Public Health Education and Promotion Commons^™

Contraceptives Use Among Reproductive-Age Women In New Juaben Municipality, Ghana, Phyllis Abrah

Walden Dissertations and Doctoral Studies

This research study was an investigation into the factors associated with the use of modern contraceptives among reproductive-age women in the New Juaben Municipality of the Eastern Region of Ghana. Reproductive-age women in the Municipality have been found to have a high rate of unplanned pregnancies despite the availability of modern contraceptives. Telephone interviews were conducted with 15 reproductive-age women (20 to 39 years) from the New Juaben Municipality who were recruited voluntarily using purposive sampling technique. The research was based on the health belief model to explore the knowledge, perceived threats, perceived barriers, perceived benefits, self-efficacy, and cues to …

The Lived Experiences Of Avoiding Recidivism Among African American Male (First-Time) Former Offenders, Jeff Hines

Walden Dissertations and Doctoral Studies

AbstractThe United States has a high recidivism rate within its criminal population, especially among men of African American descent. However, within this population, some first-time former offenders have used successful approaches to avoid re-incarceration. The objective of this study was to investigate how these first-time former offenders desist from crime and avoid recidivism. This was a phenomenological study, utilizing the Desistance Theory as a framework, to explore how these men survived the consequences of post-incarceration and remained crime-free. In-depth, semi-structured, open-ended interviews were conducted with six African American male first-time former offenders (age 25 and older) who were not on …

Relationship Between Trust, Race, And Health Care Information Sources Among African American Men, Uzochukwu Onukogu

Walden Dissertations and Doctoral Studies

AbstractAfrican American men have not been sufficiently at the center of research studies, especially when it comes to health. Most researchers have explored African Americans as a whole, and few have looked at African American men specifically, especially when it comes to their perceptions and ability to trust sources of health information. The purpose of this quantitative cross-sectional study was to examine the relationship between race and trust in health information sources, including the relationship between prostate cancer health outreach done through the internet and the acceptance of such information outreach among African American men. The theory of planned behavior …

Risk Factors For Foodborne Illness Outbreaks In Retail Food Establishments, Brendalee Viveiros

Walden Dissertations and Doctoral Studies

Despite policies and interventions over the last two decades, foodborne illness remains a significant public health concern. According to the CDC’s Foodborne Disease Outbreak Surveillance System, 60% of reported foodborne illness outbreaks involved food that was prepared at a restaurant. Reducing foodborne illness outbreaks that occur at restaurants would have a significant impact on the overall number of foodborne illnesses that occur each year. The purpose of this study was to quantitatively analyze the differences in risk factors in food establishments that have had a foodborne illness outbreak compared to food establishments that have not. This study used Reckwitz’s theory …

An Exploration Of Depression In African American Adults With Sickle Cell Disease: Symptoms, Coping Strategies And The Potential Benefits Of Religiosity, Delores P. Quasie-Woode

College of Graduate Studies: Theses & Dissertations

Depressive symptoms in adults with Sickle Cell Disease (SCD) often go unrecognized and untreated. SCD is one of the most common inherited hemoglobin disorders in the United States, affecting 1 in 365 African Americans. Individuals with SCD and co-morbid Depression lead to high hospitalization rates and healthcare utilization. The objective of this study is to explore depressive symptoms and preferred coping strategies among African American Adults with SCD. Furthermore, the aim is to explore the acceptability of religiosity among those who self-identify as religious.

Interviews were conducted with 30 African American adults, recruited during their hematology appointment at the Center …

Health Literacy Of University Students In Covid-19 Pandemic And Infodemic: A Pakistani Perspective, Rozeen Shaukat, Muhammad Asif Naveed

Library Philosophy and Practice (e-journal)

This research investigated the levels of health literacy among Pakistani university students in the Covid-19 pandemic and infodemic. The university students were surveyed using an online questionnaire at two public sector universities and one private sector university in Punjab-Pakistan. The administration of the data collection instrument was completed with permission from concerned authorities. A total of 374 responses received which were imported to SPSS and analyzed by applying descriptive as well as inferential statistics. The results revealed that the health literacy of university students in the Covid-19 pandemic and infodemic was not at an optimal level as these participants expressed …

