Other Public Health Commons^™

A Quantitative Job Satisfaction Comparison Between Certified Nursing Assistants (Cnas) Providing Care In Patients’ Homes Versus In Long-Term Care (Ltc) Facilities In The Omaha Metropolitan Area, Rusheena Shah

Capstone Experience: Master of Public Health

This capstone project looks at overall job satisfaction comparison between two groups of Certified Nursing Assistants (CNAs) – CNAs who provide home care in patients’ homes and CNAs who provide care in Long-term Care (LTC) facilities in the Omaha Metropolitan Area. In this quantitative study, a survey was sent to CNAs who provide home care to patients and CNAs who provide patient care at different nursing home facilities in the Omaha area. Prior research has indicated that even though CNAs perform similar job duties irrespective of the work environment; they experience varying degrees of job satisfaction which could be attributed …

Stigma Surrounding The Use Of Food Insecurity Programs Among College Students, Brianna Kelly

Senior Honors Projects

While addressing food insecurity in college students, a multifactorial approach is crucial in understanding the prevalence of food insecurity and barriers that can further hinder a student from becoming food secure, such as stigma. In the United States, 38.3 million Americans are food insecure (Food Security in the US, 2020). Approximately 40% of college students across the nation reported past-month insecurity in a 2019 study (Frank et al., 2021). A qualitative study among students at the University of North Texas found that due to stigma, many students struggling with food insecurity often did not use federal services or turn to …

Burden Of Food Insecurity Among College Students: A Cross-Sectional Study During The Covid-19 Pandemic, Saba Sami

Electronic Theses, Projects, and Dissertations

Background: Food insecurity is lack of access to proper nutrition for an individual to obtain a healthy lifestyle. The goal of this research is to determine the frequency of food insecurity among college students at a four-year college institution during COVID-19 pandemic in association to mental and physical health status.

Methods: This study was conducted among college students using cross-sectional study method. All data were collection virtually and kept anonymous. All statistical analyses were conducted using SPSS version 28 with (p<.05), denoting significance.

Results: In the study there were a total of 98 participants who were being analyzed. All the participants were …

Pandemic And Substance Use: A Cross-Sectional Analysis, Vanessa E. Ermilio

Electronic Theses, Projects, and Dissertations

Background: The COVID-19 Pandemic called individuals to stay at home which may have impacted individuals to become not only physically, but socially isolated as well. With social isolation, comes an increase in mental health complications which may lead to an increase in substance use. The purpose of this study was to evaluate the potential association between COVID-19 social isolation and substance use among college students.

Method: The present study’s data was collected from a public, four-year university located in Southern California. The survey was disseminated through instructors at the university and students were incentivized with extra course credit to participate. …

Pre-Migration To Post-Migration – Mental Health Problems In Unaccompanied Migrant Children From The Northern Triangle Of Central America, Paola Zuniga

Electronic Theses, Projects, and Dissertations

Background - The number of unaccompanied migrant children arriving at the U.S. southern border has significantly increased. Each year, children are forced to flee from their native countries of Guatemala, Honduras, and El Salvador. These countries form the Northern Triangle region of Central America, which is recognized as “one of the most dangerous places on earth” according to the United Nations High Commissioner for Refugees (UNHCR). Children from this region, experience significant trauma during their pre-migration, in-transit, and post-migration journey. This raises significant concerns about potential mental health problems. For this reason, access to mental health services for UMCs is …

Cyclic-Di-Gmp-Binding Proteins Regulate Acinetobacter Baumannii Motility, Gabriel Smith

Undergraduate Honors Theses

Acinetobacter baumannii is a prevalent nosocomial pathogen where, like many other infectious bacteria, A. baumannii is increasingly considered a multi-drug resistant pathogen. This research study was designed to find a way to affect the persistence of A. baumannii such that it can be applied to a hospital setting to prevent further nosocomial infections. One regulatory mechanism potentially used by A. baumannii to persist on hospital surfaces is through the use of the bacterial second messenger cyclic-di-GMP (c-di-GMP). This nucleotide signal is regulated in response to environmental conditions, and then activates c-di-GMP-binding proteins that induce phenotypic changes. One c-di-GMP-regulated phenotype is …

