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Articles 751 - 780 of 1660
Full-Text Articles in Other Public Health
The Biopsychosocial Model And Clinical Decision Science In The Age Of Black Lives Matter: A Clinical Reflection, Abdul-Rahman M. Suleiman, Samer Ilayan
The Biopsychosocial Model And Clinical Decision Science In The Age Of Black Lives Matter: A Clinical Reflection, Abdul-Rahman M. Suleiman, Samer Ilayan
Clinical Research in Practice: The Journal of Team Hippocrates
The author reflects on the biopsychosocial considerations of elevated blood pressure in teenage African American youth during the era of Black Lives Matter (BLM). Parallels are drawn between Dr. Engel’s biopsychosocial model and clinical decision science.
Predictors Of Mortality In Hospitalized Covid-19 Patients: A Mexican Population-Based Cohort Study., Fernando Mesta Dr., Ángel Mario Coll Dr., Miguel Ángel Ramírez M.Sc., Livan Delgado-Roche Dr.
Predictors Of Mortality In Hospitalized Covid-19 Patients: A Mexican Population-Based Cohort Study., Fernando Mesta Dr., Ángel Mario Coll Dr., Miguel Ángel Ramírez M.Sc., Livan Delgado-Roche Dr.
BioMedicine
Objectives. COVID-19 outbreak brings a challenge to healthcare systems. The sex, age, and cardiometabolic comorbidities have been considered risk factors for disease severity. To evaluate the association between risk factors with death as well the risk of death in hospitalized COVID-19 patients.
Methods. The present cross-sectional cohort study, includes hospitalized SARS‑CoV‑2 confirmed cases. Data analysis was performed using the National COVID‑19 Cases Report Database. Pearson´s χ2 test and odds ratios (95% CI) were calculated to determine the association between variables. Thereafter, risk of death was evaluated by Cox proportional hazards model.
Results. A total of 67 …
Identifying The Cost Of Preventable Chronic Disease In Prison: Can Illness Prevention Of Adults In Custody Save Money?, Molly Bineham
Identifying The Cost Of Preventable Chronic Disease In Prison: Can Illness Prevention Of Adults In Custody Save Money?, Molly Bineham
Dissertations and Theses
This study investigates the cost of preventable health problems and ailments when compared to other costs of incarceration. The purpose of this study is to examine the impact of imprisonment on the costliest chronic illness. The health of adults in custody related to the general population and the overall fiscal cost of the deadliest chronic illness among incarcerated adults is discussed. Linear regression is used to analyze the occurrence of heart disease and diabetes among adults in custody while controlling for other factors. The results of this analysis provide insight that chronic diseases like heart disease and diabetes should be …
Review Of Fetal Alcohol Spectrum Disorder (Fasd) Among Aboriginal And Torres Strait Islander People, Sharynne Hamilton, Michael Doyle, Carol Bower
Review Of Fetal Alcohol Spectrum Disorder (Fasd) Among Aboriginal And Torres Strait Islander People, Sharynne Hamilton, Michael Doyle, Carol Bower
Australian Indigenous HealthBulletin
Fetal Alcohol Spectrum Disorder (FASD) is a preventable, lifelong disability that disproportionately affects Aboriginal and Torres Strait Islander people. This review provides a comprehensive synthesis of the available information on FASD among Aboriginal and Torres Strait Islander people, with reference to the limitations on population-based data and evaluated programs. The review outlines; the harms of alcohol use in the context of colonisation, cultural perspectives on assessment and diagnosis, effective prevention programs and a summary of state and national policies. Health impacts, educational outcomes and the effects of FASD on vulnerable populations such as children in protection and young people in …
Obesity Prevention Toolkit To Combat Weight Gain Related To Sedentary Behavior And Dietary Habits In College Students: An Evidence-Based Project, Maria Amos, Martha Fuller
Obesity Prevention Toolkit To Combat Weight Gain Related To Sedentary Behavior And Dietary Habits In College Students: An Evidence-Based Project, Maria Amos, Martha Fuller
Doctor of Nursing Practice Final Manuscripts
Abstract
Background: Forty percent of the US population ages 20-39 are categorized as obese,
their BMI is over 30, and 35% of college age students are obese or overweight. Issues related to obesity cost the US $147 billion annually. Between 40%-50% of college students are reported to be inactive. Inactivity can lead to increased morbidity and mortality related to increased risks of cardiovascular disease, diabetes, hypertension, musculoskeletal issues, and depression. Providing dietary and physical activity education and access to nutritional information promotes behavior change in young adults.
