - 2024)

Early in 2020, the COVID-19 pandemic became a global public health concern. College students became dependent on the online environment for learning, but also for receiving COVID-19 information. Understanding digital health literacy (DHL) in this unique population and subsequent prevention behaviors in a digitally connected population during a public health crisis is crucial to prepare for future pandemics. This study explored DHL in college students, their main sources of pandemic information and other information seeking behaviors, adherence to public health guidelines, and intentions to receive a COVID-19 vaccine. During the summer of 2020, 245 New York state college students completed …

Identifying Risk Factors For Hospitalization With Mental Illness And/Or Behavioral Disorders And Concurrent Temperature-Related Illness In New York State : A Cross-Sectional Study, Heather Aydin-Ghormoz

Legacy Theses & Dissertations (2009 - 2024)

Background: In New York State (NYS), extreme heat events in the warm months (May – September) are expected to increase over the next 60 years. Additionally, NYS experiences extremely low temperatures in the colder months (October – April). Extreme temperature events are linked to increased emergency department visits, hospitalizations, and mortality for individuals with mental and behavioral disorders. This research aims to characterize individual and regional risk factors for mental and behavioral disorder hospitalizations with concurrent temperature-related illness in NYS. Methods: Using data from the NYS Statewide and Planning Research and Cooperative System between 2005 – 2019, multivariate log binomial …

Environmental Factors And Human Health Interactions : Ultrafine Particles, Temperature Variability, And Proximity To Power Stations, Ian Ryan

Legacy Theses & Dissertations (2009 - 2024)

Background: Air pollution leads to more than four million premature deaths worldwide and nearly 200,000 in the US each year. While there is extensive research relating PM2.5 to hospital visits for various health outcomes, there is relatively little research on ultrafine particles (UFPs), a particularly small and dangerous air pollutant. Another important exposure is temperature due to its association with dehydration, heat stress, and cardiovascular-related hospital admissions. However, relatively little research has been conducted on diurnal temperature range (DTR), or the range of temperature within a single day, which is an important indicator of climate change. Importantly, the interaction between …

An Examination Of Historical Health Disparities Of The Black Population In America, And Their Effects On Contemporary Health Disparities In Covid-19 Vaccine Hesitancy, Sophia-Evelyne Blake Nehama

Public Health Undergraduate Program

The COVID-19 pandemic has highlighted the significant health disparities that the African American population faces in comparison to White Americans. The Tuskegee Syphilis study is often cited to support the theory that medical mistrust is responsible for these disparities despite conflicting opinions that medical distrust is not the main reason for disparities. This study examines the effects that historical health disparities in Black populations have on contemporary vaccine hesitancy. An analysis of recent sources, including peer reviewed historical analysis and news articles with accredited sources was used to make up the entirety of the literary review. For data on contemporary …

Missed Opportunities In Social Media To Reduce Maternal Health Disparities For Black Women, Nerissa George

Legacy Theses & Dissertations (2009 - 2024)

Pregnancy-related maternal morbidity and mortality disproportionately affect Black women more than their White counterparts. Black pregnant women are more likely to omit or engage in prenatal care late than White women. Social media is an essential source of pregnancy-related information and shows it effectively improves pregnancy knowledge. Greater than 80% of Black women own a mobile device, and some data demonstrate that Black women use social media for pregnancy-related information. However, little is known about social media use during pregnancy for this population. Several gaps exist about what maternal health content is available on social media, how Black women use …

Taking A User-Centered Design Approach To Develop A Data Dashboard For New York State Department Of Health And Implications For Improving The Usability Of Public Data Dashboards / Narrative Competence And Cognitive Mapping As A Culturally Sustaining Pedagogy In The Education Of Emergent Bilinguals, Bahareh Ansari

Legacy Theses & Dissertations (2009 - 2024)

In recent years, the increased availability of public data dashboards provided opportunities to democratize data access by summarizing large amounts of data into accessible snapshots to facilitate educational efforts and encourage evidence-based decision-making. However, many current practices have not reached their full potential because the dashboard design has not accounted for users’ needs and preferences. This dissertation employed the user-centered design framework with three studies. Study 1 investigated the usability problems of existing public health data dashboards through an expert review of existing dashboards on government websites. Study 2 established the requirements of a usable design for public health data …

