Medicine and Health Commons^™

Changes In The Perceptions Of The Neighborhood Environment And Physical Activity Patterns Among Mexican Americans On The Texas-Mexico Border, Natalia I Heredia, Soo Kyung Park, Minjae Lee, Lisa Mitchell-Bennett, Paul Yeh, Rose Gowen, Arturo Rodriguez, Miryoung Lee, Belinda M Reininger

Faculty, Staff and Student Publications

INTRODUCTION: Little research on the association of neighborhood environment with physical activity in resource-poor communities has been done. This study assessed changes in perceptions of the neighborhood environment and the association between those perceptions and physical activity in Mexican Americans on the Texas-Mexico border in an area where there would be community efforts to enhance pedestrian and cycling infrastructure and programming.

METHODS: We analyzed data from a population-based cohort of Mexican American individuals on the Texas-Mexico border. From 2008 to 2018, interviewer-administered questionnaires were used to collect perceptions of neighborhood environment and physical activity at baseline, 5- and 10-year follow-ups, …

Communities Disproportionately Affected By Carbon Monoxide Exposure After Winter Storm Uri, Elyse N Portillo, Casandra Quiñones, Zachary C Foughty, Ryan Ramphul, Asha T Morrow, Kathryn Fisher, Stephen A Harding, Elizabeth A Camp, Shubhada Hooli, Eric A Russell

Faculty, Staff and Students Publications

Extreme cold in February 2021 precipitated prolonged power failure in Texas. In Houston, many patients presented for carbon monoxide exposure from neighborhoods with lower per capita income, higher rates of limited English proficiency, and greater median Social Vulnerability Indices than Greater Houston. Weather-related disasters disproportionately affect socially vulnerable communities.

Leveraging The Science Of Early Life Predictability To Inform Policies Promoting Child Health, Laura M. Glynn, Sabrina R. Liu, Candice Taylor Lucas, Elysia Poggi Davis

Psychology Faculty Articles and Research

Addressing the tremendous burden of early-life adversity requires constructive dialogues between scientists and policy makers to improve population health. Whereas dialogues focused on several aspects of early-life adversity have been initiated, discussion of an underrecognized form of adversity that has been observed across multiple contexts and cultures is only now emerging. Here we provide evidence for “why unpredictability?”, including: 1. Evidence that exposures to unpredictability affect child neurodevelopment, with influences that persist into adulthood. 2. The existence of a translational non-human animal model of exposure to early life unpredictability that can be capitalized upon to causally probe neurobiological mechanisms. 3. …

The Role Of Health Campaigns In Stigma Toward Those With Anorexia Nervosa, Crystal L. Hoyt, Jeni L. Burnette, Anna Marston, Meghan Moore, Samara Rosen, Ilana Lavine

Jepson School of Leadership Studies articles, book chapters and other publications

Media health campaigns often seek to bring awareness to medical conditions and to eradicate or, at least, minimize stigma. However, these campaigns can result in unintended consequences. In the current work, we examined elements of anorexia nervosa messages. Specifically, we compare a more biofocused approach to one focused on treatment. In doing so, we build on mindset theory and suggest that a biofocused message sends more of a static and stable message (fixed mindset), whereas treatment-focused communications send an implicit message that anorexia can change (growth mindset). We investigate how these messages and mindsets relate to stigma. Across three studies, …

Recruitment And Retention Of Physician Assistants In Rural Medicine: A Novel Approach, Sean Grabbe

Theses and Graduate Projects

Improving the health of patients requires having access to well trained medical providers. This is one of the main goals of the physician assistant profession. For many years research has documented how to recruit and retain physician assistants in the rural areas of the United States. Although created to fill the gaps in primary care medicine physician assistants have moved as all of medicine has into specialization. This gap in primary care has not closed and is most significant in rural areas. This paper reviews the plethora of research and elaborates on the known and best methods for recruitment and …

How Has Telehealth Impacted Access To Mental Health Services In The Hispanic Population In Minnesota?, Jesse Ochoa

Theses and Graduate Projects

Background: The Hispanic population in the US continues to grow and mental health services still have barriers lowering access to care.

