Open Access. Powered by Scholars. Published by Universities.®

Public Health Commons

Open Access. Powered by Scholars. Published by Universities.®

26,165 Full-Text Articles 49,206 Authors 7,924,754 Downloads 312 Institutions

All Articles in Public Health

Faceted Search

26,165 full-text articles. Page 1 of 993.

Rethinking Community Based Strategies To Tackle Health Inequities In South Asia, Zulfiqar Ahmed Bhutta, Abhay Bang, Kaosar Afsana, Bishal Gyawali, Mohammed Shafiq Mirzazada, Renuka Jayatissa 2019 The Aga Khan University

Rethinking Community Based Strategies To Tackle Health Inequities In South Asia, Zulfiqar Ahmed Bhutta, Abhay Bang, Kaosar Afsana, Bishal Gyawali, Mohammed Shafiq Mirzazada, Renuka Jayatissa

Department of Paediatrics and Child Health

No abstract provided.


Contraceptive Use Following Unintended Pregnancy Among Ugandan Women Living With Hiv, Jana Jarolimova, Jerome Kabakyenga, Kara Bennett, Winnie R. Muyindike, Annet Kembabazi, Jeffrey N. Martin, Peter W. Hunt, Yap Boum, Jessica E. Haberer, David Bangsberg, Angela Kaida, Lynn T. Matthews 2019 Massachusetts General Hospital

Contraceptive Use Following Unintended Pregnancy Among Ugandan Women Living With Hiv, Jana Jarolimova, Jerome Kabakyenga, Kara Bennett, Winnie R. Muyindike, Annet Kembabazi, Jeffrey N. Martin, Peter W. Hunt, Yap Boum, Jessica E. Haberer, David Bangsberg, Angela Kaida, Lynn T. Matthews

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background: Preventing unintended pregnancy is critical for women living with HIV (WLWH) to safely achieve their reproductive goals. Family planning services should support WLWH at risk of repeat unintended pregnancies. We examined the relationship between unintended pregnancy and subsequent contraception use among WLWH in Uganda.

Study design: This was a retrospective analysis of data from a longitudinal cohort of individuals initiating antiretroviral therapy (ART), restricted to women with pregnancy (confirmed via urine β-hcg testing) between 2011–2013. The exposure of interest was intended vs unintended pregnancy, and the outcome was self-report of modern contraceptive use (hormonal methods, intrauterine device, sterilization ...


Using Marginal Structural Models To Control For Time-Dependent Confounding And Detect Effect Modification In A Randomized Control Trial With A Time-Varying Exposure, Non-Adherence And Missing Data, Elizabeth A. Lancet 2019 CUNY School of Public Health

Using Marginal Structural Models To Control For Time-Dependent Confounding And Detect Effect Modification In A Randomized Control Trial With A Time-Varying Exposure, Non-Adherence And Missing Data, Elizabeth A. Lancet

Dissertations and Theses

Background: Unlike traditional regression used in the Intention to Treat (ITT) approach, Marginal Structural Models (MSM) can account for joint effects of baseline and subsequent treatments as well as the presence of time-dependent confounding influenced by prior treatment and selection bias due to censoring. In addition, MSMs have been theorized to be able to assist investigators in determining the overall benefit of a drug in the total population as they are able to provide a summary effect size across all strata of an effect modifier which cannot be done via tradition regression techniques. The overall goal of this dissertation is ...


Exploring The Main Effects Of Patient Activation And Provider Support For Patient Self-Management On Patient Portal Use, Linda Anne Greenspan 2019 CUNY Graduate School of Public Health and Health Policy

Exploring The Main Effects Of Patient Activation And Provider Support For Patient Self-Management On Patient Portal Use, Linda Anne Greenspan

Dissertations and Theses

Objectives:

This dissertation was designed to: (1) explore variations in clinicians’ views about patient self-management, (2) explore variation in patient activation and (3) explore variation in patients’ and their primary care physicians’ characteristics in the use of a patient portal and the main effects of patient activation and primary care physician support for patient self-management on portal use in an understudied closed multi-specialty ambulatory center. The main hypothesis is that primary care physician support for patient self-management will be an effect modifier on the association between patient activation and patient portal use.

