• Evaluation of Mammal Hair as a Potential Wild Pig Repellent on Cowden Plantation in Jackson, South Carolina

      Hitchens, Samantha; Biological Sciences (Augusta University Libraries, 2020-05-05)
      This item presents the abstract for a poster presentation at the 21st Annual Phi Kappa Phi Student Research and Fine Arts Conference.
    • Evaluation of trends in diabetes care in a patient-centered medical home

      Saucier, Ashley N; McMechan, Danielle; Dahl-Smith, Julie; Duffie, Carla; Hodo, Denise; Andrews, Holly E; Hobbs, Joseph; Augusta University (Georgia Public Health Association, 2017)
      Background: The patient-centered medical home (PCMH) is a model used in primary care to achieve effective management of chronic diseases. The Augusta University Health Family Medicine Center (AUFMC), a PCMH recognized by the National Committee for Quality Assurance, has implemented strategies to manage its patient population with diabetes. The present study evaluated the effects of these interventions through trend analysis of selected diabetic core measures by use of a qualified clinical data registry, the Practice Partner Research Network. Methods: For this retrospective study, de-identified data were abstracted for adult patients with diabetes for the period of 2013-2015. Process and outcome measures were determined for selected diabetic core measures, based on the 2015 American Diabetes Association and Physician Quality Reporting System of the Centers for Medicaid and Medicare (CMS). These measures included glycated hemoglobin (HbA1c), blood pressure (BP), low-density lipoprotein cholesterol (LDL), urine microalbumin (Um), diabetic foot and eye exams, and influenza and pneumococcal vaccinations. These values were analyzed by the Cochran-Armitage test for trends over time to determine the proportions of patients at the recommended goals. Results: Over time, there were increasing trends for patients who were at the goals for frequencies of HbA1c, Um, LDL, pneumococcal vaccinations, and diabetic retinal exams (p<0.01). Increasing trends were also evident for patients at goal values for HbA1c, BP, and LDL levels (p<0.01). Decreasing trends were noted, however, in the rate of diabetic foot exams (p<0.01). Conclusions: Since AUFMC achieved PCMH recognition status, efforts to improve the management of patients with diabetes have yielded positive outcomes and valuable lessons. Areas of strength include utilization of the diabetes registry, education by regular providers, tailored use of electronic health records for patient education and physician documentation, and appropriate utilization of all team members. Trend analysis indicated that targeted diabetic interventions contributed to improved outcomes in selected diabetic core measures.
    • Evaluation results of an innovative pilot program to increase access to fresh fruits and vegetables in Cobb County, GA

      Woodruff, C Rebecca; Shipley, Rebecca; Brown, Agnes F.; Coleman, Anne-Marie; Munoz, Jennifer; Honeycutt, Sally; Hermstad, April K; Loh, Lorna; Kegler, Michelle C.; Emory University (Georgia Public Health Association, 2015)
      Background: This abstract describes a public health practice initiative called the Farm Fresh Market (FFM) and presented pilot evaluation results. Methods: The FFM, developed by Cobb and Douglas Public Health, the McCleskey-East Cobb Family YMCA, and Cobb2020, sold low-cost fruits and vegetables to families living in the 30168 zip code of Austell, Georgia. The evaluation focused on documenting to what extent the FFM reached its intended population and increased perceived access to fresh fruits and vegetables among customers. A convenience sample of 100 returning FFM customers completed self-administered, written intercept surveys at the end of the 2014 market season. Results: The market served customers from a range of socioeconomic backgrounds. Most customers strongly agreed that the FFM made it easier (69%) and less expensive (79%) for them to buy fresh fruits and vegetables and easier for them (63%) and their families (64%) to eat a healthy diet. Most customers reported that they ate more vegetables (65%) and fruit (55%) as a result of shopping at the FFM and reported high levels of satisfaction with all aspects of the FFM. Conclusions: The results suggest that the FFM served customers from the local area and that the FFM may have increased perceived access to healthy food options among customers. Community-level interventions to increase access to healthy foods may play an important role in chronic disease prevention.
    • The evidence for and from accreditation

