Public Health Commons^™

Effect Of Web-Based Tools On Knowledge And Performance Among Community Nurses On Diabetes Control At Primary Health Care Level In Myanmar: A Cost-Effective Analysis And Quasi Experimental Study, Kyi Thar

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Along with rising prevalence, diabetes has emerged as a global public health problem which triggers economic burden, especially among developing countries. Optimizing knowledge and performance of health care workers at primary health care (PHC) level is pivotal for the success of diabetes control programs. Web-based diabetes tools are one of the innovative solutions to improve knowledge and performance among health care providers. However, evidence-based intervention study indicating the effect of web-based tools on diabetes among community nurses has not been conducted in Myanmar before. Objective: This study aimed to demonstrate the integrated effects of web-based diabetes knowledge and diabetes …

Reproductive Health Problems And Factors Associated With Services Used Among Japanese Female Expatriates In Bangkok, Ayaka Nakashima

Chulalongkorn University Theses and Dissertations (Chula ETD)

Reproductive health (RH) refers to a state of complete physical, mental, and social well-being in all aspects of reproductive system. Strengthening health system’s capacity, particularly through improving health service utilization (HSU), is key to enhancing RH outcomes. Despite services availability, access RH care remains limited. Evidence on RH service utilization (RHSU) among Japanese female expatriates is scarce, especially through the lens of Andersen’s Behavioral Model of Health Service Use (BMSU). This study is aimed to find factors associated with RHSU for dysmenorrhea, premenstrual syndrome (PMS), menopausal symptoms, and contraceptive use among Japanese female expatriates in Bangkok, using BMSU framework. A …

Factors Associated With Adolescent Pregnancy In Mpigi District, Uganda: A Community-Based Cross-Sectional Study, Kyoko Hoshino

Chulalongkorn University Theses and Dissertations (Chula ETD)

Adolescent pregnancy is a significant public health and social challenge, with around 90% of these pregnancies occurring in low-and middle-income countries. This study aims to determine the prevalence of adolescent pregnancy and its associated factors among older adolescents in Mpigi district, Uganda. A community-based cross-sectional study was conducted from September to October 2024 among adolescent girls aged 15 to 19 years in Mpigi district, Uganda. Participants were selected using a multistage sampling approach from 12 villages within the district. The data was collected using an interviewer-administered structured questionnaire, assisted by four data collectors. Descriptive statistics were employed to determine the …

Title: Factors Associated With Attitude Towards Safer-Sex Negotiation And Women Empowerment Among Married Women: An Analysis Of 2017-2018 Bangladesh Demographic And Health Survey, Maliha Nawrin

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background:Women's capacity to negotiate safer sexual practices within marriage significantly influences their sexual autonomy and reproductive health outcomes. Despite progressive public health interventions, structural gender inequalities and entrenched cultural norms continue to constrain Bangladeshi women’s empowerment and their negotiation of safer-sex practices. Identifying factors associated with positive attitudes toward safer-sex negotiation is crucial for informing interventions aimed at enhancing women’s reproductive autonomy and promoting gender equity in Bangladesh.Objectives:This study aimed to evaluate the proportion of married women in Bangladesh who exhibit positive attitudes towards safer-sex negotiation, assess socio-demographic characteristics and women's empowerment levels, and examine the associations between these factors …

A Structural Equation Model (Sem) For Early Screening Of Cholangiocarcinoma (Cca) Among Thai Population In Northeast Thailand, Jetnapis Rayubkul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Cholangiocarcinoma (CCA) presents the highest cancer burden in Northeast Thailand, with global-leading incidence rates of 71.3 per 100,000 in males. Despite the launch of the Cholangiocarcinoma Screening and Care Program (CASCAP) in 2013 across 20 provinces, the complex interrelations among demographic, behavioral, and clinical factors influencing early detection remain unclear. This study employed Structural Equation Modeling (SEM) and logistic regression to examine determinants of early CCA screening outcomes and develop evidence-based risk stratification strategies. A cross-sectional analysis was conducted using secondary data from 471,689 individuals aged ≥40 years enrolled in CASCAP between 2014–2019 (Total raw data 1,247,568 individuals). Eight domains …

Physical And Psychosocial Factors Related To Firefighter Musculoskeletal Disorders, Jennifer Ellen Tinsley Kubala

