Medicine and Health Commons^™

Strategies For Improving Preventive Health Outcomes In Long-Term Care Case Management At Molina Healthcare Of Wisconsin, William W. Feilbach Jr.

M.S. in Human Services Administration

This research evaluates strategies to improve preventive health outcomes in long-term care case management at Molina Healthcare of Wisconsin, with a specific focus on improving participation in annual wellness visits.  Increasing health care costs and gaps in preventive care engagement among Medicare and Medicaid populations underscore the need for effective interventions. A systematic literature review of recent peer-reviewed and governmental sources was conducted to examine the relationship between preventive care, health outcomes, and cost containment. Findings show that greater engagement in preventive services, including annual wellness visits and screenings, supports early detection, reduces high-cost service utilization, and improves overall health …

Exploring Biopsychosocial Influences On Hookup Culture And Disrupting Compulsory Behaviors In Emerging Adults: A Multidisciplinary Analysis Of A Contemporary Public Health Concern, Catherine Benjamin

Honors Theses and Capstones

Multidisciplinary analysis, including biology, psychology, and sociology, to better understand the compulsory Hookup Culture that exists as a contemporary public health concern among the age group defined as emerging adults. Sexually Transmitted Infections (STIs) diagnoses are steadily rising in the United States and disproportionately affecting college students. Early socialization and current educational resources that contribute to shame and stigma are discussed to explain how lifestyle and social conditions can act as risk factors for individual health outcomes.

Morality-Based Messaging? An Examination Of State Health Departments’ Facebook Posts In Advertising Covid-19 Vaccines, Kylee R. Casner

Honors Theses and Capstones

COVID-19 vaccination is an important public health tool in curbing the COVID-19 pandemic, but vaccination rates in the U.S. are inadequate for reaching herd immunity, leaving public health officials to develop strategies to increase vaccination rates. The field of public health has historically used stigmatizing messaging to encourage health behaviors. Through a content analysis COVID-19 Facebook posts made by the Alabama Public Health, Mississippi State Department of Health, Rhode Island Department of Health, and Vermont Department of Health, this study explores the types of messaging used to influence COVID-19 vaccination behavior and looks to determine if stigmatization of non-vaccination is …

Peer Conversation About Substance Use, Danielle M. Pillet-Shore

Communication

What happens when a friend starts talking about her own substance use and misuse? This article provides the first investigation of how substance use is spontaneously topicalized in naturally occurring conversation. It presents a detailed analysis of a rare video-recorded interaction showing American English-speaking university students talking about their own substance (mis)use in a residential setting. During this conversation, several substance (mis)use informings are disclosed about one participant, and this study elucidates what occasions each disclosure, and how participants respond to each disclosure. This research shows how participants use casual conversation to offer important substance (mis)use information to their friends …

Estimated Glomerular Filtration Rate And The Racial Multiplier: Clinical Implications And Current Attitudes, Brittney A. Spooner

Honors Theses and Capstones

Chronic kidney disease (CKD) is associated with high morbidity and mortality and has high and increasing incidence worldwide. CKD is characterized by a reduction in glomerular filtration rate (GFR), but as GFR is difficult to measure directly, estimated glomerular filtration rate (eGFR) equations have been created to measure serum creatinine levels as a function of GFR. Some eGFR equations contain a racial multiplier that increases the eGFR of black patients, causing a spurious increase in reported kidney function. This study included a literature search that collected information on the rationale behind the multipliers usage and a survey that gathered information …

Christians’ Cut: Popular Religion And The Global Health Campaign For Medical Male Circumcision In Swaziland, Casey Golomski, Sonene Nyawo

Anthropology

Swaziland faces one of the worst HIV epidemics in the world and is a site for the current global health campaign in sub-Saharan Africa to medically circumcise the majority of the male population. Given that Swaziland is also majority Christian, how does the most popular religion influence acceptance, rejection or understandings of medical male circumcision? This article considers interpretive differences by Christians across the Kingdom’s three ecumenical organisations, showing how a diverse group people singly glossed as ‘Christian’ in most public health acceptability studies critically rejected the procedure in unity, but not uniformly. Participants saw medical male circumcision’s promotion and …

Many Eligible Children Don’T Participate In School Nutrition Programs; Reauthorization Offers Opportunities To Improve, Jess Carson

Carsey Publications

This brief uses data from the 2013 Current Population Survey’s Food Security Supplement to document levels of participation in two of the largest programs authorized by the Healthy, Hunger-Free Kids Act of 2010—the National School Lunch Program and the School Breakfast Program—by region and place type (rural, suburban, and city), to identify areas where expanding participation may be especially important. Author Jessica Carson reports that only 64 percent of eligible households participate in the National School Lunch Program, and 52 percent participate in the School Breakfast Program. Fifty-nine percent of eligible suburban households and 63 percent of rural households participate …

Public Insurance Drove Overall Coverage Growth Among Children In 2012, Michael J. Staley