      Bender, Kaye; Public Health Accreditation Board (Georgia Public Health Association, 2016)
      Background: Public health department accreditation administered by the Public Health Accreditation Board (PHAB) began in 2007 after a series of policy briefs, field demonstration initiatives, and completion of a national feasibility study. Methods: Evidence for accreditation was gathered from both national and state-based standards that had been tested and evaluated. Evidence from accreditation was obtained from surveys and focus groups. Results: Preliminary analyses have indicated that the accreditation program is having its intended impact, although longitudinal analyses are planned for the future when a larger number of health departments can respond to surveys over time. Conclusions: PHAB will continue to utilize long-term evaluation methods to describe the long-term impact of the accreditation process on health department performance.
    • Evidence to practice: Using data to see the faces of those we serve

      Ross, David; Public Health Informatics Institute (Georgia Public Health Association, 2016)
    • Evidence-based strategies identified to increase access to oral health services to promote a healthier lifestyle

      Davis, Breyana; Plaspohl, Sara (Georgia Public Health Association, 2016)
      Background: Leading Health Indicators (LHI) are a subset of Healthy People 2020 objectives, selected to communicate at- risk health issues and actions that can be taken to address them. The number of children, adolescents, and adults who visited the dentist in the past year has decreased nationally, suggesting that oral health continues to be a problem caused by barriers preventing access to oral services. Methods: Preliminary research was conducted on the LHI via the Healthy People 2020 website. Health-related peer reviewed articles were selected and reviewed. Results: Evidenced-based literature shows that economic, educational, and personal barriers prevent access to oral services. However, through health promotion and new intervention methods, good oral health can be established. Conclusions: Primary prevention leads to improved oral health status; thus, such methods can be useful in moving the LHI objective towards the Healthy People 2020 target goal.
    • The Evolution of Art Therapy and Proposed Future Application

      Owen, Connor; Art and Design, Communications (Augusta University Libraries, 2020-05-05)
      This item presents the abstract for a poster presentation at the 21st Annual Phi Kappa Phi Student Research and Fine Arts Conference.
    • An Examination of Adolescents’ Knowledge and Attitudes Related to Heart Disease, Nutrition, Physical Activity, and Media Influences and the Adoption of a Healthy Lifestyle

      Schenkman, Melissa; Martin, Randolph; Butler, Susan; Emory University (Georgia Public Health Association, 2006)
      The present pilot study aimed to determine the attitudes, beliefs, behaviors, and degree of knowledge among adolescents related to healthy eating, exercise, heart disease, the influence of television, and possible factors in modifying their attitudes toward adopting a healthy lifestyle. Juniors and seniors from two private high schools (N=62) in metro Atlanta were surveyed. The study was based on the Social Cognitive Theory and the Health Belief Model. The research questions examined the impact of nutrition and heart disease knowledge on physical activity behavior, and the impact of television media exposure on eating habits. A 36-question cross-sectional survey compiled from various sources in the literature and health-related organizations was used to assess the outcomes of interest. Data analysis was conducted using frequencies, descriptive statistics, simple hypothesis tests, and chisquare analysis. Those who reported physical activity participation and those who did not, were not found to differ significantly on their composite nutrition and heart disease knowledge score, F (6,55)=.763, p=. 602. In addition, the three groups, reporting different amounts of physical activity participation in hours/week, were not found to differ significantly on their composite nutrition and heart disease knowledge score F (6, 50)=1.628, p=. 159. In terms of television viewing’s effect on eating habits, television viewing was not found to play a significant role in the frequency of breakfast food consumption F (3, 57)=2.269, p=. 090; or on how often adolescents ate fast food, F (1, 59)=. 025, p=. 875. Yet, the amount of television hours viewed on a typical weekday were significantly related to how often an adolescent thinks about their health when deciding what to eat (X= .008). The 5 groups of amounts of television viewing hours, differed significantly on how often adolescents’ thought about their health when deciding what to eat, specifically those who thought about their health always and sometimes F (3, 57)=3.241, p=. 029). The Post Hoc test showed a significant difference of .998 hours in the amount of TV watched by those who always think about their health when deciding what to eat (M=2.11 hours/weekday) and those who sometimes think about it (M=3.10 hours/weekday). Suggested primary implications for public health practice include access to school-sponsored or recreational sports teams for all adolescents, nutrition and heart disease education via sports teams, and parental involvement in their adolescent’s food choices and health behavior.
    • Expertise and Sex Identification in Dogs

