Public Health Education and Promotion Commons^™

The Impact Of Telephonic Health Coaching On Physical Activity, Healthy Eating, And Cholesterol Levels, Jill Marie Hansen

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to understand the role of telephonic health coaching in reducing the risk behaviors of physical inactivity and imprudent dietary behaviors and improving cholesterol levels from Year 1 to Year 2. Data related to 45,410 employees was drawn from seven employer groups from January 1, 2009 to December 12, 2012. Descriptive statistics, independent sample t-tests, one sample t-tests, and Pearson's product-moment correlational analyses were used to describe the employees in data set and test the hypotheses of this study. Health coaching participants were significantly more likely to be females than males. Participants in health coaching …

Adherence To Physical Activity Among Individuals With Or Without Cardiovascular Disease, Zyad T. Saleh

Theses and Dissertations--Nursing

Cardiovascular disease (CVD) is a major public health problem and a primary cause of morbidity and mortality in the United States. Regular physical activity is recommended for prevention and management of CVD. Despite the cardiovascular health benefits of physical activity most adults are physically inactive. Therefore, the aim of this dissertation was to examine the factors associated with adherence to physical activity among individuals with or without CVD.

The first paper is a report of a study conducted to examine which baseline demographic (age, gender, marital status, socioeconomic status, and place of residency), psychosocial (social support, depression, anxiety, and fatalism), …

Physical Activity Surveillance And Emerging Technologies, J. Aaron Hipp

Brown School Faculty Publications

No abstract provided.

Kalkidan ('Promise'): Addressing Marital Transmission Of Hiv In Ethiopia, Banchiamlack Dessalegn, Annabel Erulkar

Poverty, Gender, and Youth

This program brief describes a Population Council initiative in three low-income areas of Ethiopia. Kalkidan (Amharic for “Promise”) is a three-year program designed to increase discussion and information-sharing on HIV and related topics between marital partners; to promote HIV prevention and health service utilization within marriage, including prevention of mother-to-child transmission (PMTCT) of HIV; and to build husbands’ support of their wives, as well as investment in their health and that of their children. Kalkidan recruits and trains community-based mentors to lead parallel discussion groups of husbands and wives, who periodically come together for joint sessions. The Population Council is …

Urban Adventure Racing: Using Grounded Theory To Assess Motives, Eddie Hill, Edwin Gómez, Brandi Brinkley, Marni Goldenberg

Human Movement Studies & Special Education Faculty Publications

Although urban adventure races (ARs) have grown in popularity, little research exists on the reasons for the rising interest. Typically, adventure races are defined as a series of outdoor tasks completed within a given course or timeframe that are meant to challenge individuals, both mentally and physically. ARs borrow much from adventure programming. Aspects of AR programming may include goal-setting, problem-solving activities, and processing, and is often theoretically driven. This study used Grounded Theory as a basis for exploring why participants choose ARs, and if motives vary by gender. Of the 60 questionnaires collected, 40 were suitable for data analysis. …

Examining The Relationships Between Religiosity, Spirituality, Internalized Homonegativity, And Sexual Risk Behaviors Among African-American Men Who Have Sex With Men: The Sexual Health In Faith Traditions (Shift) Study, Stacy Whichard Smallwood

Theses and Dissertations

Background: African-American men who have sex with men (AAMSM) are at disproportionate risk for HIV infection. Although the disparities in infection rates between AAMSM and MSM of other groups have been well-documented, little is known about the factors that contribute to the disparity, particularly psychosocial factors. One such factor, internalized homonegativity (IH), has been identified as a potential predictor of AAMSM engagement in risky sexual behaviors. However, little has been known about the ways in which IH manifests itself in the lives of AAMSM, or the role that sociocultural institutions, such as African-American faith communities, play in the development of …

Understanding The Early Stages Of Development Of A Global Health Partnership, Wendy Raquel Gonzalez Navarrete

Theses and Dissertations

Maternal and child undernutrition contributes to more than one-third of child deaths. Global Health Partnerships (GHP) have emerged as a response to undernutrition and other pressing health problems. GHPs promote joint decision-making among donors, multilateral agencies, and country partners. Despite their positive impact on health problems, GHPs have generated unintended negative effects on country partners. This study aimed to understand the factors, strategies, and processes conducive to the establishment of an effective GHP in the context of a cooperative regional effort to reduce undernutrition and improve maternal and child health in eight countries in Latin America, Regional Health Initiative (RHI). …