Aims of Service Change: This evidence-based project proposal aims to provide a toolkit …
Reporting Of Eating Disorder Deaths, Katherine Mobley, Amy Hord
Reporting Of Eating Disorder Deaths, Katherine Mobley, Amy Hord
Symposium of Student Scholars
Those affected by eating disorders experience disturbances in eating behaviors which are often related to underlying psychiatric disorders such as anxiety, depression, or obsessive-compulsive disorder (Parekh, 2017, Drieberg et al., 1998 p.53). The duplicitous nature of the disorder makes it difficult to diagnose, and the tole it takes on an individual’s physical health makes its mortality rate the second highest among psychiatric disorders (Guinhut et al., 2021 p.130). Even if the correct education and resources are accessible to certain individuals, negative stigmatization about the disorder can make sufferers unlikely to seek help (Becker et al., 2010). Findings from analysis of …
Seeking Truer Measures Of Success: Moving Toward More Rigorous Evaluations Of Industry-Led Access To Medicines Programs., Cherie Lynn Ramirez, Ashveena Gajeelee, Brianna Desharnais, Jenna Sherman, Dexter Waters
Seeking Truer Measures Of Success: Moving Toward More Rigorous Evaluations Of Industry-Led Access To Medicines Programs., Cherie Lynn Ramirez, Ashveena Gajeelee, Brianna Desharnais, Jenna Sherman, Dexter Waters
Student Papers, Posters & Projects
No abstract provided.
Fire Service Covid-19 Infection Prevention And Control Policy Comparison, Saaddedine Dichari
Fire Service Covid-19 Infection Prevention And Control Policy Comparison, Saaddedine Dichari
Theses & Dissertations
To date, there have been over 2.7 million deaths and more than 126 million cases attributed to the COVID-19 pandemic (JHU, 2021). This pandemic has affected nearly every aspect of daily life. Among those impacted are U.S. firefighters, as they provide many services beyond simply extinguishing structure fires and are frequently dual certified as emergency medical technicians. Many of the victims of this pandemic have relied on first responders to provide them with emergency medical care and hospital transport. When caring for these infected patients, firefighters have an increased risk of exposure and must be provided with adequate …
Fundamental Causes Of Racial And Ethnic Covid-19-Related Health Disparities, Hana Neutz
Fundamental Causes Of Racial And Ethnic Covid-19-Related Health Disparities, Hana Neutz
Student Scholar Symposium Abstracts and Posters
Underserved low-income communities of color in the U.S. have endured an unequal burden of COVID-19 morbidity and mortality. This pattern of pandemic-related health disparities has been pervasive throughout history. However, no known studies have simultaneously examined social and biological factors that contribute to these concerning health disparities. Therefore, this paper aims to bridge the gap by employing a scoping literature review of (1) the deleterious impacts of systemic racism on COVID-19-related outcomes; and (2) the cellular and molecular mechanisms connecting COVID-19 and hypertension (a comorbidity known to exacerbate COVID-19 severity). My findings indicate that systemic racism manifests in inequitable access …
The Epidemiology Of Clostridioides Difficile In Nebraska - A Descriptive Study Between 2018-2020, Storm Keffer
The Epidemiology Of Clostridioides Difficile In Nebraska - A Descriptive Study Between 2018-2020, Storm Keffer
Capstone Experience: Master of Public Health
Objectives: Clostridioides difficile (C. diff) is a common but challenging infection both financially and medically. Due to these difficulties, Clostridioides difficile infection (CDI) caused by C. diff is a mandatory reportable disease in Nebraska and as such has been a priority disease targeted by various disease control practices across many hospitals. All CDI laboratory results are reported electronically through the Nebraska Electronic Disease Surveillance System (NEDSS). However, capturing and conceptualizing the true burden of CDIs in Nebraska has not been adequately accomplished since monitoring of CDIs began. The objective of this study is to examine the trends of …
Headache And Its Association With Adhd/Add And Stimulant Medication, Claire Nitzsche
Headache And Its Association With Adhd/Add And Stimulant Medication, Claire Nitzsche
Honors Scholar Theses
Years of research has shown that headache (in terms of frequency, duration, and severity) is perpetuated by dysregulation of lifestyle behaviors such as sleep habits, eating habits, level of stress, physical activity etc. Our project aims to explore the potential combined and independent impacts that having ADHD/ADD and taking stimulant drugs have on disrupting one’s lifestyle and examine whether dysregulated lifestyle behaviors contribute to one’s headache experience. No research has investigated how both ADHD/ADD and stimulant drug use effect headache experience. In this cross-sectional study, 177 UConn undergraduate students completed a 10-minute survey regarding lifestyle behaviors and headache experience. Participants …