      Rex Pius Vincent, Karen; Topolski, Richard; Morel, Nicole; Patel, Chandani; Department of Psychological Sciences (Augusta University Libraries, 2021-05-18)
      This item presents the abstract for a presentation at the 2021 Annual Phi Kappa Phi Student Research and Fine Arts Conference at Augusta University.
    • Exploration of barriers and facilitators to publishing local public health findings: A mixed methods protocol

      Smith, Selina; Webb, Nancy; Blumenthal, Daniel S.; Willcox. Bobbie; Ballance, Darra; Kinard, Faith; Gates, Madison L. (Georgia Public Health Association, 2016)
      Background: Worldwide, the US accounts for a large proportion of journals related to public health. Although the American Public Health Association (APHA) includes 54 affiliated regional and state associations, little is known about their capacity to support public health scholarship. The aim of this study is to assess barriers and facilitators to operation of state journals for the dissemination of local public health research and practices. Methods: A mixed methods approach will be used to complete the 12-month study. Affiliate websites will be accessed through the APHA membership portal to evaluate organizational infrastructure and ascertain the presence/absence of a journal. The leader of each affiliate will be contacted via email containing a link to a 12-question on-line survey to collect his/her perceptions of scholarly journals and the publication of local health data. To determine barriers and facilitators to publication of local public health findings, 30-minute semi-structured telephone interviews will focus on the infrastructure of the association, perceptions of the leader about the journal (if in place), and its operation. Anticipated Results: We anticipate that 54 affiliate websites will be reviewed to complete the extraction checklist, that 74% of affiliate leaders will respond to the survey, and that 11 semi-structured interviews will be conducted. A limited number of state/regional public health associations will operate journals and a small percentage of those without journals may express an interest in implementing them. Barriers to operation of journals may include lack of resources (i.e., personnel, funding), and low prioritization of publication of state and local public health findings. Facilitators may include strong affiliate-academic relationships, affiliate leadership with experience in publications, and affiliate relationships with state and local departments of health. Conclusions: The research proposed in this protocol may stimulate other state public health associations and other academic public health programs to follow suit; it would not be the first time that an observational research study served as an intervention.
    • Exploring Jeffrey Dahmer’s Sexual Development

      Anwar, Fabiha; Holman, Michael; Department of Psychological Sciences (Augusta University Libraries, 2021-05-18)
      This item presents the abstract for a presentation at the 2021 Annual Phi Kappa Phi Student Research and Fine Arts Conference at Augusta University.
    • Extending HIV Prevention: People Living with HIV/AIDS (PLWHA) Strategize to Reduce Stigma and Promote HIV Testing

      Aholou, Tiffiany M. Cummings; Hou, Su-I; Grimes, Tanisha S.; University of Georgia; University of Georgia; University of Georgia (Georgia Public Health Association, 2009)
      Strategies to reduce acquired immunodeficiency syndrome (AIDS)‐related stigma are paramount to promoting effective HIV prevention. As in the case of HIV antibody testing, despite the benefits of early detection, links to care, and risk behavior modification, nearly 250,000 people are unaware of their HIV status. AIDS‐related stigma has impeded such efforts due to discrimination, ignorance and other forms of stigma. These issues related to stigma and HIV testing are magnified when placed in the context of the rural Deep South region of the United States, where the incidence of HIV/AIDS are growing at alarming rates. The purpose of this paper was to examine strategies to reduce AIDS‐related stigma that in turn promotes HIV testing as proposed by people living with HIV/AIDS (PLWHA) who reside in the Deep South. An exploratory descriptive qualitative research design was utilized. The sample consisted of 18 PLWHA. Data was collected using a focus group and individual, semi‐structured interviews. The analysis revealed the importance of ongoing education as a mediator between reducing stigma and promoting HIV testing. Other salient findings were related to reframing HIV/AIDS‐related health messages to reflect a sense of empowerment; the need to normalize testing; the use of less stigmatizing testing sites; and the continuance of anonymous HIV testing. This article is significant because it illuminates the challenges of HIV prevention in the Deep South, while also generating culturally‐sensitive strategies to counter these barriers.
    • Factors associated with the utilization of community dental services among newly incarcerated adults

