Medicine and Health Commons^™

Research Brief: "Military Service And Men’S Health Trajectories In Later Life", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the health and age-related changes of wartime male veterans during later years in life as compared to non-veterans and non-wartime veterans. In policy and practice, veterans reaching retirement age, with help from their families, should pay attention to their health in case any conditions arise, and health policies should look at early-life health in addition to later-life health. Suggestions for future research include performing studies over time on younger veterans as they age and clearing up biases within the sampling processes.

Reclaiming Fat, Emilie Debaie

Health Policy & Management Student Scholarship

No abstract provided.

Temporal Patterns Of Happiness And Information In A Global Social Network: Hedonometrics And Twitter, Peter Sheridan Dodds, Kameroncker Decker Harris, Isabel M. Kloumann, Catherine A. Bliss, Christopher M. Danforth

College of Engineering and Mathematical Sciences Faculty Publications

Individual happiness is a fundamental societal metric. Normally measured through self-report, happiness has often been indirectly characterized and overshadowed by more readily quantifiable economic indicators such as gross domestic product. Here, we examine expressions made on the online, global microblog and social networking service Twitter, uncovering and explaining temporal variations in happiness and information levels over timescales ranging from hours to years. Our data set comprises over 46 billion words contained in nearly 4.6 billion expressions posted over a 33 month span by over 63 million unique users. In measuring happiness, we construct a tunable, real-time, remote-sensing, and non-invasive, text-based …

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

The Carsey School of Public Policy at the Scholars' Repository

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 …

Time Use And Food Pattern Influences On Obesity, Jane M. Kolodinsky, Amanda B. Goldstein

College of Agriculture and Life Sciences Faculty Publications

The rise of obesity in the United States over the past 25 years has resulted in an increase in the number of research studies published related to the causes, consequences, and possible solutions to the problem. Most would agree that obesity is a multi-dimensional problem that requires a range of solutions related to individual diet and activity, food and built environment, and public policy. Examination of complex relationships between food choice, time use patterns, sociodemographic characteristics and obesity has been limited by data availability and disciplinary focus. Using the theory of the production of health capital, this paper links empirical …

Happiness Around The World: The Paradox Of Happy Peasants And Miserable Millionaires, Carol Graham

Brookings Scholar Lecture Series

For centuries the pursuit of happiness was the preserve of philosophers. More recently there is a burgeoning interest in the study of happiness in the social sciences. Can we really answer the question what makes people happy? Is it grounded in credible methods and data? Is there consistency in the determinants of happiness across countries and cultures? Are happiness levels innate to individuals or can policy and the environment make a difference? How is happiness affected by poverty and by progress? This presentation introduces a line of research which is both an attempt to understand the determinants of happiness and …

Evaluating The Impact Of Social Determinants On Pedestrian Injury In Clark County, Nevada, Jonathon Lavalley, Courtney Ann Coughenour, Michelle Chino

Graduate Publications & Presentations (HS)

In order to understand the social determinants which may impact pedestrian injury rates in an urban, sprawling, western community we conducted an ecologic investigation to compare pedestrian crash rates by social determinants available for census tracts in Clark County, NV.

Beliefs About Alcohol And The College Experience, Locus Of Self, And College Undergraduates’ Drinking Patterns, Lizabeth A. Crawford, Katherine B. Novak

Scholarship and Professional Work - LAS

The purpose of this study is to assess the extent to which locus of self (institutional versus impulse), measured using the Twenty Statements Test (TST), moderates the relationship between beliefs about alcohol and the college experience (BACE) and alcohol use among college undergraduates. Although the majority of our respondents listed more idiosyncratic personal characteristics and preferences than consensual social roles in response to the TST, the number of students classified as institutionals was notably higher than what has been reported within the literature. In opposition to our hypothesis that BACE would affect levels of alcohol consumption primarily among these individuals, …

The Healthy Kids Evaluation Survey: Early Results From A Baseline Survey Of Program Applicants, Bill J. Wright, Heidi Allen, Matthew J. Carlson

Sociology Faculty Publications and Presentations

Since its launch in 2009 the Healthy Kids program has worked to provide health insurance for children in Oregon. Marketed as one program available to all Oregon children, Healthy Kids enrolls families making below 200% of the Federal Poverty Level (FPL) into the Oregon Health Plan, while families above 200% FPL are enrolled in a sliding‐fee private insurance product offered through a health insurance exchange called KidsConnect.

