Social and Behavioral Sciences Commons^™

Supporting Ontario Public Health Units To Address Adverse Childhood Experiences In Pandemic Recovery Planning: A Priority-Setting Exercise, Kimberly B Harding, Erica Di Ruggiero, Erick Gonzalez, Amanda Hicks, Daniel W Harrington, Sarah Carsley

Student and Faculty Publications

BACKGROUND: Adverse childhood experiences (ACEs) are potentially traumatic exposures experienced during childhood, for example, neglect. There is growing evidence that the coronavirus disease 2019 (COVID-19) pandemic and related socioeconomic conditions contributed to an increased risk of ACEs. As public health programs/services are re-evaluated and restored following the state of emergency, it is important to plan using an ACEs-informed lens. The aim of this study was to identify and prioritize initiatives or activities that Public Health Ontario (PHO) could undertake to support Ontario public health units' work towards ACEs-informed pandemic recovery plans.

METHODS: The Child Health and Nutrition Research Initiative method …

Determining Factors For Improved Uptake Of Harm Reduction Services In The United States: A Study Of Inclusive, Culturally Sensitive Messaging, Lauretta Ekanem Omale

Dissertations

Harm reduction refers to public health policies and programs aimed at decreasing the adverse consequences associated with drug use. While harm reduction services (e.g., syringe exchange programs) can mitigate health risks, marginalized groups face barriers to service access and utilization, partially due to ineffective messaging approaches that fail to align with cultural values and experiences. A one-size-fits-all approach to messaging can negatively impact service utilization, health outcomes, and health disparities. Ineffective communication can lead to poor adherence to treatment, poorer health outcomes, and increased adverse events.

Culturally insensitive communication contributes to stigma, mistrust, and lack of perceived relevance, discouraging service …

Exploring Hypertension Prevalence Among Ill-Housed Individuals In Urban Environments, Lia Goldberg, Sameer Shah, Nikhila Archakam, Murod Khikmatov, Kesha Choksi, Anddee White

Rowan-Virtua Research Day

This study explores the interrelations of hypertension, homelessness, and access to healthcare in urban ill-housed populations. It was found that conditions such as heart disease and diabetes significantly exacerbate hypertension, which remains highly prevalent due to the population's limited access to consistent medical care. Homelessness further complicates the management of hypertension due to unstable living conditions, making adherence to treatment and follow-up with healthcare providers challenging. Additionally, factors like higher rates of substance abuse and malnutrition among homeless populations contribute to worsening hypertension, which, if untreated, can lead to severe health crises including heart attacks and strokes.

The research underscores …

Assessing Preventive Care Utilization For Cardiovascular Disease Among U.S. Latinos, Melanie Helena Paredes

Honors Undergraduate Theses

Accounting for nearly 19% of the United States population in 2020, Latinos and Hispanics represent the second largest racial/ethnic group in the United States, totaling roughly 62.1 million people. Given the growing population size and longer life expectancy estimates amongst the U.S. Latino/Hispanic community, healthcare practitioners and public health officials are increasingly emphasizing the healthcare needs and outcomes of this population. Alarmingly, current literature has highlighted significant disparities in cardiovascular disease (CVD) incidence and risk factors among U.S. Latinos/Hispanics. As CVD continues to be one of the leading causes of death amongst all racial/ethnic groups across the United States, risk …

Covid-19 Mortality Rates Were Higher In States That Limited Governments From Enacting Public Health Emergency Orders, Xue Zhang, Mildred E. Warner, Gen Meredith

Population Health Research Brief Series

State and local governments enacted various public health emergency policies during the COVID-19 pandemic, resulting in lower infection and death rates than would have occurred without these policies. However, some states limited the emergency public health authority of state executives, state governors, and other state and local officials during the pandemic. This brief summarizes the results of a study that used data from the Center for Public Health Law Research and Oxford COVID-19 Government Response Tracker to explore which states passed laws that limited emergency public health authority during the COVID-19 pandemic and the effects of those limits on COVID-19 …

The Effect Of Television Advertising On Gambling Behaviour: A Quasi-Experimental Study During The 2022 Qatar Fifa World Cup, Ellen Mcgrane, Rob Pryce, Matt Field, Elizabeth Goyder, Luke Wilson

International Conference on Gambling & Risk Taking

Abstract

Introduction:

The pervasiveness of gambling advertising and its relationship with football have been identified as areas of concern in the UK. Following the liberalisation of advertising laws in the 2005 Gambling Act, there has been increasing recognition of its public health impact. To date, there is a lack of evidence of the impact of advertising on behaviour in “real-world” settings.

