Medicine and Health Commons^™

Positive Action For Hiv In Schools In Kenya, Francis Obare, Harriet Birungi, Monica Wanjiru, Sheila Bayley, John Kiunjuri, Mary Omondi, Rob Burnet, Bridget Deacon

Reproductive Health

The objective of this study was to test the feasibility of using comic books, role models, and edutainment to communicate HIV and AIDS messages to in-school young people in Kenya, with a view to improving their knowledge about the epidemic, enhancing communication about it, and promoting positive attitudes and behavior among them. The study was implemented by the Population Council in eight secondary schools in Nairobi, as part of the APHIA II Operations Research Project in collaboration with the AIDS Control Unit in the Ministry of Education, Well Told Story, and the National AIDS/STI Control Programme. The study found that …

Imbalance Challenge Of Enacting Information Privacy Safeguards In Healthcare: A Grounded Theory Approach, Rachida Parks, Heng Xu, Chao-Hsien Chu

Research Collection School Of Computing and Information Systems

Healthcare organizations face significant challenges in designing and implementing the appropriate safeguards to mitigate information privacy threats. While many studies examined various technical and behavioral safeguards to protect the confidentiality and privacy of patient information, very little is known about the actual outcomes and implications of the privacy practices in which organizations engage. There is little research theoretically explaining the outcomes of enacting privacy safeguards and subsequent effects on privacy compliance. This paper reports the results of a grounded theory study investigating the intended consequences (positive impacts) and unintended (negative impacts) consequences of enacting privacy safeguards in healthcare organizations. An …

Making Boundaries And Linking Globally: “Material Politics” Of Phytosanitary Regulation On Mexican Mangos, Kiyohiko Sakamoto

Theses and Dissertations--Sociology

This dissertation illuminates how phytosanitary (PS) regulations enable mango exportation from Mexico to the United States. PS regulations are technical and legal measures to prevent plant pests from proliferating or being transported to other places and are important regulatory mechanisms enabling the globalization of agriculture. My case study investigates how PS regulations enable Mexican mango exportation as an aspect of the globalization of agriculture, illustrating the consequences of PS regulations to humans and non-humans. More specifically, three research questions are posed: (1) How does the PS regulation network operate to draw distinctions between pest/non-pest, thereby enabling the export of Mexican …

Addiction And Substance Abuse Among Nevada Youths, An-Pyng Sun, Chih-Hsiang Ho, Larry Ashley

Social Health of Nevada Reports

Adolescence is a critical stage for substance abuse initiation, as well as for substance abuse prevention, intervention, and treatment. This report presents tobacco product use, alcohol use, and illicit drug use rates of Nevada’s youths (aged 12-17) compared with youths nationwide as a whole. Most data were retrieved from the Substance Abuse and Mental Health Services Administration (SAMHSA), including the 2008--2009 National Survey on Drug Use and Health (NSDUH) data and Treatment Episode Data Set (TEDS), supplemented with the Centers for Disease Control and Prevention (CDC)’s 2009 Youth Risk Behavior Survey (YRBS) data. Substate data were taken from SAMHSA’s 2006-2008 …

Health Care Access And Insurance Availability In Nevada, Douglas L. Garner, Marie A. Wakefield, Tiffany G. Tyler, A. Dexter Samuels, Roger Cleveland

Social Health of Nevada Reports

The U.S. Department of Health and Human Services (2012) defines healthcare access as “the timely use of health services to achieve the best health outcomes.” The Department specifies that efficient health care access is contingent on several steps, including (1) entry into the healthcare system, (2) availability of needed services, and (3) accessibility of providers with whom individuals can establish relationships founded on mutual communication and trust.

Suicide Trends And Prevention In Nevada, Matt Wray, Tatiana Poladko, Misty Vaughan

Social Health of Nevada Reports

Suicide is a leading cause of death in the United States. In 2007, nearly 35,000 Americans took their own lives, a rate of 11.5 suicides per 100,000 (Xu et al. 2010). Among 15-24 year olds, suicide is the third leading cause of death and for those aged 25-34, it is the second leading cause (CDC WISQARS 2007).

