Public Health Education and Promotion Commons^™

Perspective: Food Environment Research Priorities For Africa-Lessons From The Africa Food Environment Research Network, Amos K. Laar, Phyllis Addo, Richmond Aryeetey, Charles Agyemang, Francis Zotor, Gershim Asiki, Krystal K. Ramapalli, Gideon S. Anevinya, Akua Tandoh, Silver Nanema, Akosua Pokua Adjei, Matlida E. Laar, Kobby Mensah, Dennis Laryea, Daniel Sellen, Stefanie Vandevijvere, Christopher Turner, Hibbah Osei-Kwasi, Mark Spires, Christine E. Blake, Dominic Rowland, Suneetha Kadiyala, Isabel Madzorera, Adama Diouf, Namukolo Covic, Isaac M. Dzudzor, Reginald Annan, Peiman Milani, John Nortey, Nicholas Bricas, Sukati Mphumuzi, Kenneth Yongabi Anchang, Ali Jafri, Meenal Dhall, Amanda Kee, Sally Mckay, Samuel O. Oti, Karen Hofman, Edward A. Frongillo Jr. Ph.D., Michelle Holdsworth

Faculty Publications

Over the last 2 decades, many African countries have undergone dietary and nutrition transitions fueled by globalization, rapid urbanization, and development. These changes have altered African food environments and, subsequently, dietary behaviors, including food acquisition and consumption. Dietary patterns associated with the nutrition transition have contributed to Africa's complex burden of malnutrition—obesity and other diet-related noncommunicable diseases (DR-NCDs)—along with persistent food insecurity and undernutrition. Available evidence links unhealthy or obesogenic food environments (including those that market and offer energy-dense, nutrient-poor foods and beverages) with suboptimal diets and associated adverse health outcomes. Elsewhere, governments have responded with policies to improve food …

The Effectiveness Of Pay-It-Forward In Addressing Hpv Vaccine Delay And Increasing Uptake Among 15–18-Year-Old Adolescent Girls Compared To User-Paid Vaccination: A Study Protocol For A Two-Arm Randomized Controlled Trial In China, Yifan Li, Chuanyu Qin, Shengyue Qiu, Yu He, Linchuan Pang, Xiaolan Xu, Vivian Wan-Cheong Yim, Shenglan Tang, Heng Du, Wenfeng Gong, Fan Yang, Joseph D. Tucker, Weiming Tang, Yun Wang, Leesa Lin, Mark Jit, Wei Song, Chunrong Li, Jennifer Smith, Jing Li, Dan Wu

Pharmacy Faculty Articles and Research

Background

Human papillomavirus (HPV) vaccination could prevent cervical and other HPV-associated cancers attributable to vaccine-associated HPV types. However, HPV vaccination coverage among women aged 9–18 years old is low in China. Common barriers include poor financial affordability, minimal public engagement, and low confidence in domestically produced HPV vaccines. Pay-it-forward offers an individual a free or subsidized service then an opportunity to voluntarily donate and/or create a postcard message to support future people. This study aims to assess the effectiveness of pay-it-forward as compared to standard-of-care self-paid vaccination to improve HPV vaccine uptake among adolescent girls aged 15–18 years, who are …

Navigating The Adoption Of Interprofessional Education As A Performance Standard In Dietetics Education, Paige Whitney, Mary Ann Kluge

Journal of Dietetic Education

Abstract: The purpose of this collective case study was to explore the diffusion of interprofessional education (IPE) in response to specific Future Education Model (FEM) Graduate Program accreditation standards and performance indicators. Data were collected via semi-structured interviews with a purposive sample of 12 FEM program directors from geographically diverse US states. Website and document review were triangulated with the interview data, and Roger’s Diffusion of Innovation (DOI) was used as a theoretical framework to add dimension to the study. Three themes emerged from analysis: 1) Accreditation standards are not the driving force of IPE; 2) Program Directors can serve …

Peer Deviance As A Predictor Of E-Cigarette Use Pre And Post Pandemic, Jenna Dunham, Heather Kissel, Ty Brumback

Posters-at-the-Capitol

There is growing concern regarding the use of e-cigarettes among younger demographics. Also known as vaping, e-cigarettes have been posited as a safer alternative to smoking cigarettes and have increased in popularity due to marketing, added flavors, and discreet delivery methods (Durkin et al., 2021; Hart et al., 2017). Research has shown dangerous and adverse outcomes of using e-cigarettes, including mood disorders, attention deficit, addiction, and lung injury (Durkin et al., 2021; Krishnasamy et al., 2020).