This project is an evaluation of the effects of the Healthy Kids program, conducted by the Center for Outcomes Research (CORE) at Providence Health and Services along with Portland State University. As families …

Effective, Efficient Health Care Reform The United States And Swiss Health Care Systems: A Comparative Analysis What Can The U.S. Learn From The Swiss Experience?, Rebecca Dittrich

Independent Study Project (ISP) Collection

Home to 45 million people without health insurance while still spending 17% of its GDP on health care expenses, the United States has been in need of a massive health care overhaul for quite some time. Some have speculated that the Swiss system may be an ideal model for health care reform, and in fact, many aspects of the newly instated Patient Protection and Affordable Care Act (ACA) do reflect areas of LAMal, Swiss health care law. This paper evaluates the Swiss and United States health care systems (under ACA), their similarities and differences, and the pros and cons of …

Migration, Vulnerability And Xenophobia: Central African Refugee And Asylum Seekers’ Access To Health Services In Durban, South Africa, Cathy Kaplan

Independent Study Project (ISP) Collection

In 1998, South Africa passed historic legislation that bridged international conventions on refugees and asylum seekers with the protections and rights defined in the South African Constitution and Bill of Rights. The 1998 refugees act defined specific rights that refugees and asylum seekers are entitled in South Africa, the most important of which include the provision of legal and immigration documentation, employment, adequate housing, and health and social services. When asylum seekers arrive in Durban, many are in the need of immediate health services as a result of long journeys, pre-existing conditions, pregnancy, or illnesses contracted in refugee camps throughout …

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

The Carsey School of Public Policy at the Scholars' Repository

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 …

Who’S Pandemic Influenza Preparedness Framework: A Milestone In Global Governance For Health, Lawrence O. Gostin, David P. Fidler

Georgetown Law Faculty Publications and Other Works

In May 2008, the World Health Organization (WHO) adopted the Pandemic Influenza Preparedness Framework for the Sharing of Influenza Viruses and Access to Vaccines and Other Benefits (PIP Framework). The PIP Framework’s adoption ended years of difficult negotiations, which began after Indonesia refused to share samples of avian influenza A (H5N1) with WHO in late 2006. Indonesia justified its actions on the need to create more equitable access for developing countries to benefits, such as vaccines and antivirals, derived from research and development on shared influenza virus samples. The global health community feared that failure to share influenza virus samples …

Religion And Infant Mortality In The U.S.: A Preliminary Study Of Denominational Variations, John P. Bartkowski, Xiaohe Xu, Ginny Garcia-Alexander

Sociology Faculty Publications and Presentations

Prior research has identified a number of antecedents to infant mortality, but has been focused on either structural (demographic) forces or medical (public health) factors, both of which ignore potential cultural influences. Our study introduces a cultural model for explaining variations in infant mortality, one focused on the role of community-level religious factors. A key impetus for our study is well-established religious variations in adult mortality at the community level. Seeking to extend the growing body of research on contextual-level effects of religion, this study examines the impact of religious ecology (i.e., the institutional market share of particular denominational traditions) …

“Mind The Gap” Addressing The Gap Between Health Care Policy & Health Care Reality In Madagascar & The Way Forward Integrating Traditional Medicine & Ethical Reform Within Health Care, Laura Dillon

Independent Study Project (ISP) Collection

At first glance the health care system in Madagascar looks pretty good. No health care system is perfect, in fact most are far from perfect, but some certainly work better than others. On paper it seems that the current system in Madagascar would be among those that “work better”. Sadly, there is oftentimes a disconnect between what a government writes on paper and what happens in reality; looking around the streets of Antananarivo it quickly became apparent that Madagascar is an example of this disconnect. You do not have to be a health care professional to see the lack of …

How Do Religion And Belief Systems Influence Traditional Medicine And Health Care In Madagascar?, Whitney Franklin

Independent Study Project (ISP) Collection

Religion and beliefs consistently shape social structures, laws, and even medicine. In Madagascar, this is extremely evident when considering traditional medicine but also exists in modern medicine. Christianity and traditional beliefs are the two main systems that have shaped traditional medicine to what it has become today. These opposites function as a duality that becomes apparent when looking at certain events in Madagascar’s history and the examination of the evolution and rituals performed in the different types of traditional medicine. Through the methodology of interviewing traditional healers and gathering historical information from experts in lectures, I can make sure to …

Medical Pluralism In Morocco: The Cultural, Religious, Historical And Political-Economic Determinants Of Health And Choice., Tyler Martinson

Independent Study Project (ISP) Collection

Morocco is a culturally diverse intersection between the African continent, the Arab world and Europe. This multiplicity is mirrored in the country’s pluralistic medical system and beliefs surrounding the concepts of illness and health. Explanations of health are endorsed by culturally specific knowledge and are then naturalized and taken as objective. A synthesis of theoretical descriptions and political-economic of medical pluralism, along with historical analysis, explains the presence of multiple health practices and how a person’s choice of medical practice is heavily influenced by dynamic socio-cultural, religious, historical, political and economic factors. This study will help improve practitioner/client narratives of …