Methods:

This study employs a natural experiment measuring the impact of television gambling advertising on the frequency of impulsive football bets placed during the World Cup. Longitudinal betting data collected from a sample of men (aged 18-45) will be …

Living And Dying In 'Cancer Alley': Using Human Rights Law And Environmental Justice To Create A Litigation Framework For Marginalized Communities, Neeharika Sistu

Honors Scholar Theses

Cancer Alley, Louisiana is a poignant example of the intersection between environmental justice, legal harm, and human rights abuses. This thesis dissects the laws and policies underpinning the creation of Cancer Alley with special attention to how they constitute human rights abuses under the International Covenant on Civil and Political Rights and the International Convention on the Elimination of All Forms of Racial Discrimination.

Then, by performing a comprehensive analysis of litigation surrounding environmental justice in Louisiana, this thesis scrutinizes the efficacy of environmental law in creating environmental justice and suggests the integration of international human rights law and environmental …

Socioecological Factors Linked With Pharmaceutical Incentive-Driven Prescribing In Pakistan, Muhammad Naveed Noor, Afifah Rahman-Shepherd, Amna Rehana Siddiqui, Wafa Aftab, Sadia Shakoor, Rumina Hasan, Mishal Khan

Department of Pathology and Laboratory Medicine

Pharmaceutical marketing through financial incentivisation to general practitioners (GPs) is a poorly studied health system problem in Pakistan. Pharmaceutical incentivisation is seen to be distorting GPs prescribing behaviour that can compromise the health and well-being of patients. We draw on a conceptual framework outlined in the ecological system theory to identify multiple factors linked with pharmaceutical incentivisation to GPs in Pakistan. We conducted qualitative interviews with 28 policy actors to seek their views on the health system dynamics, how they sustain pharmaceutical incentivisation and their effect on the quality of care. Our analysis revealed four interlinked factors operating at different …

Marijuana Liberalization And Public Finance: A Capital Market Perspective On The Passage Of Medical Use Laws, Stephanie F. Cheng, Gus De Franco, Pengkai Lin

Research Collection School Of Accountancy

We find that the staggered passage of state-level laws that legalize marijuana for medical use increases states' borrowing costs by 7–9 basis points. Consistent with economic theory on substance use suggesting that marijuana legalization increases local consumption of the drug (by expanding its availability and reducing its perceived risks), we predict and find that increased consumption represents an important mechanism that explains the higher state bond spreads. We also show that following such laws’ passage, states incur higher marijuana-consumption-related expenditures, including for police, corrections, and public welfare.

America And Hope In The Time Of Fentanyl And Meth: A Fireside Chat With Sam Quinones, Sam Quinones

Center for Policy Research

For the 34^th Annual Herbert Lourie Memorial Lecture on Health Policy, Sam Quinones sat down with Dr. Shannon Monnat for a fireside chat. He discussed how the drug-trafficking world has changed over the last twenty years, the rise of fentanyl and methamphetamine in the U.S., how drug use in the U.S. reflects American society, and what kind of policies will help with this epidemic.

Coh 1700: Health Care Coordination Syllabus, Sasha Harry

Open Educational Resources

This is the syllabus for a Health Care Coordination course.