Barriers To Purchasing Narcan® In Georgia: A Survey Of Pharmacy Staff, Thomas E. Griner, Sheryl Strasser, Stacie Kershner, Ashli Owen-Smith, Matthew J. Hayat

Journal of the Georgia Public Health Association

Background: In Georgia, recent measures have expanded public access to naloxone-containing products like Narcan® to combat opioid-related overdose deaths. Although laypersons may legally purchase naloxone products without a prescription for use during opioid-related overdose events, barriers may remain.

Methods: We conducted an anonymous telephone survey to investigate three potential barriers to purchasing naloxone (Narcan®) in Georgia: availability, price, and working knowledge of legal requirements among pharmacy representatives. We surveyed pharmacy representatives in select Georgia counties with high volumes or high rates of poisoning deaths compared with other counties. We also compared responses among chain and non-chain representatives. Descriptive statistics are …

Non-Traditional Component Of Metabolic Syndrome In Children With Obesity: Assesment Of Tg:Hdl-C Ratio As Insulin Resistance Component, Nur Zati Iwani Ahmad Kamil

Student Works (2020-2029)

Paediatrics metabolic syndrome (MetS) is on the rise parallel to the increased prevalence of childhood obesity. Although insulin resistance (IR) is an important variable in the diagnosis of MetS, the existing paediatric definition of MetS only measures elevated fasting blood glucose (FBG). Arguably, many children with severe IR can still regulate their FBG, especially in children with obesity. Therefore, this study aims to assess the utility of triglyceride to high-density lipoprotein-cholesterol (TG: HDL-C) ratio as an IR marker in the modelling of paediatric MetS among children with obesity using structural equation modelling (SEM). This is a cross-sectional study in which …

Identifikasi Penyebab Kenaikan Berat Badan Pada Anak Usia Dini, Rahmat Sanusi, Widiyanto Widiyanto, Ronny Brayntin Rahail

Jurnal Keolahragaan

Upaya pencegahan masalah berat badan berlebih menjadi fokus utama saat ini berdasarkan peningkatan resiko kesehatan akibat overweight dan obesitas, teruatama pada anak-anak. Penelitian ini bertujuan untuk mengindentifikasi penyebab kenaikan berat badan pada anak usia dini dengan metode penelitian cross sectional. Jumlah subjek penelitian terdiri dari enam puluh enam anak. Teknik analisa yang digunakan adalah analisis multivariat. Hasil penelitian menujukkan terdapat hubungan bermakna (p < 0.05) antara variabel varian terhadap kenaikan berat pada anak usia dini. Hasil penelitian disimpulkan bahwa faktor rendahnya aktivitas fisik, genetik dari orang tua dan pola makan berhubungan terhadap kenaikan berat badan pada anak usia dini.

Identify the causes of weight gain in early childhood

Abstract

Today, the efforts to prevent weight gain excess become the main focus base on increased health risk consequences of overweight and obesity, especially in childhood. This …

The Relationship Between Type 2 Diabetes Mellitus With Chronic Kidney Disease In Indonesian Population In 2014-2015 (Data Analysis Of Ifls 5), Tri Damayanti Simanjuntak, Tri Yunis Miko Wahyono

Jurnal Epidemiologi Kesehatan Indonesia

The Global Burden of Disease research in 2010 reveal that cases of chronic kidney disease increase and became a serious health problem. Indonesia Basic Health Research data in 2013 reveal that the proportion of patients with chronic kidney failure aged > 15 years old based on doctor’s diagnosis was 0,2% and 0,6% kidney stones. The study aimed to analyze the relationship be tween type 2 diabetes mellitus and chronic kidney disease in the population of Indonesia in 2014-2015. This design of research used cross-sectional and secondary data from the Indonesia Family Life Survey (IFLS) 5. The minimum sample size in this …

Faktor-Faktor Yang Berhubungan Dengan Waktu Kembalinya Menstruasi Pertama Pasca Persalinan Di Wilayah Rural, Indonesia, Nia Reni Adha, Krisnawati Bantas