Child Abuse And Neglect In Nevada, Ramona W. Denby

Social Health of Nevada Reports

Child maltreatment in Nevada reflects the general social, economic, and health conditions within the state and its local communities. This chapter starts with various definitions of child abuse and neglect, focusing on the approach adopted by Nevada legislators and comparing it to competing definitions. Next, this report examines child abuse and neglect rates in Nevada and tracks the progress the state has made towards achieving its goals related to child welfare outcomes, including child protection and safety, child permanency, and child well-being. After that, the discussion moves to the most promising child welfare intervention practices and approaches. Finally, the chapter …

Disease Prevalence And Behavioral Risk In Nevada, Shannon M. Monnat

Social Health of Nevada Reports

Throughout the last several years, people living in the United States have engaged in intense debates about health care reform, costs, and mandates. What is often missing from these debates is arguably the key issue in American health: What is making us sick in the first place?

Disability Rights And Services In Nevada, Janet S. Belcove-Shalin

Social Health of Nevada Reports

For ages, people with disabilities faced hardship and condescension from the general public. As recently as the 19th century, individuals with serious physical or mental issues were singled out for pity, shunned by society, and urged to accept their afflictions as God’s will. The government offered no assistance to the impaired, relying instead on almsgiving by religious institutions and philanthropic organizations.

Prenatal Care And Infant Mortality In Nevada, Douglas L. Garner, Roger Cleveland, A. Dexter Samuels, Tiffany G. Tyler

Social Health of Nevada Reports

The U.S. outspends all other industrial countries on health care, and yet Americans hardly enjoy better health (Gorman 2010). An American baby born in 2006 can expect to live 78 years – two years less than a baby born across the Canadian border. The U.S. ranks 28th in infant mortality out of the 30 major industrial countries (Gorman 2010). A large part of the gap in infant mortality can be traced to high infant death rates in certain populations, particularly African-Americans who make up about 13% of the total population. In 2005, infant mortality for non-Hispanic blacks in the U.S. …

Aging Trends And Challenges In Nevada, Jennifer Reid Keene, Kathryn Mcclain, Jacqueline Ragin

Social Health of Nevada Reports

Societal aging is one of the most important social trends of the 21st century. It affects our political, social, and economic institutions and also the nature of our interpersonal and family relationships (Quadagno 2011). In the coming decades, both as individuals and as a society, we will have to make important decisions regarding the consequences of our aging population. Policy makers, families, businesses, local, state, and federal governments, health care providers will have to meet the growing needs of the older population in the U.S. and in Nevada.

Utilizing Technology In A Randomized Pilot Study For A Smoking Cessation Intervention: An Innovative Approach Using Sms Messaging Systems, Elise Garcia

McNair Poster Presentations

Objective: Previous randomized controlled trials of Short Message Service (SMS) technology in smoking cessation interventions have been proven to be effective. Upon the completion of our pilot study, we will investigate the combined effects of delivering self-help SMS text messages with candidates that rate < 8 on the Contemplation Ladder (intention to quit scale)in natural-based setting.

Method: A sample of (N=60) adult smokers from the Eugene Community intending to quit will come in our lab for two sessions (baseline and follow-up) where physiological tests and selfreports will be measured. Smokers will be allocated to one of three condition groups where they will be sent 6 text messages per day for …

Health Status Effects On Human Female Mate Preferences And Sociosexuality, Tiffany Alexandra Alvarez

McNair Poster Presentations

Much literature suggests that the sociosexual strategies of females are highly sensitive and consequently responsive to change and its parameters. Through the investigation of an unexplored contextual variant—health status—this study aimed to broaden the understanding of the facultative nature of human female sociosexuality and mate preferences paradigms. We recruited normally cycling women between the ages of 18 and 30 when they were sick (A) had them complete a questionnaire designed to obtain, among other things, measures of their symptom severity and sociosexuality (B) had them evaluate the appeal of two computer manipulated markers of sexual dimorphism (those present in the …

Understanding The Role Of Patient Activation In The Association Between Patient Socio-Economic Demographics And Patient Experience, Katsuya Oi

Dissertations and Theses

This study focuses on the association between patient characteristics, which include both demographic and contextual factors, and patients' experiences with health care. The pre-existing literature provides rich information about patients' various demographics related to patient experience. Despite the abundance of empirical evidence showing that patients' demographics do affect how they perceive their health care. However, there is little to no empirical knowledge explaining the significance of such factors. As the existing literature points out the need for taking into contextual factors such as patient's beliefs, attitudes, skills that are pertinent to dealing with health care, my study proposes patient activation …

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.