The Communicative Capacities Of The Medical Discourse In Authoritarian Societies : The Case Of Aids In Iran, Elham Pourtaher

Legacy Theses & Dissertations (2009 - 2024)

This study explores the role of medical discourse in the Iranian formal public sphere. It examines how an epidemiological wave of HIV/AIDS—known as "the third wave"—highlighted nontraditional sexual behaviors in public and enabled a shift in policy and discourse by the Islamic Republic State. Through analyzing published content on HIV/AIDS from five major Iranian newspapers between 2009 and 2013, this study identified four competing narratives of the third wave which coexist and have a dynamic relationship with one another. First, the medical narrative warns of an unfolding public health crisis and provides a technical perspective to make sense of the …

Civility And Communication Interventions To Improve Patient Outcomes, Lane Denney

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Communication in health care is vital for the successful care of patients and their outcomes while they are hospitalized. Healthcare workers are responsible for communicating patient information whether it is between change of shifts or reporting to a patient’s provider. It is important that this information is communicated effectively. This review evaluates how nurses communicate in shift- report and how this affects patient outcomes and civility between nursing units and teams. Overall, bedside shift reports promoted the best patient outcomes and increased teamwork on hospital units.

Multimodal Approach To Chronic Pain Management And Prevention Of Opioid Use Disorder, Hannah Elston

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background. Chronic pain (CP) is a major public health problem that affects one-third of the population and can interfere with the activities of daily life and cause decreased quality of life. Patients with CP have been increasingly prescribed opioids, contributing to the rise in the opioid epidemic. Due to the long-term nature of CP, the use of opioids as the sole treatment for CP can cause tolerance and increased dosages overtime which can lead to addiction and potentially overdose. Therefore, CP treatment should include multimodal approaches to treatment to prevent opioid misuse, opioid use disorder (OUD), and overdose. Multimodal treatments …

Attitudes Towards Covid-19 Vaccination: Literature Review And Attitudes Of Individuals Who Delayed Vaccination, Sydney Hornberger '22

Honor Scholar Theses

This thesis examines attitudes towards and ethics of receiving one of the fastest vaccines ever developed— the COVID-19 vaccine. The Food and Drug Administrations (FDA) in the U.S. has granted either Emergency Use Authorization or full approval to three vaccines: the Pfizer-BioNTech, Johnson & Johnson, and Moderna-NIAID vaccines. However, although the FDA approved and the Center for Disease Control and Prevention (CDC) recommends getting the vaccines, that does not necessarily mean people have an ethical responsibility or a positive attitude towards getting vaccinated against COVID-19; this current paper explores both of these ideas as related to COVID-19 vaccination. First, it …

Practicing Trauma-Informed Care In Nursing For A Better Outcome In Hospitalized Adolescents With Adverse Childhood Experiences And Trauma, Allysa Mia Fabricante

Nursing | Senior Theses

As nurses we want to give our patients the best care. That is why trauma-informed care (TIC) is important to include into nursing practice. TIC is a fairly new idea that addresses a patient's whole past and present life. Incorporating it into nursing practice can benefit patients who have adverse childhood experiences and trauma. Adverse Childhood Experiences (ACEs) are traumatic events that occur to a person starting from birth to 17 years old. In a hospital setting an adolescent patient can be triggered if ACEs and trauma is not properly addressed. The long-term effects of ACEs can affect adolescents into …

First Generation Filipino Children And The Risk Of Childhood Obesity: Influence Of Screen Time, Krystal Joy Joy Ragasa

Nursing | Senior Theses

Background: Obesity is an epidemic in the United States and among all Asian subgroups, Filipinos are particularly at a much higher risk. Obesity raises the risk of acquiring other health complications, especially for those who develop obesity at a younger age. Research has shown that children who engage in higher levels of screen time are more likely to become obese, resulting in screen time restrictions and recommendations. Additionally, rates of obesity are higher in immigrants. There is a gap in the explanation of screen time’s effect on childhood obesity for first generation Filipino children.