Jurnal Epidemiologi Kesehatan Indonesia

Durasi kembalinya menstruasi pertama di Indonesia dinilai masih sangat cepat. Hal ini berdampak pada peningkatan kehamilan yang tidak direncanakan dan pendeknya jarak lahir. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan waktu kembalinya menstruasi pertama pasca persalinan di wilayah rural Indonesia. Penelitian ini menggunakan data Survei Demografi Kesehatan Indonesia (SDKI) tahun 2017 dengan responden sebanyak 1701 ibu berusia 15-49 tahun, yang melahirkan anak terakhir dalam waktu 1 tahun sebelum survei. Penelitian ini menggunakan desain studi kohort retrospektif dengan analisis survival/ kesintasan, Cox Regression. Dari penelitian ini didapatkan waktu kembali menstruasi pertama pasca persalinan di Indonesia hingga 12 bulan pengamatan …

Hubungan Riwayat Komplikasi Saat Hamil Dengan Kejadian Berat Badan Lahir Rendah (Bblr) Di Indonesia, Pebrina Manurung, Helda Helda

Jurnal Epidemiologi Kesehatan Indonesia

Bayi dengan Berat Badan Lahir Rendah (BBLR) berisiko mengalami banyak masalah kesehatan seperti jatuh sakit dalam enam hari pertama kehidupannya atau mengalami infeksi, serta dapat juga menderita masalah jangka panjang seperti perkembangan motorik dan sosial yang tertunda atau ketidakmampuan belajar. WHO memperkirakan BBLR sekitar 15% hingga 20% dari jumlah yang lahir, mewakili tiap tahunnya ada sekitar 20 juta kelahiran. Penelitian ini bertujuan untuk mengetahui hubungan riwayat komplikasi saat hamil dengan kejadian BBLR. Desain yang digunakan dalam penelitian ini yaitu study cross sectional dengan menganalisis data IFLS tahun 2014. Sebanyak 372 responden diikutkan dalam studi ini. Analisis chi square test untuk …

Faktor – Faktor Yang Mempengaruhi Kejadian Leptospirosis Di 2 Kabupaten Lokasi Surveilans Sentinel Leptospirosis Provinsi Banten Tahun 2017 – 2019, Novie Ariani, Tri Yunis Miko Wahyono

Jurnal Epidemiologi Kesehatan Indonesia

Leptospirosis termasuk dalam zoonosis, penyakit menular yang disebabkan oleh bakteri Leptopira. Terjadinya kasus leptopsirosis terkait erat dengan rantai penularan, dan rantai penularan leptospirosis terkait dengan banyak faktor. Faktor risiko leptospirosis dapat diklasifikasikan ke dalam 3 kelompok utama: faktor hewan, faktor lingkungan, dan faktor manusia. Banten yang merupakan daerah endemis Leptospirosis, terpilih untuk menjadi lokasi surveilans Sentinel Leptospirosis, tepatnya berlokasi di Kab, Tangerang dan Kab. Serang. Penelitian tentang leptospirosis masih sangat jarang dilakukan di provinsi Banten, maka dilakukan penelitian dengan tujuan untuk mengetahui faktor faktor yang mempengaruhi kejadian leptospirosis di 2 kabupaten lokasi surveilans sentinel leptopspirosis provinsi Banten selama tahun 2017 …

An Assessment Of Knowledge, Attitude, And Practice Of The Kuantan Community On The Effects Of Monosaccharides On Cancer, Muhammad Alif Mazlan, Muhammad Kamil Che Hasan, Afzan Mat Yusof, Muhammad Lokman Md Isa

Makara Journal of Health Research

Background: Cancer knowledge, attitude, and practice (KAP) levels of communities are essential to be assessed to enhance cancer educational programs. This study aimed to determine the KAP level of the Kuantan community on the effects of monosaccharides on cancer. The association between the sociodemographic data and KAP level of the community has also been evaluated.

Methods: A cross-sectional survey was performed among residents living in the Kuantan community. Only 303 of 380 responses were included in the data analysis using the chi-square test.