Peer group deviance is associated with risky external behaviors in young adults and youth (Durkin et al., 2021; Kendler et al., 2016). This research …

A Scoping Review Of Campus-Based Animal-Assisted Interactions Programs For College Student Mental Health, Tanya K. Bailey

People and Animals: The International Journal of Research and Practice

Background: People have long found support by interacting with animals, which has developed into a health care modality called animal-assisted interactions (AAI). In the past 10 years, AAI has increased as a way to support college students’ mental health; however, there is no comprehensive evidence on the effectiveness of these programs.
Method: A scoping review was conducted using the JBI and PRISMA-ScR criteria. Empirical articles were identified through Academic Search Premier (EBSCOhost), PsychINFO (Ovid), and Web of Science using three groups of keywords: AAI, college students, and mental health.
Results: Of the 1,195 publications identified, 37 met this study’s eligibility …

Preparing For The Next Disaster: Lessons Learned From The Early Experiences Of Autistic Adults During The Covid-19 Pandemic, Amber Pomponio Davidson, Cecilia Feeley, Beth Pfeiffer, Mark Salzer

Internet Journal of Allied Health Sciences and Practice

Purpose: Disasters, such as the worldwide COVID-19 pandemic, create significant disruptions for individuals and their communities. Understanding these disruptions is a first step towards planning for future events and disaster recovery. This research aims to explore how the initial COVID-19 restrictions, including lockdowns, impacted adults with Autism (ASD). Method: Using semi-structured interviews to understand how individuals with ASD experienced the early months of the COVID-19 pandemic, twelve participants were interviewed: six individuals with ASD (ages 20-38), three parents of individuals with ASD, and three support staff for individuals with ASD. Analysis: Grounded theory methods were used to analyze the impacts …

Forming The Perception Of Wic Infant Feeding Recommendations: A Qualitative Study, Emily Fisher, Kathryn Wouk, Priyanka Patel, Chuanyi Tang, Qi Zhang

Community & Environmental Health Faculty Publications

Nearly half of newborns in the United States are enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Promoting breastfeeding is a programmatic priority, although formula vouchers are provided for those who do not exclusively breastfeed. Previous literature suggests that participant perception of WIC’s breastfeeding recommendations is a significant factor predicting breastfeeding initiation, duration, and exclusivity outcomes. However, little is known about how participants’ perceptions of WIC’s breastfeeding recommendations are formed. To address this knowledge gap, we conducted a qualitative pilot study in Nevada, interviewing 10 postpartum WIC mothers and 12 WIC staff who had interacted …

Belonging, A Photovoice Project, Lauir Deruiter-Willems, Nikki Hillier, Misty Rhoads, Amanda Harvey

Faculty Research and Creative Activity

This project was designed to advance our understanding of college students’ knowledge of health and barriers to wellness by using the Photovoice concepts. The components included:

•pictures

•stories

•expository writings

The instructions

• asked students to focus on inclusion, equality, & visibility

• required self-reflection

• engaged students in discussions

• explored Social Determinants of Health in community settings.

Does An Educational Intervention Program On Infection Precautions Decrease Absentee Rates In Schools?, Shelby Florann Keltner, Madelyn Salonga

Nursing | Senior Theses

During our community health clinical rotation in a public school, we observed abundant absences in the kindergarten class, which led us to inquire: What is the possible cause for the multiple absences? Further, we noticed that the students had a hand hygiene knowledge deficit. These observations led us to hypothesize that due to direct contact transmission many absences were related to infection-related illnesses, and without proper technique and understanding of hand washing, infectious diseases will continue to have a high probability of transmission in schools. The objective of our investigation is to identify the prevalence of this issue in communities …

Addressing The Barriers To Mammography Screening In Rural And Urban Ohio Counties, Carly Perkowski, Isabelle Fox