Aim: The purpose of the proposed …

Who Are The 'Silent Spreaders'?: Contact Tracing In Spatio-Temporal Memory Models, Yue Hu, Budhitama Subagdja, Ah-Hwee Tan, Chai Quek, Quanjun Yin

Research Collection School Of Computing and Information Systems

The COVID-19 epidemic has swept the world for over two years. However, a large number of infectious asymptomatic COVID-19 cases (ACCs) are still making the breaking up of the transmission chains very difficult. Efforts by epidemiological researchers in many countries have thrown light on the clinical features of ACCs, but there is still a lack of practical approaches to detect ACCs so as to help contain the pandemic. To address the issue of ACCs, this paper presents a neural network model called Spatio-Temporal Episodic Memory for COVID-19 (STEM-COVID) to identify ACCs from contact tracing data. Based on the fusion Adaptive …

Summary Of: Understanding The Role Of Misinformation In Covid-19 Vaccine Hesitancy In A Rural State, Ann Marie Hess, Colin T. Waters, Elizabeth A. Jacobs, Kerri L. Barton, Kathleen M. Fairfield

Northern New England Clinical & Translational Research

Findings from this study regarding COVID-19 vaccine hesitancy and sources of trusted information are important for developing public health strategies to increase vaccination rates. Understanding the concerns of individuals as assessed in this study provides opportunities for trusted health professionals, friends and family to reinforce facts about the importance of being vaccinated.

Study found @ "Understanding the Role of Misinformation in COVID-19 Vaccine Hesitancy" by Ann Marie Hess, Colin T. Waters et al.

Body Appreciation, Gender, Motivation, And Competitive Success In Competition Climbing, Marissa Frost

All Theses

The focus of this study was to examine the relation between the constructs of body appreciation, gender, motivation, and competitive success in competition climbers. To gather data for this study, a Qualtrics survey was created and distributed amongst the competition climbing community through USA Climbing’s Facebook page and member email list. Data was then collected from competition climbers between the ages of thirteen and sixty over 45 days in the winter of 2017. A total of 236 competition climbers participated in the survey and 202 of those responses were used in this study. Body appreciation in this study was analyzed …

Bullied Because Of Their Teeth: Evidence From A Longitudinal Study On The Impact Of Oral Health On Bullying Victimization Among Australian Indigenous Children, Md Irteja Islam, Verity Chadwick, Tuguy Esgin, Alexandra Martiniuk

Research outputs 2022 to 2026

Making life better for Indigenous peoples is a global priority. Although bullying and oral health have always been a topic of concern, there is limited information regarding the impact of this problem on the general population, with no evidence in this regard among the Australian Indigenous population. Thus, we aimed to quantify the relationship between bullying victimization and oral health problems by remoteness among 766 Australian Indigenous children aged between 10–15-years using data from the LSIC study. Bivariate and multilevel mixed-effect logistic regression analyses were employed. Findings indicated children self-reported bullying more than parents reported their children were being bullied …

Childhood Mortality During And After Acute Illness In Africa And South Asia: A Prospective Cohort Study, Childhood Acute Illness And Nutrition (Chain) Network, Abdoulaye Hama Diallo, Abu Sadat Mohammad Sayeem Bin Shahid, Ali Fazal Khan, Ali Faisal Saleem, Benson O. Singa, Blaise Siezanga Gnoumou, Caroline Tigoi, Syed Asad Ali, Zaubina Kazi

Department of Paediatrics and Child Health

Background: Mortality among children with acute illness in low-income and middle-income settings remains unacceptably high and the importance of post-discharge mortality is increasingly recognised. We aimed to explore the epidemiology of deaths among young children with acute illness across sub-Saharan Africa and south Asia to inform the development of interventions and improved guidelines.
Methods: In this prospective cohort study, we enrolled children aged 2-23 months with acute illness, stratified by nutritional status defined by anthropometry (ie, no wasting, moderate wasting, or severe wasting or kwashiorkor), who were admitted to one of nine hospitals in six countries across sub-Saharan Africa and …

An Evaluation Of Covid-19 Vaccination Rates Of The Patients At The Kentucky Racing Health Services Center., Aditya Mehta