Setting:

The New York Hotel Trades Council and ...


Missed Shots: Increasing Flu Vaccine Documentation Utilizing A Clinical Reminder In A Student Health Clinic, Noelle Simms 2019 University of San Diego

Missed Shots: Increasing Flu Vaccine Documentation Utilizing A Clinical Reminder In A Student Health Clinic, Noelle Simms

Doctor of Nursing Practice Final Manuscripts

Objectives: The primary purpose of this evidence-based practice project is to increase influenza vaccination documentation in the student health setting utilizing a standardized clinical reminder.

Participants: 1,337 undergraduate and graduate students at a private university is Southern California.

Methods: A clinical reminder template was created and added to the intake form in the electronic medical record. The medical assistants complete the template with the patient. The provider then orders the vaccine or educates the patient based on the documented refusal reason.

Results: During the 10-week implementation period there was a 46% increase from baseline in flu vaccine documentation at ...


Analysis Of A Universal Depression Screening Workflow At An Integrated Healthcare Center, Arthur Roehr 2019 University of San Diego

Analysis Of A Universal Depression Screening Workflow At An Integrated Healthcare Center, Arthur Roehr

Doctor of Nursing Practice Final Manuscripts

Purpose: Evaluation of an evidence-based protocol that measures the effectiveness of universal depression screening at an integrated healthcare center. At risk patients are those who complete a patient health questionnaire (phq-9) and score ≥ 10 when presenting for a primary care visit. A score of ≥ 10 prompts further evaluation by the primary care provider (PCP) prior to behavioral health care management (BHCM) referral.

Background: In 2016, 16.2 million adults aged 18 or older in the U.S. experienced a major depressive episode (MDE). 65.3% of those received some form of treatment from a healthcare professional (therapy and/or medication ...


Impact Of Disclosure Of Military Service History On Diagnosis Of Ptsd, Crystal Shelton 2019 University of Pennsylvania

Impact Of Disclosure Of Military Service History On Diagnosis Of Ptsd, Crystal Shelton

Doctorate in Social Work (DSW) Dissertations

Objective Variability in how clinicians diagnose PTSD has been studied across treatment settings. Research shows several factors impact diagnostic variability. The purpose of this study was to evaluate the extent to which disclosure of military service leads to an increase in diagnosis of PTSD when considering an otherwise vague symptom profile. We hypothesize veteran status will increase the likelihood of a PTSD diagnosis than status as a teacher. Methods Clinician were recruited online through professional message boards and listservs. Participants were randomly assigned a vignette (veteran or teacher status) and subsequently asked to make diagnostic judgments. Two vignettes, identical with ...


The Personal And Economic Impact Of Falls In Florida: Promoting Prevention, Laura C. Straut 2019 University of North Florida

The Personal And Economic Impact Of Falls In Florida: Promoting Prevention, Laura C. Straut

Florida Public Health Review

This paper describes the prevalence of falls in the United States, specifically in Florida, as well as the physical, financial, and emotional costs imposed on older Floridians after sustaining a fall. The accepted interventions for prevention are discussed with the goal of allowing health care providers to take a big-picture approach to addressing fall risk and to equip citizens to advocate for themselves to decrease their personal risk. Public Health can play a vital role in educating the public on potential risks and means to improve their health and safety in their home and community.


