Community Health Commons^™

The “Fit But Fat” Paradigm Addressed Using Accelerometer-Determined Physical Activity Data, Paul D. Loprinzi, Ellen Smit, Hyo Lee, Carlos J. Crespo, Ross Andersen, Steven N. Blair

Community Health Faculty Publications and Presentations

Background: No studies have addressed the "fit but fat" paradigm using accelerometry data.

Aim: The study was to determine if 1) higher levels of accelerometer-determined physical activity are favorably associated with biomarkers in overweight or obese persons (objective 1); and 2) overweight or obese individuals who are sufficiently active have better or similar biomarker levels than normal weight persons who are not sufficiently active (objective 2).

Materials and Methods: Data from the 2003-2006 National Health and Nutrition Examination Survey were analyzed and included 5,146 participants aged 20-85 years.

Results: Regarding objective 1, obese active individuals had more favorable waist circumference, …

The Interplay Of Trait Anger, Childhood Physical Abuse, And Alcohol Consumption In Predicting Intimate Partner Aggression, Rosalita C. Maldonado, Laura E. Watkins, David Dilillo

Department of Psychology: Faculty Publications

The current study examined three well-established risk factors for intimate partner aggression (IPA) within Finkel and Eckhardt’s I³ model, including two impellance factors—trait anger and childhood physical abuse history—and the disinhibiting factor of alcohol consumption. Participants were 236 male and female college students in a committed heterosexual dating relationship who completed a battery of self-report measures assessing childhood physical abuse, trait anger, alcohol consumption, and IPA perpetration. Results revealed a significant three-way interaction showing that as the disinhibition factor alcohol consumption increased, the interaction of the two impelling factors, trait anger and childhood physical abuse, became increasingly more positive. …

Decreases In Self-Reported Alcohol Consumption Following Hiv Counseling And Testing At Mulago Hospital, Kampala, Uganda, Judith A. Hahn, Robin Fatch, Rhoda K. Wanyenze, Steven Baveewo, Moses R. Kamya, David Bangsberg, Thomas J. Coates

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background: Alcohol use has a detrimental impact on the HIV epidemic, especially in sub-Saharan Africa. HIV counseling and testing (HCT) may provide a contact opportunity to intervene with hazardous alcohol use; however, little is known about how alcohol consumption changes following HCT.

Methods: We utilized data from 2056 participants of a randomized controlled trial comparing two methods of HCT and subsequent linkage to HIV care conducted at Mulago Hospital in Kampala, Uganda. Those who had not previously tested positive for HIV and whose last HIV test was at least one year in the past were eligible. Participants were asked at …

Sharing Medicine: The Candidacy Of Medicines And Other Household Items For Sharing, Dominican Republic, Michael N. Dohn, Hugo Pilkington

Population and Public Health Sciences Faculty Publications

Background:

People share medicines and problems can result from this behavior. Successful interventions to change sharing behavior will require understanding people’s motives and purposes for sharing medicines. Better information about how medicines fit into the gifting and reciprocity system could be useful in designing interventions to modify medicine sharing behavior. However, it is uncertain how people situate medicines among other items that might be shared. This investigation is a descriptive study of how people sort medicines and other shareable items.

Methods and Findings:

This study in the Dominican Republic examined how a convenience sample (31 people) sorted medicines and rated …

Toward A Biocommunicable Cartography Of Health Decision-Making In The Amazon Basin Of Ecuador, James Cartwright

Lawrence University Honors Projects

This paper comprises a critical, ethnographic study of health communication in a rural community of Amazonian Ecuador. By synthesizing approaches from anthropology, discourse studies, and public health, the study explores how conversations influence health decisions, how communities understand health systems, and how macrostructural discourse changes the political economy of healthcare in Ecuador. My work draws on the recent theoretical development of ‘biocommunicability’ in anthropology as well as earlier sociological research on knowledge construction. Most importantly, this paper offers a critique of current interventions by NGOs in the region.

Alcohol Use And Church Attendance Among Seventh Through Twelfth Grade Students, Dominican Republic, 2011, Michael N. Dohn, Santa Altagracia Jimenez Mendez, Maximinia Nolasco Pozo, Elizabet Altagracia Cabrera, Anita L. Dohn

Population and Public Health Sciences Faculty Publications

Excessive alcohol consumption increases the years of life lost to premature death and disability worldwide. Religion is a mitigating factor in alcohol consumption. A survey in the Dominican Republic showed increasing church attendance by middle and high school students (N = 3,478) was associated with a delay in age at first alcoholic drink, fewer students who had consumed alcohol in the past month (current drinkers), lower alcohol consumption levels, fewer episodes of inebriation, and less heavy episodic alcohol consumption (all P < 0.0001). The results suggested that it may be useful to conceive of church-attending youth as a subset of the adolescent social network when planning primary alcohol prevention programs for young people.