Theses and Dissertations--Rehabilitation Sciences

Career firefighters must perform physically and psychologically challenging duties in unpredictable and dangerous conditions. Previous investigations have found that firefighters suffer nearly 4 times the recorded musculoskeletal disorders (MSD) and workplace injuries compared to private and public sector workers, and take approximately 1.5 days longer to return to normal work. Thus, the burden of firefighter MSD experiences has been a growing area of exploration. The few investigations that have concurrently examined physical and psychosocial consequences experienced by firefighters have found a positive relationship between increased occupational stress reports and MSD experiences. However, these investigations, as well as those that individually …

Risk Factors Of Glioma In Non-Hispanic White And Hispanic Children In California, Lixin Kang

Public Health Theses

Purpose: This study aimed to evaluate the risk of pediatric glioma in relation to multiple birth and parental characteristics as well as environmental exposures, in the overall California population and in racial and ethnic subgroups.

Methods: Leveraging a population-based linkage of statewide birth records and cancer registry data in California, we conducted a case-control study that included 3,244 cases who were born in California during 1982-2015 and diagnosed with first primary glioma at the age of 0-19 years during 1988-2015, and 162,200 controls who were born in California and frequency-matched to cases on year of birth. Odds ratios (OR) and …

Effects Of The Covid-19 Crisis On Seafarers And Shipping, Raphael Baumler, María Carrera-Arce, Johan Hollander, Magnus Broström, Karolina Stark

Reports

The report is a testament to the remarkable resilience of the ships and port interface, and the adaptability of port workers and seafarers during the COVID-19 crisis. It also brings to light the vulnerabilities and trends within the sector. The ability of these workers to manage the shockwave ensured that trade flow continued, sustaining the world. However, this period had severe impacts on their livelihoods, starkly highlighting the industry’s inadequate consideration of its human element and the rapid pace of digitalization. The research employed a unique combination of quantitative and qualitative approaches to explore and cross-validate information. This included an …

The Impact Of Roe V. Wade Overturning On Women’S Access To Medical Abortions: Exploring Alternative Care Models, Gillie Mason

Nursing | Student Research Posters

The Impact of Roe v. Wade Overturning on Women’s Access to Medical Abortions: Exploring Alternative Care Models

Medical abortion access is heavily influenced by state laws, with restrictive policies posing significant barriers for women seeking care. These barriers include limited local resources, travel burdens, and legal restrictions, which disproportionately affect marginalized populations. The Health Belief Model (HBM) highlights how individuals' perceptions of risks, benefits, and barriers shape their health decisions, making it an ideal framework for studying this issue (Rosenstock, 1974).

This research focuses on educating California-based providers to increase access to medical abortion services for patients in restrictive states. …

Advancing School Nursing Practice: A Novel Approach To Screening For Gastrointestinal Disorders In Children, Ashley Bunting, Isabella Cavlan

Nursing | Student Research Posters

California schools currently only screen for vision and hearing, leaving many other health concerns unaddressed. Among these, gastrointestinal (GI) health is particularly significant, as digestive disorders can lead to severe consequences, like malnutrition and stunted growth. By incorporating routine GI screenings, school nurses can promote the early detection of disease, allowing for timely intervention and improved health outcomes in children.

Based on existing literature, we have developed a novel pediatric GI screening tool for school nurses to use in routine screenings, presented below.

How To Save A Life: The Impact Of Cpr And Bleeding Control Education On Adolescents, Emily Charlton

Nursing | Student Research Posters

Background: Out of hospital cardiac arrest (OHCA) and uncontrolled traumatic bleeding are two of the leading causes of death globally. Death due to OHCA and bleeding is largely preventable. With appropriate bystander intervention, positive outcomes in cases of OHCA and traumatic bleeding would greatly increase. Purpose: Bystander ability and intent to provide emergency cardiopulmonary resuscitation (CPR) and bleeding control is dependent on educational programs including death prevention first aid. Upon review of research, a gap was identified in adolescent death prevention training. The purpose of this proposed prospective study is to determine the effect of a high school education curriculum …