Knowledge, Perceptions, Discrimination, Health Self-Efficacy, And Risky Behaviors For Hiv/Aids And Its Association With Migration Time Among Mixtec And Zapotec Men Who Migrate, 2012, Sandra Iveth Bejarano

Open Access Theses & Dissertations

BACKGROUND AND SIGNIFICANCE: Historically, there has been a transnational migration flow from Mexico to the United States. There are many reasons for which people make the decision to migrate; the most common ones are unemployment and economic hardship. Currently, Oaxaca is considered one of the states with the highest poverty levels in Mexico. As a result of extreme poverty groups of indigenous people, such as Zapotec and Mixtec, are forced to migrate out of their communities in order to find jobs. Migration has been associated with various health outcomes, including diabetes, high blood pressure, and heart disease as well as …

The Mediating Role Of Dietary Patterns On The Relation Between Acculturation, Psychosocial Factors, And Cardiovascular Disease Risk Factors In The U.S. - Mexico Border, Ximena Burgos

Open Access Theses & Dissertations

Chronic diseases affect both, developed and developing countries around the world. In the U.S., cardiovascular diseases (CVD) are the leading cause of death for all groups including Hispanics (Heron, 2009). Hispanics are disproportionally affected by CVD and experience risk factors at higher rates than non-Hispanic whites (Swenson, 2002). Although CVD are among the most expensive and widespread health problems, they are among the most preventable. Evidence shows that diet plays a very important role in the development of chronic diseases; current dietary changes are partially responsible for the increasing epidemic of chronic diseases worldwide. It is well established that the …

The Association Of Vitamin D Status With Allergy And Asthma In Children: Findings From The National Health And Nutrition Examination Survey (Nhanes) 2005-2006, Silvia Flores

Open Access Theses & Dissertations

About 23 million people, including almost 10 million children, have asthma in the United States. Asthma prevalence is higher among families with lower incomes living at the US/ Mexico Border and represents the most common serious chronic diseases of childhood. It is the third-ranking cause of hospitalization among children under 15, (De Frances, 2007) as well as the cause of seven million physician visits and nearly 200,000 hospitalizations every year. An average of one out of every ten school-aged children has asthma and, 13 million school days are missed each year due to asthma symptoms (Akinbami, 2006). According to the …

Potential For Sylvatic Mammals And Stray Canines In Transmission Of Leishmaniasis And Trypanosoma Cruzi In Paso Del Norte Border Area, Jacqueline Alyssa Mariscal

Open Access Theses & Dissertations

Potential for sylvatic mammals and stray canines in transmission of leishmaniasis and Trypanosoma cruzi in Paso del Norte Border Area

Background. New World leishmaniasis is a zoonotic protozoal disease caused by various species of the genus Leishmania1. A number of mammalian species have been described as hosts for Leishmania2. Some of them also are considered to play important roles as disease reservoirs. Chagas' disease, also known as American trypanosomiasis, is a potentially life-threatening illness caused by the protozoan parasite, Trypanosoma cruzi, (T. cruzi)3. It is well recognized that T. cruzi is endemic in the United States, as evidenced by infections …

The Role Of A Culturally Appropriate Lifestyle Intervention On Cardiovascular Disease Risk In Hispanic Adults From El Paso, Texas, Julio Ramirez

Open Access Theses & Dissertations

Cardiovascular disease (CVD) has become a worldwide epidemic in the last decade and is the leading cause of death in the U.S. population, including Hispanics. The objective of this study was to conduct secondary data analyses to assess the impact of a lifestyle intervention on clinical and behavioral measures of Hispanic participants. A 16-week culturally appropriate lifestyle intervention was part of the Health Education and Assessment Research Team - H.E.A.R.T. Project, a community-based participatory research that is framed around the socio-ecological approach and employs Community Health Workers (CHW) to address cardiovascular disease risk factors among Hispanics living in El Paso, …

Determinants Of Condom Use And Hiv Prevention Among East-African Immigrants In Minnesota, Mahamud Ahmed

Open Access Theses & Dissertations

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Factors Associated With Consistent Condom Use Among Mixtec And Zapotec Men Who Migrate, Aldo Carrasco