Navigating Post-Covid A Guide For Young Adults Recovering From Mild To Moderate Cases Of Covid-19, Chesley Ferris
Navigating Post-Covid A Guide For Young Adults Recovering From Mild To Moderate Cases Of Covid-19, Chesley Ferris
Muskie School Capstones and Dissertations
COVID-19 is a new strain of the Human Coronavirus. There are many types of Human Coronavirus, with COVID-19, or the Coronavirus Disease, being discovered in December 2019. COVID-19 is classified as a mild to severe upper respiratory illness. It can affect people differently, with some being asymptomatic, or having no symptoms, and others having mild, to moderate or severe symptoms. Symptoms can also present differently in each person. One person may not have the same symptoms as another.The virus is easily transmittable, meaning it can travel from person to person quickly and easily. This is why it is important to …
Heavy Metals In Ends Liquids: A Comparative Analysis Of Products From The United States, England, Canada, And Australia, Ashleigh Coggins-Block
Heavy Metals In Ends Liquids: A Comparative Analysis Of Products From The United States, England, Canada, And Australia, Ashleigh Coggins-Block
Forensic Science Theses
The International Tobacco Control (ITC) Policy Evaluation Project 4-Country Survey, which this thesis is a part of, aims to compare policies and electronic nicotine delivery system (ENDS) products between the United States, England, Canada, and Australia. Since they can pose many serious health risks, this thesis investigated the presence of and source of heavy metals, including lead, nickel, chromium, and cadmium, in ENDS e-liquids. The source of these metals in ENDS e-liquids has been disputed between cultivated tobacco used to derive nicotine and the metal parts of ENDS devices. ENDS purchased in 2017 from each of the four countries of …
Comparison Of Mortality Data From Nebraska’S Rural & Metropolitan Health Districts, Claire Figi
Comparison Of Mortality Data From Nebraska’S Rural & Metropolitan Health Districts, Claire Figi
Theses/Capstones/Creative Projects
As there has been minimal research done on the correlation between communities identified as rural or metropolitan and their mortality rates, this research aims to provide baseline evidence that mortality rates associated with non-infectious and infectious diseases are connected to an area’s rural or metropolitan classification. This study analyzed public data from the Nebraska Department of Health and Human Services and the Center for Disease Control to compare mortality rates related to the top two causes of death in both rural and metropolitan health districts of the state of Nebraska, United States. This data was then compared to mortality rates …
Are School Lunches Contributing To The Obesity Epidemic Among Children?, Luis Chavez
Are School Lunches Contributing To The Obesity Epidemic Among Children?, Luis Chavez
Electronic Theses, Projects, and Dissertations
Background: Childhood obesity is a major public health issue in the United States (U.S.) and recent data have shown that the incidence and prevalence have been increasing over the past 20 years. Poor dietary habits are often attributed to these increasing rates. The National School Lunch Program (NSLP) provides meals and snacks to over 30 million students. Therefore, determining whether an association exists between student participation in the NSLP, and their respective body mass index (BMI) is critical. Few studies have examined a family’s economic stability and the child’s race as potential moderating variables. This study aimed to investigate …
Workforce Assessment: Measuring The Impacts Of Covid-19 On The Maternal And Child Health Workforce, Ashleigh M. Sutphen
Workforce Assessment: Measuring The Impacts Of Covid-19 On The Maternal And Child Health Workforce, Ashleigh M. Sutphen
Capstone Experience: Master of Public Health
Workforce assessments provide an opportunity to assess, evaluate, and identify the needs of a particular workforce. The use of workforce assessments in the field of maternal and child health (MCH) has been an ongoing and a strongly supported effort by the Health Resources & Services Administration: Maternal and Child Health Bureau (MCHB). The maternal and child health workforce is responsible for providing essential public health services to some of the most vulnerable populations such as mothers, children, and people living with disabilities. Thus, the continuation of providing these essential public health services is critical – even in the midst of …
Investigating The Association Between Adolescent Polysubstance Use, Crime, And Violence In The United States, Christian Nwabueze
Investigating The Association Between Adolescent Polysubstance Use, Crime, And Violence In The United States, Christian Nwabueze
Electronic Theses and Dissertations
The lifetime prevalence of alcohol in the United States is 8% and lifetime prevalence of illicit drug use is about 2-3%. Substance use is common among adolescents and polysubstance use is becoming a public health threat.