Nurses Current State Of Knowledge On Prion Disease, Chelsy Grande

Nursing | Student Research Posters

Human prion disease is a rare and fatal neurodegenerative disorder. Creutzfeldt- Jakob prion disease rapidly progresses, and is caused by prion, an infectious protein that damages the central nervous system (Bailey et al., 2000). The infectious pathogen is different from other infectious diseases as the normal prion protein misfolds, changing the structures and results in an accumulation of cellular prion proteins (Rentz, 2003). There is no cure for Creutzfeldt- Jakob disease, only palliative care to improve their symptoms and provide support as the disease progresses. How much do nurses know and understand about prion disease, and how can this influence …

Nursing Education On Sleep Health And Its Impact On Insulin Resistance In Adolescents, Salamasina Tufa

Nursing | Student Research Posters

Sleep is essential for human physical restoration, cognitive function, and emotional well-being. Recent studies have discovered that sleep is also important for proper endocrine system health, and problems with sleep may directly put a person at risk for Type II Diabetes Mellitus (T2DM) (Tsuneki et al., 2016). A precursor to T2DM is insulin resistance (IR), which is when insulin is not effective in bringing glucose into the cells for energy. (Centers for Disease Control and Prevention [CDC], 2024). Sleep disorders, poor sleep quality, and short sleep duration contribute to IR by harming the body’s cells, making them less responsive to …

Effect Of Perturbation-Based Balance Training On Fall Risk And Fear Of Falls In Community-Dwelling Older Adults – A Pilot Study, Lindsey Kelly, Casey Kostecki, Garrett Markham, Conner Morris, Trevor Strem, Lyndsay Stutzenberger, Gabe Haberly

Student-Faculty Research - College of Physical Therapy

Falls are a major health concern among adults ≥65 years as it is the leading cause of injury and injury related death in the United States. Perturbation-based training (PBT) has been shown to reduce rate of falls by 50% and 24 slips has been shown to be optimal. It is unknown whether falls reduction would be greater with one session or spread out over multiple sessions. The purpose of this study was to determine the effects of PBT dosage (12 slips over 2 sessions vs. 24 slips in one session) on falls incidence, fear of falling, and reactive stepping in …

Correlates Of Transactional Sex Among Black Men And Women Who Misuse Opioids, Shemeka Thorpe, Paige Orphé, Gabriella Pitcher, Kendall Mccleod, Natalie Malone, Danelle Stevens-Watkins

Kinesiology and Health Promotion Faculty Publications

The rise in opioid misuse coincides with increased sexually transmitted infection (STI) and HIV incidence. Transactional sex is an under-researched phenomenon among Black Americans who misuse opioids, and may increase their risk of STI or HIV transmission. Given the disproportionate impact of the opioid epidemic on Black Americans and the risks associated with opioid misuse, the current study aims to investigate sociostructural factors, history of violence, and sexual risk factors associated with transactional sex among Black men and women. A sample of n = 375 Black adult Kentuckians reporting opioid misuse completed a survey including transactional sex, sociostructural, violence history, …

Jiann-Ping Hsu College Of Public Health Magazine, Georgia Southern University

College of Public Health: News & Publications

• Message from the Dean: Stuart H. Tedders, PhD
• JPHCOPH Research
• Our AHEC Work
• Passing the Torch: Mentor to Innovator
  • Dr. Joseph Telfair
  • Dr. Tilicia Mayo-Gamble
• The MHA is BACK
• Life After JPHCOPH
• College Milestones
• CAR: Center for Addiction Recovery
• CPHPR: Center for Public Health Practice & Research
• Office of Practice and Research: Continued Strong Funding for in FY 2024
• Eagles Talking about the Public's Health (ETAPH)
• Georgia Southern Student Scholars Symposium (GS4)
• Congratulations to our Students of the Year!

Childhood Dairy Consumption Is Associated With Lower Age Of Menarche In A National Representative Sample Of Us Women, Jacqueline Vernarelli, Sara Szollosy

Public Health Faculty Publications

Background and aims: Breast cancer is the most prevalent cancer and leader in cancer-related deaths among women with a variety of established risk factors.

Methods Data from a nationally representative sample of 5,574 women who participated in the 2015–2018 NHANES was used to evaluate the correlation of childhood and adolescent dairy milk consumption and age of menarche. Reproductive history was asked of women > 12y. Data regarding dairy consumption between the ages of 5–12 was available for women > 20y. Survey regression models were used to calculate adjusted age of menarche for categories of dairy consumption after adjusting for relevant confounders.