Purpose: The purpose of this literature review is to look at the stressors and perceptions of mental health in Hispanics and analyze how telehealth has impacted access to care despite the barriers present.

Methods: A comprehensive literature review was conducted using google scholar using the search terms With this search criteria, 600 articles were available. Inclusion criteria were studies that provided a comprehensive view about specific topics like telehealth with the hispanic population, mental health specific to Hispanic needs, …

Maternal Mortality In American Indian And Alaska Native Women: It Is Time To Prevent The Preventable, Brynn Cusack

Theses and Graduate Projects

Background: A concerning disparity exists between maternal mortality rates of American Indian and Alaska Native (AIAN) women and White women. Contributing factors include historical trauma, systemic inequities, inadequate funding, and deprioritization of the health of AIAN people.

Purpose: This literature review aims to address the research question: “Why were American Indian and Alaska Native women two times more likely to die of pregnancy-related causes than White women in the US during the period of 2017 through 2019?” The review explores historical context, current evidence, potential causes and interventions that can address AIAN maternal mortality.

Methods: A comprehensive literature review was …

Examining Adolescent Sexual Patterns In Creek Town, Nigeria: Insights From A Cross-Sectional Survey And Implications For Tailored Interventions, Rowland Edet, Kabiru K. Salami

Journal of Social, Behavioral, and Health Sciences

In the dynamic landscape of global health, the sexual behaviors of adolescents are of particular significance due to their profound implications for individual well-being and public health. This article focuses on Creek Town, a vibrant community in Nigeria, and aims to provide a nuanced exploration of the sexual behaviors of adolescents within the context of local culture and socio-economic factors. A cross-sectional survey design was employed, involving a multi-stage sampling approach with 422 participants. A comprehensive 112-item questionnaire captured various aspects of adolescent sexual behaviors. Additionally, four focus group discussions, including both in-school and out-of-school adolescents, provided qualitative insights. The …

The Bench To Community Initiative: Community-Based Participatory Research Model For Translating Research Discoveries Into Community Solutions, Jazma L. Tapia, Abigail Lopez, D. Bing Turner, Tonya Fairley, Tiah Tomlin-Harris, Maggie Hawkins, Pastor Rhonda Holbert, Lindsey S. Treviño, Dede K. Teteh-Brooks

Health Sciences and Kinesiology Faculty Articles

Methods: Community-based participatory research (CBPR) is an effective methodology for translating research findings from academia to community interventions. The Bench to Community Initiative (BCI), a CBPR program, builds on prior research to engage stakeholders across multiple disciplines with the goal of disseminating interventions to reduce breast cancer disparities and improve quality of life of Black communities.

The BCI program was established to understand sociocultural determinants of personal care product use, evaluate the biological impact of endocrine disrupting chemicals, and develop community interventions. The three pillars of the program include research, outreach and engagement as well as advocacy activities. The research …

Cooperative Extension’S Role In Addressing The Opioid Overdose Crisis: Best Practices From The Heart Initiative Model, Hailey Judd, Alise Williams Condie, Ashley C. Yaugher, Mateja R. Savoie-Roskos, Gabriela Murza, Timothy Keady, Sadie Wilde, Rachel Myrer, Maren Wright Voss

Journal of Extension

Cooperative Extension is in a unique position to address health and wellness concerns across the country, particularly in rural areas with local Extension services. One innovative model, the Health Extension: Advocacy, Research, and Teaching (HEART) Initiative, unites Extension, community organizations, and community members in collaborative activities to address the complex, multifaceted components of substance use disorder. The model utilized a multidisciplinary team and community-based participatory research (CBPR) approach with evidence-based practices to increase Extension’s abilities to guide and tailor programming to local needs and to create significant impacts. Cooperative Extension’s long history of engagement in the community, with state and …

Unveiling Emergency Psychiatric Healthcare Disparities: An Analysis Of U.S. Emergency Department Encounters., Anna Elizabeth Kelecy