The goal of health care coordination is to improve patient outcomes with better health care services. Care coordinators play a critical role in improving patient care. Students will learn how to effectively advocate for patients and interact with members of the healthcare team in finding solutions to provide high quality, value-based, and efficient care. Effective communication styles, assessing patient’s needs and goals, and helping with patients’ transitions of care are among many topics covered in this course. Upon course completion, students will have acquired basic knowledge and skills to educate, …

Performance Management And Contracting Out To Support Public Health Objectives : Evidence From U.S. Local Health Departments, Philip Gigliotti

Legacy Theses & Dissertations (2009 - 2024)

Contracting out and performance management have been universally adopted in public sector organizations, based on theoretical arguments that they would improve the efficiency and quality of public services. However, this broad adoption was carried out despite minimal empirical evidence that these interventions improve public service outcomes in practice. Traditionally, few studies have attempted to quantitatively link performance management and contracting out interventions to improvements in organizational performance and public service quality. A growing literature has investigated this relationship with inconclusive results, suggesting these interventions do not have a clear ability to improve organizational performance. This dissertation examines these relationships in …

Spatio-Temporal Analysis Of Roadside Transportation-Related Air Quality (Startraq 2021): A Characterization Of Bike Trails And Highways In The Fresno/Clovis Area, Jaymin Kwon, Yushin Ahn, Steve Chung

Mineta Transportation Institute

The San Joaquin Valley is identified as an area with a high level of particulate matter (PM) in the air, reaching above the federal and state clean air standards (EPA 2019). Many of the cities in the valley are classified as the most polluted cities in the United States for both particulate matter and ozone pollution (American Lung Association, 2021). To resolve this issue, alternative forms of transportation have been considered in transportation planning. In this study, active transportation mode air quality was monitored on selected Woodward Park and Old Clovis trails and urban bike lanes. Real-time aerosol monitors, and …

The Political Pandemic: The Relationship Between Political Leanings, Covid-19, And The Economy In 2020, Garrett Clark

Honors College Theses

The effect of political leanings on the pandemic outcomes, both in terms of the COVID-19 cases and death totals and the extent that the pandemic affected the economy, is the analysis of interest. The literature indicates a relationship between political leanings and the COVID-19 response. Data is gathered from a variety of sources, and a series of regressions are performed to analyze several control variables and determine their significance. The results indicate a relationship between political leanings and COVID-19 outcomes. However, results regarding the effects of politics on the economy are less clear. Possible explanations are provided for the results.

Variation In Covid-19 Outcomes In The United States: A Policy Perspective, Lauren Mcrae

Senior Theses and Projects

No abstract provided.

Pandemics And The Protection Of Privacy And Personal Information: Issues With Regard To The Use And Protection Of Information On The Basis Of Improving Public Health In The Fight Against Infectious Diseases, Fumio Shimpo

Japanese Society and Culture

In order to make use of the response to the new the coronavirus disease (COVID-19) for pandemic countermeasures due to infectious diseases that may have a serious impact on the lives and health of the people, which may occur in the future, the handling of personal information and the protection of privacy necessary to ensure the effectiveness of countermeasures against infectious diseases will be examined. This paper intends to establish to comprehensively understand the systems for the collection and publication of information related to infectious diseases based on the Infectious Diseases Control Law, and to clarify the structure and issues …

Health Policy, Equity, And The Lead Poisoning Crisis: A Conversation With Dr. Mona Hanna-Attisha, Mona Hanna-Attisha

Center for Policy Research

Dr. Mona Hanna-Attisha delivered the 33rd Annual Herbert Lourie Memorial Lecture on Health Policy on Thursday, September 23, 2021. This year's lecture was titled, "Health Policy, Equity, and the Lead Poisoning Crisis: A Conversation with Dr. Mona Hanna-Attisha"

Mona Hanna-Attisha, MD, MPH, FAAP, is founder and director of the Michigan State University and Hurley Children’s Hospital Pediatric Public Health Initiative, an innovative and model public health program in Flint, Michigan.

A pediatrician, scientist, activist, and author, Dr. Hanna-Attisha has testified three times before the United States Congress and was awarded the Freedom of Expression Courage Award by PEN America. She …

Queer Survival Amidst Hiv/Aids, Covid-19 And Homelessness, Julia Young

Pitzer Senior Theses

The treatment and survival of a society's marginalized peoples reveal the true impacts of a pandemic. An analysis of homeless queer youth during the HIV/AIDS and SARS-CoV-2 crises lays bare the systemic failure of the United States government to provide equitable healthcare.