Scholarship in Medicine - All Papers

Mammography screenings have the potential to protect individuals from the burden of cancer and can even save lives. However, in Ohio, many women are not receiving regular screenings. Recent research indicates that social determinants of health, such as income and education, can impact an individual’s ability to access mammography. Yet, we lack a comprehensive understanding of how these factors hinder an individual's ability to obtain mammography screenings, particularly in urban and rural areas of Ohio. The introduction of mammography has facilitated early detection of breast cancer in women. By identifying gaps in access to mammography and implementing changes to improve …

Assessment Of Appropriate Antibiotic Usage After Intervention To Increase Antibiotic Stewardship In A Rural Health Care Setting, Mayci Mccloud Speights

Doctoral Projects

Antibiotics are a powerful and useful tool prescribed by healthcare providers to treat bacterial infections in patients. However, when antibiotics are unnecessarily prescribed or improperly consumed or not consumed by patients, antimicrobial resistance (AMR) can ensue. Antibiotic resistance (ABR) is an urgent public health threat and is, unfortunately, the root cause of many deaths in the United States every year. According to the Centers for Disease Control (CDC), in the United States, more than 2.8 million antimicrobial-resistant infections occur each year, and more than 35,000 people die as a result (Centers for Disease Control [CDC], 2022a). Even further, when infections …

Identifying Barriers To Dental Care Among Hispanics In Southwest Minnesota, Lissette Garza

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to assess the different barriers for dental health care among the Hispanic population in a rural, southwestern community in Minnesota. To collect data, an adaptation of the survey written by Vazquez and Swan (2003) was distributed to Hispanic individuals at an agricultural facility, religious organization, and an early childhood organization. The findings for the research question are presented in the cross-sectional study utilizing descriptive statistics in the form of frequencies and percentages. The results of this study indicate that not having a dental provider of the same cultural background, having a language barrier, and …

The Benefits And Limitations Of A Clinician Lead Sexual Education Program In Wisconsin Public Schools, Margaret Freiermuth

Theses and Graduate Projects

Background: Abstinence-based sexual education is the primary method of sexual education in public schools.4 The majority of public schools use teachers who may or not have proper training to teach the course. Comprehensive sexual education taught by clinicians could potentially decrease sexual risky behavior in the youth population.

Purpose: Identify potential benefits or limitations to a clinician-led sexual education program in Wisconsin public schools. Methods: Articles 2017 or newer were reviewed utilizing search engines such as PubMed, Google Scholar, and NIH. A Google Forum with 18 questions was sent out to 420 Wisconsin public school administrators. It was open for …

Safety First: Assessing First Aid Educational Needs Of Outdoor Education Participants, Melissa Niemiec

Theses and Graduate Projects

Background: Much of the general population has a lack of first aid knowledge, despite engaging in activities that might end in needing some level of medical care. Even when first aid education is gained, sometimes it is subpar or less relevant to wilderness excursions. In order to create a high quality wilderness first aid course, it should be interactive and take place in a wilderness setting. Having basic first aid skills increases confidence and reduces anxiety of participants, possibly reducing the rate of injury.

Purpose: This needs assessment sets out to determine the first aid needs and concerns held by …

Researching Medical Treatment Assessments From United States Military Veterans Diagnosed With Substance Use Disorder, And Determining Interest In The Matrix Model Of Treatment For Potential Application In Their Treatment Programs, Christopher R. Strunk

Dissertations and Theses

The purpose of this research study is to learn the beliefs and thoughts on the current state of medical treatment provided to United States (US) military Veterans diagnosed with substance use disorder (SUD), and gauge Veterans’ levels of interest and support in the potential application of the Matrix Model of Treatment (MMT) in their healthcare programs. This proposal focused on verifying the Veterans’ interest in the MMT model since the US Department of Veterans Affairs (DVA) does not currently implement this full-spectrum, 16-week treatment system. It is believed interest will be strong enough to merit supporting its consideration with approving …

Understanding The Relationship Between Undergraduate Students’ On-Campus Employment Status And Their Reported Sense Of Belonging To The Campus Community Post The Covid-19 Pandemic, Samantha Martinez

CGU Theses & Dissertations

Belonging has been studied for decades with many researchers concluding that humans have an inherent need to belong. Although each person’s level of need to belong differs, it is a deeply rooted human motivation that impacts a person’s feelings, thoughts, and behaviors. Individuals develop a sense of belonging when they feel connected to others. The postsecondary journey allows for unique experiences and opportunities that foster a sense of belonging, which can assist college students to flourish in many aspects of their lives. Research has shown that belonging significantly impacts student well-being and academic achievement, making the topic imperative to continue …