College of Arts & Sciences Senior Theses

COVID-19 vaccines have been widely available to the U.S. public since early 2021. However, vaccination rates still vary considerably across geographical areas and different populations. The objective of this study was to research overall vaccination rates against COVID-19 for Latinx patients at the Kentucky Racing Health Services Center (KRHSC). Vaccination and booster data was collected from June to December 2021 for all unique patients visiting the center. It was initially hypothesized that these rates of vaccination and booster doses for the KRHSC patients would be lower than the data reported by Kentucky and Jefferson County. After a retrospective review, the …

Columbia Law School’S Center For Gender And Sexuality Law On Leaked Dobbs Opinion, Center For Gender And Sexuality Law

Center for Gender & Sexuality Law

The leaked Supreme Court opinion in Dobbs v. Jackson Women’s Health Organization, signals a major break with at least three generations of constitutional law. Should this opinion be officially issued by the Court, it will eliminate not only constitutional protections for abortion, but well-settled legal principles on which basic personal rights have rested for over 60 years.

What Comes Now? Religious Liberty And The End Of Roe, Law, Rights, And Religion Project

Center for Gender & Sexuality Law

New York, NY – The Law, Rights, and Religion Project at Columbia Law School, an academic think tank that conducts research and policy analysis on the complex ways in which religious liberty rights interact with other fundamental rights, has a number of materials that can help to shed light on three key issues around the possible end of Roe v. Wade in light of the draft Supreme Court opinion released yesterday.

Twitter Posts, Gist, And The Perceived Harmfulness Of The Human Papillomavirus Vaccine, Candice Fawn Coffman

Open Access Theses & Dissertations

Individuals frequently encounter two types of information when evaluating the risk of a vaccination: statistical evidence describing the frequency of positive and negative outcomes, and anecdotal evidence describing positive and negative personal experiences. The present study evaluated the relative importance of both types of evidence when considered simultaneously. We predicted that the presentation of even one negative anecdote would have an effect on the key risk information (the â??gistâ??) that subjects extracted from the statistical and anecdotal data. Self-generated twitter posts (tweets) and standard measures of perceived risk were used to test the latter prediction. The current findings partially supported …

Hiv And The African American Church: Millennial Faith Leader's Perspectives., Kelsey Leann Burton

Electronic Theses and Dissertations

African Americans are disproportionately impacted by HIV compared to other racial groups. Stigma surrounding HIV has created challenges for effective HIV prevention and stigma reduction programs. The African American church has been criticized for its slow and stigmatizing response to the HIV epidemic. Despite this, African American faith leaders play significant roles in guiding the perspective of the community. Numerous studies examine African American pastors’, faith leaders’, and ministers’ perspective about HIV and other HIV-related topics. However, there is no research that specifically examines young African American pastors’ perspectives of addressing HIV, stigma, and prevention. The purpose of this dissertation …

Understanding Public Emergency Preparedness Before And During The Coronavirus Outbreak: Implications For Effective Public Health And Risk Communication., Raphael Adjetey Fumey

Electronic Theses and Dissertations

The COVID-19 pandemic has resulted in a dramatic loss of human lives globally and presents an unprecedented challenge to public health, the world of work, and our food systems. The social and economic disruption caused by the COVID-19 pandemic is devastating, putting several millions of people at risk of falling into extreme poverty, with over 500 million people being undernourished. It is evident from the data on COVID-19 cases, deaths, and hospitalizations that the United States is the worse hit country, which can be attributed to the lack of preparedness at the individual, environmental, and government levels. This study applied …

Protest-Related Tear Gas Exposure And Menstrual Function, Emily Kathleen (Steinmetz) Reece

Electronic Theses and Dissertations

During the racial justice protests of 2020 and 2021, crowd control chemical irritants (referred to as “tear gas”) were deployed against protesters, after which there were anecdotal reports of altered menstrual cycles among exposed individuals. There is only one peer reviewed published study on tear gas exposure and menstrual health. This study examined whether tear gas exposure was associated with menstrual cycle outcomes among women attending the 2020-2021 protests. Data from 103 women who attended racial justice protests in 2020 and 2021 were collected through an online questionnaire. Data included protest attendance, acute symptoms of tear gas exposure, whether medical …

Person-Centered Decision-Making And Socio-Cultural Contexts Influencing Cesarean Deliveries: A National Analysis., Alice M. Story