Sleep Health And Academic Performance During The Covid-19 Pandemic: A Cross-Sectional Analysis, Rushil Gumasana

Electronic Theses, Projects, and Dissertations

Background: Sleep health is an important public health topic that is often overlooked by college students who are trying to juggle between school, work, and social life. Sleep is seen as a luxury and as a result, most often sacrificed for other activities. The purpose of this thesis is to make a connection between the factors that lead to poor sleep quality and its influence on academic performance.

Methods:The study utilized the cross-sectional approach to evaluate sleep health and identify the relationship that exists with academic performance among college students. All data were collected virtually and kept anonymous. All …

Pandemic-Related Caregiver Burden Among Public Health Workforce: A Mixed-Method Analysis, Tony Lee

Electronic Theses, Projects, and Dissertations

Coronavirus Disease 2019 (COVID-19), caused by a highly contagious novel virus called SARS-CoV-2, has led to significant global morbidity and mortality. The healthcare workforce (HCW) is disproportionately impacted by the COVID-19 pandemic and is more likely to report depression, burnout, moral injury, compassion fatigue, and post-traumatic stress. However, research among the public health workforce (PHW) remains limited. Given the burden of COVID-19 itself, coupled with the work-related pressure of rapid pandemic management strategies, risk of exposure, potential fatigue, etc., understanding the mental health needs of PHW and related professionals is critical. As such, the purpose of this study is to …

Public Health Contagion Of White Supremacy: Examining The Pipeline Of Attitudes About Racism And Racial History Education Among High School Students., Trinidad Jackson

Electronic Theses and Dissertations

We are living in compounded states of upheaval. Violence and exemption from it across socioecological levels have shaped how humans survive, thrive, and die. While different violence typologies exist, the U.S., prioritizes interpersonal violence as its primary target of intervention, often through structural means that foster and reinforce interpersonal violence. The omission of structural and cultural agents and outcomes of violence allows perpetrators to infiltrate and reproduce savage, dehumanizing ideologies in perpetuity. Instead of sustaining societal pillars that oppress and destroy, we must fertilize public health research, practice, and sociopolitical activism with pillars that both inform and activate liberatory consciousness …

The Effects Of The Transition From Pre-Nursing To Nursing On Mental Health, Andrew J. Davis, Paige R. Mullins, Kimberly A. Sell

Undergraduate Honors Theses

Mental health is an ever-growing crisis among adolescents and young adults, with suicide as second leading cause of death and the number of those negatively affected continually on the rise. Transitions are one of the major stressors prevalent among these age groups, placing individuals at risk for mental health deficits. This quantitative voluntary response comparative study assesses the transitional mental health of pre-nursing students and students in the nursing program at East Tennessee State University. Emailed to all with a declared major of pre-nursing or nursing, this study measured mental health using evidenced based assessment tools. The PHQ-9 for depression …

Financial Hardship From Purchasing Prescription Drugs Among Older Adults In The United States Before, During, And After The Medicare Part D “Donut Hole”: Findings From 1998, 2001, 2015, And 2021, Anthony W. Olson, Jon C. Schommer, David A. Mott, Olajide Adekunle, Lawrence M. Brown

Pharmacy Faculty Articles and Research

BACKGROUND: Cost-related nonadherence compromises successful and effective management of chronic disease. The Medicare Modernization Act of 2003 (MMA) and Patient Protection and Affordable Care Act of 2010 (ACA) aimed to increase the affordability of outpatient prescription drugs for older adults (older than age 64 years). The Medicare Part D prescription drug insurance coverage gap (“donut hole”) created by the MMA was fully closed in 2020 by the ACA.

