Community Health and Preventive Medicine Commons^™

Juvenile Justice—Translational Research On Interventions For Adolescents In The Legal System (Jj-Trials): A Cluster Randomized Trial Targeting System-Wide Improvement In Substance Use Services, Danica K. Knight, Steven Belenko, Tisha Wiley, Angela A. Robertson, Nancy Arrigona, Michael Dennis, John P. Bartkowski, Larkin S. Mcreynolds, Jennifer E. Becan, Hannah K. Knudsen, Gail A. Wasserman, Eve Rose, Ralph Diclemente, Carl G. Leukefeld, Jj-Trials Cooperative

Behavioral Science Faculty Publications

Background: The purpose of this paper is to describe the Juvenile Justice—Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS) study, a cooperative implementation science initiative involving the National Institute on Drug Abuse, six research centers, a coordinating center, and Juvenile Justice Partners representing seven US states. While the pooling of resources across centers enables a robust implementation study design involving 36 juvenile justice agencies and their behavioral health partner agencies, co-producing a study protocol that has potential to advance implementation science, meets the needs of all constituencies (funding agency, researchers, partners, study sites), and can be implemented …

Tuberculosis And Local Health Department Expenditures On Tuberculosis Services, Michelle P. Yip, Betty Bekemeier

Frontiers in Public Health Services and Systems Research

Background: Although tuberculosis (TB) morbidity and mortality have decreased in recent decades, challenges exist regarding disproportionate distributions of TB among specific populations and geographic areas. Inconsistent local health department (LHD) funding for TB programs poses difficulties for LHDs to sustain resources and personnel that predisposes communities to risks of future outbreaks of TB and drug-resistant TB diseases.

Purpose: This study examined relationships between annual TB incidence rates and LHD expenditures on TB-related services to elucidate potential impacts of TB incidence on LHD TB spending.

Methods: This dataset included county-level TB incidence data with comparable, annual (2000–2010) TB-related service expenditures for …

Redefining Medicine: The Epistemology, Political Theory, And Phenomenology Of Health And Disease, Jacqline J. Murillo

Creative Activity and Research Day - CARD

This thesis argues that health needs to be redefined in a more comprehensive fashion, namely as a physiological/biological state, with social, environmental, and individual determinants always related to one’s personal needs to achieve one’s life plan. The benefits of this new definition include more emphasis on the distribution of health as a social good.

Additionally, redefining health puts the value of the individual’s life rather than the strict monetary value of their needed treatment as a focal point. It also draws more attention to medicine as a practice of care, rather than viewing it simply as a technology or science, …

Geographic Distribution Of Maternal Group B Streptococcus Colonization And Infant Death During Birth Hospitalization: Eastern Wisconsin, Jessica J. F. Kram, Dennis J. Baumgardner, Kiley B. Vander Wyst, Melissa A. Lemke

Journal of Patient-Centered Research and Reviews

Purpose

Maternal group B Streptococcus (GBS) can be transmitted from a colonized mother to newborn during vaginal delivery and may or may not contribute to infant death. This study aimed to explore the geographic distribution and risk factors of maternal GBS colonization and infant death during birth hospitalization.

Methods

We retrospectively studied mothers with live birth(s) in a large eastern Wisconsin hospital system from 2007 through 2013. Associations between maternal and neonatal variables, GBS colonization and infant death were examined using chi-squared, Mann-Whitney U and t-tests. Multivariable logistic regression models also were developed.

Results

Study population (N = 99,305) had …

Epidemiology Crucial To Cracking Elizabethkingia Crisis, Angela Tonozzi

Journal of Patient-Centered Research and Reviews

The author explains the epidemiological methods, tools and personnel required to pinpoint the source of Wisconsin’s 2016 outbreak of Elizabethkingia infections.

