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2022

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Articles 541 - 570 of 641

Full-Text Articles in Public Health Education and Promotion

Fortitude, Spiritual Fortitude, And The Cancer Care Continuum In African American Breast Cancer Survivors, Karen Y. Boone Jan 2022

Fortitude, Spiritual Fortitude, And The Cancer Care Continuum In African American Breast Cancer Survivors, Karen Y. Boone

Walden Dissertations and Doctoral Studies

African American breast cancer survivors (AABCS) struggle with physical, emotional, psychological, spiritual, and financial challenges. Navigating these challenges can require the use of inner resources such as fortitude and spiritual fortitude. Using Folkman and Lazarus’ transactional model of stress and coping as the theoretical framework, the purpose of this study was to examine fortitude and spiritual fortitude as coping responses by African American women living with breast cancer and whether fortitude and spiritual fortitude were associated with phases of the cancer care continuum. A quantitative nonexperimental cross-sectional design was used for primary data collection that involved using Pretorius’ Fortitude Questionnaire …

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Obesity's Impact Among Asian Americans In Southern California, Alyssa Mae Sunga Carlos Jan 2022

Obesity's Impact Among Asian Americans In Southern California, Alyssa Mae Sunga Carlos

Walden Dissertations and Doctoral Studies

Obesity continues to be an important public health issue in the United States, especially among minority populations. However, one minority group experiences the lowest obesity rate: Asian Americans. As a result, there is not much research available involving the impact of obesity and weight gain among this population. The purpose of this basic qualitative exploratory study was to improve the understanding of obesity’s impact on the Asian American population, specifically in Southern California, whose goals were to lose weight and become more informed about obesity’s impact on health. The study consisted of three main research questions. Twenty-five participants were interviewed …

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The Childbirth Experiences And Perceptions Of Sierra Leonean Women Relating To Basic Maternal Rights, Francess Fornah Jan 2022

The Childbirth Experiences And Perceptions Of Sierra Leonean Women Relating To Basic Maternal Rights, Francess Fornah

Walden Dissertations and Doctoral Studies

Sierra Leone faces immense challenges in supporting good quality, woman-centered care, with one of the world's highest maternal mortality ratios of 717 per 100,000 live births. In countries with high maternal mortality, evidence of the fear of disrespect and abuse women usually confront in maternity care is a more solid deterrent to the use of skilled care than commonly recognized barriers, such as cost or distance. This qualitative phenomenological study aimed at understanding the childbirth experiences and perceptions of Sierra Leonean women relating to basic maternal rights. The ecological systems theoretical framework and the respectful maternity care charter conceptual framework …

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Chronic Kidney Disease And Depressive Disorders Among Adult Non-Hispanic African Americans And Whites In Georgia, Omatola Gordon-Rose Jan 2022

Chronic Kidney Disease And Depressive Disorders Among Adult Non-Hispanic African Americans And Whites In Georgia, Omatola Gordon-Rose

Walden Dissertations and Doctoral Studies

Chronic kidney disease (CKD), depressive disorders, and mental health are significant health issues in the United States. The purpose of this study was to examine the association of CKD and depressive disorders and days of poor mental health in adults living in Georgia, controlling for race/ethnicity, socioeconomic status, gender, age, diabetes mellitus status, high blood pressure status, marital status, and number of adults in the household. The study was a descriptive, quantitative, cross-sectional design with secondary data analysis, and the framework used was Wilson and Cleary health-related quality of life measures. The 2019 Behavioral Risk Factor Surveillance System Survey weighted …

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Fully Automated Life Support Training Effects On Inpatient, Cardiac Arrest Survival Rates, Adessa D. Goss Jan 2022

Fully Automated Life Support Training Effects On Inpatient, Cardiac Arrest Survival Rates, Adessa D. Goss

Walden Dissertations and Doctoral Studies

In the United States, more than 200,000 adult patients die annually from inpatient cardiac arrest with survival rates stagnated at 22%–25% nationally. Recently, the adoption of fully automated life support training modalities by health care organizations has become widespread with limited literature available showing the effects on inpatient, cardiac arrest survival. The purpose of this quantitative study was to investigate the effects of fully automated life support training on inpatient, cardiac arrest survival. Applying Bloom’s mastery learning theory, the impact of the Resuscitation Quality Improvement (RQI) quarterly training and hospital unit compliance on inpatient cardiac arrest return of spontaneous circulation …

