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Full-Text Articles in Social and Behavioral Sciences

Ua12/2/1 Fresh Start, Vol. 97, No. 1, Wku Student Affairs Aug 2021

Ua12/2/1 Fresh Start, Vol. 97, No. 1, Wku Student Affairs

WKU Administration Documents

College Heights Herald magazine regarding returning to WKU in person after COVID-19 lockdown.

  • Stone, Damon. Fresh Faces, Familiar Traditions Come to Campus with Incoming Class – Class of 2025
  • Jones, Jake. WKU Commons Sees Delays, Expected to be Completed In the Fall – University Libraries
  • Murray, Debra. Living Learning Communities Bring a New Sense of Home to WKU
  • Murray, Debra. What You Missed on the Hill This Summer – Garrett Conference Center, First Year Village, Munday Hall, COVID-19, Retirement
  • Fisher, Brittany. Reclaiming the Hill – MASTER Plan
  • Burris, Lily. Dear Readers
  • Stryker, Shane. The Usual Take on My Unusual College …


The Moderating Role Of Social Support In Stigma And Symptoms Of Anxiety And Depression, Taylor Phillips Aug 2021

The Moderating Role Of Social Support In Stigma And Symptoms Of Anxiety And Depression, Taylor Phillips

Undergraduate Honors Theses

In this study, we examine the relationship between having a support system and the stigma individuals face with depression and anxiety symptoms. The aim of this study was to examine if having a support system acts as a buffer between perceived stigma and mental health symptoms. For this study, I conducted an online survey to measure symptoms of depression and anxiety, experiences with both perceived and internalized stigma, and social support. While 93 total participants engaged in the survey, only 52 fully completed the survey and passed two attention-check questions to ensure no invalid participation (e.g., BOTS) were present. In …


Hubungan Antara Iklim Keselamatan Dengan Perilaku Keselamatan Pada Pekerja Proyek Pln Pusmapro Pst Jateng I, Charisha Kumala, Doni Hikmat Hikmat Ramdhan Aug 2021

Hubungan Antara Iklim Keselamatan Dengan Perilaku Keselamatan Pada Pekerja Proyek Pln Pusmapro Pst Jateng I, Charisha Kumala, Doni Hikmat Hikmat Ramdhan

National Journal of Occupational Health and Safety

A safety management system is crucial for the construction industry to effectively manage on-site safety, and its sustainability can be evaluated by analyzing the relationship between safety climate and safety behavior without waiting for accidents to occur. This study aimed to analyze this relationship among 120 workers at the PLN PUSMANPRO PST JATENG I electrical construction project. Using a cross-sectional design, primary data were collected through a Likert scale questionnaire adapted from previous validated studies. The results revealed that the safety climate was predominantly rated as low, and bivariate analysis indicated a positive and moderately strong correlation (P value = …


Exploration Of Patient Variables And Characteristics Best Suited For Medical Marijuana Treatment For Anxiety And Depressive Disorders, Corey Gazoo Aug 2021

Exploration Of Patient Variables And Characteristics Best Suited For Medical Marijuana Treatment For Anxiety And Depressive Disorders, Corey Gazoo

Dissertations

Individuals with posttraumatic stress, anxiety and depressive disorders are currently being prescribed medical marijuana as a treatment in many states across the United States. However, marijuana is still considered a schedule one narcotic by the Drug Enforcement Administration and federal government, which provides several barriers and challenges to conduct research such as approval from the U.S. Food and Drug Administration and following guidelines from the National Institute on Drug Abuse issued by the DEA. Additionally, individuals prescribed medical marijuana for mental health disorders are not always thoroughly instructed on the type of medical marijuana, the dosage, and how frequently to …


Evaluating A Community-Based Breastfeeding Support Organization In Nebraska, Katelyn Elaine Goodroe Aug 2021

Evaluating A Community-Based Breastfeeding Support Organization In Nebraska, Katelyn Elaine Goodroe

Capstone Experience

Specific Aims: The aims of this evaluation plan are to investigate the role of the Nebraska nonprofit organization, MilkWorks, in promoting breastfeeding and family support programming and to identify future internal and external growth opportunities through an assessment of the organizational practices using stakeholder perspectives and marketing structure to better promote infant and parental health.