Electronic Theses and Dissertations

The cesarean delivery rate has increased and accounts for a third of pregnancies in the U.S., especially among marginalized women. This study applied a newly developed conceptual model to identify potential areas of influence that could reduce rates of cesarean deliveries. The Giving Voice to Mothers - United States data was used for analyses to predict covariates associated with having a cesarean delivery vs. spontaneous vaginal delivery (n=1,876). Significant covariates were determined and included the following: having a prior cesarean delivery (OR: 14.11, 95% CI: 7.99 - 24.90); more than one child (OR: 0.21, 95% CI: 0.13 - 0.35); elevated …

Positive And Negative Deviant Counties: Identification Of Factors Associated With Health Outcomes, Olivia Egen

Electronic Theses and Dissertations

Rural counties in the United States vary drastically on metrics related to socioeconomic status and dominant economic industry as well as health behaviors and outcomes. This study sought to understand the underlying structural reasons why some rural counties have better or worse than expected health outcomes using a positive deviance (PD) approach. The study aimed to: 1) create an area deprivation index and divide counties into quartiles using the index; 2) identify positive, negative, and non-deviant counties using health outcome metrics; 3) analyze differences between deviance on a variety of local public health system metrics; and 4) analyze differences between …

Examining The State Of Substance Use Treatment Among Youth And Adults In The United States, Esther Adejoke Adeniran

Electronic Theses and Dissertations

In the United States (US), substance use, misuse, and substance use disorders are significant public health problems. Additionally, the difference between needing substance use treatment (SUT) and receiving treatment is becoming more pronounced. Therefore, the aims of this dissertation include, 1) to synthesize evidence of barriers and facilitators to integrating SUT into mainstream health care (MHC) after the Affordable Care Act was nationally implemented in 2014, 2) to examine the rate of treatment completion and dropout, along with its associated factors, among youth who received Medication-Assisted Opioid Therapy (MAT), 3) to determine the relationship between prior treatment episodes and length …

Community Characteristics And Financial And Operational Performance Of Rural Health Clinics In The United States: A Chartbook, John Gale Ms, Zachariah Croll Mph, Jamar Croom Ms, Louisa Munk Mph, Yvonne Jonk Phd

Rural Health Clinics

This chartbook provides an overview of Rural Health Clinic (RHC) characteristics and issues using data from CMS’s Provider of Services file, Medicare Cost Reports, and the Robert Wood Johnson Foundation’s’ County Health Ranking and will be useful to policymakers and others interested in the performance of RHCs nationally. It can also be useful to RHC administrators to benchmark staffing patterns, productivity, and efficiency. Finally, it provides a discussion of the challenges related to collection and reporting of RHC quality data.

For more information, please contact John Gale, [email protected]

Lgbtq+ Health Disparities: Healthcare Intervention, Kara Steinbrecher

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community has carried the burden of countless health disparities throughout its history tied to discrimination, bias, prejudice, and stigma. LGBTQ+ individuals are disproportionately at higher risk for substance abuse, sexually transmitted diseases, cardiovascular disease, mental illness, suicide, and unequal access to healthcare, related to social stigma and bias that exists in healthcare itself. The purpose of this systematic literature review is to analyze existing health disparities among the LGBTQ+ population in the United States and the efficacy of various interventions of health care professionals to reduce them. Twenty-one articles from multiple online …

Dexmedetomidine Vs. Propofol In Postoperative Delirium Prevention, Jaclyn Burnett Rn, Srna, Montana Betts Rn, Srna, Christhian De Ochoa Rn, Srna, Maciej Chec Rn, Srna, Dwayne Accardo Dnp, Crna, Aprn

Doctor of Nursing Practice Projects

Purpose/Background Postoperative delirium (POD) is an acute neurological condition affecting large numbers of surgical patients in various practice settings. Patients suffering from this condition face postoperative complications, increased lengths of stay, and tremendous financial burden. Understanding the contributing factors for POD, and how adjustments in intraoperative agents can prevent or reduce the incidence, is a crucial aspect of anesthesia practice. This scoping review will examine associations between POD and the intraoperative use of propofol versus dexmedetomidine with general anesthesia.

Methods Studies in this review were limited to peer-reviewed literature, published in medical and nursing journals within the last five years. …