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Factors That Predict Prescription Opioid Misuse By Type Of Healthcare Insurance Coverage, Keon Green Jan 2022

Factors That Predict Prescription Opioid Misuse By Type Of Healthcare Insurance Coverage, Keon Green

Walden Dissertations and Doctoral Studies

The opioid epidemic remains one of the leading causes of unintended deaths in the United States and is still one of the focal points of the public health field. Previous research has increased awareness of the opioid crisis and has focused on sociodemographic factors that may cause or predict prescription opioid misuse. The purpose of this study was to investigate sociodemographic factors that may predict prescription opioid misuse while controlling for healthcare insurance. The theoretical foundation for this secondary data analysis project was the socioecological model using the 2019 National Survey on Drug Use and Health. The population was 56,136 …

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Social Capital And Food Insecurity In Two Counties In Wisconsin, Yvonne Denise Greer Jan 2022

Social Capital And Food Insecurity In Two Counties In Wisconsin, Yvonne Denise Greer

Walden Dissertations and Doctoral Studies

Hunger and food insecurity are public health issues with 38 million people in the US struggling with food hardship. This study examined if there was a relationship between four types of social capital (SC) (bonding, bridging, community structural-formal, and community structural-informal), income, and food insecurity risk (FIR), in two counties in Wisconsin. A quantitative descriptive correlational study design involving multiple linear regression analysis and the integral model framework was conducted with cross-sectional secondary data from the 2014-2016 Survey of the Health of Wisconsin. Participants were from Milwaukee (n = 335) and Dane County (n = 235). Results revealed that in …

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The Role Of Health And Diet In The Development Of Metabolic Syndrome Stratified By Race, Sex, And Age, Michael D. Harada Jan 2022

The Role Of Health And Diet In The Development Of Metabolic Syndrome Stratified By Race, Sex, And Age, Michael D. Harada

Walden Dissertations and Doctoral Studies

Obesity is now recognized as a disease in need of treatment by the medical profession and is associated with other chronic diseases including hypertension, hyperglycemia, hypertriglyceridemia, insulin-resistance, and reduced levels of high density lipoproteins. Metabolic syndrome (MetS) occurs when a combination of at least three of these chronic conditions are comorbid with each other. The purpose of this quantitative cross-sectional study was to find significant health and nutritional predictors of MetS status across race, sex, and age. The evolutionary mismatch hypothesis and health belief model provided the framework for this study. Data were collected from 2,303 participants from the 2015-2016 …

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Effects Of Indoor Air Pollutants On Childhood Asthma: African American Parents’ Perspective, Marcia Maureen Haughton Lewis Jan 2022

Effects Of Indoor Air Pollutants On Childhood Asthma: African American Parents’ Perspective, Marcia Maureen Haughton Lewis

Walden Dissertations and Doctoral Studies

AbstractIndoor air pollution has been implicated in many chronic health conditions, including childhood asthma, which is more prevalent among African American children. Children are more susceptible than adults to the effects of exposure to indoor air pollution; however, many parents may not be aware of the polluting impacts of products in their homes and are inadvertently placing their families at risk for adverse health outcomes. Understanding parents’ perceptions and experiences is essential for planning and developing educational programs and interventions for improving indoor environment management as part of asthma management in children. This descriptive phenomenological study aimed to explore parents’ …

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Lead Toxicity, Attention–Deficit Hyperactivity Disorder, And Gun Violence Among Young African American Men, Gwendolyn Hooker-Mcintosh Jan 2022

Lead Toxicity, Attention–Deficit Hyperactivity Disorder, And Gun Violence Among Young African American Men, Gwendolyn Hooker-Mcintosh