The prevalence of adolescent physical dating violence was 8.2%, the prevalence of adolescent sexual violence was also 8.2% while the prevalence of dual adolescent physical and sexual violence was 2.6%. Compared to those who used only single substances, adolescents who did not use any substance were 60% less likely (OR = 0.42, 95% CI = 0.24 – 0.74) to experience physical dating violence, 50% …
Covid-19: The Vaccine Race Continues, L. Hayley Burgess, Carley Castelein, Andrew Rubio, Mandelin K. Cooper
Covid-19: The Vaccine Race Continues, L. Hayley Burgess, Carley Castelein, Andrew Rubio, Mandelin K. Cooper
HCA Healthcare Journal of Medicine
Over a year has passed since the discovery of SARS-CoV-2 and the subsequent COVID-19 pandemic. As mitigation efforts continue, COVID-19 has claimed over half a million lives in the United States and 3.1 million lives globally. The development and availability of vaccines delivering immunity to prevent COVID-19 offers hope to end the pandemic.
Emergency use authorizations from the Food and Drug Administration have been issued in the United States for three vaccines, one each from Pfizer-BioNTech, Moderna and Janssen/J&J. Pfizer-BioNTech and Moderna are both mRNA vaccines with efficacy of 95% and 94.1% respectively, while the vector-based vaccine from Janssen/J&J has …
Factors Associated With Underweight Among Two Years Old Children In Dki Jakarta Province (Indonesian Family Life Survey 2014), Nabilla Atelya, Ratu Ayu Dewi Sartika, Winda Mulianingsih
Factors Associated With Underweight Among Two Years Old Children In Dki Jakarta Province (Indonesian Family Life Survey 2014), Nabilla Atelya, Ratu Ayu Dewi Sartika, Winda Mulianingsih
Indonesian Journal of Public Health Nutrition (IJPHN)
A good health status, cognitive development, and productivity cannot be achieved without good nutrition. Nutritional status and its fulfilment of two years old children will be shaping the health status in the next age period. Unfortunately, nutritional problems like underweight is still a significant health problem in Indonesia, especially Special Capital Region of Jakarta. This study used secondary data achieved from Indonesian Family Life Survey 5 data in 2014. This study used a cross-sectional study design with a total of 135 samples of two years old children using a total sampling. Accordingly, the chi square test was used to find …
Food Insecurity Associated With Double-Burden Of Malnutrition Among Women In Reproductive Age In Ciampea Sub-District, Bogor, West Java, Seala Septiani, Ismi Irfiyanti, Tran Thi Hai, Luh Ade Wiradnyani, Aria Kekalih, Paulus Daniel Sahanggamu
Food Insecurity Associated With Double-Burden Of Malnutrition Among Women In Reproductive Age In Ciampea Sub-District, Bogor, West Java, Seala Septiani, Ismi Irfiyanti, Tran Thi Hai, Luh Ade Wiradnyani, Aria Kekalih, Paulus Daniel Sahanggamu
Indonesian Journal of Public Health Nutrition (IJPHN)
Double burdens of malnutrition among women have occurred across most developing countries including Indonesia. This study compared the associated factors among overweight and underweight of women in reproductive age (WRA) in rural Ciampea Sub-district, Bogor, West Java. This cross-sectional study surveyed the nutritional status of 575 mothers (16-49 years old) who have under two-years-old children. Nutritional status was assessed by body-mass-index (BMI) and mid-upper arm circumference (MUAC), food security status by US-Food Security Survey Module (US-FSSM), dietary intake by a single 24-H dietary recall. The prevalence of underweight, overweight, and obese among this group were 10%, 15.8%, and 34.2%. Food …
Fulfilment Of Minimum Acceptable Diet As Dominant Factor In Wasting In Children Aged 6–23 Months In Central Jakarta, Indonesia, 2019, Ervida Andina, Madinar Madinar, Endang Laksminingsih Achadi
Fulfilment Of Minimum Acceptable Diet As Dominant Factor In Wasting In Children Aged 6–23 Months In Central Jakarta, Indonesia, 2019, Ervida Andina, Madinar Madinar, Endang Laksminingsih Achadi
Indonesian Journal of Public Health Nutrition (IJPHN)
Wasting is a form of acute malnutrition characterized by significant and rapid weight loss resulting from inadequate food intake and infectious diseases. This study was to investigate the factors associated with wasting in children aged 6–23 months and the dominant factor among these. The study followed a cross-sectional study design. A total sample of 261 children was selected using multistage random sampling from 13 integrated healthcare centres in six administrative villages located in three sub-districts of Central Jakarta. Data was collected by measuring body weight and height and questionnaires completed through interviews carried out by trained data collectors. This study …
