Community Health and Preventive Medicine Commons^™

Why Are There Delays In Seeking Treatment For Childhood Diarrhoea In India?, Nisha Malhotra

Nisha Malhotra

Abstract Aim To examine the barriers and facilitating factors for seeking treatment for childhood diarrhoea and to determine the main causes for delay in seeking treatment.

Methods Data from Indian Demographic and Health survey 2005–06 (NFHS-III) was used. Mothers were asked if their children (<5-years) had suffered from diarrhoea during the two weeks preceding the survey. Data were collected on the time of seeking treatment after start of the illness, and days waited to seek treatment after the diarrhoea started. Multivariate logistic regression analysis was performed to find the determinants of seeking treatment at the health facility and the factors responsible for the “delay” in seeking advice/treatment.

Results Out of a sample of 41,287 children, 3890 (9.4%) reportedly had diarrhoea. Sixty percent of children with diarrhoea were taken to a health facility. Mother's education till higher secondary and above (OR 1.65; 95% CI, 1.08 – 2.54), richest (OR 1.76; 95% CI, 1.24 – 2.48) wealth index, mother's lack of knowledge of oral …

Prenatal Oral Health Education In U.S. Obstetrics And Gynecology Residencies And Dental Schools: Results Of A National Survey, Megan Weeks, Judith A. Savageau, Hugh Silk

Judith A. Savageau

Background: Pregnant women represent a special population within oral health care. Adverse pregnancy outcomes and increased infant caries can occur when prenatal oral disease is not addressed. Currently, medical and dental clinicians are not meeting the oral health needs of pregnant patients.

Objective: Medical and dental providers are not addressing prenatal oral health (POH) with patients despite knowledge of the risks. The objective of this study was to determine how training in dental schools and OB/Gyn residencies may contribute to this paradox.

Methods: We conducted a national survey of 60 dental school deans and 240 obstetrics and gynecology residency program …

Examining Universal Primary Healthcare Through Community-Based Initiatives, Donald E. Warden

Oglethorpe Journal of Undergraduate Research

This paper examines enacting community-based primary healthcare programs and initiatives. It looks at the weaknesses of past attempts, the successes of current attempts, and gives insight into ways everyday citizens can change the way the world does healthcare. There are social, economic, and political barriers as to why these programs are not enacted. Since 1978, Member states of the United Nations strive towards healthcare for all. The original 1978 Declaration of Alma-Ata sets the bar at achieving this goal by the year 2000. Now in the 21^st century, the world still battles inadequate healthcare. Nations continue to strive towards …

Expanding Access To Malaria Diagnosis Through Retail Shops In Western Kenya: What Do Shop Workers Think?, Andria Rusk, Catherine Goodman, Violet Naanyu, Beatrice Koech, Andrew Obala, Wendy Prudhomme O'Meara

Collected Faculty and Staff Scholarship

Background. The common symptoms of malaria reduce the specificity of clinical diagnosis. Presumptive treatment is conventional but can lead to overdiagnosis of malaria, delay of appropriate treatment, overprescription of antimalarials, and drug resistance. Routine use of diagnostic tests can address many of these concerns. Though treatment is often procured from retailers, there is low availability of rapid diagnostic tests for malaria (MRDTs), a simple, inexpensive, and accurate diagnostic solution. We know little about the challenges to expanding access to diagnostics through these outlets. Methods. To understand the perceptions of the benefits and challenges to selling rapid diagnostic tests for malaria, …

Using An Evidence Based Practice Informatics Guided Medication Safety Intervention To Improve Medication Safety Among Community Dwelling Older Adults, Raeann Leblanc

Raeann G LeBlanc

Medication safety and prevention of medication related problems are important issues in promoting and maintaining health and safety in one’s home for community dwelling older adults. Assessment of medications and management of a medication schedule are essential elements of medication safety, medication review, and medication care coordination. The Framework for Geriatric Homecare Excellence (Collaboration for Home Care Advances and Practices, 2009) is used as the foundation of this project to improve medication management, and promote and maintain health and safety at home. An in-home medication assessment was completed, using a medication management software informatics system to review medications, identify medication …