      Graves, Whitney; Blanks, Hairston Starla; Caplan, Lee S.; Erwin, Katherine A; Ditler, Cynthia S; Treadwell, Henrie M; Morehouse School of Medicine, Walden University, Georgia Department of Corrections (Georgia Public Health Association, 2017)
      Background: Given the high rates of risky behaviors and health conditions among incarcerated individuals and the relationship between oral and general health, receipt of quality dental care is essential to the overall health and well-being of this population. However, few recent studies have focused on access to care and the state of oral health among incarcerated populations in the U.S. For the current study, a secondary data analysis was conducted to: 1) assess factors associated with the use of dental services among a newly incarcerated prison population in Georgia and 2) consider barriers related to utilization of dental services pre- to post-release. Methods: Descriptive statistics were calculated, and bivariate and logistic regression analyses were conducted utilizing SAS 9.2 software. Results: Thirty-one percent (n=250) of survey respondents reported having a dental visit within the past year. Survey respondents who had a regular dentist (OR: 1.9; 95% CI: 1.325, 2.697), private dental insurance (OR: 1.5; 95% CI: 1.022, 2.245), or who reported pain as the reason for their last dental visit (OR: 2.2; 95% CI: 1.556, 3.130) were more likely to have utilized dental services within the past year. Conclusions: The findings highlight the role of social and economic resources and oral health needs on utilization of dental services. Additional practice and policy efforts are needed to address gaps in the dental care continuum that affect currently and formerly incarcerated adults in Georgia.
    • Fast-Track Extubation in Infancy and Early Childhood Following Heart Surgery: Outcome Analysis and Predictors of Failure

      Geister, Emma; Esquivel, Raquel; Crethers, Danielle; Weatherholt, Danalynn; Sanchez, Maria Gabriela; Munoz, Gustavo; Biological Sciences, Medical College of Georgia (Augusta University Libraries, 2020-05-05)
      This item presents the abstract for a poster presentation at the 21st Annual Phi Kappa Phi Student Research and Fine Arts Conference.
    • Fear and the Frontier: The Role of Terror in Territory Defense and Identity Definition in the Colonial Period

      Stewart, Keturah; Pope, Matthew; VanTuyll, Hubert; Department of History, Anthropology, & Philosophy (Augusta University Libraries, 2021-05-18)
      This item presents the abstract for a presentation at the 2021 Annual Phi Kappa Phi Student Research and Fine Arts Conference at Augusta University.
    • Feasibility of Reusable Radiochromic Plastics as Dosimeter

      Recht, Maxwell; Inglett, Chase; Hauger, Joseph; Adamovics, John; Biological Sciences, Chemistry and Physics, Rider University (Augusta University Libraries, 2020-05-04)
      This item presents the abstract for an oral presentation at the 21st Annual Phi Kappa Phi Student Research and Fine Arts Conference.
    • Financing public health in Georgia

      Denson, Dionne; Georgia Department of Public Health (Georgia Public Health Association, 2017)
      Background: The public health system in Georgia is carried out through a hybrid governance structure. The Department of Public Health and the county boards of health have responsibility for serving the public health needs for the Georgia citizens. Funding for the Georgia public health system is derived from a number of funding sources which include federal, state, local, and private funds. Methods: Georgia's public health system relies on multiple funding streams to provide services. These public health services have the potential to provide a return on investment and positive impact on the local economy. In the hybrid governance structure, local board of health members have an important role in financing of the Georgia public health system. Results: The funding relationship between state and local boards of health is essential to support the public health system in Georgia. To maintain the public health system, funding should be integrated where possible and used to enhance or expand services. The relationship with community leaders, key stakeholders, and other organizations are important to maintaining the public health system. Conclusions: Board of Health Members understanding the Georgia public health funding structure, and the importance of the role of the local county boards of health is key to sustainability.
    • Findings from a national home food environment survey: How does Georgia compare?