Walden Dissertations and Doctoral Studies

Violence among adolescents and young adults is a major public health concern in the United States, but it disproportionally affects African Americans. This racial disparity is especially concerning in New Orleans, Louisiana, where fatal and nonfatal shootings have been consistent since 2010 for young African American men. Also, Louisiana ranks third in the nation in prevalence of attention–deficit hyperactivity disorder (ADHD) among children. African Americans in New Orleans have lived in areas known to have greater concentrations of lead in the soil, and African American children and their parents have a lower level of awareness of lead toxicity. The purpose …

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The Perceptions Of Adult Patients Who Experience Needle Fear During Cosmetic Injections, Julia Hoy Jan 2022

The Perceptions Of Adult Patients Who Experience Needle Fear During Cosmetic Injections, Julia Hoy

Walden Dissertations and Doctoral Studies

AbstractAdult patients receiving cosmetic injections frequently experience needle fear symptoms which results in patient discomfort, suffering, and poor injection outcomes. The needle fear experience contributes to a decreased quality of life and possible avoidance behaviors involving other medical treatments requiring needles. Researchers have conducted quantitative studies which explored interventions on pain reduction but there are no qualitative studies from the perspectives of adults experiencing needle fear. The purpose of this research study was to explore the perceptions of needle fear in adult patients receiving cosmetic injections in a medical office setting. The interpretative phenomenological approach was used to provide an …

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Perceptions Of Contraceptive Practice Among Arab American Victims Of Intimate Partner Violence, Linda Humaidan-Zayed Jan 2022

Perceptions Of Contraceptive Practice Among Arab American Victims Of Intimate Partner Violence, Linda Humaidan-Zayed

Walden Dissertations and Doctoral Studies

There has been limited research on Arab Americans as they are an unidentified minority population. The specific research problem addressed through this study is that there is little research pertaining to the role of intimate partner violence (IPV) in poor contraceptive practice among Arab Americans, contributing to the larger problem of unwanted pregnancies, reproductive coercion, and other aspects of reproductive health. The problem with a high prevalence rate of IPV among Arab American women is that they are more susceptible to becoming pregnant and not accessing the reproductive health services that they may need. Thus, the purpose of this qualitative …

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Primary Care Physicians’ Knowledge, Attitudes, And Practices Regarding Lyme Disease In High- Versus Low-Incidence Lyme Disease Midwestern States, Alexander Karnga Jan 2022

Primary Care Physicians’ Knowledge, Attitudes, And Practices Regarding Lyme Disease In High- Versus Low-Incidence Lyme Disease Midwestern States, Alexander Karnga

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this quantitative cross-sectional study, guided by the barriers to physician behavior change (BPBC) framework, was to address the gaps in the Lyme disease empirical literature by examining whether there were significant differences in Lyme disease knowledge, attitude, and practices between primary care physicians in Wisconsin, a high-incidence Midwestern Lyme disease state, and Michigan, a low-incidence Lyme disease Midwestern state. The study was conducted with 65 physicians (53.8% male and 46.2% female). The study hypotheses were tested by conducting a one-way multivariate analysis of covariance (MANCOVA), controlling for physicians’ years of practice (the number of patients seen per …

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Typhoid Fever Among Low-Income Women Living In Gujranwala, Pakistan., Tehmina S. Khan Jan 2022

Typhoid Fever Among Low-Income Women Living In Gujranwala, Pakistan., Tehmina S. Khan

Walden Dissertations and Doctoral Studies

Approximately 21 million individuals suffer from typhoid fever (TF) globally, and most outbreaks occur in Southeast Asia. The incidence of TF is high in Pakistan, particularly in low socioeconomic areas, and a new drug-resistant strain makes it difficult to control the spread of TF. There is a pressing need for up-to-date and accurate data regarding the attitudes, beliefs, and habits leading to the spread of TF infection among individuals living in low socioeconomic areas of Pakistan. This qualitative, phenomenological study was grounded in the health belief model and explored factors that influence the spread of TF among women of childbearing …

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Examining Health Care Utilization Among Adult Heart Disease Patients With Self-Reported Depressive Symptoms, Courtney R. Lockett Jan 2022

Examining Health Care Utilization Among Adult Heart Disease Patients With Self-Reported Depressive Symptoms, Courtney R. Lockett