Significance: As a best practice, evaluation of MilkWorks is critical to providing proper services for promoting infant development and parental health in urban and rural Nebraska communities.

Background: MilkWorks was founded in Lincoln, Nebraska, by mothers with the intention of promoting breastfeeding by offering support …


“I Don’T Want The Next Generation Of Children To Be In Pain Like Me”: The Chab Dai Ten-Year Butterfly Longitudinal Research Project On Sex Trafficking Survivors In Cambodia, Glenn M. Miles, James Havey, Siobhan Miles, Eliza Piano, Lim Vanntheary, Nhanh Channtha, Sreang Phaly, Ou Sopheara Aug 2021

“I Don’T Want The Next Generation Of Children To Be In Pain Like Me”: The Chab Dai Ten-Year Butterfly Longitudinal Research Project On Sex Trafficking Survivors In Cambodia, Glenn M. Miles, James Havey, Siobhan Miles, Eliza Piano, Lim Vanntheary, Nhanh Channtha, Sreang Phaly, Ou Sopheara

Dignity: A Journal of Analysis of Exploitation and Violence

The Butterfly Longitudinal Research Project started in 2010 and is the only research project of its kind listening to sex trafficking victims over ten years. The project was started in Cambodia by Chab Dai (translated “Hands Together”), a coalition of Non-Government Organisations since 2006 who have focused on human trafficking. The project was founded with the express purpose of listening to the survivors’ voices and recording their experiences in order to better understand their physical, emotional and spiritual needs during their initial recovery in shelters and reintegration back into their communities. The team of researchers and the participants, all of …


"Going It Alone": Following The Male Cohort Of Survivors Of Sex Trafficking Of The Chab Dai Butterfly Longitudinal Research Project, Jarrett D. Davis, James Havey, Glenn M. Miles, Nhanh Channtha, Sreang Phally, Lim Vanntheary Aug 2021

"Going It Alone": Following The Male Cohort Of Survivors Of Sex Trafficking Of The Chab Dai Butterfly Longitudinal Research Project, Jarrett D. Davis, James Havey, Glenn M. Miles, Nhanh Channtha, Sreang Phally, Lim Vanntheary

Dignity: A Journal of Analysis of Exploitation and Violence

Over the past ten years, the Butterfly Longitudinal Research Project has followed 128 survivors of trafficking through their experiences in aftercare, reintegration, and beyond to better understand the recovery and reintegration of trafficking survivors within a Cambodian context. This paper focuses on the 19 males who were available to interview. Despite the project’s wealth of data and analysis, there are notable gaps regarding the male cohort. In response, this paper examines this cohort holistically, considering their statements and broader narratives, merging them with previous collective observations of the Butterfly Project. Throughout this paper, data indicates a pattern of violence among …


"When They See Someone Who Is Poor, They Step On Them": The Social Determinants Of Health Among Survivors Of Sex Trafficking In Cambodia, James P. Havey, Glenn M. Miles, Lim Vanntheary, Nhanh Channtha, Hanni Stoklosa Aug 2021

"When They See Someone Who Is Poor, They Step On Them": The Social Determinants Of Health Among Survivors Of Sex Trafficking In Cambodia, James P. Havey, Glenn M. Miles, Lim Vanntheary, Nhanh Channtha, Hanni Stoklosa

Dignity: A Journal of Analysis of Exploitation and Violence

Social determinants of health (SDH) are defined as the non-medical yet health-affecting conditions of a person’s life. They include such considerations as working conditions, discrimination, and access to health services. The aim of this study was to explore the SDH impacting those who have survived sex trafficking in Cambodia. This study employed a mixed methods, secondary analysis, focusing on 52 survivors of sex trafficking in the Butterfly Longitudinal Research Project from 2010 through 2019. Participants described myriad social determinants of health, including: gender, age, relationship status (marriage), ethnicity, national identification documentation (statelessness), social class, formal education, vocational training, occupation, and …


“I Want Justice From People Who Did Bad Things To Children”: Experiences Of Justice For Sex Trafficking Survivors, John G. Morrissey, James Havey, Glenn M. Miles, Nhanh Channtha, Lim Vanntheary Aug 2021