Quantifying Syringe Exchange Program Operational Space In The District Of Columbia., Sean T. Allen, Monica Ruiz, Jeff Jones

Prevention and Community Health Faculty Publications

Syringe exchange programs (SEPs) are effective structural interventions for HIV prevention among persons who inject drugs. In 2000, a buffer zone policy (the 1000 Foot Rule) was implemented in Washington, DC, that prohibited SEP operations within 1000 feet of schools. We examined changes in the amount of legal SEP operational space over time. We used data pertaining to school operations and their approximate physical property boundaries to quantify the impact of the 1000 Foot Rule on legal SEP operational space from its implementation in 2000-2013. Adherence to the 1000 Foot Rule reduced SEP operational space by more than 50 % …

Inhalable Exposure Levels Of Airborne Mold Spores In Rural Georgia Homes, Jacquelyn Lewis, Alli Mcinerney, Errol Spence, Bushra Shah, Atin Adhikari

GS4 Student Scholars Symposium

Exposure to mold is known to cause allergic symptoms. Most molds produce highly allergenic proteins or glycoproteins that can cause hypersensitivity diseases in susceptible hosts. Between 10% and 60% of genetically susceptible persons develop immediate hypersensitivity to mold. The Institute of Medicine report on Damp Indoor Spaces and Health states that there is sufficient evidence to conclude that a causal relationship exists between the presence of mold and upper respiratory tract symptoms, cough, hypersensitivity pneumonitis in susceptible persons, wheeze, and asthma symptoms in sensitized asthmatic persons. To our knowledge, no research has been conducted in rural Georgia to test the …

Airborne Bacterial Exposure At Workers' Breathing Height In An Organic Farm Of Rural Georgia, Tedd Gandy, Nabanita Mukherjee, Bushra Shah, Subhrajit K. Saha, Pratik Banerjee, Atin Adhikari

GS4 Student Scholars Symposium

Organic farming has potentials to contribute substantially to future sustainable agricultural production by improving soil quality, pest control, and reduction of adverse environmental impacts in rural agricultural communities. On the other hand, application of natural farmyard manure may increase the microbial biomass in this environment and consequently microbial exposure levels among workers could be increased. To explore this possibility of excess exposure, particularly to airborne bacteria, we conducted air sampling at the vicinity of poultry and dairy sections of a large organic farm in a rural Georgia location. For air sampling, a Biostage viable cascade impactor was utilized, which comprises …

Effect Of Natural Products On Overall Microbial Activity In Household Items, Teyaijah Givens, Nosa Lloyd Nwaonumah, Brittany Loadholt, Bushra Shah, Atin Adhikari

GS4 Student Scholars Symposium

Indoor contamination from microorganisms is an important health hazard issue (e.g., respiratory allergy, infections, and food contamination). Particularly, growth of molds and bacteria in damp environmental conditions could be hazardous for the occupants susceptible to microbial allergens. The growing awareness concerning the adverse effects of chlorine bleach and cleaning chemicals calls for field-testing new natural ingredients with functional properties against microorganisms. Essential oils possess a wide spectrum of antimicrobial activity, which may be of great importance for controlling indoor microbial exposure. The objective of this study was to investigate how microbial growth in different surfaces of homes reacted to the …

Microbial Activity And Airborne Culturable Microbial Concentrations In South Georgia Homes, Alli Mcinerney, Jacquelyn Lewis, Errol Spence, Bushra Shah, Atin Adhikari

GS4 Student Scholars Symposium

Indoor microorganisms and microbial allergens can lead to harmful respiratory effects in the human body such as allergies, asthma, chronic bronchitis, infections, and even contamination of food stuffs. This study was conducted in order to test the indoor microbial pollutants in local Statesboro homes, and relate the findings to respiratory disease symptoms of occupants. Thus far, samples have been collected and data analyzed for 15 homes. This specific part of the study focuses on the amount of adenosine triphosphate (ATP) in homes. ATP is a source of energy produced through glucose metabolism and the citric acid cycle. ATP levels can …

Using The Theory Of Reasoned Action To Examine The Knowledge, Attitudes, And Beliefs Among Georgia Physicians Towards The Therapeutic Use Of Medical Cannabis, Shannon Antoine-Hardy

GS4 Student Scholars Symposium

An understanding of the current status of Georgia physiciansÕ knowledge level and attitudes towards medical Cannabis (MC) still remains unknown. Obtaining this information is essential in determining acceptance of MC within local medical communities, as well as influencing the outcomes of political efforts at both the state and federal level. Because science of medical cannabis is generally not required in todayÕs medical training, it is imperative that physicians and other health care professionals close the education gap on MC in clinical care. Therefore, the purpose of the study is to examine physicians' attitudes, knowledge, and beliefs towards the therapeutic use …