Walden Dissertations and Doctoral Studies

Health care costs are most commonly concentrated among small groups of high-cost patients, or high utilizers. Many of these patients receive unnecessary and ineffective care and often critical health care needs can go unmet, even when substantial care from multiple sources is received. Thus, there is a need to look into high utilizing patients for not only quality improvement but also effective resource allocation. The operational problem for health care administrators is managing resources and improving quality of care by targeting specific medical conditions that may be high utilizers of medical resources. The purpose of this study was to identify …

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Effects Of Socioeconomic Status, Demographic Characteristics, And Education On Sarcopenic Obesity, Moruf Oladele Olaleye Jan 2022

Effects Of Socioeconomic Status, Demographic Characteristics, And Education On Sarcopenic Obesity, Moruf Oladele Olaleye

Walden Dissertations and Doctoral Studies

The general problem is that although the body of research about obesity is robust, there is a lack of research addressing the problem of sarcopenic obesity. Specifically, there is a lack of research examining the statistical significance of the relationship between the independent variables of socioeconomic status, demographic characteristics, and education and the dependent variable of sarcopenic obesity. This research may advance practice and policy by lending support for developing interventions to address factors that have a statistically significant relationship with sarcopenic obesity. The purpose of this quantitative causal-comparative study was to identify independent variables among socioeconomic, demographic, and education …

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Factors That Determine Utilization Of The Canadian School-Based Human Papilloma Virus Vaccine Programs, Diane Gloria Brown Jan 2022

Factors That Determine Utilization Of The Canadian School-Based Human Papilloma Virus Vaccine Programs, Diane Gloria Brown

Walden Dissertations and Doctoral Studies

Human Papilloma Virus (HPV) is the most common sexually transmitted infection in the world and is the known causative agent of many HPV-associated cancers in both males and females. HPV vaccination rates in Canada are significantly lower than other developed countries and this finding is poorly understood as Canadian adolescents have access to free-of-charge HPV vaccines through school-based vaccination programs. This quantitative descriptive study used an online survey to collect data from 992 eligible respondents. This study identified predisposing, enabling, and need factors characterized by the Andersen behavioral model of health services use which facilitate or impede the use of …

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Secondary Data Analysis Of The Association Of Screen Time With Selected Health Behaviors, Kellany Cadogan Noland Jan 2022

Secondary Data Analysis Of The Association Of Screen Time With Selected Health Behaviors, Kellany Cadogan Noland

Walden Dissertations and Doctoral Studies

The noticeable disparity in youth access of preventive healthcare and youth’s tendency towards excessive screen time have been linked to poor health outcomes. This issue prompted the current study, which had three core purposes: to identify associations between screen time and selected health behaviors, to identify target sociocultural and personal determinants of youth health, and to provide evidence to prompt innovation in promoting youth health via screen-based strategies. The social cognitive theory provided a context for triadic reciprocity between youth personal factors, environmental factors, and behaviors. A quantitative secondary analysis was completed using SPSS-27 to identify whether there was an …

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Nurses' Experiences Caring For Patients With Opioid Use Disorder, Pamella Maureen Campbell Jan 2022

Nurses' Experiences Caring For Patients With Opioid Use Disorder, Pamella Maureen Campbell

Walden Dissertations and Doctoral Studies

Over the past 2 decades, opioid use in the United States has taken thousands of lives, reached the level of epidemic in 2017, and has been an area of study among scholars. The problem is health care professionals, including nurses, lack training on how to care for people with opioid use disorder (OUD). Nurses are at the frontline of patient care and understanding the nurses’ experiences in the care of patients with OUD may help to improve the patients’ quality of care. The purpose of this qualitative descriptive study was to develop an understanding of the experiences of nurses with …

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Factors Associated With Nonmedical Prescription Opioid Use And Prescription Opioid Misuse Among Rural Americans, Brittany Cox Jan 2022

Factors Associated With Nonmedical Prescription Opioid Use And Prescription Opioid Misuse Among Rural Americans, Brittany Cox