“I Want Justice From People Who Did Bad Things To Children”: Experiences Of Justice For Sex Trafficking Survivors, John G. Morrissey, James Havey, Glenn M. Miles, Nhanh Channtha, Lim Vanntheary

Dignity: A Journal of Analysis of Exploitation and Violence

This research from the Butterfly Longitudinal Research Project focused on understanding the experiences and perceptions of justice and the justice system for 93 Cambodia participants (including 88 survivors of sex trafficking) as they navigated the legal system. Thirty-two of these survivors had experiences in court and provided details into their courtroom experiences, predominantly within Cambodia but also in the United States. The survivors’ experiences were diverse; however, the prevailing themes were: fear throughout their legal journeys; a low level of awareness and understanding of their legal experiences; and that NGO support was essential for these survivors to engage in the …


Mental Health Awareness Training Manual: For Faculty To Help Students, Ricardo Vega Aug 2021

Mental Health Awareness Training Manual: For Faculty To Help Students, Ricardo Vega

Electronic Theses, Projects, and Dissertations

Mental health issues and stigma can affect students in many ways. The teacher-student relationship can be affected by the fear and inconsistent thoughts to be successful in college settings caused by mental health issues. First-generation college students face mental health issues due to support, education degree expectations, inhibition of uncertainty, and resources (Pascarella et al., 2004). This project is about providing communication strategies for faculty to help reduce stigma and provide students with resources to support their mental health.


Investing In Social And Behavior Change Is Cost-Effective For Improving Malaria Behaviors In Côte D’Ivoire, Breakthrough Research Aug 2021

Investing In Social And Behavior Change Is Cost-Effective For Improving Malaria Behaviors In Côte D’Ivoire, Breakthrough Research

Sexual and Reproductive Health, Rights, and Choices

Social and behavior change (SBC) interventions are considered an essential part of malaria prevention and treatment interventions, yet gaps in information on the cost and impact of SBC mean decisionmakers have underappreciated the value of SBC for contributing to improved health outcomes. To address this issue, Breakthrough RESEARCH has leveraged evidence from 112 studies on the impact of SBC interventions on malaria health behaviors and 70 studies on general SBC intervention costs to model the cost-effectiveness of SBC programming for malaria in the Business Case for Investing in Social and Behavior Change for Malaria.


Investir Dans Le Changement Social Et Comportemental Est Rentable Pour Améliorer Les Comportements Antipaludiques En Côte D’Ivoire, Breakthrough Research Aug 2021

Investir Dans Le Changement Social Et Comportemental Est Rentable Pour Améliorer Les Comportements Antipaludiques En Côte D’Ivoire, Breakthrough Research

Sexual and Reproductive Health, Rights, and Choices

Social and behavior change (SBC) interventions are considered an essential part of malaria prevention and treatment interventions, yet gaps in information on the cost and impact of SBC mean decisionmakers have underappreciated the value of SBC for contributing to improved health outcomes. To address this issue, Breakthrough RESEARCH has leveraged evidence from 112 studies on the impact of SBC interventions on malaria health behaviors and 70 studies on general SBC intervention costs to model the cost-effectiveness of SBC programming for malaria in the Business Case for Investing in Social and Behavior Change for Malaria.


Concurrent Reporting Of Adverse Childhood Experiences Among Perspectives Of Adolescents And Caregivers., Katie J. Berghuis Aug 2021

Concurrent Reporting Of Adverse Childhood Experiences Among Perspectives Of Adolescents And Caregivers., Katie J. Berghuis

Electronic Theses and Dissertations

The consequences of Adverse Childhood Experience (ACE) events in youth have predominantly been studied through retrospective studies that assess adults’ first 18 years of life or caregiver report of ACEs in youth. Reliance on only caregiver report to discern ACEs is a limitation amongst prior studies as research has found that caregivers tend to underestimate ACEs among their children, and there is even a greater discrepancy of reporting between caregivers and youth 12 years and older. Therefore, this study investigated concurrent reporting of self-report ACE scores in adolescents – defined in this study as 12 to 20 years old – …