Results: The knowledge and practice levels were moderate, whereas the attitude was at a …

Factors Influencing Health Service Utilization Among The Elderly In Insein Township, Yangon Region, Sandar Min Min Hlaing, Naw Clara, Aye Nanda Han

Makara Journal of Health Research

Background: With the increasing needs of the aging population and the increasing prevalence of non-communicable diseases, assessment of the equity and accessibility of health care among the elderly has become important.

Methods: A cross-sectional descriptive study was conducted from December 2018 to December 2019 among 225 elderly to describe the factors influencing health service utilization. Multistage sampling was applied, and structured questionnaire was used to interview the elderly. Chi-squared test and multiple logistic regression were performed in data analysis.

Results: The average age of the respondents was 71.7 ± 8.17 years old, and 68.4% of the respondents …

The Role Of Parents In Providing Sexuality Education To Their Children, Nur Azira Fideyah Binti Abdullah, Siti Mariam Muda, Norhasmah Mohd Zain, Siti Hazariah Abdul Hamid

Makara Journal of Health Research

Background: Parents have an important role in delivering sexuality education to their children. However, Asian parents are reluctant to discuss sexual matters with their children owing to the sensitivity of the topic and their lack of sexual health knowledge. This study aimed to examine Malaysian parents’ knowledge, attitudes, and practices in providing sexuality education to their children.

Methods: A self-administered questionnaire was used to conduct this cross-sectional study featuring 200 Malaysian parents. Descriptive and univariate analyses were performed using Statistical Package for Social Study (SPSS) version 23.0.

Results: Among the majority (79.5%) of the parents having good …

Knowledge, Attitudes, And Practices Of Adolescents Regarding Sexuality And Reproductive Issues In The Cordillera Administrative Region Of The Philippines, Eddieson Pasay-An, Judith Odanee G. Magwilang, Petelyne P. Pangket

Makara Journal of Health Research

Background: This study investigates the knowledge, attitudes, and practices (KAP) concerning reproductive health (RH) and sexuality among in- and out-of-school adolescents in the Cordillera Administrative Region (CAR), Philippines.

Methods: Using a quantitative, cross-sectional approach, this study examined 739 in- and out-of-school adolescents who were recruited through snowball and simple random sampling.

Results: Statistically significant differences were noted in the knowledge, attitudes, and practices regarding sexuality based on age. Age was associated with knowledge, attitudes, and practices concerning RH. Educational attainment toward sexuality also caused statistically significant changes in knowledge, attitudes, and practices. The KAP regarding sexuality and …

Dental Caries Among 12-Year-Old Children After Discontinuation Of Water Fluoridation In Pahang, Malaysia, Faizah Abdul Karim, Zamros Yuzadi Mohd Yusof, Nor Azlida Mohd Nor

Makara Journal of Health Research

Background: Water fluoridation (WF) has been a national caries prevention program in Malaysia since 1972. However, between July 2012 and December 2013, WF was discontinued in Pahang. This study aimed to compare caries prevalence and mean caries experience among Malaysian children in WF and WF-ceased areas and determine its associated risk factors.

Methods: This cross-sectional study was conducted among 12-year-old schoolchildren in two Malaysian states: Pahang (WF-ceased) and Perak (WF-continued). Dental caries was examined using ICDAS criteria, and a questionnaire was used to collect relevant data. Associations between independent variables and dental caries were analyzed by simple logistic …

Psychosocial Impacts Of Fixed Orthodontic Treatment In Lahore, Pakistan, Hazik Bin Shahzad, Dalia Iftikhar, Noor Ul Huda, Nayha Enver, Faiza Awais, Shabbir Hussain

Makara Journal of Health Research

Background: The aim of this study is to assess psychosocial impacts on oral health-related quality of life between individuals currently undergoing orthodontic treatment and those who have completed treatment.

Methods: A total of 135 individuals were selected from the Orthodontic Department at Rashid Latif Dental Hospital, Lahore, Pakistan. Current and previous orthodontic treatments were recorded. A questionnaire on oral impacts on daily performance was used to assess functional, psychological, and social limitations.