Free Clinics And The Uninsured: The Need For Remote Area Medical In Central Appalachia After Health Reform., James W. Watson

Electronic Theses and Dissertations

In 2008, the election of President Barack Obama brought health care to the forefront of national discussions and led to the passage of the Patient Protection and Affordable Care Act (ACA). The legislation changed the rules of health care delivery in the United States, but the ACA did not do one fundamental thing: It did not end the need for many of the nation's most needy patients to seek free medical care from groups such as Remote Area Medical (RAM).

A mobile clinic, RAM brings together volunteer dentists, physicians, nurses, and other professionals as well as support staff for multi-day …

Reclaiming Fat, Emilie Debaie

Health Sciences Student Scholarship

No abstract provided.

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 …

Effect Of A Work Site Exercise Program On Selected Fitness And Psychological Parameters, Kristen Ann Christiansen

UNLV Theses, Dissertations, Professional Papers, and Capstones

The increasing rates of obesity continue to threaten the vitality of our nation. Health care costs are soaring and chronic diseases are reaching even the youngest populations. Physical activity is an integral component in reversing the obesity epidemic and improving the health of today's workforce. The present study sought to determine the effect of a work site exercise program on select fitness and psychological parameters. Five female employees participated in a six-week exercise program utilizing HealthBeat(TM) outdoor exercise equipment in a circuit fashion for 30 minutes, 2 days per week. Eighty percent of participants were categorized as sedentary or low-active …

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

Health Sciences Graduate Research

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 …

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 …

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 …

Civic Attitude And Activity Of Loma Linda University Dental Graduates, Gregory W. Olson

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Dentistry is regarded as a profession and granted certain privileges, such as self-regulation. Associated with this status are stated and implied responsibilities which are widely debated. In recent years, dental professionalism seems to be on the decline. Evidence cited includes access-to-care issues and decreased public trust in dentists. In response, academia and professional organizations have developed curricula and statements intended to bolster professionalism. Meanwhile little is known about practicing dentists’ attitudes or participation in health-related civic matters. Objectives: This study seeks to examine the importance Loma Linda University (LLU) dental graduates place on public roles, their reported participation in …

Rural Parents Mental Health Service Delivery Preferences: Overcoming Barriers To Care., Jeffrey H. Ellison

Electronic Theses and Dissertations

Unique barriers prevent parents in rural areas from seeking mental health services for their children. The implementation of innovative models of service delivery may reduce these barriers' impact on rural parents' treatment seeking.

The purpose of this study was to determine: 1) parents' willingness to use innovative service delivery models; 2) barriers that parents perceive to seeking treatment in each of the 4 service delivery models, and; 3) the relationship between perceived barriers and willingness to seek help in the context of 4 service delivery models.

Surveys were distributed to parents of children attending school in several counties in rural …

Independent Living Program Evaluation For Rebuilding All Goals Efficiently, Patricia Armour, Debra Moulton, Araceli Pruett

UNLV Theses, Dissertations, Professional Papers, and Capstones

This paper evaluates the outcome of independent living (IL) services provided to clients with Spinal Cord Injuries (SCI) by a local non-profit organization, Rebuilding All Goals Efficiently (RAGE). Agency services are directed at increasing client self-sufficiency, self-advocacy, and maintenance of least restrictive living environment. Secondary data provided by RAGE for 22 SCI clients who received services in FY10 was used in the evaluation. Outcomes were measured for living arrangement at case closure, impact of services on client’s life, and cost effectiveness of services provided. Descriptive statistical analysis of the data revealed successful outcomes for all 22 SCI clients. All clients …

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 …

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 …