Decline In Health For Older Adults: Five-Year Change In 13 Key Measures Of Standardized Health, Paula Diehr, Stephen Thielke, Anne Newman

Paula Diehr

BACKGROUND: The health of older adults declines over time, but there are many ways of measuring health. It is unclear whether all health measures decline at the same rate or whether some aspects of health are less sensitive to aging than others. METHODS: We compared the decline in 13 measures of physical, mental, and functional health from the Cardiovascular Health Study: hospitalization, bed days, cognition, extremity strength, feelings about life as a whole, satisfaction with the purpose of life, self-rated health, depression, digit symbol substitution test, grip strength, activities of daily living, instrumental activities of daily living, and gait speed. …

Primary Care Clinicians’ Recognition And Management Of Depression: A Model Of Depression Care In Real-World Primary Care Practice, Seong-Yi Baik, Benjamin F. Crabtree, Junius Gonzales

Publications from Provost Junius J. Gonzales

BACKGROUND

Depression is prevalent in primary care (PC) practices and poses a considerable public health burden in the United States. Despite nearly four decades of efforts to improve depression care quality in PC practices, a gap remains between desired treatment outcomes and the reality of how depression care is delivered.

OBJECTIVE

This article presents a real-world PC practice model of depression care, elucidating the processes and their influencing conditions.

DESIGN

Grounded theory methodology was used for the data collection and analysis to develop a depression care model. Data were collected from 70 individual interviews (60 to 70 min each), three …

A Tale Of Two Health Sciences Libraries Working To Improve Health Literacy, Margot G. Malachowski Mls, Kate Saylor Msi

All Scholarly Works

Our presentation demonstrates two health sciences libraries performing outreach in public libraries to achieve these community goals: increased awareness of high-quality online resources for health information; improved confidence in finding and evaluating good health information; and increased knowledge of the resources and benefits to be gained from partnering with a health sciences library.

A Tale Of Two Health Sciences Libraries Working To Improve Health Literacy [Poster], Margot G. Malachowski Mls, Kate Saylor Msi

Margot G Malachowski, MLS, AHIP

Shots For Tots?, Eric A. Feldman

All Faculty Scholarship

By endorsing the use of a vaccine that makes the experience of puffing on a cigarette deeply distasteful, Lieber and Millum have taken the first few tentative steps into a future filled with medical interventions that manipulate individual preferences. It is tempting to embrace the careful arguments of “Preventing Sin” and celebrate the possibility that the profound individual and social costs of smoking will finally be tamed. Yet there is something unsettling about the possibility that parental discretion may be on the cusp of a radical expansion, one that involves a new and unexplored approach to behavior modification.

Use Of Social Media In Adolescent Obesity Intervention, Helen Hansen

Doctor of Psychology (PsyD)

Childhood and adolescent obesity strongly predicts adult obesity (Spruijt-Metz, 2011) and literature highlights the transitional period into college as a “high risk weight gain period” (Holm-Denoma, Joiner, Vohs, & Heatherton, 2008). Obesity is associated with poor physical outcomes (Freedman, Dietz, Srinivasan, & Berenson, 1999; Katz & D’Ambrosio, 2010) and psychological conditions are found in 34% of children and adolescents with an obesity-related condition, in comparison to 20% of the children in the general population (Wang & Beydoun, 2007). In the context of obesity programs, growing evidence supports the efficacy of increasing physical activity without calorie restriction to decrease body fat …

Knowledge, Attitudes, Behaviors, And Beliefs About Chronic Kidney Disease In Indiana’S Minority Communities: A Community-Based Survey, Priscilla T. Ryder, Kelsey Coy, Anita Ohmit, Chandana Saha

Scholarship and Professional Work – COPHS

The purpose of this report is to detail the findings of the study ‘Knowledge, Attitudes, Behaviors, And Beliefs about Chronic Kidney Disease in Indiana Minority Communities,’ undertaken as a collaboration between Indiana Minority Health Coalition, Inc. (IMHC) and the Butler University College of Pharmacy and Health Sciences (BUCOPHS). The purpose of the study was to understand knowledge of and beliefs about Chronic Kidney Disease (CKD) among racial/ethnic minorities in Indiana, to learn how these populations would like to receive information about CKD, to understand the factors associated with higher levels of CKD awareness, to estimate the proportion of people with …

Chhs May/June 2013 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, College Of Health & Human Services, Western Kentucky University

College of Health & Human Services Publications

No abstract provided.