Annotation And Information Extraction Of Consumer-Friendly Health Articles For Enhancing Laboratory Test Reporting, Zhe He, Shubo Tian, Arslan Erdengasileng, Karim Hanna, Yang Gong, Zhan Zhang, Xiao Luo, Mia Liza A Lustria

Faculty, Staff and Student Publications

Viewing laboratory test results is patients' most frequent activity when accessing patient portals, but lab results can be very confusing for patients. Previous research has explored various ways to present lab results, but few have attempted to provide tailored information support based on individual patient's medical context. In this study, we collected and annotated interpretations of textual lab result in 251 health articles about laboratory tests from AHealthyMe.com. Then we evaluated transformer-based language models including BioBERT, ClinicalBERT, RoBERTa, and PubMedBERT for recognizing key terms and their types. Using BioPortal's term search API, we mapped the annotated terms to concepts in …

Mgso4 For Neuroprophylaxis In Preterm Birth – Clinical Audit- Re Audit, Dr Anupama Marnal B A Sr, Poornima M Associate Professor, Suma K B Professor, Sahana K Assistant Professor

Digital Journal of Clinical Medicine

No abstract provided.

Rational Use Of Blood And Blood Components In A Tertiary Care Hospital: A Crossectional Study., Rupali Chordia Dr, Dr Himani Shemar Dr

Digital Journal of Clinical Medicine

Abstract:

Introduction: Blood transfusion is a life saving process and a complex phenomenon. Judicial use of blood and its components is the need of the hour. Objectives: The present study was planned with the objective to assess the appropriateness of blood transfusions in patients admitted in the hospital as per WHO guidelines. Materials and Methods: A crossectional study was conducted at tertiary care hospital for a period of one and a half years. Records of patients from blood bank were evaluated to collect data. MS Excel was used to enter the data and IBM SPSS Statistics for Windows …

Redefining The Role Of Asha Workers In Indian Healthcare, Sufiya Mohsin, Satish Kumar Gupta, Imran Ahmed Khan, Anish Kumar Gupta

Digital Journal of Clinical Medicine

Community health professionals are critical in filling the gap between traditional healthcare systems and marginalized populations. Accredited Social Health Activists (ASHA) workers have been an important workforce in providing essential healthcare services to rural and marginalized communities. ASHA workers have emerged as a cornerstone of India's healthcare system, playing a pivotal role in bridging the gap between rural and marginalized communities and formal healthcare services. There is a need for expansion of the working of ASHAs to utilize them more efficiently. Through enhanced training, technological integration, and policy support, ASHA workers can transform into empowered agents of change, ensuring equitable …

Case Series; Imaging In Lesser-Known Ailments Of The Pituitary Gland And Sellar Region, Harisha H L, Kavya Bhadrapura Thimmegowda, Ajay Hanumanthu, Vikram Patil Dr, Gurumurthy B, Dr Abhijith Roys

Digital Journal of Clinical Medicine

No abstract provided.

Mpd, Dr.Amara Charitha Duggirala, Dr.Savitha Vijayakumar, Dr . Shashidhara K C, Dr.Jerin Joseph

Digital Journal of Clinical Medicine

No abstract provided.

Bibliography, Kim Riddle

Faculty/Staff Personal Papers

Bibliography of presentations and research by Kim (Bourne) Riddle.

Perceptions Of Individual Burnout, Team Burnout, And Coping Resiliency Among Elite Pre-Professional Female Soccer Athletes, Kathleen Stapleton

All Graduate Theses, Dissertations, and Other Capstone Projects

Mental illness is a significant contributor to physical illness and disease worldwide and is more prevalent in young adult females. Stress and burnout are both inputs and outputs affecting mental and physical health. Elite athletes are particularly susceptible to stress and burnout due to the added pressures of achieving champion status in their respective sports. Previous studies focused on individual perceptions of athlete burnout, but research is increasingly showcasing the need to understand the social aspect of team sport environments. This study used a cross-sectional survey to assess the levels of perceived burnout in a convenience sample of elite female …

Does The Degree Matter? Understanding Employer Hiring Perspectives On Community College Health Information Technology Program Graduates, Tricia L. Broughton