Effect Of Air Flow Rates In Versatrap Slit Impactor Cassettes On The Collection Of Atmospheric Mold Spores In A Rural Community, Bushra Shah, Tedd Gandy, Oreoluwa Adeyinka, Galela Shebani, Atin Adhikari

GS4 Student Scholars Symposium

Exposure to mold allergens including mold spores and hyphal fragments are associated with allergic sensitization which is a risk factor for asthma in a community. Smaller aerodynamic size of spores (åµm) allows them to penetrate and settle in the lower airways and produce damaging byproducts (allergens, glucans, mycotoxins, and other immunomodulators). Usually mold spores in ambient atmosphere are collected by impactors in air monitoring stations and in most cases these impactors are operated in a single standard air flow rate. However, sampling efficiency of an impactor can change in different air flow rates and since spore aerodynamic sizes vary a …

Secondary Data Analysis Based On Children Health Survey: On Factors Associated To Overall Dental Health Of Children In Usa, Kavita Gohil

GS4 Student Scholars Symposium

The mouth is the portal of entry into the body, thus it is essential to attain and maintain oral health care. This process begins from the early period of life. Humans have two sets of teeth, and they start developing even before birth and development lasts till the age of around 25 years. Thus it is essential to take care of teeth during early stages of life, as they can affect overall well-being of the human. This paper describes how children's oral health is affected by external and internal factors and also risk factors which are associated with their oral …

Community Health News, Georgia Southern University

Health Policy & Community Health: News & Publications (2011-2018)

• Georgia Southern Identified Social Marketing Concepts that Inform Program Adaptation

Evaluating The Decision Making Process Of Pediatricians' Recommendations For First Complementary Foods In Infants, Gretchen Schmoyer

Master of Public Health Capstone Presentations

The purpose of this research study was to document the feeding guidelines from medical associations, understand what pediatricians are recommending to new mothers, and to capture the response from mothers regarding their understanding and personal practices in feeding. Previous studies have found that mothers were not following feeding recommendations by the American Academy of Pediatrics (AAP). Furthermore, the role of infant rice cereal as an early first food is currently under debate. Qualitative research was conducted through interviews with five mothers of children under 2 years, five healthcare providers in pediatric settings, and three policy experts. The Theory of Reasoned …

Sex, Milk, And Cookies: Tackling Sexual Health Promotion On A Catholic College Campus, Mary Franz

All College Thesis Program, 2016-2019

A great divide exists among parents, policy makers, educational institutions, and the public at large regarding how to prevent the negative consequences of sexual activity among young adults. Some educators believe that sex education programs should promote abstinence as the best behavioral goal for students; however, a more intense debate surrounds whether this should be the only message that adolescents receive about sex or just one element of a more comprehensive view of sexuality and informed sex choices. Catholic colleges face a particularly difficult challenge in deciding what information to provide to students and more significantly, which topics to avoid …

Detroit Health Department: Lead Report 2016, Abdul El-Sayed, Alex B. Hill, Haifa Haroon

Urban Studies and Planning Faculty Research Publications

The Epidemiology team at the Detroit Health Department rigorously stress- tested Detroit’s lead numbers. The findings suggest a true decline in EBLL levels rather than a decrease in lead testing or a change in the characteristics of the children who are being tested.

Mythbusting The Common Cold And Flu, Matthew Dillon

McNair Scholars Research Journal

As we have created vaccines for many contagious pathogens in the last 100 years, the flu and cold still lack a “cure.” There are many things people do to try to get over the cold and flu from homeopathic remedies to the flu vaccine. While nothing can prevent the cold or flu, there are ways we can mitigate our chances of getting these viruses. By doing what we can to avoid getting these illnesses, we are also helping prevent the spread of the viruses to others. In the end, this is our best course of action until a vaccine that …

Needle Exchange Programs And Hiv/Aids: A Comparison Of The Use Of Harm Reduction Methods In Switzerland And The United States Of America, Margaret House

Independent Study Project (ISP) Collection

This paper explores the connections between needle exchange programs and rates of HIV/AIDS in Switzerland and the United States of America. While these two countries are very similar in their general political philosophies, they have some key cultural and historical differences which has shaped their responses to HIV/AIDS and injection drug use. Switzerland’s unique experience with a very open injection drug use scene in the 1980s guided this country to a more pragmatic, harm reduction-based response. By contrast, United States responded to the AIDS epidemic that struck violently in the 1980s with a mix of fear and denial. Though both …