Underweight In Child Aged 24-59 Months In North Sumatra: The 2014 Indonesia Family Life Survey Data, Salsabila Kurnianingtyas, Ratu Ayu Dewi Sartika, Winda Mulia Ningsih
Underweight In Child Aged 24-59 Months In North Sumatra: The 2014 Indonesia Family Life Survey Data, Salsabila Kurnianingtyas, Ratu Ayu Dewi Sartika, Winda Mulia Ningsih
Indonesian Journal of Public Health Nutrition (IJPHN)
Underweight has the biggest risk against burden of disease. The aim of the study was to determine the factors related with underweight in child aged 24-59 months lived in North Sumatra based on three characteristics caused an underweight; there are child characteristics, maternal characteristics, and parenting characteristics. This study used cross-sectional design and using chi-square statistical analysis. The sample used in this study was 280 child aged 24-59 months living in North Sumatra province, Indonesia. The data was obtained from 2014 Indonesian Family Life Survey collected by RAND Corporation. Prevalence of underweight in child aged 24-59 months lived in North …
Do Bagasi Change The Exclusive Breastfeeding Knowledge And Attitudes?, Wido Gamani, Laras Sitoayu, Rachmanida Nuzrina, Lintang Purwara Dewanti, Anugrah Novianti
Do Bagasi Change The Exclusive Breastfeeding Knowledge And Attitudes?, Wido Gamani, Laras Sitoayu, Rachmanida Nuzrina, Lintang Purwara Dewanti, Anugrah Novianti
Indonesian Journal of Public Health Nutrition (IJPHN)
The achievement of exclusive breastfeeding (EBF) in the world and in Indonesia is still low. One of the obstacles to EBF is that the mother works. Cooler bag is a familiar media for working mothers to provide breast milk. This research uses modified cooler bags which contain information on how to provide EBF for working mothers, called bagASI. This study aims to determine the effect of bagASI on the EBF knowledge and attitudes of working pregnant women. The research method is Quasi Experimental with Pre Test - Post Test and the number of respondents is 34 working pregnant women. Respondents …
Covid-19 And Challenges To The Traditional Understanding Of Individual Medical Autonomy, Callon A. Green
Covid-19 And Challenges To The Traditional Understanding Of Individual Medical Autonomy, Callon A. Green
Honors Theses
Throughout history, vaccines have provided the human population with the ability to combat dangerous illnesses and avoid preventable suffering. Despite the benefits vaccines provide to the public health of the United States, anti-vaccination sentiment and resistance to vaccine uptake are still prevalent in the modern day. As the COVID-19 pandemic has developed into a major public health crisis that can be controlled through vaccination, the issues underlying vaccine resistance are becoming more critical to return to normal life. Using COVID-19 as a case study, it is evident that the individual choice to deny vaccination can have consequences on the health …
The Effect Of Chronic Alcohol Consumption On Exercise-Induced Muscle Damage In Young Men, Emma Hamilton, Grant Hilliard
The Effect Of Chronic Alcohol Consumption On Exercise-Induced Muscle Damage In Young Men, Emma Hamilton, Grant Hilliard
Honors Theses
PURPOSE: To investigate the effects of chronic alcohol consumption on exercise-induced muscle damage of the knee extensors in young men. METHODS: Twenty-one males (age 21.9 ± 1.1 yr; weight 183.4 ± 27.6 lbs; height 174.0 ± 13.1 cm) performed 100 maximal eccentric contractions at 30°/sec of the knee extensors using their non-dominant leg. The isometric and isokinetic muscle strengths (60°/sec and 180°/sec) were measured pre-exercise and immediately, 24 h, 48 h, 72 h, 96 h, and 120 h post-exercise. Muscle soreness and plasma creatine kinase (CK) activity were measured pre-exercise and 24 h, 48 h, 72 h, 96 h, and …
Thyreos Completes Seed Funding From Invest Nebraska, Strategic Angel Investors, Nebraska Combine
Thyreos Completes Seed Funding From Invest Nebraska, Strategic Angel Investors, Nebraska Combine
The Combine
First paragraph:
Thyreos (https://www.thyreosvaccines.com/), a vaccine company that is developing a novel vaccine platform that protects against a range of herpesviruses, has announced a $750,000 investment round led by Invest Nebraska with participation from other local angel investors in the animal health and veterinary space.