OBJECTIVES: To (1) describe prescription drug coverage and financial hardship from purchasing prescription drugs among older American adults for 2021, (2) compare these results with findings from data collected before the MMA …

Factors Associated With Independent National Health Insurance Ownership Among Reproductive Aged Women In Indonesia, Ika Putri Widiarti, Haerawati Idris

Makara Journal of Health Research

Background: Indonesia has been aiming toward universal health coverage since 2019, but it has yet to be achieved. The National Health Insurance (NHI) program provides individual services for women of reproductive age who require health care before pregnancy, during pregnancy, and at the time of labor. This study aims to analyze factors associated with independent NHI ownership among women of reproductive age in Indonesia.

Methods: Secondary data from the Wave 5 Indonesia Family Life Survey (IFLS) involving 2,084 women of reproductive age were used. The chi-square test and logistic regression test were used for data analysis.

Results: …

Exploring The Experience Of Stigma Among People Living With Hiv In Bali, Indonesia: Qualitative Phenomenological Study, Jufri Hidayat, Xuan-Yi Huang, Hung-Ru Lin, Shiow-Jing Wei, Miao-Yen Chen, Satriya Pranata

Makara Journal of Health Research

Background: Human immunodeficiency virus (HIV)-related stigma continues to be a serious problem for people living with HIV (PLWH). This study aimed to explore stigma experience among PLWH in Bali, Indonesia.

Methods: This research was a qualitative descriptive phenomenological study. With the help of a local clinician–researcher and the staff of the United Nations Program on AIDS Commission, Bali, 10 participants were recruited by purposive sampling and participated in semi-structured interviews via WhatsApp online audio from April to December 2021. Data were analyzed using Colaizzi’s process.

Results: The following three themes emerged: (1) experiencing discrimination, (2) getting stronger …

Emotional Eating Among Final Year Undergraduate Female Students Of Faculty Of Public Health Universitas Indonesia During Covid-19 Pandemic In 2021, Adinda Safira Salsabiela, Wahyu Kurnia Yusrin Putra

Indonesian Journal of Public Health Nutrition (IJPHN)

Emotional eating is defined as the tendency to excessively consuming food which often high in sugar, salt, and fat levels in response to negative emotions. Uncontrolled emotional eating will increase the risk of eating disorders such as bulimia nervosa and binge-eating disorder, obesity, cardiovascular diseases, and type II diabetes. This study aims to find out about the relationship between perceived stress, anxiety, academic stressors, social media engagement, COVID-19 infection history in respondent and their family members, and mindfulness with emotional eating among 106 final year undergraduate female students of the Faculty of Public Health Universitas Indonesia during the COVID-19 pandemic …

Effect Of Health And Nutrition Education On Blood Pressure, Knowledge And Compliance Among Hypertensive Patients In Bogor District, Indonesia: A Control Quasi-Experiment, Nurul Dina Rahmawati, Hasbullah Thabrany, Ratu Ayu Dewi Sartika

Indonesian Journal of Public Health Nutrition (IJPHN)

With a high prevalence of hypertension (25.8% in 2013 and 34.1% in 2018), Indonesia currently deals with a tremendous health economic burden with the implementation of National Health Insurance (JKN). Hypertension is known to lead to severe complications and productivity loss. This study aimed to evaluate the effect of health and nutrition education on blood pressure knowledge and compliance among hypertension patients. The study was conducted over a period of 6 months in Bogor District. A total of 179 patients (64%) completed the study (intervention n = 88, control n = 91). Compared to the control group, patients in the …

Carbohydrate Intake Is Associated With Learning Concentration Among High School Students In Jember Regency, East Java Province, Indonesia, Nadya Parahita Handini, Triyanti Triyanti, Kusharisupeni Djokosujono

Indonesian Journal of Public Health Nutrition (IJPHN)