Carsey Publications

Using data from the American Community Survey, this brief examines the rates of health insurance coverage among children under 18 in the United States by region and by rural, suburban, and central city residence between 2008 and 2012. Author Michael Staley reports that, between 2011 and 2012, overall rates of health insurance coverage among children increased slightly (0.3 percentage point); 92.8 percent of the nation’s children had health insurance in 2012. Rates of public health insurance coverage for children grew from 28.3 percent in 2008 to 38.1 percent in 2012, whereas rates of private health insurance coverage for children decreased …

Mental Health Among Northern New Hampshire Young Adults: Depression And Substance Problems Higher Than Nationwide, Karen T. Van Gundy

Carsey Publications

This brief uses data on depressive and substance abuse symptoms from two surveys administered in 2011—the Coös Youth Study and the National Survey on Drug Use and Health—to compare mental health patterns among young adults in Coös County, New Hampshire, to patterns among rural young adults nationwide. The analyses focus on 214 Coös young adults and 1,477 young adult respondents, ages 18 to 21, who were living in non-metropolitan areas in 2011 and who provided usable data on depressive and substance abuse symptoms. Author Karen Van Gundy reports that Coös County young adults are more likely than rural young adults …

Snap Use Increased Slightly In 2012, Jess Carson

Carsey Publications

This brief uses data from the American Community Survey to examine rates of Supplemental Nutrition Assistance Program (SNAP) receipt in 2012, track changes since the onset of the recession, and monitor receipt by region and place type. It also explores changes in SNAP receipt among households that may be at particular risk for food insecurity and considers rates among some less traditionally at-risk populations, exploring changes in their rates of receipt over time.

Author Jessica Carson writes that reports of SNAP receipt in 2012 increased among populations at particular risk for food insecurity, including households with children, seniors, the poor, …

I'M A Patient, Not A Problem: An Exploration Into The Roles Assigned In The Doctor-Patient Relationship, Monica C. Stewart

Honors Theses and Capstones

No abstract provided.

Record Number Of Children Covered By Health Insurance In 2011, Michael J. Staley

Carsey Publications

Using data from the 2008 through 2011 American Community Survey, this brief describes rates of children’s health insurance coverage nationally, by region, and place type (that is, rural, suburban, and central city). In addition, it details the composition of coverage in the United States, specifically the proportion of children covered by private and public insurance. Author Michael Staley reports that rates of insurance coverage for children under age 18 increased from 90 percent in 2008 to 92.5 percent in 2011 and that the proportion of children covered by public health insurance increased substantially for the fourth consecutive year in every …

Psychotropic Medication Use Among Children In The Child Welfare System, Wendy A. Walsh, Marybeth J. Mattingly

Carsey Publications

Prior research demonstrates that children in the child welfare system are given psychotropic medication at rates approximately three times higher than children and adolescents in the general population. Using data from the second National Survey of Child and Adolescent Well-Being, authors Wendy Walsh and Marybeth Mattingly report that among children age 4 and older with a report of maltreatment, rates of psychotropic medication use are significantly higher in rural (20 percent) than urban areas (13 percent). Children age 4 and older with a maltreatment report in rural areas were significantly more likely to take more than one medication than children …

Recent Data Show Continued Growth In Supplemental Nutrition Assistance Program Use, Jess Carson, William W. Meub

Carsey Publications

This brief uses data from the American Community Survey to examine rates of Supplemental Nutrition Assistance Program (SNAP) receipt in 2011, with particular attention to changes since the onset of the recession, and to receipt by family composition, region, and place type (rural, suburban, and central city locations). It also explores SNAP receipt among households at particular risk for food insecurity. Authors Jessica Carson and William Meub report that 13 percent of all households reported receiving benefits in 2011. This represents an increase from 7.7 percent in 2007, reflecting both changes in need and policy. SNAP is increasingly the target …

Who Cares For The Sick Kids? Parents’ Access To Paid Time To Care For A Sick Child, Kristin Smith, Andrew P. Schaefer

Carsey Publications

This brief analyzes employed parents’ access to five or more paid sick days annually to care for a sick child in 2008. Using data from the 2008 National Study of the Changing Workforce collected by the Families and Work Institute (the most recent data available in the series), authors Kristin Smith and Andrew Schaefer analyze differences in access between employed mothers and fathers by demographic and work-related characteristics. They report that, in 2008, more than one-half—52 percent—of employed parents lacked access to at least five paid sick days to care for a sick child, and lower-earning parents had the least …

The Effects Of State Eitc Expansion On Children’S Health, Reagan A. Baughman

Carsey Publications

This brief examines the impact of state-level adoption of Earned Income Tax Credits (EITCs) on a set of health-related outcomes for children, including: (1) health insurance coverage, (2) use of preventive medical and dental care, and (3) health status measures including maternal reports of child health and body mass index. It also considers the possibility that the effect of the EITC on these outcomes may vary depending on where a child lives; families in urban and rural communities have different access to medical care and other resources that promote good health. Author Reagan Baughman reports that the expansion of state …