"Paying For Success": Structuring Reimbursement Of Free Healthcare For Pre-Insured Patients Using The Social Equity Bond Model, Nikkole Turgeon

Senior Honors Projects

Millions of Americans without insurance under the Affordable Care Act expansion fall into two categories: the ‘coverage gap’ and the ‘citizenship gap’. These two groups are disproportionately affected by health disparities due to low-income or legal status. Health disparities affect individuals in many aspects of their lives, including their health, finances, and overall quality of life. To improve the lives of uninsured individuals in Providence, Rhode Island Clínica Esperanza/Hope Clinic (CEHC) proposes to set up a Social Investment Bond Pay for Success program. CEHC has teamed with the Rhode Island Office of Health and Human Services and other RI organizations …

Los Factores Influyentes En Las Perspectivas De Aborto De Los Estudiantes Universitarios En Santiago, Chile: Desde Lo Conservador A Lo Contrario, Victoria Albert

Independent Study Project (ISP) Collection

Research Question: What factors influence the pro-life and pro-choice perspectives of university students in Santiago, Chile? What are these perspectives? Objectives: The general objective of this study is to describe the pro-life and pro-choice perspectives on abortion held by university students in Santiago, Chile, and to describe how factors such as feminism, religion, and the right to life influence these views today. The specific objectives of this study are to define and analyze the way in which these factors work to influence students’ perspectives, as well as identify what percentage of students currently support various types of abortion.

Background: Chile …

Tools And Methods For Zika Prevention In Cachoeira, Bahia, Florence Tesha

Independent Study Project (ISP) Collection

Zika virus, which is mainly transmitted by Aedes aegypti and Aedes albopictus mosquitoes, has become a major health threat in Brazil and other Latin American countries. Brazil is the country that is being most impacted with zika virus in addition to the existing mosquito-borne diseases of dengue and chikungunya. With the increase in zika virus infections, there have also been increasing numbers of infant brain abnormalities such as microcephaly associated to zika. International and local health institutions are working together to control and prevent zika transmission. This project aimed to investigate the various tools and methods employed by the Center …

Neglect Amidst The Zika Epidemic: A Case Study On The Reach Of Government Campaigns And Resources In Quilombo Community Praia Grande, Bahia, Jenna Sherman

Independent Study Project (ISP) Collection

In response to the ongoing Zika epidemic in Brazil, a nationwide campaign has recently been launched targeting the eradication of mosquitoes, preventing the contraction of Zika, and deterring pregnancies. Many remote areas of Brazil, however, may not be being reached by these campaigns or resources to the same extent as more urban or affluent areas of Brazil—despite the existence of the universal healthcare system Sistema Único de Saúde (SUS). My objective, therefore, is to assess which media and on-ground campaigns regarding Zika have reached the minute island town of Praia Grande—a rural fishing Quilombo community of approximately 2,000 occupants off …

Educación Del Paciente Para El Auto Cuidado De La Diabetes En El Centro De Salud De Primaria Atención: Villa Verde En Partido De Pilar, Buenos Aires, Ethan Leigner

Independent Study Project (ISP) Collection

Vivir con diabetes cambia toda la vida de una persona. Sin el conocimiento de su autocuidado, el paciente tiene poca oportunidad de seguir viviendo la vida que desean. Sin educación adecuada, los diabéticos probablemente desarrollarán complicaciones que pueden conducir a problemas de salud muy graves y costosos. La prevalencia de diabetes ha ido en aumento en Argentina, y una estrategia efectiva para educar a los pacientes en el autocuidado es más necesaria ahora que nunca. Con un proceso eficiente de orientar a los pacientes a través del autocuidado, Argentina puede manejar mejor a largo plazo el efecto de diabetes y …

Asessing The Implementation Of Hiv/Aids Programs Amongst Youth Fisherfolk: The Case Of Mbita, Kenya, Edward Ham