Low learning concentration will have impact on low academic performance. This study aims to determine the relationship between learning concentration and several factors and to find the most dominant factor in the students of SMAN 1 Jember. In this study, learning concentration was the dependent variable, while breakfast habits, nutrient intake (energy, carbohydrates, protein, fat, iron, zinc, vitamin B12, vitamin C), sleep quality, and physical activity were independent variables. This research is a quantitative study with cross-sectional design. This study conducted in June 2021 at SMAN 1 Jember with a total of 200 respondents who were selected using the quota …

Nutrition Analysis Of Wood Apple (Limonia Acidissima), Yuliana Noor Setiawati Ulvie, Hapsari Sulistya Kusuma, Erma Handarsari

Indonesian Journal of Public Health Nutrition (IJPHN)

Wood apple or Limonia acidissima contains fruit acid, vitamins, and minerals. The dry fiber of the fruit contains 15% citric acid, potassium, calcium, and iron salt. The seed and pulp contain fats and protein. The fats consist of palmitic acid, oleic acid, linoleic acid, and linolenic acid, despite palmitoleic and stearic acid traces. β-sitosterol, β-Amirin, lupeol, and stigmasterol are from the unsaponifiable matter of seed oil. It was descriptive research that employed a laboratory experiment approach to determine the composition of total carbohydrate, total protein, total fats, water, ash content, and the crude fiber of wood apple. The research found …

Current Intake And Infection Status Were Not Good Predictive Factors Of Stunting Among Children Aged 6-59 Months In Babakan Madang Sub-District, Bogor District, West Java, Indonesia, Ruth Desinta Purnamasari, Ratu Ayu Dewi Sartika, Trini Sudarti

Indonesian Journal of Public Health Nutrition (IJPHN)

This study aims to discover the prevalence of stunting and determine the associations between the history of pulmonary tuberculosis disease with the prevalence of stunting among children under five years of age (6-59 months) in Babakan Madang Sub-District, Bogor District 2019. This study uses a cross-sectional design with a quantitative approach. The sample in this research was 194 children under five obtained by cluster sampling. Data collection was conducted through May 2019. The data collection process includes anthropometric measurements using calibrated microtoise and digital length board, dietary assessment using 1 x 24-h food recall, and a self-administered questionnaire. Data analyses …

Barriers To Public Health In Latino American Indigenous Communities, Wilzave Quiles Guzman

Honors Program Theses and Research Projects

This paper focuses on barriers to public health in Latino American Indigenous communities. Indigenous people throughout the world are at a public health disadvantage due to a lack of clearly defined practices within the decision-making processes to plan, evaluate, and control finances from governmental and non-governmental entities in charge of managing health services. I argue that political, social, and institutional changes are still needed to achieve health equity in Indigenous communities and that these changes should go beyond implementing a universal health care program. I must recognize improvements made by many Latino American countries like Brazil, which prepared a plan …

Dnp Final Report: Sane Finder: A Web-Based Mobile Solution To Identify The Location Of Currently Available Sexual Assault Nurse Examiners (Sane) For First Responders, Brenda D. Herrmann

DNP Final Reports

Society views sexual assault as one of the most horrific crimes committed by one human being against another, but the “rescue” has the potential to make the experience even more difficult for the victim, in essence re-traumatizing them (Nugent-Borakove et al., 2006). In the United States in 2018, almost 140,000 victims reported being sexually assaulted (U.S. Department of Justice - Federal Bureau of Investigation, 2019). In Texas, over 6 million individuals have been sexually assaulted in their lifetime (Busch-Armendariz et al., 2015). Getting victims to a specially trained sexual assault nurse examiner (SANE) as quickly as possible improves outcomes. SANEs …

Family’S Sufferings From Asymptomatic Covid: Clinicians’ Perspective, Neha Joshi Dr, Jitender Nagpal Dr, Anand Sinha Dr