Subsurface Characterization Of Groundwater Contaminated By Landfill Leachate Using Microbial Community Profile Data And A Nonparametric Decision-Making Process, Andrea R. Pearce, Donna M. Rizzo, Paula J. Mouser

College of Engineering and Mathematical Sciences Faculty Publications

Microbial biodiversity in groundwater and soil presents a unique opportunity for improving characterization and monitoring at sites with multiple contaminants, yet few computational methods use or incorporate these data because of their high dimensionality and variability. We present a systematic, nonparametric decision-making methodology to help characterize a water quality gradient in leachate-contaminated groundwater using only microbiological data for input. The data-driven methodology is based on clustering a set of molecular genetic-based microbial community profiles. Microbes were sampled from groundwater monitoring wells located within and around an aquifer contaminated with landfill leachate. We modified a self-organizing map (SOM) to weight the …

Larvicidal Effects Of Chinaberry (Melia Azederach) Powder On Anopheles Arabiensis In Ethiopia, Ryan E. Trudel, Arne Bomblies

College of Engineering and Mathematical Sciences Faculty Publications

Background: Synthetic insecticides are employed in the widely-used currently favored malaria control techniques involving indoor residual spraying and treated bednets. These methods have repeatedly proven to be highly effective at reducing malaria incidence and prevalence. However, rapidly emerging mosquito resistance to the chemicals and logistical problems in transporting supplies to remote locations threaten the long-term sustainability of these techniques. Chinaberry (Melia azederach) extracts have been shown to be effective growth-inhibiting larvicides against several insects. Because several active chemicals in the trees' seeds have insecticidal properties, the emergence of resistance is unlikely. Here, we investigate the feasibility of Chinaberry as a …

Toward A Conceptual Model Linking Community Violence Exposure To Hiv-Related Risk Behaviors Among Adolescents: Directions For Research, Dexter R. Voisin

Faculty Scholarship

Purpose: To present a conceptual framework which accounts for the relationship between community violence exposures (CVEs) and youth HIV risk behaviors. Methods: This article provides an overview of existing research on the links between CVE and HIV risk for youth and offers a conceptual framework for clarifying how CVE might contribute to HIV sexual risk behaviors. Results: Increasing empirical findings substantiate that the links between CVE and HIV risk behaviors among youth are mediated by psychological problem behaviors, low school success rates, and negative peer influences. Conclusions: Researchers have identified the behaviors that place teens at risk for becoming infected …

Infertility Help Seeking And Social Support: Do Conventional Theories Explain Internet Behaviors And Outcomes, Kathleen S. Slauson-Blevins

Department of Sociology: Dissertations, Theses, and Student Research

This dissertation uses data from the National Survey of Fertility Barriers (NSFB), a nationally representative sample, to assess factors associated with face-to-face and internet help seeking (study 1) and perceived social support (study 2). In study one, I examine whether the General Help Seeking Model, a theory that has been used to explain in-person help seeking, generalizes to internet help seeking. I assess four types of help seeking: (1) no help seeking, (2) only internet help seeking, (3)only medical help seeking, and (4) both online and medical help seeking. Results suggest that online help seeking is differentiated from in person …

La Operación Y Estructura De Salud Familiar Comunitaria Intercultural En El Caso De Achocalla, Dominic Strada

Independent Study Project (ISP) Collection

Esta investigación se centra en la nueva política sanitaria del programa Salud Familiar Comunitaria Intercultural, su nueva administración y su aplicación en Bolivia. La Salud Familiar Comunitaria Intercultural es una política de salud social que décadas después del proceso de descentralización del poder ha puesto la responsabilidad sanitaria en manos de las comunidades. Este estudio se centra en las estructuras de Salud Familiar Comunitaria Intercultural desde el nivel municipal, hasta un total de ocho estructuras, en el municipio de Achocalla. Achocalla es un caso interesante ya que es a la vez una localidad urbana, por formar parte de los suburbios …

The Fast Food And Obesity Link: An Investigation Of Consumption Patterns And Severity Of Obesity In Pre-Bariatric Surgery Patients, Ginny Garcia-Alexander, Thankam S. Sunil, Pedro Hinojosa

Sociology Faculty Publications and Presentations

We examined selected behavioral factors associated with severity of obesity among pre-operative bariatric surgery patients in the San Antonio area; focusing specifically on the effects of fast food consumption. We used ordered logistic regression to model the effects of behavioral and attitudinal variables on obesity outcomes. Our results indicated that among the behavioral factors, fast food consumption exerted the largest influence on higher levels of obesity. After controlling for several social and demographic characteristics, the effects of fast food consumption remained significant in the model. In fact, for each increase in fast food consumption there was a 26% increase in …