Results: The most prevalent psychosocial impact was difficulty in smiling/laughing (26.6%). Logistic regression analysis showed that individuals currently undergoing orthodontic treatment are 2.9 times more …

Self-Assessment Tool For Evaluating Periodontal Conditions, Haslina Rani, Tuti Ningseh Mohd-Dom, Shahida Mohd-Said, Nur Azwani Johari

Makara Journal of Health Research

Background: The global prevalence of periodontal disease is steadily rising. Early detection through the active screening of potential patients is important because periodontal disease leads to high disease, clinical, and economic burdens. The aim of this study is to develop a simple periodontal assessment tool for the Malay-speaking population; this tool is referred to in this work as MyGusi.

Methods: Translation and back-translation of a self-assessment tool containing 10 items related to periodontal health conditions and risk behaviors were conducted by three bilingual translators. Nine periodontists were selected to determine the content validity of the tool. After pre-testing …

Implementation And Program Evaluation Pilot Study: Educating Health Care Providers About Protecting Population Health During Climate Change., Christine Fasching Maphis

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Recommendations regarding the need to prepare nurses and other health care providers (HCPs) for the health impacts of climate change (CC) have grown ubiquitous in the literature. Timely, efficient and sustainable strategies by the health care industry are necessary. Failure to act is predicted to result in catastrophic and lethal population health consequences. A growing body of research identifies related knowledge gaps and supports HCP competencies and best practice interventions to mitigate adverse population health impacts of CC. A social ecological framework and the PRECEDE-PROCEED approach were employed to develop and evaluate a series of online webinars designed to equip …

Meeting Minutes, Wku Council Of Academic Deans

Council of Academic Deans

Meeting regarding research compliance; graduate tuition fellowships; diversity, equity, inclusion initiatives; Chalk & Wire update; student success summit; living learning communities; strategic planning; COVID-19 vaccinations, 2021 course schedule; and academic standing.

Oral Chemotherapy: Safe Handling In The Home, Cynthia Huff

DNP Qualifying Manuscripts

Background: According to the National Institute for Occupational Safety and Health (2016), oral anticancer agents (OAC) are hazardous drugs (HD) and require the same safe handling interventions in the home setting as in controlled health care environments. The use of a safe handling checklist for OAC administration is a way nurses can provide safe handling education to patients and caregivers and assess for understanding and competency for critical tasks. Effective home management strategies outlining caregiver protections, proper storage, administration of OACs, spill clean-up, and waste disposal could reduce exposure risks to toxic agents.

Objective: To present a safe-handling checklist …

Reviewing Patient Satisfaction Of Lifecare Alliance Services Provided To The Columbus Community, Sean Ruffner

Masters Theses/Capstone Projects

Two separate patient satisfaction surveys were sent out to LifeCare Alliance’s customers. Each patient was asked a set of five questions that generalized the encounters as a whole experience. The first survey is for patients that were seen by nurses for footcare, general wellness and more (1A - PowerPoint). The other survey was sent to clients who received the flu vaccine (1B - PowerPoint). To conclude, data was then collected and analyzed using an excel spreadsheet (1C – PowerPoint).

Perinatal Substance Use Screenings In Marin County: A Brief Overview Of Screening Protocols And Identifying Gaps In Care, Breanna Wiliams

Master's Projects and Capstones

Introduction

Perinatal substance use continues to be a major public health issue in women’s health. The purpose of this study was to determine the frequency of substance use screenings in care and assess how well the existing services in Marin County are serving the needs of pregnant and parenting women and identifying the gaps and/or weaknesses in current practice.

Methods

Data for this study was collected via semi-structured interviews with five professionals that worked at the local community clinic, hospital and a non-profit agency. Some questions were slightly modified to be configured toward the participant’s specific profession.