Patient Experience Journal

Anticipating dire consequences, in 2020 the world braced itself for the unparalleled pandemic by resorting to unprecedented measures including stringent lockdowns, unforeseen social isolations, spotlight focus, resource diversions besides reorganized healthcare systems to name the quintessential few. Such unifocal convergence enhanced the vulnerabilities of patients dependent on non-COVID healthcare assistance. For a nation with a meagre allocation of 0.7 hospital beds per 1000 people and a lopsided doctor-population ratio of 1:1800, COVID-centric measures created unintended complications. Ironically, many succumbed in myriad ways, not due to the pandemic but due to the attributes of the survival measures. While such consequences cannot …

A Novel Nonparametric Test For Heterogeneity Detection And Assessment Of Fluid Removal Among Crrt Patients In Icu, Shaowli Kabir

Theses and Dissertations--Epidemiology and Biostatistics

Over the past decade acute kidney injury (AKI) has been occurring among 20%-50% of patients admitted to the intensive care unit (ICU) in United States. Continuous renal replacement therapy (CRRT) has become a popular treatment method among these critically ill patients. But there are multiple complications in implementing this treatment, including discrepancies in practiced and prescribed fluid removal, possibly related to the heterogeneity among these patients. With mixture modeling there have been several techniques in detecting heterogeneity with their specific limitations. In this dissertation a novel nonparametric ‘d test’ will be used to detect heterogeneity among CRRT patients in ICU. …

Pharmacists Provision Of Non-Dispensing Services In Health Professional Shortage Areas, Haley L. Kessinger, Emily R. Landis

ONU Student Research Colloquium

Background: Individuals living in primary care health professional shortage areas (PCHPSAs) experience health inequities. Community pharmacists are healthcare professionals with an opportunity to provide care to underserved populations. The objective of this study was to compare non-dispensing services provided by Ohio community pharmacists in PCHPSAs and non-PCHSPAs.

Methods: An electronic, IRB-approved 19-item survey was sent to all community pharmacists practicing in full PCHPSA counties and a random sample practicing in non-PCHPSA counties in Ohio (n=324). Questions assessed current provision of non-dispensing services as well as interest and barriers regarding such services.

Results: Seventy-three usable responses were received (23% response rate). …

Change Of Air Quality Knowledge, Perceptions, Attitudes, And Practices During And Post-Wildfires In The United States, Alessandro Del Ponte, Lina Ang, Lianjun Li, Noah Lim, Wilson Tam Wai San, Wei Jie Seow

Political Science Faculty Articles and Research

Amid worsening climate change, the recurrent wildfires have substantially worsened air quality in the Western United States (U.S.). Understanding the knowledge, attitudes, perception, and practices (KAPP) over time in response to natural disasters such as wildfires is crucial for public health interventions and disaster preparedness. This is the first study to investigate the change in air quality KAPP over time in response to natural disasters. Previous studies have only assessed KAPP at a fixed time point. Using a two-wave panel survey (during and post-wildfires), we assessed the association between KAPP and respiratory health indicators as well as the changes over …

Citizenship Matters: Non-Citizen Covid-19 Mortality Disparities In New York And Los Angeles, Jason A. Douglas, Georgiana Bostean, Angel Miles Nash, Emmanuel B. John, Lawrence M. Brown, Andrew M. Subica

Health Sciences and Kinesiology Faculty Articles

U.S. non-citizen residents are burdened by inequitable access to socioeconomic resources, potentially placing them at heightened risk of COVID-19-related disparities. However, COVID-19 impacts on non-citizens are not well understood. Accordingly, the current study investigated COVID-19 mortality disparities within New York (NYC) and Los Angeles (LAC) to test our hypothesis that areas with large proportions of non-citizens will have disproportionately high COVID-19 mortality rates. We examined ecological associations between March 2020–January 2021 COVID-19 mortality rates (per 100,000 residents) and percent non-citizens (using ZIP Code Tabulation Areas (ZCTA) for NYC and City/Community units of analysis for LAC) while controlling for sociodemographic factors. …

The Microbial Load On Used Disposable Face Masks: Exploring Sustainable Disinfection Methods, Clara Ray