Plates And Dietary Advice: A Current Trend In Nutrition Education Messaging For The Public, Judy E. Perkin, Claudia Sealey-Potts, Rachel Hochwald 2019 University of North Florida

Plates And Dietary Advice: A Current Trend In Nutrition Education Messaging For The Public, Judy E. Perkin, Claudia Sealey-Potts, Rachel Hochwald

Florida Public Health Review

Numerous dietary advice plate icons are currently being promoted in the United States. These icons are based on scientific studies related to diet and the prevention or treatment of chronic diseases. Icons also have been targeted to specific populations related to age, ethnicity, eating preferences, and level of physical activity. Plate icons currently being advocated stress the importance of portion size and the desirability of fruit and vegetable consumption while giving other types of advice as well. The multiplicity of icons may enable more individually tailored dietary advice but may also be confusing for the public. This paper reviews 16 ...


Closing The Political Gap Between Public Health Ethics And Public Health Practice – A Commentary, Akiva Turner 2019 University of North Florida

Closing The Political Gap Between Public Health Ethics And Public Health Practice – A Commentary, Akiva Turner

Florida Public Health Review

Whereas public health practitioners and leaders regularly make decisions that require some degree of ethical consciousness, sometimes these decisions are guided or even heavily influenced by political ramifications rather than healthcare and public health ones. Some relatively recent decisions in Florida and at the national level involving public health authorities may have been made where politics won out over sound public health practice. Only a few studies exist regarding what public health employees consider to be ethical issues in practice and there are few formal bodies that guide ethical practice in public health. In this commentary I argue that attempts ...


Teaching Family Policy: Macro Societal Trends In Family Life, LeaAnne DeRigne 2019 University of North Florida

Teaching Family Policy: Macro Societal Trends In Family Life, Leaanne Derigne

Florida Public Health Review

Students in many different fields will inevitably work with families in their professional practices. Successful practice must incorporate an understanding of macro societal trends that impact family life. A course such as Family Policy will train clinical social workers, nurses, educators, public administrators, and many others to understand the larger social systems that may be causing problems for their clients and patients. It will also provide students with an understanding of the key policies that need to be reformed or passed in order to better support families. This article presents techniques for teaching a dynamic course on family policy including ...


Leadership Concepts In Poetry (And Some Prose), W Michael Reid 2019 University of North Florida

Leadership Concepts In Poetry (And Some Prose), W Michael Reid

Florida Public Health Review

The director of a public health leadership institute often spoke during the workshops and other meetings of the institute participants. He illustrated many leadership concepts in his remarks with verses from poems and selections of prose. Many of the participants in the institute found the passages illuminating or helpful in remembering the leadership content. After his retirement, the former director created a draft based on his presentations. This is an expanded version of that paper. It supplements the original pieces and contains discussions of the importance of the ideas in the selections. A number of the concepts are qualified with ...


Nurse Practitioners’ Attitudes And Knowledge About Influenza Immunization, Kim Curry, Christina Humphreys 2019 University of North Florida

Nurse Practitioners’ Attitudes And Knowledge About Influenza Immunization, Kim Curry, Christina Humphreys

Florida Public Health Review

Influenza remains a leading cause of death nationally and internationally. Annual influenza immunization for healthcare workers has been recommended since 1984. Despite this, many healthcare workers do not receive the immunization. Nurse practitioners (NPs) are key primary care providers in the U.S. healthcare system. The purpose of this study was to assess the knowledge and personal beliefs of NPs as a step toward understanding the reasons for the participation or non-participation in the influenza vaccine of this professional group. A quantitative cross-sectional survey of knowledge, attitudes, NP demographics, and patient factors was carried out. Most of the 174 participants ...


Lessons Learned: Methods Used To Recruit Rural Latinos For A Health Awareness Study, Alex Ortiz 2019 University of North Florida

Lessons Learned: Methods Used To Recruit Rural Latinos For A Health Awareness Study, Alex Ortiz

Florida Public Health Review

The growth of the nation’s Latino population in rural areas may provide challenges for investigators seeking to recruit a diverse participant pool for use in survey and focus group research. This paper presents a case study that describes the successful recruitment of rural Latinos as part of a multidisciplinary health awareness project that targeted adolescent Latinos, ages 11-15, and at least one parent or guardian. Logistical considerations when organizing a series of surveys and focus groups in rural areas are presented. Lessons learned from working with participants in the study are also included, such as providing child care services ...