Oceano Community Health Plan, Eugene Phillip Brennan

Master's Theses

ABSTRACT

Oceano Community Health Plan

Phillip Brennan

Recent, mounting research shows that chronic disease, the leading causes of death and primary driver of health care costs, cannot be effectively addressed through education or preventative health alone. A physical environment that promotes health—through access to healthy food, opportunities for physical activity, quality housing, transportation options, and safe schools—is an integral part of making our communities healthier. This research and accompanying Healthy Community Plans will serve as a way for the County to begin looking in-depth at the ways the built environment (our streets, parks, and neighborhoods) contribute or detract from the …

Basic Human Health And Sustainable Community Development: A Case Study Of A Community In Monte Plata, Dominican Republic, Rachelle H. Arnoux

Capstone Collection

One of my objectives in conducting this research is to enhance my skills in data collection while simultaneously improving my writing skills. More substantively, I wanted to explore how access to healthcare in a developing country like the Dominican Republic can contribute to sustainable development. As good health is fundamental and vital for all human beings, it is important in the context of this study to understand how the healthcare system in a particular country gives the population access to quality healthcare. Referring myself specifically to the situation at Batey Relief Alliance (BRA) Dominicana medical center in the Dominican Republic …

Anxiety In The Classroom Setting: Early Detection Of Signs And Symptoms, Lisa A. Rauch

Doctor of Nursing Practice (DNP) Projects

The Surgeon General (2000) estimates that up to 13% of children experience symptoms of anxiety. Since virtually all children attend school, and this environment challenges children in various modalities that are likely to produce anxiety, schools are an excellent environment to detect early signs and symptoms of anxiety. When available, school nurses are well positioned to provide primary and secondary prevention to students identified with signs and symptoms of anxiety.

The aim of this project is to identify if increasing teacher’s knowledge results in and increased ability to recognize early signs and symptoms of anxiety, and report concerns more rapidly, …

The Globalization Of Maternal Healthcare In Western Africa, Maura T. Magistrali

Celebration

Maternal healthcare is one of the most important global issues in today’s world, reflected in its inclusion in the Millennium Development Goals. Globalization, through increased acceleration and movement, has improved maternal healthcare in Western Africa, as observed through the spread of Westernized medicines and treatments and improved technology in prenatal and obstetric care. Another remarkable effect of globalization is the hybridity manifested in both women’s healthcare choices and in the pluralistic training of midwives. However, the same forces of movement and exchange can also bring negative consequences, visible through health-access inequalities, brain drain, and the exploitation West African countries.

A Manual To Improve The Health-Related Quality Of Life And Self-Efficacy For Older Adult Females Engaged In Physical Activity, Kimberly Berry

Graduate Theses

Health related quality of life and self-efficacy are two areas that decrease in older adulthood. Females experience numerous physical and mental changes through later adulthood and exercise can help ease this transition. This manual focuses on the positive effects of exercise on women's health related quality of life and self-efficacy. Older adult women can experience benefits from a regular exercise routine that incorporates cardio, strength training, flexibility and balance training.

Implications Of Rurality And Psychiatric Status For Diabetic Care Use Among Adults With Diabetes, Jean A. Talbot Phd, Erika C. Ziller Phd, Jennifer D. Lenardson Mhs, David Hartley Phd

Access / Insurance

This research examined patterns of diabetic preventive care use among adults with diabetes, to determine whether these patterns varied according to respondents’ rural/urban residence or psychiatric status (i.e., the presence/absence of a mental health diagnosis). Specifically, we considered whether rural people with diabetes are less likely than urban peers to use diabetic preventive services; whether having a mental health diagnosis affects preventive service use among diabetics; and, whether rural/ urban differences in service use vary depending on the presence or absence of a mental health diagnosis.

Motivational Interviewing At The Intersections Of Depression And Intimate Partner Violence Among African American Women, Stéphanie Wahab, Jammie Trimble, Angie Mejia, S. Renee Mitchell, Mary Jo Thomas, Vanessa Timmons, A. Star Waters, Dora Raymaker, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

This article focuses on design, training, and delivery of a culturally-tailored, multi-faceted intervention which used motivational interviewing (MI) and case management to reduce depression severity among African American survivors of intimate partner violence (IPV). We present the details of the intervention and discuss its implementation as a means of creating and providing culturally appropriate depression and violence services to African American women. We used a CBPR approach to develop and evaluate the multi-faceted intervention. As part of the evaluation, we collected process measures about the use of MI, assessed MI fidelity, and interviewed participants about their experiences with the program.