I compare the HIV/AIDS and COVID-19 pandemics in queer homeless youth to demonstrate the dangers of disease moralization via a sociocultural analyses of disease stigma and responsibility politics. Utilizing syndemic theory I draw on the synergistic relationship between disease and illness to describe the unique challenges queer homeless youth face. A syndemic framework is applied to address common …

Ensuring Equitable Access: Theory And Methodology On Future Grant Application Design For The City Of Bloomington's John M. Scott Health Care Commission, Zachary Fabos

Stevenson Center for Community and Economic Development—Student Research

This research utilizes qualitative and quantitative methods to analyze perception and opinion of the City of Bloomington’s John M. Scott Health Care Commission’s grants program and its application process among recipient agencies and other participants. Data, gathered through surveys and semi-structured interviews, in 2020 and 2021, between representatives of each agency and the researcher are meant to inform the development of new approaches encouraging a wider reach of the Commission’s grants program in McLean County, Illinois. Questioning the theoretical purpose of merit, bureaucracy, and performance in an application process, this research aims to create a more accessible program for agencies …

Health Policy Institute Of Ohio Practicum Experience, Farhiya Hirsi

Masters Theses/Capstone Projects

My practicum was completed at the Health Policy Institute of Ohio. I was given a wide range of projects to work on. Some of these projects needed to be completed as quickly as possible while others had a longer due date. These projects included updating HPIO’s online resource pages for the addiction resource page ( AEP) and adverse childhood experiences (ACEs). I conducted literature review and other research on ACEs that was part of the ACEs Impact Project. I also analyzed COVID-19 data on race and ethnicity and learned new skills as a result. I did quality control on the …

Combating The High Prevalence Of Obesity Among Egyptian Households: A Pilot Study: Port-Said Households/ مكافحة السمنة في المجتمع المصري: دراسة تجريبية في بورسعيد, Asmaa Sedky, Marwa Gaber, Noha Magdy, Shaimaa El Safoury

Papers, Posters, and Presentations

Obesity is a major public health issue in Egypt and its repercussions are not only limited to the health dimension but also extend to affecting the productive capacity of the citizens. This adversely affects the overall fundamentals of the Egyptian economy. Moreover, there is a current political interest in promoting the health and well-being of the citizens which is reflected in the recent 100 Million Seha massive campaign that measured the weight and height of millions of Egyptians.

By applying the decision-making rule which has to do adhere to the equity, administrative, and political criteria, we recommend adjusting the Egyptian …

Female Health Networks In Yemen: An Examination Of The Impact Of Conflict On Health Infrastructure And The Role Of Women In Yemen’S Health System, Philippa S. Chadwick

Senior Projects Spring 2021

This project aims to establish the existence of informal community female-led health networks within Yemen and understand the functions of these health networks and how they have been impacted by the ongoing internal conflict in the country. Female health networks exist globally in both informal and formal sectors. But, the extent to which female health networks function and their importance is unique to Yemen, and there has been no scholarly work focusing on this phenomenon. This paper will use the information gained from 52 interviews with Yemeni women and available literature to understand the current formal and informal health systems …

Examining The Institution Of Public Health: The Case Of The James C. Kennedy Wellness Center, Hannah Hoang

Honors Theses

This thesis aims to function as an analysis of the James C. Kennedy Center and the impact capacity the Center has on community health and wellness in Tallahatchie County, Mississippi. Poor health is a global problem that is especially prominent in Tallahatchie County which ranked 81st out of 82 Mississippi counties in 2012. This thesis used institutional theory to explain the relationship between the Center and public health. Through interviews and data analysis, a broad evaluation was performed on the Center’s programs and community impact. Results showed that the Kennedy Center has made a large impact in improving the health …

A Health Disparity Action Plan: Achieving Equity Through Clinical Trials, Affordable Care, And Professional Development, Daniel Schafer, Shefa Moten, Ayesha Khan, Mauro Ferrari, Boris Lushniak, Edwin Burkett, Asad Moten

Journal of Health Disparities Research and Practice

Given the threatened nature of affordable care in the United States, it is crucial to underscore its importance. What is more, the reason such care is so important is the presence of an oft-unacknowledged disparity in access to quality care in this country and, indeed, around the world. A world without health disparities can be achieved and will be characterized by prompt and quality care available to all and at all stages of the care continuum. Further insurance reform is needed beyond the Affordable Care Act, while local care must be more accessible in rural, urban, and other underserved areas. …