Results

Results from …

Evaluating A Technology-Mediated Hpv Vaccination Awareness Intervention: A Controlled, Quasi-Experimental, Mixed Methods Study, Heather M. Brandt, Beth Sundstrom, Courtney M. Monroe, Gabrielle Turner-Mcgrievy, Chelsea Larsen, Melissa Stansbury, Karen Magradey, Andrea Gibson, Delia Smith West

Faculty Publications

College-aged women and men are an important catch-up population for human papillomavirus (HPV) vaccination interventions. Limited research has explored technology-mediated HPV vaccination awareness interventions aimed at college students. The purpose was to evaluate a novel, technology-mediated, social media-based intervention to promote HPV vaccination among college students. A controlled, quasi-experimental, mixed methods study examined the feasibility of a technology-based intervention among two undergraduate classes ( = 58) at a public university in the southeastern United States of America. Classes were randomized to receive one of two cancer prevention programs (i.e., HPV vaccination (intervention) or healthy weight (control)). Both programs contained eight …

Impact Of Endangered Animal Protection Rights, Policies, And Practices On Zoonotic Disease Spread, Daniella Fedak-Lengel

Honors Projects

Building on field research in Costa Rica and Belize, this honors project analyzes environmental and endangered animal protection policies, rights, and practices in Central America and the Caribbean, and assesses the impact of veterinary science and biological research and practice, particularly conservation biology, on animal welfare concerns. Informed by the recent surge in awareness regarding zoonoses and zoonotic disease transmission, prevention and control, resulting from the current global pandemic of SARS-CoV-2, the project assesses the need for new and innovative types of collaboration, particularly involving conservation biologists, environmental scientists, public health experts, law and policy makers, and global trade and …

Information Uncertainty: A Correlate For Acute Stress Disorder During The Covid-19 Outbreak In China, Danhua Lin, Daniela B. Friedman Ph.D., Shan Qiao Ph.D., Cheuk Chi Tam, Xiaoyan Li, Xiaoming Li Ph.D.

Faculty Publications

Background: Individuals’ stress in responding to the current COVID-19 pandemic may be exacerbated by information uncertainty driven by inconsistent, unverified, and conflicting news from various sources. The current study aims to test if information uncertainty during the COVID-19 outbreak was related to acute stress disorder (ASD) over and above other psychosocial stressors.

Methods: An anonymous online survey was conducted with 7800 college students throughout China from January 31 through February 11, 2020. Existing scales were modified to measure ASD and six potential stressors including information uncertainty during the COVID-19 outbreak. Hierarchical regression analysis was conducted to assess the unique association …

Reproductive Health Care In The Time Of Covid-19: Perspectives Of Poor Women And Service Providers From Rahim Yar Khan, Punjab, Iram Kamran, Tahira Parveen, Rehan M. Niazi, Irfan Masood

Reproductive Health

This study was conducted by the Population Council in Rahim Yar Khan district of Punjab, with the support of the United Nations Population Fund (UNFPA), to uncover urgently needed evidence about the challenges and needs of poor women and health care providers during the COVID-19 pandemic. Over 200 poor women—beneficiaries of the Benazir Income Support Programme (BISP), one of the largest social protection programs in the world—and 60 public and private sector health care providers participated in this investigation of BISP beneficiaries’ knowledge of COVID-19, the effects of the pandemic on their lives, mental health and wellbeing, and their access …

Integrating Health Technologies In Health Services For Syrian Refugees In Lebanon: Qualitative Study, Reem Talhouk, Chaza Akik, Vera Araujo-Soares, Balsam Ahmad, Sandra Mesmar, Patrick Olivier, Madeline Balaam, Kyle Montague, Andrew Garbett, Hala Ghattas Ph.D.

Faculty Publications

Background:

Lebanon currently hosts around one million Syrian refugees. There has been an increasing interest in integrating eHealth and mHealth technologies into the provision of primary health care to refugees and Lebanese citizens.

Objective:

We aimed to gain a deeper understanding of the potential for technology integration in primary health care provision in the context of the protracted Syrian refugee crisis in Lebanon.

Methods:

A total of 17 face-to-face semistructured interviews were conducted with key informants (n=8) and health care providers (n=9) involved in the provision of health care to the Syrian refugee population in Lebanon. Interviews were audio recorded …