Walden Dissertations and Doctoral Studies

Opioid misuse is a rapidly evolving health epidemic in the United States, leading to opioid use disorders, overdose deaths, and disparities in treatment. The rural population may be more susceptible given socioeconomic status, less educational attainment, and lower income. The impact on specific populations is not well understood. The purpose of this study was to identify the association of nonmedical prescription opioid use (NPOU), prescription opioid misuse (POM), and treatment-seeking with race, age, sex, education, and insurance status among rural Americans. The social-ecological model (SEM) served as the theoretical framework. The SEM described the interplay between individual, relationship, community, and …

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Influence Of Cyberbullying On Suicidal Behaviors, David Dellerman Jan 2022

Influence Of Cyberbullying On Suicidal Behaviors, David Dellerman

Walden Dissertations and Doctoral Studies

Secondary data was used to examine the prevalence of suicidal behaviors and the association between cyberbullying by high school-aged students (Grades 9–12) both heterosexual and sexual minority youth (SMY) and suicidal behaviors experienced by high school-aged students (Grades 9–12) in the United States using data from the 2017 CDC’s Youth Risk Behavior Surveillance System (YRBSS). The YRBSS used in this research was the newest and most comprehensive data. The YRBSS is a national school-based survey, that is used to monitor health-related behaviors including violence, sexual behaviors (heterosexual and SMY students), intentional and unintentional injuries that contribute to suicide behaviors. Results …

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Alternative Diet Practices As Predictors For Vaccine Confidence, Nancy Dolin Jan 2022

Alternative Diet Practices As Predictors For Vaccine Confidence, Nancy Dolin

Walden Dissertations and Doctoral Studies

Perceived risks and side effects have left some with a lack of confidence in the safety and efficacy of vaccines. This may lead to not adhering to the recommended vaccination schedule and result in outbreaks that have the potential to harm those who are unable to get vaccinated due to age or infirmity. It is vital to seek and address the characteristics that may predict one’s confidence in vaccines. The aim of this study was to identify whether an individual’s alternative diet behavior may be able to predict their confidence in the measles, mumps, and rubella (MMR) vaccine. The theoretical …

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The Outcome Of Stroke Education And Management On Cerebrovascular Accident Patients In Bermuda, Antoinette Simone Dyer Jan 2022

The Outcome Of Stroke Education And Management On Cerebrovascular Accident Patients In Bermuda, Antoinette Simone Dyer

Walden Dissertations and Doctoral Studies

AbstractIncidence of cardiovascular accident (CVA), also referred to as a stroke, has increased in Bermuda. Understanding key contributing factors is necessary to reduce incidences that are associated with this disease process. This dissertation examined the outcome of stroke education and management on CVA patients in Bermuda. The health belief model, incorporating a reflection of the public health framework, guided the analysis of a quantitative dataset obtained through Bermuda Hospitals Board’s Neurology Department. A cross-sectional study design was used to sample 253 stroke patients over a 2-year period (2019 -2021). The Wilcox test was employed to compare two groups – stroke …

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Length Of Stay In A Homeless Shelter And Mitigating Homelessness, Uwemedimo S. Etteyit Jan 2022

Length Of Stay In A Homeless Shelter And Mitigating Homelessness, Uwemedimo S. Etteyit

Walden Dissertations and Doctoral Studies

AbstractHomelessness is a major public health issue in the United States. Every night, thousands of people have no residence to call their own. Most homeless persons turn to homeless shelters for help. Despite the homeless shelters, the problem of homelessness persists. This study examined the concept that the length of time spent at a homeless shelter is related to the homeless persons mitigating their homelessness through home placement, jobs, and healthcare access. Homelessness was examined using the socioecological model with its attendant levels of influence. On the intrapersonal level, socioeconomic status, education, old age, veteran status, and disability were factors. …

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Assessing Violence And Mental Health With The 2019 Nevada Youth Risk Behavioral Survey, Samantha Graham Jan 2022

Assessing Violence And Mental Health With The 2019 Nevada Youth Risk Behavioral Survey, Samantha Graham

Walden Dissertations and Doctoral Studies

The effects from childhood trauma can interfere in all aspects of a child’s life, including their education. School delivery systems need to be trained to identify these risks and how to reduce further risks of re-traumatization by applying trauma-informed practices. This study addressed the impact of adverse childhood experiences (ACEs) on mental health and behavioral issues. The study was guided by Bandura’s social cognitive theory and the socioecological model. The correlation between ACEs and mental health as well as ACEs and physical violence were examined based on data from the 2019 Nevada Youth Risk Behavioral Survey, which was a high …