Graduate Research Theses & Dissertations

Health Information Technology (HIT) is an in-demand occupation across Illinois and as such community colleges offer related preparation programs in the form of one-two semester Career and Technical Education (CTE) Certificates and Associate of Applied Science (A.A.S.) degrees. Community college applied programs aim to meet the needs of local employers and the interest of students to obtain employment within their communities. Research suggests that employability as perceived by employers goes beyond the technical skill requirements of the job. This dissertation project aimed to better understand employer’s hiring perspectives on community college health information technology (HIT) program graduates and ultimately whether …

Health Behaviors, Financial Difficulties, And Depressive Symptoms Among Older Adults Across Gender And Race During The Covid-19 Pandemic, Yujun Liu, Heng Wang, M. Courtney Hughes

Faculty Articles, Papers, and Other Scholarship

Background: COVID-19 deeply affected the health and well-being of older adults. This study examines health behavior change and the interrelationships between health behaviors, financial difficulties, and depressive symptoms among older adults across gender and race during the pandemic.

Methods: Using Rounds 1, 5, and 10 of the National Health and Aging Trends Study (NHATS) linked with the NHATS COVID-19 dataset, our sample included Medicare beneficiaries aged 65 or older in the U.S. (N = 3,118). We modeled the interrelationships between health behaviors, financial difficulties, and depressive symptoms using a structural equation model.

Results: Female participants reported less walking, more changes …

Medically Accurate Evidence-Based Sex Education And Abstinence-Only Sex Education: Impact On Teen Pregnancies In The United States, Nicole Chiu

Nursing | Senior Theses

The U.S. has funded abstinence-only programs to combat pregnancy rates for a long time. With numerous factors contributing to teen pregnancies, there have been a lot of ways that people have decided to try to decrease the number of teen pregnancies. For example, schools have either decided that they intend to fully educate their teenage students using medically accurate evidence-based sex education or come from a more conservative approach and give abstinence-only education. The objective of this investigation is to identify whether evidence-based sex education or abstinence-only sex education is more effective at combating teen pregnancy and abortion rates. This …

A Midwestern United States Latino Study Of Sexual Behaviors Among Latino Adolescents, Astrid Alejandra Cartagena Cabrera

Walden Dissertations and Doctoral Studies

Increasing rates of adolescent unwanted pregnancies can be detrimental to families and the health of the infant. Rates of teen pregnancy among Blacks, Whites, Asians, and other races has decreased; however, the Latino population has not seen similar declining numbers. The Hispanic population currently has the highest rate of teen pregnancy that continues to increase in comparison to any other racial–ethnic group. In this study involving data from the Youth Risk Behavioral Surveillance System, a sample of 17,303 was used. Chi-square analyses and descriptive frequencies were used to identify associations between teen pregnancy and sexual behaviors; and how existing programs …

A Midwestern United States Latino Study Of Sexual Behaviors Among Latino Adolescents, Astrid Alejandra Cartagena Cabrera

Walden Dissertations and Doctoral Studies

Increasing rates of adolescent unwanted pregnancies can be detrimental to families and the health of the infant. Rates of teen pregnancy among Blacks, Whites, Asians, and other races has decreased; however, the Latino population has not seen similar declining numbers. The Hispanic population currently has the highest rate of teen pregnancy that continues to increase in comparison to any other racial–ethnic group. In this study involving data from the Youth Risk Behavioral Surveillance System, a sample of 17,303 was used. Chi-square analyses and descriptive frequencies were used to identify associations between teen pregnancy and sexual behaviors; and how existing programs …

Using Multi-Theory Model (Mtm) To Predict Intention To Promote Physical Activity By Primary Care Providers, Shirley Mcclendon

Walden Dissertations and Doctoral Studies

Physical inactivity persists as a public health concern worldwide and results in more than a million deaths per year. This modifiable behavior can result in improved health when primary care providers (PCPs) communicate recommendations to patients and behavior change is supported. In this study, a quantitative cross-sectional design was used to investigate the intentions of PCPs in providing physical activity counseling, using the constructs of the multi-theory model (MTM) of health behavior change as the theoretical framework. An anonymous 37-item electronic survey was administered to participants practicing primary care and family medicine from rural areas in the Southeastern region of …