Open Access Theses & Dissertations

Migration has been associated with higher incidence and prevalence of illness among those who migrate when compared to the general population. One of the main concerns when referring to illness among migrant populations is HIV and other STDs. Due to several factors that present to migrant populations they have been found at higher risk for contracting these diseases. Lack of condom use has been found to be a risk factor amongst migrant populations. This study is a secondary data analysis of a previous study performed in California, Chihuahua, and Oaxaca, with Mixtec and Zapotec migrant populations. The purpose of this …

Functional Data Analysis To Guide A Conditional Likelihood Regression In A Case-Crossover Study Investigating Whether Social Characteristics Modify The Health Effects Of Air Pollution, Juana Maribel Herrera Hernandez

Open Access Theses & Dissertations

In this study we are focused on exploring whether social characteristics modify the relationship between air pollution and hospitalizations due to asthma or chronic pulmonary obstructive disease (COPD) in El Paso, Tx. The case-crossover design with conditional regression analysis was used, here the controls and the case are the same subject at different

times and has the advantage of removing confounding by permanently confounding factors. Social characteristics are included in the models as interactions with the pollutants, variables included are age, sex, ethnicity and insurance status as indicator for the socio-economic status. The pollutant's lags were chosen using the historical …

Life And Health Outside Prison, Tiffany Amorette Young

Open Access Theses & Dissertations

This qualitative study explores the subjective understandings of formerly incarcerated individuals' experiences of health and healthcare prior to, during, and post release. The study incorporates in depth ethnographic interviews, participant observation, and life charting to formulate a holistic understanding of how incarceration has impacted the health and lives of the participants recruited for this study. All participants were incarcerated for a minimum of one year in the U.S. prison system. This interdisciplinary study contributes to the fields of sociology, criminology, and public health, and builds on the literature of race, health, and corrections in the United States.

Using A Community-Based Participatory Research Approach To Address Individual And Community Health In Charleston, Ms. The Initial Step: A Formative Needs Assessment, Catherine Dane Woodyard

Electronic Theses and Dissertations

The purpose of this formative study was to use a Community-Based Participatory Research (CBPR) approach to conduct a comprehensive health needs assessment (CHNA) in Charleston, Mississippi (MS) to determine perceived needs of the community and identify priority health issues. A second purpose was to provide methodological and scholarly contributions to the existing literature regarding CBPR and CHNAs. The target population was residents living in Charleston, MS (N=2,193). Eighty-five residents participated in the study. This was a five-part study including: (1) Key informant interviews (n=11), (2) Focus groups (n=8), (3) Assessment of the built environment, (4) Assessment of the nutrition environment, …

Actual And Perceived Sexual Behaviors In College Students, Tabitha Denise Flowers

Electronic Theses and Dissertations

The purpose of this study was to compare college students' actual sexual behaviors and their perceptions of sexual behaviors among their peers. The analyses consisted of 65,036 participant's ages 18 to 24, with a mean age of 20.20 years (sdâ±1.55) who completed the American college health association's national college health assessment in 2008. The dependent variables were the normative gap of: number of partners, sexual activity, and condom usage. Three one-way anovas with bonferroni post hoc analyses were used to determine differences between the dependent variables and the following independent variables: age, sexual orientation, and living arrangement. Anovas were used …

The Relationship Between Bullying And Weight Management Behaviors In High School Aged Youth, Lindsey Simpson-Pedigo

Open Access Theses

Purpose: Examined whether high-school students' body mass index (BMI) classification was related to being bullied, and whether being bullied mediates the student's likelihood of practicing unhealthy weight management and weight loss behaviors.

Methods: This study was a secondary data analysis of cross-sectional data obtained by the Youth Risk Behavior Surveillance System (YRBSS) 2011. Mediation analyses were used to assess relationships between weight status, being bullied and use of unhealthy weight management and weight loss behaviors.

Results: The sample consisted of 15,425 high-school students in the United States drawn from a nationally representative survey. In this sample, 15.8% were overweight and …

Perception And Attitude About Breast And Cervical Cancer Screening Among Muslim Women In A Midwest University Campus, Tahira Yeasmeen

Open Access Theses

Early detection of breast and cervical cancer through mammograms and Pap smears can improve survival rates. Muslim women in the United States are faced with traditional beliefs and diverse socioeconomic and cultural backgrounds that may affect their knowledge and perceptions about these cancer screening practices. The objective of this study is to determine the overall health status and participation rates, knowledge, and perceptions about, and barriers to, breast and cervical cancer screening among a controlled population of Muslim women. Data were collected from Muslim women residing at or near Purdue University and the Greater Lafayette area via an online questionnaire …