Electronic Theses and Dissertations

This thesis seeks to uncover emergency psychiatric healthcare disparities by examining data of emergency departments from the National Hospital Ambulatory Medical Care Surveys, years 2020 and 2021. The two outcome variables are the length of stay in the emergency department and the urgency with which a patient should be seen. There are multiple independent variables that are analyzed, including age, residence, sex, race/ethnicity, pay type, region, and metropolitan statistical area status. The results indicate that there are disparities, especially in terms of race/ethnicity, region, and metropolitan statistical area status for each dependent variable. These findings indicate that there may be …

Determinan Perilaku Swamedikasi Penduduk Jawa Tengah, Agung Priyo Utomo, Inayati Syahida, Sarni Maniar Berliana, Omas Bulan Samosir, Sugiarto Sugiarto

Jurnal Ekonomi Kependudukan dan Keluarga

Self-medication has been practiced globally for thousands of years. As a part of primary healthcare services, self-medication forms the cornerstone of a sustainable healthcare system supporting universal health coverage, which is targeted in Sustainable Development Goal 3 (SDG 3), target 3.8. This study aims to provide an overview of self-medication behaviors and the factors influencing them among residents of Central Java Province. Using data from the 2021 National Socio-Economic Survey provided by the BPS-Statistics Indonesia, the sample size of this study includes 19,998 individuals, with 82.1% engaging in self-medication. The prevalence of self-medication is higher among males (84.0%) compared to …

Neighborhood Socioeconomic Context Predicts Pediatric Asthma Exacerbation, Ashley W. Kranjac, Zeev N. Kain, Louis Ehwerhemuepha, Michael Weiss, Brooke N. Jenkins

Sociology Faculty Articles and Research

Causes of asthma exacerbation in children have been studied extensively at the individual level, but contributions of neighborhood-level factors are less explored. We test which distinctive residential characteristics produce variation in uncontrolled asthma among pediatric patients. We extracted electronic medical record data from pediatric patients living in Southern California and used multilevel modeling techniques to isolate which neighborhood characteristics drive inequitable asthma control. Above and beyond the individual-level factors known to predict inadequate disease control, neighborhoods with greater concentration of non-Hispanic black residents (odds ratios [OR] = 1.02; 95% confidence interval [CI]: 0.99-1.03; P < .05), higher proportions of female-headed households (OR = 1.01; 95% CI: 0.99-1.01; P < .05), and higher levels of ambient air pollution (OR = 1.05; 95% CI: 1.01-1.10; P < .001) associate with greater odds of asthma exacerbation. The interplay between community characteristics and asthma management during childhood is complex, and place-based initiatives are needed to narrow the gap in asthma exacerbation.

The Impact Of Social-Structural Factors On The Health Of Migrating Older People In China : Testing The Buffering Effect Of Social Capital And Social Integration, Anqi Chen

Lingnan Theses (MPhil & PhD)

While older adult migration in China has received significant attention, the related health research and the pivotal role of social relations have been underexplored. This study, grounded in the theory of the relationship between social capital and health, as well as the social integration theory of migration, examines the associations between social relations and health inequalities under the social structure of Chinese society including socio-economic status, hukou and urban/rural residence.

Methodology: Using data from the China Health and Retirement Longitudinal Study (CHARLS) 2018 survey, three health outcomes are physical function, cognitive function, and mental health. The sample consists of 3,137 …

Evidence-Based Prostate Cancer Screening Interventions For Black Men: A Systematic Review, Abigail Lopez, Jared T. Bailey, Dorothy Galloway, Leanne Woods-Burnham, Susanne B. Montgomery, Rick Kittles, Dede K. Teteh-Brooks

Health Sciences and Kinesiology Faculty Articles

Abstract

Prostate cancer is the second leading cause of death for men in the U.S. and Black men are twice as likely to die from the disease. However, prostate cancer, if diagnosed at an earlier stage, is curable. The purpose of this review is to identify prostate cancer screening clinical trials that evaluate screening decision-making processes of Black men.