Predictors Of Aggression Among Adolescent Girls, Sarah Joy Park Aug 2021

Predictors Of Aggression Among Adolescent Girls, Sarah Joy Park

Loma Linda University Electronic Theses, Dissertations & Projects

Women and girls will often deny what they feel and think to maintain their relationships. Silencing the self can be detrimental to the physical and mental health of teenage girls. This stifling of the self is related to depression, earlier first intercourse, eating disorders, and less relationship satisfaction. Girls who silence their voices are also likely to have difficulty expressing themselves when they feel angry. In this study we explored the relationship between silencing the self and physical, verbal, and indirect aggression. Our sample consisted of 88 teenage girls from two high schools, with a mean age of 16. They …


Determinants Of Vaccine Hesitancy In Indonesia: A Scoping Review, Nuril Hanifah, Ike Herdiana, Rahkman Ardi Jul 2021

Determinants Of Vaccine Hesitancy In Indonesia: A Scoping Review, Nuril Hanifah, Ike Herdiana, Rahkman Ardi

Makara Human Behavior Studies in Asia

Complete children immunization coverage in Indonesia declined from 59.2% in 2013 to 57.9% in 2016. Therefore, a study on understanding the vaccination barrier is necessary to improve future coverage. This scoping review aims to identify the determinants of vaccine hesitancy using the model of the World Health Organization-Strategic Advisory Group of Expert (WHO-SAGE) working group and to map them on the basis of region, target population, and vaccine. This research used publications from seven databases (Science Direct, Wiley, Scopus, SAGE, PubMed, Springer, and Taylor & Francis) from 2015 to 2020. A total of 10,212 publications were identified and filtered by …


Availability And Adequacy Of Water, Sanitation And Hygiene (Wash) Facilities In Secondary Schools, Rotimi Williams Olatunji, Noeem Thanny Taiwo Jul 2021

Availability And Adequacy Of Water, Sanitation And Hygiene (Wash) Facilities In Secondary Schools, Rotimi Williams Olatunji, Noeem Thanny Taiwo

Journal of Environmental Science and Sustainable Development

Hand-washing practice, which is globally recognized as the simplest, most affordable and effective way of curtailing the spread of infectious diseases, is still low in developing countries. This is largely influenced by the dearth and adequacy of Water, Sanitation and Hygiene (WASH) facilities. This paper investigated the level of availability and adequacy of WASH facilities in secondary schools in a developing, sub-Sharan country, particularly Lagos State, Nigeria. Protection Motivation Theory (PMT) guided this research. In all, 620 pupils were selected through multi-stage sampling methods. Two local government areas were selected from each of the three senatorial zones in the study …


A Thematic Analysis Of The Attitudes And Perceptions Of Faculty Towards Inclusion Of Interprofessional Education In Healthcare Curriculum, Jitendra Singh, Tracy Eisenschenk Jul 2021

A Thematic Analysis Of The Attitudes And Perceptions Of Faculty Towards Inclusion Of Interprofessional Education In Healthcare Curriculum, Jitendra Singh, Tracy Eisenschenk

International Journal of Health Sciences Education

This qualitative study aimed to explore attitudes and perceptions of faculty towards inclusion of interprofessional education (IPE) in healthcare curriculum. Efforts were made to explore faculty members’ definition of IPE, significance of including IPE in content and curriculum and resources available to implement such initiatives in healthcare education programs. Further, challenges faced while including IPE in curriculum were also explored. Face to face semi structured interviews were conducted, and a six-step thematic analysis framework was utilized to analyze the collected data. Further, four dimension criteria was utilized to establish the rigor of the study. Eleven participants across undergraduate and graduate …


A Multidimensional Welfare Status Of Leprosy Patients Living In A Suburban Area, Yunia Irawati, Sri Linuwih Sw Menaldi, Melinda Harini, Luh Karunia Wahyuni, Wanarani Alwin, Astari Dwiranti, Adhityawarman Menaldi, Sonny Tirta Luzanil, Qaishum Matsurah, Dadun ., Rico Kurniawan, Ida Ruwaida, Gunawan Wicaksono, Muhammad Hidayat Sahid, Febrina Rahmayanti, Florentina Priscilia, Anis Fitriana, Tri Rahayu, Made Susiyanti, Gitalisa Andayani, Anna Puspitasari Bani, Hisar Daniel, Yeni Dwi Lestari Jul 2021