Results …

Evidence Synthesis Methodology: Promoting Reproducible Methodology Through Modified Assignments, Laura Lipke, Neyda Gilman

Library Created Resources

Initially, systematic reviews in healthcare served to synthesize findings from clinical studies, aiding comprehensive access to the most effective treatments within evidence-based practice. Over time, their scope has broadened beyond treatment effectiveness, leading to a surge in publication. Consequently, many health science faculty now assign systematic reviews in classrooms without a full grasp of the standardized process, leaving students ill-equipped due to insufficient guidance and resources.

While mastering systematic review techniques is crucial for evidence-based practice, faculty can opt for modified assignments to foster a deeper understanding of the review process. These modified tasks, can be completed within a semester, …

Association Of Immune Checkpoint Inhibitor Approval On Suicide Rates Among Patients With Cancer: A Pre-Post Analysis With Seer, Rachel Wang

Public Health Theses

Objective: Patients with cancer are at elevated suicide risks compared to the general population, and patients diagnosed with advanced cancers have higher suicide risks compared to those diagnosed with early-staged cancers. Immune Checkpoint Inhibitors (ICIs) were initially approved to treat metastatic melanoma, non-small cell lung cancer (NSCLC), and renal cell carcinoma (RCC), and an unpublished study observed a decreased suicide risk in patients with these cancers at all stages. This study evaluates suicide risks in patients with breast, colorectal, liver, pancreatic, and prostate cancer, of which ICIs have limited effects on, to assess if the lower suicide rates observed previously …

Health Consequences Of Racial Disparity In Access To Abortion: A Systematic Review, Lacy M. Frye, Calvin Odhiambo

University of South Carolina Upstate Student Research Journal

Prior to the 2022 Dobbs decision, Black women already experienced negative maternal health outcomes at an alarmingly disparate rate in comparison to White women. Given that the Dobbs decision emboldens state power to enforce abortion restrictions or protections, there has been significant strides made in both directions. Nonetheless, within states where reproductive rights have been significantly eroded, the heightened abortion restrictions may compound the limited access that Black women previously had before Dobbs. This, in turn will exacerbate the already disparate negative maternal outcomes that Black women experience. However, research on the relationship between the lack of access to abortion …

Peer Support To Enhance Safe Alcohol Use In University Students: A Quality Improvement Project, Kerri Reynolds

DNP Scholarly Projects

BACKGROUND: College is a period of transition to adulthood where many students experiment with alcohol consumption. Peer educators can bring access to evidence-based alcohol consumption education through student-centric strategies. This quality improvement project aimed to implement an evidence-based training program for college peer educators followed by the delivery of campus alcohol education in a six week period. Feasible ideas for sustainable college peer educator training were generated at this medium-sized public university. The impact of training on six peer educators’ self-reported professional leadership skills, knowledge, and confidence was measured.

METHODS: The Certified Peer Educator (CPE) training program (NASPA) was used …

Program Evaluation Case Study: Infectious Disease Reporting Training Program Evaluation, Emily Sekkath Veedu

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

The Lexington-Fayette County Health Department (LFCHD) has developed an educational program aimed at Fayette County Public Schools (FCPS) health and athletics staff members to ensure timely reporting and action in the event of an infectious disease outbreak (4). The program was implemented after a methicillin-resistant staphylococcus aureus (MRSA) outbreak occurred in a Kentucky community, with a high school football team presenting several of the cases (4). It was noted by a school nurse that many people attending an informational session lacked knowledge regarding infection control, suggesting a need for intervention in this community. I have evaluated this program in the …

Recent Trends In Stimulant Prescribing In Kentucky, 2021-2023, Jordan Shannon

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Abstract

Introduction

Prescription stimulants have a long history of clinical use dating as far back as the 1930s. In the United States stimulant prescribing rates have steadily climbed over the last 3 decades. The primary objective is to describe recent (2021-2023) prescribing trends of stimulant medications in the Commonwealth of Kentucky

Methods

Prescription data collected from Kentucky’s prescription drug monitoring (PDMP) database known as the Kentucky All Schedule Prescription Electronic Reporting System (KASPER). Annual and quarterly trends in stimulant prescribing between 2021-2023 were calculated, examined by age, sex, and geographic location.