Independent Study Project (ISP) Collection

Homa Bay, Nyanza Province has the highest HIV/AIDS prevalence rate in Kenya (25.7%). Risky sexual behaviors are especially prevalent in fishing communities within this area. This study was conducted in Mbita, a sub-county of Homa Bay. The main objective was to determine which factors influence the implementation of HIV/AIDS programs amongst youth fisherfolk (ages 18-24) within beaches around Mbita. Data was collected through survey administration, key-informant interviews, and in depth interviews. The results highlight some interesting correlations, as well as a disturbing picture of the inequities females face within these fishing communities. Furthermore, a novel microclinic peer education HIV/AIDS program …

Paediatric Tuberculosis In Bhopal, Madhya Pradesh, India: Dots, Diagnosis, And Determinants, Emma Klein

Independent Study Project (ISP) Collection

Tuberculosis (TB) is one of the world’s largest public health challenges, and it has a disproportionate impact on India. In children, TB is a serious but understudied illness due to the complexity of case-notification and relative lack of public health importance. This study took place over the course of one month in Bhopal, Madhya Pradesh, India. In a mixed method study consisting of 53 quantitative patient interviews and qualitative interviews with healthcare providers, social determinants of TB in this setting were investigated as well as challenges faced at all stages of healthcare delivery. Malnutrition and housing were the most severe …

Advancing The Knowledge Of Organic Farming Data In New Mexico: Health And Injury Surveillance Systems, Virginia Sedore

Population Health

While the concept and practice of organic farming has been around since the mid-1800s, there is little data currently being collected on injury, illness, or fatality within the organic farming population, leaving the health risks unknown. This paper intends to look at the surveillance systems currently in place to collect injury and illness data as it relates to organic farmers, and in particular, the New Mexico organic farmer. Evaluations of the current surveillance systems were conducted, and organic farmer demographics were analyzed using rate ratio comparisons of United States(U.S.), Texas, and New Mexico. The results show that the current surveillance …

An Examination Of Early Colorectal Cancer Screening Guidelines For African Americans: Hints From The Hints Data, Torhonda C. Lee, Arlesia L. Mathis, Matthew T. Dutton

Journal of Health Disparities Research and Practice

Background: Despite the overall gains in reducing colorectal cancer (CRC) deaths due to the increase in screening, minority racial/ethnic groups who have disparately higher rates of death compared to Whites, also have disproportionately lower screening rates. Patient-provider communication about screening has a strong influence on the uptake of screening. In much the same way that gradual impact was made after the 1996 implementation of guidelines recommending screening starting at age 50 for those at average risk, it may be expected that the American College of Gastroenterology (ACG) guidelines suggesting screening start at 45 for Blacks combined with a recent …

Community-Engagement To Support Cardiovascular Disease Prevention In Disparities Populations: Three Case Studies, Deborah C. Glik, Mienah Zulfacar Sharif, Katherine L. Tucker, Shirley A. Tejada, Michael L. Prelip, Alice S. Ammerman, Thomas C. Keyserling, Shioban E. Torres, Stephanie Jilcott Pitts

Journal of Health Disparities Research and Practice

Cardiovascular diseases remain the leading cause of death in the United States, and are characterized by socioeconomic, geographic, ethnic, and gender disparities in risk, morbidity and mortality. In response, public health efforts have moved beyond approaches focusing on individual-level behavior change toward culturally appropriate community-focused efforts. In specific, engagement of community partners is now recognized as essential to facilitate changes at multiple levels to improve cardiovascular disease outcomes.

This paper shares lessons learned to deepen appreciation for the unique challenges community-engagement in health disparities research entails, including variations in practice, time commitment, and complexity. This paper presents three case studies …

Sex Disparities In Access To Acute Stroke Care: Can Telemedicine Mitigate This Effect?, Catherine Wolff, Amelia K. Boehme, Karen Albright, Tzu-Ching Wu, Michael Mullen, Sean Savitz, Charles Branas, James Grotta, Brendan Carr

Journal of Health Disparities Research and Practice

Background: Women have more frequent and severe ischemic strokes than men, and are less likely to receive treatment for acute stroke. Primary stroke centers (PSCs) have been shown to utilize treatment more frequently. Further, as telemedicine (TM) has expanded access to acute stroke care we sought to investigate the association between PSC, TM and access to acute stroke care in the state of Texas.

Methods: Texas hospitals and resources were identified from the 2009 American Hospital Association Annual Survey. Hospitals were categorized as: (1) stand-alone PSCs not using telemedicine for acute stroke care, (2) PSCs using telemedicine for acute stroke …