Cannabis Use, Sedentary Behavior, And Physical Activity In A Nationally Representative Sample Of Us Adults, Lydia Q. Ong, John Belletierre, Citlali Alvorado, Paul Chavez, Vincent Berardi
Cannabis Use, Sedentary Behavior, And Physical Activity In A Nationally Representative Sample Of Us Adults, Lydia Q. Ong, John Belletierre, Citlali Alvorado, Paul Chavez, Vincent Berardi
Psychology Faculty Articles and Research
Background
Prior research examining the relationship between cannabis use, sedentary behavior, and physical activity has generated conflicting findings, potentially due to biases in the self-reported measures used to assess physical activity. This study aimed to more precisely explore the relationship between cannabis use and sedentary behavior/physical activity using objective measures.
Methods
Data were obtained from the 2005–2006 National Health and Nutrition Examination Survey. A total of 2,092 participants (ages 20–59; 48.8% female) had accelerometer-measured sedentary behavior, light physical activity, and moderate-to-vigorous physical activity. Participants were classified as light, moderate, frequent, or non-current cannabis users depending on how often they used …
Predicting Academic Success Using Grit And Academic Resiliency In College Freshmen, Julianna Boyle
Predicting Academic Success Using Grit And Academic Resiliency In College Freshmen, Julianna Boyle
Health and Kinesiology Theses
Background: The purpose of this study was to determine if there are other factors that could predict academic success. Specifically, is there an association between Grit and Academic Resiliency prior to the start of a semester and academic success (defined by GPAs) in college freshmen. This study also explored students’ experiences of high school, effects from the COVID-19 pandemic, perception about their journey through the beginning of their College freshmen year, and perception about success.
Methods: A mixed methods design was used. A quantitative survey was emailed to all incoming UT Tyler Freshmen students prior to the Fall …
Suppression Of Human Coronavirus 229e Infection In Lung Fibroblast Cells Via Rna Interference, Hamidreza Montazeri Aliabadi, Jennifer Totonchy, Parvin Mahdipoor, Keykavous Parang, Hasan Uludağ
Suppression Of Human Coronavirus 229e Infection In Lung Fibroblast Cells Via Rna Interference, Hamidreza Montazeri Aliabadi, Jennifer Totonchy, Parvin Mahdipoor, Keykavous Parang, Hasan Uludağ
Pharmacy Faculty Articles and Research
Despite extensive efforts to repurpose approved drugs, discover new small molecules, and develop vaccines, COVID-19 pandemic is still claiming victims around the world. The current arsenal of antiviral compounds did not perform well in the past viral infections (e.g., SARS), which casts a shadow of doubt for use against the new SARS-CoV-2. Vaccines should offer the ultimate protection; however, there is limited information about the longevity of the generated immunity and the protection against possible mutations. This study uses Human Coronavirus 229E as a model coronavirus to test the hypothesis that effective delivery of virus-specific siRNAs to infected cells will …
370— Treatment For Alcohol Addiction Among Native Americans In The United States, Jacob Reid
370— Treatment For Alcohol Addiction Among Native Americans In The United States, Jacob Reid
GREAT Day Posters
This poster aims to summarize some of the issues and policies surrounding alcohol addiction among Native Americans in the US.