Methods

The databases PubMed, Ovid MEDLINE, CINAHL Plus, and PsychInfo were utilized to examine peer-reviewed publications between 2017 and 2023. Data extracted included implementation plans, outcome measures, intervention details, and results of the study. The Critical Appraisal Skills Programme was used …

Mental Health In Price: A Report On Community Perspectives, Kristen Koci, Jessica Ulrich-Schad

Publications

This report is from a research project conducted at the end 2022 that focuses on mental health in Price. Dr. Kristen Koci conducted interviews in Price to understand community members’ perspectives on and factors affecting mental health in the area. Community leaders from government and local organizations were interviewed along with general community residents, for a total of 27 interviews. The report that follows summarizes themes and perspectives gathered during these interviews.

Achieving Equitable Cardiovascular Care For All: Acc Board Of Trustees Health Equity Task Force Action Plan, Paul L Douglass, Dipti Itchhaporia, Biykem Bozkurt, Robert O Roswell, Akshay Khandelwal, Quinn Capers, Kathryn Berlacher, Modele O Ogunniyi, Alison L Bailey, Phillip D Levy, Aubrey J Grant, Jack Tocco, Angela Natcheva, Akua G Asare, Ami B Bhatt, Jennifer H Mieres, Maghee F Disch, Melvin R Echols

Faculty, Staff and Students Publications

Advancements in cardiovascular (CV) disease management are notable, yet health inequities prevail, associated with increased morbidity and mortality noted among non-Hispanic African Americans in the United States. The 2002 Institute of Medicine Report revealed ongoing racial and ethnic health care disparities, spearheading a deeper understanding of the social determinants of health and systemic racism to develop strategies for CV health equity (HE). This article outlines the strategic HE approach of the American College of Cardiology, comprising 6 strategic equity domains: workforce pathway inclusivity, health care, data, science, and tools; education and training; membership, partnership, and collaboration; advocacy and policy; and …

Investigating Risk Factors For Racial Disparity In E-Cigarette Use With Path Study, Amy Liu, Kennedy Dorsey, Almetra Granger, Ty Runet Bryant, Tung Sung Tseng, Michael Celestin, Qingzhao Yu

School of Public Health Faculty Publications

Background: Previous research has identified differences in e-cigarette use and socioeconomic factors between different racial groups However, there is little research examining specific risk factors contributing to the racial differences. Objective: This study sought to identify racial disparities in e-cigarette use and to determine risk factors that help explain these differences. Methods: We used Wave 5 (2018–2019) of the Adult Population Assessment of Tobacco and Health (PATH) Study. First, we conducted descriptive statistics of e-smoking across our risk factor variables. Next, we used multiple logistic regression to check the risk effects by adjusting all covariates. Finally, we conducted a mediation …

Gender-Targeted Substance Use Interventions For Young Cisgender Women And Transgender Women – A Scoping Review, Stephanie A. Nairn, Jason Phillips, Thomas Jones, Debbie Schmill

Faculty Scholarship and Creative Works

Polysubstance use among young people has recently become the focus of popular media, public health interventions, and research due to alarming increases in polysubstance use-related morbidity and mortality in younger age groups. Data in Canada and the U.S. indicates that morbidity and mortality due to polysubstance use among youth is increasing. Researchers have shown that adult-focused interventions for polysubstance use cannot simply be ‘mapped onto’ youth, as young people occupy lifeworlds distinct from those of older adults. Adult-focused interventions may be irrelevant and not efficacious for youth. Further, some researchers have argued there need to more gender-targeted interventions to attenuate …

Pediatric Obesity In The United States: Age–Period–Cohort Analysis, Ashley W. Kranjac, Dinko Kranjac, Roxanne I. Aguilera

Sociology Faculty Articles and Research

The rates of obesity among American children aged 2–5 years has reached a historic high. It is crucial to identify the putative sources of population-level increases in obesity prevalence among preschool-aged children because early childhood is a critical window for obesity prevention and thus reduction of future incidence. We used the National Health and Nutrition Examination Survey data and hierarchical age–period–cohort analysis to examine lifecycle (i.e., age), historical (i.e., period), and generational (i.e., cohort) distribution of age- and sex-specific body mass index z-scores (zBMI) among 2–5-year-olds in the U.S. from 1999 to 2018. Our current findings indicate that period effects, …