Results

Stimulant prescribing increased by ~15% where the majority …

Evaluating Healthcare Workers’ Knowledge, Attitudes, And Practices Regarding Language Access Services In The Clinical Setting, Rachel Archibald

DNP Projects

Background: Barriers to accessing and understanding healthcare can place patients with low English proficiency at an increased risk of poor health outcomes. Language-based inequities in healthcare exist due to lack of interpretation and translation services available, lack of healthcare workers’ knowledge of resources, and/or perceptions that these services require too much time or effort. Failing to address barriers affecting this population leaves them vulnerable in the healthcare setting.

Purpose: The purpose of this DNP project was to educate nurses, providers, and staff on an inpatient unit at a rural hospital of the language interpretation resources available, best practices for implementation, …

Rural And Urban Clinician Views On Covid- 19’S Impact On Substance Use Treatment For Individuals On Community Supervision In Kentucky, Carrie B. Oser, Maria Rockett, Sebastian Otero, Evan Batty, Marisa Booty, Rachel Gressick, Michele Staton, Hannah K. Knudsen

Center on Drug and Alcohol Research Faculty Publications

Background The COVID-19 pandemic produced system-level changes within the criminal legal system and community-based substance use disorder (SUD) treatment system with impacts on recovery efforts. This study examines rural and urban clinicians’ perspectives of COVID-19 on SUD treatment delivery for people on community supervision.

Methods Virtual qualitative interviews were conducted between April and October 2020 with 25 community supervision clinicians employed by Kentucky’s Department of Corrections (DOC), who conduct assessments and facilitate community-based treatment linkages for individuals on probation or parole. Transcripts were analyzed in NVivo using directed content analysis methods.

Results Clinicians were predominantly white (92%) and female (88%) …

Enhancing Safety Surveillance During Clinical Trials: The Development Of A Safety Data Review Handbook To Support Pharmacovigilance Clinicians, Lauren Wilson

DNP Scholarly Projects

Abstract

BACKGROUND: Pharmacovigilance (PV) Sciences include activities related to safety surveillance of pharmaceutical products, and is critical for developing safe and effective medications, vaccines and medical devices. Safety monitoring starts with preclinical research and continues through clinical trial and post marketing phases. PV scientists ensure patient safety during clinical trials through regular review and analysis of safety data. Regulations have become increasingly complex, leading to inadequately defined methods for reviewing large clinical trial safety datasets. Inconsistent safety data review (SDR) practices can result in delayed detection of adverse drug reactions (ADRs) or safety signals.

METHODS: This quality improvement project used …

Rocky Mountain Spotted Fever, An Old Disease With A “Second Life”, Anna Walick, Lorenza Beati Ziegler

Eagles Talking About the Public’s Health

No abstract provided.

From Taboo To Legalization: Cannabis’S Complex Role During Crucial Maternal And Child Health Periods, Emmanuela Nwaonumah, Alisha Riggins, Sarah Sejoro, Joanne Chopak-Foss, Logan Cowan

Eagles Talking About the Public’s Health

No abstract provided.

Digital Health Disparities And The Unmet Challenges Of Access And Literacy, Pranavi Akkinepally, Jackie Mesenbrink, Tilicia Mayo-Gamble

Eagles Talking About the Public’s Health

No abstract provided.

Home Blood Pressure Monitoring Bundle For Hypertension Outcomes In Adult Patients Receiving Care In Public Health Clinics, Christine Jennifer Victorian

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Hypertension (HTN) that is not adequately controlled leads to cardiovascular disease, stroke, and heart disease. It affects 116 million adults (47%) in the United States (U.S.). The HTN compliance rate in a South Texas public health clinic was 64%, below the national benchmark of 76%. Home blood pressure monitoring (HBPM) was recommended in a joint statement by the American Heart Association (AHA) and the American Medical Association (AMA). Literature evidence revealed that the HBPM bundle increased BP control (< 140/90 mmHg) compliance.

Methods: A quality improvement (QI) bundle was initiated to address the low HTN compliance rate from a quality management perspective. …