A Multidimensional Welfare Status Of Leprosy Patients Living In A Suburban Area, Yunia Irawati, Sri Linuwih Sw Menaldi, Melinda Harini, Luh Karunia Wahyuni, Wanarani Alwin, Astari Dwiranti, Adhityawarman Menaldi, Sonny Tirta Luzanil, Qaishum Matsurah, Dadun ., Rico Kurniawan, Ida Ruwaida, Gunawan Wicaksono, Muhammad Hidayat Sahid, Febrina Rahmayanti, Florentina Priscilia, Anis Fitriana, Tri Rahayu, Made Susiyanti, Gitalisa Andayani, Anna Puspitasari Bani, Hisar Daniel, Yeni Dwi Lestari

ASEAN Journal of Community Engagement

Leprosy has a high incidence of physical complications that will impact directly the physiological, economic, and social status of patients. Indonesia has a high burden of the disease, and several leprosy settlements are still spread in the country. Neglasari Village, Sitanala, Tangerang serves as one of the places of residence of people who have had leprosy. A health service initiative known as Identifikasi Tanda-Tanda Mata, Ekstremitas, dan Kulit pada Kusta (KATAMATAKU) was launched as a collaboration of health services among multi-departments (ophthalmology, dermatovenereology, and medical rehabilitation). Sitanala has a relatively high incidence of people who have had leprosy with disabilities …


Graphical Models In Reconstructability Analysis And Bayesian Networks, Marcus Harris, Martin Zwick Jul 2021

Graphical Models In Reconstructability Analysis And Bayesian Networks, Marcus Harris, Martin Zwick

Systems Science Faculty Publications and Presentations

Reconstructability Analysis (RA) and Bayesian Networks (BN) are both probabilistic graphical modeling methodologies used in machine learning and artificial intelligence. There are RA models that are statistically equivalent to BN models and there are also models unique to RA and models unique to BN. The primary goal of this paper is to unify these two methodologies via a lattice of structures that offers an expanded set of models to represent complex systems more accurately or more simply. The conceptualization of this lattice also offers a framework for additional innovations beyond what is presented here. Specifically, this paper integrates RA and …


Transformational Leadership In The Psychiatric-Mental Health Setting, Alan Ryan Jul 2021

Transformational Leadership In The Psychiatric-Mental Health Setting, Alan Ryan

Graduate Theses, Dissertations, and Capstones

This evidence based practice quality improvement project examines the effectiveness of transformational leadership practices in the acute psychiatric setting. Literature shows the psychiatric mental health setting causes extreme stress for employees.  Individuals entering the acute psychiatric setting, as well as regulating bodies, count on exceptional leadership from administrators guided by the Five Practices of Exemplary Leadership (Kouzes & Posner, 2012, p. 15).  Fully functioning and cohesive clinical and administrative components of a healthcare organization makes a facility viable.  The findings of this project identify important factors relating to transformational leadership practices and their impact among psychiatric inpatient staff and patient …


The Impact Of Covid-19 On Church Gatherings In The Philippines: A Policy Analysis, Grace Zurielle Malolos, Joseph Christian Obnial, Rena Mallillin, Pamela Bianca Pasco, Erika Ong, Arianne Andes, Faith Ann Apat, Emma Teresa Carmela Aportadera, Rafael Valencia, Don Eliseo Lucero-Prisno Iii Jul 2021

The Impact Of Covid-19 On Church Gatherings In The Philippines: A Policy Analysis, Grace Zurielle Malolos, Joseph Christian Obnial, Rena Mallillin, Pamela Bianca Pasco, Erika Ong, Arianne Andes, Faith Ann Apat, Emma Teresa Carmela Aportadera, Rafael Valencia, Don Eliseo Lucero-Prisno Iii

Ateneo School of Medicine and Public Health Publications

The Philippines is the largest Christian-majority country in Asia. With church gatherings playing a vital role in the nature of Christianity in the Filipino culture, the advent of the coronavirus disease (COVID-19) pandemic in the Philippines posed challenges to public religious practices amid efforts to mitigate COVID-19 community transmission. Various policy pronouncements from both the government-led Inter-Agency Task Force (IATF) on Emerging Diseases and the church-led Catholic Bishops’ Conference of the Philippines (CBCP) were issued. These guidelines were implemented in order to address the two-pronged problem on healthcare and religious obligations. While these guidelines were initially contributory to the mitigation …