GS4 Student Scholars Symposium

Face masks have become common-place in public settings since the onset of the global COVID-19 pandemic, with many people choosing to wear masks in order to mitigate the risk of becoming infected with viral or bacterial infections. Two of the most widely-available types of masks are cloth masks, which may be reused if cleaned properly, and disposable surgical masks. Despite the fact that surgical masks are intended for one-time use, many people chose to store and re-wear them. The purpose of this study was to determine the changes in biological contamination on surgical face masks after daily wear and overnight …

Hyperdynamic Left Ventricular Ejection Fraction Is Associated With Higher Mortality In Covid-19 Patients, Annas Rahman, Max Ruge, Md, Alex Hlepas, Batha Nair, Joanne Gomez, Jeanne Du Fey De Lavallaz, Setri Fugar, Nusrat Jahan, Annabelle Santos Volgman, Kim A. Williams, Anupama Rao, Karolina Marinescu, Tisha Suboc

Division of Internal Medicine Faculty Papers & Presentations

Study objective: To compare the characteristics and outcomes of COVID-19 patients with a hyperdynamic LVEF (HDLVEF) to those with a normal or reduced LVEF.

Design: Retrospective study.

Setting: Rush University Medical Center.

Participants: Of the 1682 adult patients hospitalized with COVID-19, 419 had a transthoracic echocardiogram (TTE) during admission and met study inclusion criteria. Interventions: Participants were divided into reduced (LVEF < 50%), normal (≥50% and <70%), and hyper- dynamic (≥70%) LVEF groups.

Main outcome measures: LVEF was assessed as a predictor of 60-day mortality. Logistic regression was used to adjust for age and BMI.

Results: There was no difference in 60-day mortality between patients in the reduced LVEF and normal LVEF …

Public Goods From Private Data: An Effectiveness And Justification Dilemma For Digital Contact Tracing, Andrew Buzzell

The Journal of Sociotechnical Critique

Debate about the adoption of digital contact tracing (DCT) apps to control the spread of COVID-19 has focussed on risks to individual privacy. This emphasis reveals significant challenges to ethical deployment of DCT, but generates constraints which undermine justification to implement DCT. It would be a mistake to view this result solely as the successful operation of ethical foresight analysis, preventing deployment of potentially harmful technology. Privacy-centric analysis treats data as private property, frames the relationship between individuals and governments as adversarial, entrenches technology platforms as gatekeepers, and supports a conception of emergency public health authority as limited by individual …

Obesogenic Environments And Cardiovascular Disease: A Path Analysis Using Us Nationally Representative Data, Fangqi Guo, Georgiana Bostean, Vincent Berardi, Alfredo J. Velasquez, Jennifer W. Robinette

Psychology Faculty Articles and Research

Introduction

People living in obesogenic environments, with limited access to healthful food outlets and exercise facilities, generally have poor health. Previous research suggests that behavioral risk factors and indicators of physiological functioning may mediate this link; however, no studies to date have had the requisite data to investigate multi-level behavioral and physiological risk factors simultaneously. The present study conducted serial and parallel mediation analyses to examine behavioral and physiological pathways explaining the association between environmental obesogenicity and cardiovascular disease (CVD).

Methods

This cross-sectional observational study used data from the 2012–2016 Health and Retirement Study, a representative survey of US older …

Determinants Of State Average Life Expectancy, Alex Grimes, Spencer Sprague, Cole Thomas

Student Scholarship - College of Business

In this paper, our dependent variable is average life expectancy by state in the United States. The purpose is to determine which factors have an impact on average life expectancy, as well as the magnitude of these impacts. While other studies have been conducted on life expectancy, our focus is different in a subtle but important way. Rather than centering on individual life expectancy, studying factors like “activity” or “genetics,” we focus on the broader population in a state and which factors affect life expectancy on a macro-scale. There is little known about this topic that isn’t in direct reference …