Employment And Economic Development In Southern Nevada, Jennifer Pharr, Courtney Coughenour, Shawn Gerstenberger

Nevada Journal of Public Health

Wealth influences a person’s health. People who are higher on the socioeconomic scale tend to have better health outcomes. To improve the health of a community, it is important to understand the employment opportunities of the people living in the community.

Southern Nevada’s economy was hit hard between 2008 and 2012. Unemployment rates in the region exceeded national and peer regions between during this time period. Construction; leisure and hospitality; trade, transportation and utilities; and professional and business service sectors experienced the greatest job loss during the recession. The Education and Health Services sectors did not experience a decrease in …

Building A Sustainable Community Through Public Engagement: A Study Of Southern Nevada, Jennifer Pharr, Courtney Coughenour, Shawn Gerstenberger

Nevada Journal of Public Health

This manuscript is the first of a series written for the Nevada Journal of Public Health. The series is result of research conducted for the Southern Nevada Strong, Sustainable Communities Grant. During Year One of the planning process, we created a Southern Nevada Existing Conditions Report. This report highlighted where the region stood on key metrics including: demographics and population projections, access to healthcare and health outcomes, healthy community, housing, environment, economy and education. For this special issue of the Nevada Journal of Public Health, the report was separated into seven articles related to each of these metrics. The articles …

The Unequal Burden Of Debt And Its Impact On Health, Elizabeth Sweet, Zachary Dubois

Office of Community Partnerships Posters

Average household debt in America has tripled in the past 30 years. Much of this burden is unequally borne by racial/ethnic minorities and those with lower incomes, who face discrimination in obtaining loans and must devote more household resources to paying off debts. Being indebted is a strong predictor of suicide, depression, and other adverse mental health outcomes. However, its impact on physical health is underexplored.

Pelaksanaan Program Children Educational Support Dalam Mengurangi Prevalensi Anak Jalanan Oleh Yayasan Indonesian Street Children Organisation (Isco) : Studi Deskriptif Di Sanggar (Isco) Kelurahan Kebun Melati, Tanah Abang, Wirda Amalia, Dwi Amalia Chandra Sekar

Jurnal Ilmu Kesejahteraan Sosial

This article discusses about the implementation of children educational support in reducing prevelance of street children by ISCO Foundation. Motivated by many poor children vulnerable to be street cause the difficulty of access to educational services. This research used a qualitative approach. Collecting data using observation and interview with 9 informant. The study results show that implementation of program has already ran fairly well characterized by reduced child beneficieris who took the streets due to provision of assistance in formal and non-formal education. This made the fulfillment of poor children needs to get an education from early age so the …

Strategi Strategi Penggalangan Dana Pada Organisasi Kemanusiaan Berbasis Agama : Studi Deskriptif Penggalangan Dana Di Dompet Dhuafa, Herlin Rahma Fauzia

Jurnal Ilmu Kesejahteraan Sosial

This study discuses about strategies of fundraising conducted by Yayasan Dompet Dhuafa with the supports and obstacles. This study used qualitative method and descriptive approach. The result of study show that Dompet Dhuafa have some strategies of fundraising. First, retail fundraising includes counter, Gerakan Donasi, Jemput Zakat and direct mail. Second is partnership with companies, another institutions and public

Evaluasi Program Wirausaha Pemula Di Kementrian Koperasi Dan Ukm Ri : Individualized Outcome Evaluation Terhadap Lima Peserta Program Wirausaha Pemula Di Dki Jakarta Tahun 2012, Andi Besse Ansar, Ety Rahayu

Jurnal Ilmu Kesejahteraan Sosial

The study discusses about individualized outcome evaluation of young entrepreneur program evaluation at ministry of cooperatives and small medium enterprises for five beneficiaries from Jakarta City in 2012. This research used a qualitative approach with evaluation research. While collecting data using in-depth interview with 7 informans which consist 5 beneficiaries program and 2 program staff. This result of study show that 4 beneficiaries has achieve an outcome program because of the trainee characteristics, training design, work environment, attitude and self concept and design entrepreneurship factors support and 1 beneficiaries has a barrier in work environment, attitude and self concept and …

Kajian Permasalahan Dan Potensi Perilaku Ibu Dalam Pemberian Makanan Bagi Anak Dalam Kaitannya Pada Kualitas Hidup Anak-Anak Yang Tidak Berkecukupan Gizi Di Keluarga Miskin Perkotaan, Getar Hati, Isbandi Rukminto Adi

Jurnal Ilmu Kesejahteraan Sosial

This article discusses about child welfare issues in a community related to mothers’ behavior child welfare issues of a community related to children of age 6-24 months with insufficient nutrition condition. It also describes about the factors which influenced to this condition that would be base of intervention design to solve the problems. This is an descriptive research. This research stated that parents, especially mother has the most important roles in determining their children’s life quality.