Understanding How Race/Ethnicity And Gender Define Age-Trajectories Of Disability: An Intersectionality Approach, David F. Warner, Tyson H. Brown

Department of Sociology: Faculty Publications

A number of studies have demonstrated wide disparities in health among racial/ethnic groups and by gender, yet few have examined how race/ethnicity and gender intersect or combine to affect the health of older adults. The tendency of prior research to treat race/ethnicity and gender separately has potentially obscured important differences in how health is produced and maintained, undermining efforts to eliminate health disparities. The current study extends previous research by taking an intersectionality approach (Mullings & Schulz, 2006), grounded in life course theory, conceptualizing and modeling trajectories of functional limitations as dynamic life course processes that are jointly and simultaneously …

Vulnerability, Risk Perception, And Health Profile Of Marginalized People Exposed To Multiple Built-Environment Stressors In Worcester, Massachusetts: A Pilot Project, Timothy Downs, Laurie Ross, Robert Goble, Rajendra Subedi, Sara Greenberg, Octavia Taylor

Sustainability and Social Justice

Millions of low-income people of diverse ethnicities inhabit stressful old urban industrial neighborhoods. Yet we know little about the health impacts of built-environment stressors and risk perceptions in such settings; we lack even basic health profiles. Difficult access is one reason (it took us 30 months to survey 80 households); the lack of multifaceted survey tools is another. We designed and implemented a pilot vulnerability assessment tool in Worcester, Massachusetts. We answer: (1) How can we assess vulnerability to multiple stressors? (2) What is the nature of complex vulnerability-including risk perceptions and health profiles? (3) How can findings be used …

A Case Study Of Health Interventions And The Caste System: Addressing The Social Determinants Of Health Through Development At Crhp Jamkhed, Laura Kroart

Independent Study Project (ISP) Collection

In the Southeast Asian country of India, the ancient but in some cases still rigidly intact caste system plays a role in determining health status and outcomes for much of its population of over 1.2 billion people.[1] The Comprehensive Rural Health Project, located in Jamkhed in the state of Maharashtra, India, approaches health interventions from a development standpoint, addressing biomedical needs, structural and environmental concerns, and the social and economic determinants of health that impact the lives of over a million villagers in the surrounding area.[2] This independent study project was designed to analyze how the Comprehensive Rural …

Improving Function In Age-Related Macular Degeneration: Design And Methods Of A Randomized Clinical Trial., Barry W Rovner, Robin J Casten, Mark T Hegel, Robert W Massof, Benjamin E Leiby, William S Tasman

Department of Psychiatry and Human Behavior Faculty Papers

Age-Related Macular Degeneration (AMD) is the leading cause of severe vision loss in older adults and impairs the ability to read, drive, and live independently and increases the risk for depression, falls, and earlier mortality. Although new medical treatments have improved AMD's prognosis, vision-related disability remains a major public health problem. Improving Function in AMD (IF-AMD) is a two-group randomized, parallel design, controlled clinical trial that compares the efficacy of Problem-Solving Therapy (PST) with Supportive Therapy (ST) (an attention control treatment) to improve vision function in 240 patients with AMD. PST and ST therapists deliver 6 one-hour respective treatment sessions …

Open To The Public: Meeting The Nursing Challenge Of A Diverse America, Bonnie Wasilowsky Rn, Bspa-Hca, Cnrn

Patient Care Services / Nursing

No abstract provided.

Self-Esteem And Mastery Trajectories In High School By Social Class And Gender, Christina D. Falci

Department of Sociology: Faculty Publications

Using longitudinal data from 769 white adolescents in the Midwest, this research applies a social structure and personality perspective to examine variation in self-esteem and mastery trajectories by gender and SES across the high school years. Analyses reveal that high SES adolescents experience significantly steeper gains in self-esteem and mastery compared to low SES adolescents, resulting in the reversal of SES differences in self-esteem and the emergence of significant SES differences in mastery. Pre-existing gender differences in self-esteem narrow between the 9^th and 12^th grade because self-esteem increases at a faster rate among girls than boys during high …

The Long-Term Impact Of War On Health And Well-Being In Northern Vietnam: Some Glimpses From A Recent Survey, Bussarawan Teerawichitchainan

Research Collection School of Social Sciences

War is considered one of the most intransigent obstacles to development; yet, the long-run effects of war on individual health have rarely been examined in the context of developing countries. Based on unique data recently collected as a pilot follow-up to the Vietnam Longitudinal Survey, this study examines health status of northern Vietnamese war cohorts (those who entered adulthood during the Vietnam War and now represent Vietnam’s older-adult population). To ascertain whether and how war impacts old-age physical and mental health, we compare multi-dimensional measures of health among war survivors, including civilians, combatants, noncombatants, and nonveterans involved in militia ctivities. …