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Health-Related Quality Of Life For Veterans Transitioned Into Civilian Life, Vicki Ann Guerra Jan 2022

Health-Related Quality Of Life For Veterans Transitioned Into Civilian Life, Vicki Ann Guerra

Walden Dissertations and Doctoral Studies

Texas veterans transitioning to civilian life have experienced health issues after discharge. There are processes to follow before seeking treatment or diagnosis for any health issue prior to military discharge. Given the gaps in the literature on veteran health, quality of life and transition to civilian life, scholars lack understanding of the transitional events that take place. Veteran health issues are impacted by medical appointment wait-times, day to day life events, and this can lead to decreased quality of life. The purpose of this mixed-methods study (N=36) was to evaluate veterans’ health related quality of life who had transitioned from …

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Prediabetes, Implementation Of Ada Practice Guidelines And Provider Perspective, Kimberlee May Manguiat-Lang Jan 2022

Prediabetes, Implementation Of Ada Practice Guidelines And Provider Perspective, Kimberlee May Manguiat-Lang

Walden Dissertations and Doctoral Studies

AbstractPrediabetes occurs before the development of diabetes in some people. Practitioners who educate people about prediabetes are not consistently using the latest evidence-based practice guidelines. The purpose of this mixed-method study was to fill a gap in the literature by providing evidence of the provider practices, attitudes and barriers when implementing American Diabetes Association (ADA) practice guidelines for the prediabetic patient. The Theory of Planned Behavior applies to evidence-based practice and the implementation of evidence-based practice guidelines. Research questions for this study focused on determining rate of compliance with ADA clinical practice guidelines from health care professionals to include providers …

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Depression, Drug Use, And Hsv-2 Among Women Who Have Sex With Women, Viani Picchetti Jan 2022

Depression, Drug Use, And Hsv-2 Among Women Who Have Sex With Women, Viani Picchetti

Walden Dissertations and Doctoral Studies

Herpes simplex virus type 2 (HSV-2), the main cause of genital herpes, is an incurable sexually transmitted infection responsible in 2018 for 18.6 million infections in the United States. HSV-2 is twice as frequent in women than in men. Women who have sex with women (WSW) have a higher prevalence of depression and drug use than women who have sex exclusively with men (WSM), which are each related to HSV-2 as they increase the likelihood of engaging in risky sexual behaviors. The purpose of this study was to assess the predictive relationship between depression status, nonprescription drug use status, and …

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Relationship Between Patients Of Low Socioeconomic Status With Multiple Sclerosis And Health Care Providers, Jennifer N. Rhoads Jan 2022

Relationship Between Patients Of Low Socioeconomic Status With Multiple Sclerosis And Health Care Providers, Jennifer N. Rhoads

Walden Dissertations and Doctoral Studies

Many health care initiatives seek to improve patient–provider experiences and relationships to support patient satisfaction rates and health outcomes. However, a small amount of published research has examined the perceptions of low socioeconomic status (SES) patients diagnosed with multiple sclerosis (MS) regarding their relationship with their health care provider and how these perceptions affect patient outcomes. Prioritizing communication and approachability between the health care provider and a patient can be instrumental in creating and fostering an authentic relationship. The research question for this study was designed to understand the relationship between participants of low SES who had been diagnosed with …

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Factors That Influence Seeking Prostate Cancer Preventive Care In African Immigrants, Millicent N. Seilenga Jan 2022

Factors That Influence Seeking Prostate Cancer Preventive Care In African Immigrants, Millicent N. Seilenga

Walden Dissertations and Doctoral Studies

AbstractProstate cancer is a major public health problem, being the second leading cause of cancer deaths in U.S. men, but mortality can be prevented with the use of early detection strategies. African American men are more than twice as likely to die of prostate cancer as compared to Hispanic and White men. African immigrant men as compared to African American men born in the United States have higher mortality rates of prostate cancer due to not seeking preventive care. However, little is known about the factors that prevent African immigrant men living in the United States from seeking prostate cancer …

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