Nature, Nurture, Or Both? Study Of Sex And Gender And Their Effects On Pain, Maryam Ghodrati Jul 2021

Nature, Nurture, Or Both? Study Of Sex And Gender And Their Effects On Pain, Maryam Ghodrati

Electronic Thesis and Dissertation Repository

As a pain researcher, in order to have a better understanding of pain, we should adopt a multidimensional view, such as the biopsychosocial (BPS) model and consider physical, psychological, and social elements altogether. The studies in this dissertation are part of the bigger project of SYMBIOME in which the aim is to help to create and develop a prognostic clinical phenotype in people post musculoskeletal (MSK) trauma. Chapter 2 presents a Confirmatory Factor Analysis (CFA) in order to assess the structural validity of the first section of the new Gender Pain and Expectation Scale (GPES). Our analysis indicated a 3-factor …


Stair Versus Elevator Use In A University Residence Hall Setting, Vincent Berardi, Benjamin D. Rosenberg, Sophie Srivastava, Noah Estrada-Rand, Julia Frederick Jul 2021

Stair Versus Elevator Use In A University Residence Hall Setting, Vincent Berardi, Benjamin D. Rosenberg, Sophie Srivastava, Noah Estrada-Rand, Julia Frederick

Psychology Faculty Articles and Research

Objective

Determine the temporal and spatial characteristics of stairs versus elevator use in a university residence hall to inform future physical activity promotion efforts.

Participants

All residents and visitors for a single, four-story residence hall dormitory building located on a college campus in Orange, CA.

Methods

Smart mat systems capable of detecting pedestrian traffic were placed in front of the stairs and elevators on each floor plus a basement. Generalized additive mixed models (GAMMs) were used to compare stair versus elevator usage at different times of the day and on different floors.

Results

Stair versus elevator use varied much more …


Narratives Of Distinctiveness Or Similarity And Connection - A Response To Korman, De Jong And Jordan’S Steve De Shazer’S Theory Development, Guy Shennan Jul 2021

Narratives Of Distinctiveness Or Similarity And Connection - A Response To Korman, De Jong And Jordan’S Steve De Shazer’S Theory Development, Guy Shennan

Journal of Solution Focused Practices

In 2020 the Journal of Solution Focused Practices published an article called Steve de Shazer’s Theory Development. This surveyed the whole of de Shazer’s career, which the authors divided into four phases, from which they distilled six axioms they believe are foundational to de Shazer’s thinking and practice. In their commentary on the six axioms there is a considerable emphasis on the distinctiveness of SFBT, which the authors are keen to establish as different, in each of its foundational aspects, from most or perhaps all other therapies. This article is a response to this particular aspect of Steve de Shazer’s …


More Than Brides Alliance—Marriage: No Child’S Play, Endline Evaluation Brief, Population Council Jul 2021

More Than Brides Alliance—Marriage: No Child’S Play, Endline Evaluation Brief, Population Council

Poverty, Gender, and Youth

This brief summarizes key results from the endline evaluation of the More than Brides Alliance (MTBA) project “Marriage: No Child’s Play” (MNCP) in India, Malawi, Mali, and Niger. The MTBA consists of partners Save the Children Netherlands, Simavi, Oxfam Novib, and the Population Council, along with 25 local implementing partners. The MNCP project—which took place from 2016 to 2020—aimed at being holistic and targeting pathways to child marriage on multiple levels simultaneously, treating communities as either having the full MNCP package or no intervention. The Population Council’s MNCP evaluation was designed to estimate program impact and trends among girls at …


Review Of: Appalachians For Medicaid Website, Kendra Barker Dnp Jul 2021

Review Of: Appalachians For Medicaid Website, Kendra Barker Dnp

Journal of Appalachian Health

The Journal of Appalachian Health is committed to reviewing published media that relates to contemporary concepts affecting the health of Appalachia. Access to care and the health disparities we face have a direct effect on our experience of illness. Dr. Kendra Barker reviews the website: Appalachians for Medicaid.