The U.S. Healthcare System: The Political And Personal Perspective, Sofia Gabirelle Seckler

Honors Capstone Projects - All

A large proportion of American adults lack health insurance, due to job loss and a wide variety of other issues. With the passage of the Affordable Care Act (ACA), and the Supreme Court decision affirming its constitutional legality, the availability of healthcare is set to increase in the near future. This honors thesis addresses the fit, or lack of fit, between the ACA provisions and the needs of the currently uninsured. My study involved ten interviews with patients at a free clinic for the uninsured in Syracuse, NY, and an interview with the Commissioner of Health from Onondaga County. For …

Rural Vets: Their Barriers, Problems, Needs, John A. Gale Ms, Hilda R. Heady

Access / Insurance

Evolving population trends--the aging of rural veterans, the growing number of female veterans and rates of homelessness among veterans--place significant demands on VA and rural delivery systems. Coordination among health care providers is essential to increasing the availability of services and expanding veteran outreach programs.

Adults' Alcohol Consumption Behaviour And Support For Restrictions On Youth-Oriented Alcohol Advertisements, Sandina Begic, Elsa K. M. Howard, Theodore W. Mcdonald

Public Health and Population Science Faculty Publications and Presentations

Research suggests that underage drinking is a serious problem in the United States, and that many of the factors that influence minors to consume alcohol are environmental in their nature. One such factor is youth-oriented alcohol advertisements. Although many adults support restrictions on such advertisements, others do not or do so to a lesser degree. In this study, we explored one factor that may influence how strongly adults support restrictions on youth-oriented alcohol advertisements: The frequency with which adults themselves report consuming alcoholic beverages. A total of 767 adult Idahoans completed a survey asking about a variety of perceptions related …

Humanitarian And Civic Assistance Health Care Training And Cultural Awareness Promoting Health Care Pluralism, Rose E. Facchini

Faculty and Staff - Articles & Papers

Integration between traditional and contemporary health care in a host nation can be beneficial to nation- and capacity-building and, subsequently, to the overall health of the society. Traditional health care in this sense refers to the indigenous health care system in the host nation, which includes characteristic religious or cultural practices, whereas contemporary health care is also known as conventional or Westernized; integration is a synchronization of these two health care forms. However, the choice of integration depends on the political and cultural situation of the nation in which the Department of Defense health care personnel are intervening. Thus, cultural …

Preventing Skin Cancer In Adolescent Girls Through Intervention With Their Mothers, Mary K. Baker

Electronic Theses and Dissertations

Indoor tanning (IT) before the age of 35 increases one’s risk for melanoma by 75%, and epidemiological data show a 6.1% annual increase in the incidence of melanomas in white women younger than age 44 in the US. Population-based studies reveal that 15% of adolescents and 8% to 14% of their primary caregivers have engaged in IT in the past year.

The compelling case for IT being a significant risk factor for melanoma, together with the high rates of IT in teen girls and their mothers, provided a strong rationale for conducting an antitanning intervention directed at mother-daughter dyads. This …

The Relationship Between Snacking Habits And Impulsivity Levels In Adolescents, Bayley E. Clarke

Scripps Senior Theses

Adolescent obesity is an important public health issue, and one important factor that contributes to the problem is overeating, eating more than required for homeostasis. Appetitive behaviors such as overeating may in part be the result of poor control of impulsive behavior. This study investigated the relationship between impulsivity factors and snacking habits. The Youth/Adolescent Food Frequency Questionnaire (YAQ) and the Barratt Impulsivity Scale (BIS) were completed by 198 Southern California high school students (56% female; age M=15.8, SD=0.9). Four subscales were calculated from responses on the YAQ and included the frequency of consuming sweetened drinks, sweet snacks, salty snacks, …

Increasing Health Care Costs And Its Adverse Impact On Healthcare, Waris Qidwai

Department of Emergency Medicine

No abstract provided.