The Multi-State Learning Collaborative Storyboards: Quality Improvement Lessons Learned From 162 Projects, Leslie M. Beitsch, Anooj Pattnaik, Kusuma Madamala 2019 University of North Florida

The Multi-State Learning Collaborative Storyboards: Quality Improvement Lessons Learned From 162 Projects, Leslie M. Beitsch, Anooj Pattnaik, Kusuma Madamala

Florida Public Health Review

The Multi-state Learning Collaborative (MLC) brought health departments in 16 states together with public health system partners to prepare for national voluntary accreditation and to implement quality-improvement (QI) practices. Data from each of the MLC participating states were collected through a comprehensive process over three years. An Excel database of several hundred pages was derived, categorized by individual target area, and organized into thematic domains for further study. Available data were culled and compiled for each MLC project and synthesized across MLC target areas. Two-hundred thirty-four health departments participated in 162 mini-collaboratives in nine of ten target areas. Public health ...


The Sunland Training Centers: Florida’S Institutes For Children With Intellectual Disabilities, Kim Curry 2019 University of North Florida

The Sunland Training Centers: Florida’S Institutes For Children With Intellectual Disabilities, Kim Curry

Florida Public Health Review

Developmental disabilities affect about one out of every six children in the United States. These conditions create significant financial and social costs to families and society. Specifically, questions have long arisen as to how best to manage the needs of persons with intellectual disabilities. Historically, the nomenclature used to address intellectual disabilities has evolved as has the philosophy of venues to provide optimal care and the development of specific skills for conducting this care. Considerable dissension still exists about the type and nature of institutional care for even the most profoundly disabled individuals. This paper reviews relevant history, including laws ...


Why I Am Optimistic About My Post Phd-Degree Life – A Commentary, Sophia L. Johnson 2019 University of North Florida

Why I Am Optimistic About My Post Phd-Degree Life – A Commentary, Sophia L. Johnson

Florida Public Health Review

Public health is an area where we will always need professionally-prepared people. Whereas some soon-to-be graduates are concerned about their future job prospects, others express optimism, undeterred by the economic downturn of the past five years and the funding challenges that currently burden higher education. Staying focused and finding the right niche may be the key to a successful future.


The Uncertain Future Of The Postgraduate-Degree Life – A Commentary, Cari L. Cuffney 2019 University of North Florida

The Uncertain Future Of The Postgraduate-Degree Life – A Commentary, Cari L. Cuffney

Florida Public Health Review

Public health is an area where we will always need professionally-prepared people, but despite desperate needs to replace persons in an aging public health workforce, some students are concerned that there might not be a quality job for them in the foreseeable future. Perhaps now more than ever public health professional programs and schools need to devote resources toward career counseling and job placement.


Why I Am Worried About My Post Phd-Degree Life – A Commentary, Jung-Im Shin 2019 University of North Florida

Why I Am Worried About My Post Phd-Degree Life – A Commentary, Jung-Im Shin

Florida Public Health Review

Public health is an area where we will always need professionally-prepared people, but despite desperate needs in higher education, some soon-to-graduate PhD students are concerned that there might not be a place for them. Furthermore, some are concerned about balancing school, work, and family life. Perhaps now more than ever public health professional programs and schools need to devote resources toward career counseling and job placement.


Why I Am Worried About My Post Mph-Degree Life – A Commentary, Marissa Berrier 2019 University of North Florida

Why I Am Worried About My Post Mph-Degree Life – A Commentary, Marissa Berrier

Florida Public Health Review

Public health is an area where we will always need professionally-prepared people, but despite the aging of the public health workforce, some soon-to-graduate MPH students are concerned that there might not be a place for them. Perhaps now more than ever public health professional programs and schools need to devote increased resources toward internships, skill development, and job placement.


Digital Commons powered by bepress