Geospatial Analysis Of Rurality And Food Banks In Appalachian Ohio, Cooper T. Johnson, Rebecca Fischbein, Kristin Baughman Jul 2021

Geospatial Analysis Of Rurality And Food Banks In Appalachian Ohio, Cooper T. Johnson, Rebecca Fischbein, Kristin Baughman

Journal of Appalachian Health

Introduction: Food insecurity is a problem for individuals across Ohio, including those living in Appalachia. Adequate access to resources that help combat food insecurity is important for these populations.

Purpose: To examine how rurality relates to food insecurity and need for food resources, as well as availability of those resources including food pantries and soup kitchens, in 15 northern Ohio Appalachian counties.

Methods: A cross-sectional study with a geographical analysis was conducted using data from the American Community Survey census data, County Health Rankings data, and regional foodbank websites.

Results: Rural counties had a higher ratio of potential clients per …


Triple Negative Breast Cancer In An Appalachian Region: Exponential Tumor Grade Increase With Age Of Diagnosis, Gina Sizemore, Toni Marie Rudisill Jul 2021

Triple Negative Breast Cancer In An Appalachian Region: Exponential Tumor Grade Increase With Age Of Diagnosis, Gina Sizemore, Toni Marie Rudisill

Journal of Appalachian Health

Introduction: Triple negative breast cancer is an aggressive breast cancer with decreased five-year survival, increased risk for recurrence, and higher risk for metastases. Unlike other breast cancers, it has no targeted treatment and has heterogeneous genetics which make classification and treatment difficult.

Purpose: The purpose of our research was to compare triple negative breast cancer to non-triple negative breast cancer to identify key epidemiologic factors that might lead to improved basic science directives for biomarkers, treatments, and classification.

Methods: The state cancer registry was used to provide the first West Virginia state-wide population evaluation of triple negative breast cancer.

Results: …


Addressing Diabetes Distress In Self-Management Programs: Results Of A Randomized Feasibility Study, Ranjita Misra, Samantha Shawley-Brzoska, Raihan Khan, Brenna O. Kirk, Sijin Wen, Usha Sambamoorthi Jul 2021

Addressing Diabetes Distress In Self-Management Programs: Results Of A Randomized Feasibility Study, Ranjita Misra, Samantha Shawley-Brzoska, Raihan Khan, Brenna O. Kirk, Sijin Wen, Usha Sambamoorthi

Journal of Appalachian Health

Background: West Virginia ranks 1st nationally in the prevalence of hypertension (HTN; 43.8%) and diabetes (16.2%). Patients with type 2 diabetes mellitus (T2DM) are distressed over physical and psychological burden of disease self-management.

Methods: This study investigated the effectiveness of an intervention to reduce diabetes distress and outcomes [glycemic control, blood pressure (BP)] among T2DM adults with comorbid HTN. Participants were randomized to a 12-week diabetes and hypertension self-management program versus a 3-month wait-listed control group. Trained health coaches and experts implemented the lifestyle program in a faith-based setting using an adapted evidence-based curriculum. Twenty adults with T2DM and HTN …


Emergence Of Covid-19 And Patterns Of Early Transmission In An Appalachian Sub-Region, Abbey K. Mann, Timothy A. Joyner, Ingrid E. Luffman, Megan Quinn, William Tollefson, Ashley Frazier Jul 2021

Emergence Of Covid-19 And Patterns Of Early Transmission In An Appalachian Sub-Region, Abbey K. Mann, Timothy A. Joyner, Ingrid E. Luffman, Megan Quinn, William Tollefson, Ashley Frazier

Journal of Appalachian Health

Background: In mid-March 2020, very few cases of COVID-19 had been confirmed in the Central Blue Ridge Region, an area in Appalachia that includes 47 jurisdictions across northeast Tennessee, western North Carolina, and southwest Virginia. Authors described the emergence of cases and outbreaks in the region between March 18 and June 11, 2020.

Methods: Data were collected from the health department websites of Tennessee, North Carolina, and Virginia beginning in mid-March for an ongoing set of COVID-19 monitoring projects, including a newsletter for local healthcare providers and a Geographic Information Systems (GIS) dashboard. In Fall 2020, using these databases, authors …