      Hermstad, April; Haardoeerfer, Regine; Woodruff, Rebecca; Raskind, Ilana; Kegler. Michelle; Emory University (Georgia Public Health Association, 2017)
      Background: Aspects of the home food environment, both social and physical, influence healthy eating and weight management practices. Healthy eating, according to the Dietary Guidelines for Americans, 2015, centers on balancing calories consumed and calories expended for weight management combined with consumption of nutrient-dense foods and drinks. Obesity and excess weight increase the risk of numerous chronic diseases including cancer, diabetes, and heart disease. With this presentation, we will explore how Georgia home food environments and eating behaviors are similar or different from the rest of the nation. Methods: Survey participants (n=4,942) were recruited from a reputable online survey panel service. Eligible participants were English-speaking U.S. adults ages 18-75; the final sample was representative of the U.S. population in terms of age, race/ethnicity, geographic region, and income level. Georgia participants represented 3% of the overall sample (n=158). Incentives for completing the 30-minute online survey were provided by the panel service. Survey measures included sociodemographics, healthy eating behaviors (e.g., fruit, vegetable, and fat intake), social home food environment (e.g., food shopping/preparation, household member support) physical home food environment (e.g., food/drink inventories/placement), household food security and coping strategies, and broader contextual factors (e.g., the community food environment, and community capacity and assets). Results: Descriptive data to be presented will include characteristics of participant households, including levels of social and environmental support for healthy eating. Prevalence estimates for key environmental (food/drink inventories/placement, social support among household members) and behavioral (dietary behavior) variables across the sample and among Georgia participants will also be shared. Statistically significant differences between Georgia and the nation will be highlighted. Conclusions: This study presents a unique opportunity to explore socio-environmental influences on healthy eating behaviors nationwide and specifically among Georgians. Findings may be useful in informing tailored messages, healthy eating interventions, and related public health priorities for the state of Georgia.
    • Formative research to develop a lifestyle application (app) for African American breast cancer survivors

      Smith, Selina; Whitehead, Mary; Sheats, Joyce; Fontenot, Brittney; Alema-Mensah, Ernest; Ansa, Benjamin E.; Augusta University (Georgia Public Health Association, 2016)
      Background: There is a proliferation of lifestyle-oriented mobile technologies; however, few have targeted users. Through intervention mapping, investigators and community partners completed Steps 1-3 (needs assessment, formulation of change objectives, and selection of theory-based methods) of a process to develop a mobile cancer prevention application (app) for cancer prevention. The aim of this qualitative study was to complete Step 4 (intervention development) by eliciting input from African American (AA) breast cancer survivors (BCSs) to guide app development. Methods: Four focus group discussions (n=60) and three individual semi-structured interviews (n=36) were conducted with AA BCSs (40-72 years of age) to assess barriers and strategies for lifestyle change. All focus groups and interviews were recorded and transcribed verbatim. Data were analyzed with NVivo qualitative data analysis software version 10, allowing categories, themes, and patterns to emerge. Results: Three categories and related themes emerged from the analysis: 1) perceptions about modifiable risk factors; 2) strategies related to adherence to cancer prevention guidelines; and 3) app components to address barriers to adherence. Participant perceptions, strategies, and recommended components guided development of the app. Conclusions: For development of a mobile cancer prevention app, these findings will assist investigators in targeting features that are usable, acceptable, and accessible for AA BCSs.
    • From the Editor Historical Critique of the Leading Causes of Death in the United States

      Thomas, McKinley; Mercer University (Georgia Public Health Association, 2006)
      From the Editor