Rates Of Public Health Insurance Coverage For Children Rise As Rates Of Private Coverage Decline, Michael J. Staley, Jessica A. Bean, Jessica D. Ulrich

Carsey Publications

This brief uses data from the 2008, 2009, and 2010 American Community Survey to document changes in rates of children’s health insurance, between private and public. The authors report that, nationally, private health insurance for children decreased by just under 2 percentage points, while public health insurance increased by nearly 3 percentage points. Rural places and central cities witnessed significant declines in rates of private health insurance for children in nearly every region. Rates of public insurance coverage rose in every region and place type. Children’s health insurance coverage overall continued to rise in 2010, increasing by 0.6 of a …

Total Children Covered By Health Insurance Increased In 2009, Jessica A. Bean, Michael J. Staley

Carsey Publications

This brief uses data collected in 2008 and 2009 from the U.S. Census Bureau's American Community Survey (ACS) to examine changes in overall insurance coverage rates, as well as changes in types of coverage, and differences by region, state, and place type. The data show that together with new and more inclusive parameters for children's health insurance coverage, rates of children's health insurance have grown during the final year of the recession. Authors Jessica Bean and Michael Staley of the Carsey Institute discuss the complex factors contributing to the shift from private to public health insurance among children. The authors …

More Than One In Ten American Households Relies On Supplemental Nutrition Assistance Program Benefits, Jessica A. Bean, Marybeth J. Mattingly

Carsey Publications

The Supplemental Nutrition Assistance Program (SNAP) is one of the most responsive federal programs to economic downturns, as evidence by the increases in SNAP use between 2007 and 2009. Nationally, more than one in ten households relies on SNAP benefits, and the rate is even higher in rural areas, with more than 13 percent of households reporting use. This brief examines the trends in SNAP use across the United States since the recession began in 2007 and considers the impact of legislation in the Congress on those who rely on SNAP to make ends meet.

Rural Participation In Federal Child Nutrition Programs: Two Studies, Barbara Wauchope

Carsey Publications

Carsey Institute Child Nutrition Briefings, Washington, DC

Finding And Affording Healthy Food In Rural America: Study Results From New Hampshire, Sally Ward

Carsey Publications

Carsey Institute Child Nutrition Briefings, Washington, DC

Challenges In Serving Rural American Children Through The Summer Food Service Program, Barbara Wauchope, Nena F. Stracuzzi

Carsey Publications

When the school year ends, many low-income children rely on the USDA's Summer Food Service Program (SFSP) to supplement their diet. But less than one-third of SFSP sites are located in rural communities and rural children participate at a lower rate than those in more urban areas.

What's For Dinner? Finding And Affording Healthy Foods In New Hampshire Communities, Nena F. Stracuzzi, Sally Ward

Carsey Publications

Access to healthy food is becoming increasingly difficult for some households in the Granite State, as grocery stores relocate or consolidate, leaving some residents to depend on convenience stores for basic groceries. This brief looks at recent data on food deserts in New Hampshire.

Federal Child Nutrition Programs Are Important To Rural Households, Barbara Wauchope, Anne M. Shattuck

Carsey Publications

This brief, based on data from the U.S. Census Bureau, examines how rural families use four of the major federal child nutrition programs. It finds that 29 percent of rural families with children participate but that there are barriers to these nutrition programs, such as the lack of public transportation and high operating costs for rural schools and child care programs.

Rural America And The South Have The Highest Percent Of Veterans With Service-Related Disabilities, Marybeth J. Mattingly, Michelle L. Stransky

Carsey Publications

Veterans with service-related disabilities are concentrated in the American South and in rural places, this new fact sheet finds. Issued to commemorate Veterans Day (November 11), the report analyzes new data from the U.S. Census Bureau's 2008 American Community Survey, which released service-related disability data for the first time.

Building The Foundation For A Healthy Life: Individuals, Communities And The State, John W. Seavey, Josephine B. Porter, Barbara Arrington

The University Dialogue

No abstract provided.

Well-Being: The Heart Of Being Human, The Art Of Being Whole, Mary Westfall

The University Dialogue

No abstract provided.

Is It Good To Do Good? Altruism And Health, Michele M. Dillon

The University Dialogue

No abstract provided.

How's Your Health? What's Your Zip Code? Poverty And Health, John W. Seavey

The University Dialogue

For centuries it has been known that there is a relationship between one's status within a social system and health. The poor and disadvantaged have traditionally carried the larger burden of disease and disability.

Rural Children Increasingly Rely On Medicaid And State Child Health Insurance Programs For Medical Care, William P. O'Hare

Carsey Publications

Despite a flurry of reports on health insurance coverage for children, virtually none of them have examined the unique situation of rural families where one-fifth of all the nation's poor children live. This brief takes an in-depth look at the health insurance programs, such as SCHIP and Medicaid, which rural children rely on for medical care.