Bioterrorism: Exploring Factors For Improving Nurse Preparedness, Policies, And Practices, Leone Okey Tom-James

Walden Dissertations and Doctoral Studies

Ebola virus release/attack in New Jersey could go unnoticed but have immediate and long-lasting effects on the broader population and security. The risk underscores the need to prepare and enhance the state’s efforts to deal with a release and treat the confirmed cases. This descriptive single case research explored factors for improving nurses’ preparedness, policies, and practices for a bioterrorism release/attack. The epidemiological triangle conceptual framework was used descriptively in exploring, and developing a knowledge base of Ebola virus pathogenicity, characteristics, routes of transmission, and infection. The unit of analysis was Summit Ridge Genesis Healthcare Center. The theory of robust …

La Comunicación Intercultural Entre Pacientes Bolivianos Y Trabajadores De Salud En Buenos Aires, Argentina / Intercultural Communication Between Bolivian Patients And Health-Care Workers In Buenos Aires, Argentina, Lilly Snellman

Independent Study Project (ISP) Collection

Según la Ley de Migraciones 25.871 de 2004, los inmigrantes en Argentina tienen el mismo derecho a la atención médica que los argentinos nativos. El sistema de salud argentina es uno de los más inclusivos en el mundo, pero todavía hay barreras al acceso para comunidades e individuos marginados. Muchas veces los migrantes bolivianos son discriminados en la sociedad argentina por sus rasgos raciales, bajo nivel socioeconómico y diferencias culturales. Tres clases importantes de barreras para el acceso a la atención médica para los migrantes son las económicas, estructurales y comunicativas. En este estudio, decidí enfocarme en las brechas de …

Is Technology The Key To Prevention Of Falls Among The Elderly In Rapidly Aging Societies? A Case Study Of Kunming, China, Phoebe Kiburi

Independent Study Project (ISP) Collection

As the aging society rapidly becomes more dominant in the world, there is a pressing need for different stakeholders to tend to the needs of the aging sufficiently. This is crucial in ensuring the robustness of the healthcare system as a whole; given that it can only be as strong as its weakest link. This study focuses on one of the areas of need of the ageing society: fall prevention.

Numerous studies have been done on interventions by the government, private entities, elderly people and their caregivers to prevent occurrence and recurrence of falls. However, most of these have been …

Life Can Change In The Blink Of An Eye Capstone, Christopher Rutigliano, Jillian Elalaoui, Kristin Humphrey, Phillip Gates, Mohamed Ndjikam, Highness Meena, Adam Menard, Spencer Pickney

School of Professional Studies

Texting and driving is one of the most widespread and uncontrollable of epidemics that have arose to prominence in the 21st century. Texting and driving is now a global issue, that has left nations across the road scrambling to implement new laws and preventative measures to stunt the increasing rates of accidents and fatalities caused by texting and driving. The severity of the issue has lead to a multitude of different entities ranging from domestic and foreign governments, cell phone and car manufacturers, cell phone carriers, and insurance agencies to seek new methods to prevent texting and driving. Determining the …

Infant Mortality And Maternal Health In Hartford, Ct, Chelsea Armistead

Senior Theses and Projects

Infant mortality is the death of an infant within the first year of life. These deaths are measured annually as a rate per every 1,000 live births and is a key indicator about maternal and infant health in a society (CDC, 2018). The United States infant mortality rate is very high when compared to other equally wealthy nations. Black infants die at a much higher rate than other racial groups, including in Connecticut. The city of Hartford's Department of Health and Human Services has plans to reduce infant mortality by providing quality prenatal and postpartum care programs and services. In …

Australia: Prevention Of Tobacco Use And Cigarettes, Shemal Sarma

Global Public Health

The use and abuse of Alcohol and Tobacco are two concerns of public health care system in Australia. In 1995, 3.2 adults in Australia were identified at risk of developing chronic conditions from smoking tobacco. This was equivalent to around 23.5% of the adult population (quitnow). Tobacco is associated with an increased risk of a wide range of health conditions, including heart disease, diabetes, stroke, cancer, renal disease, eye disease and respiratory conditions such as asthma, emphysema and bronchitis. Higher infant and young adult mortality rate. Tobacco products are also linked to habitual forming good making the user depending on …