• Missed opportunities for diagnosing HIV via routine screening in an inner-city primary care clinic

      Hankin, Abigail; Turbow, Sara; Spicer, Jennifer; Freiman, Heather; Shah, Bijal; Travis, Natasha; Emory University (Journal of the Georgia Public Health Association, 2015)
      Background: Although routine, opt-out HIV screening has been recommended for nearly a decade, clinical practice has not kept pace. Here, we examine missed opportunities for HIV screening among patients newly diagnosed with HIV via a routine non-targeted opt-out HIV screening program in a primary care clinic at an inner-city safety-net hospital. Methods: Select demographic and clinical data were analyzed for all persons with a new HIV diagnosis between July 9, 2013 and August 31, 2015. Retrospective reviews of medical records were performed to identify missed opportunities for HIV screening in the year prior to HIV diagnosis. Results: Among 6,582 patients tested for HIV as part of the screening program, 27 patients had a new HIV diagnosis (0.41%). In the year prior to diagnosis, 19 (70%) of these had contact with the healthcare system but were not tested for HIV. At the visit associated with the new HIV diagnosis, 70% of patients did not present with an indication for risk-based HIV screening or symptoms potentially associated with HIV-related infections. Conclusions: Despite CDC recommendations for routine, non-targeted, opt-out HIV screening in all healthcare settings, 70% of patients newly diagnosed with HIV via routine screening in a primary care clinic had contact with the healthcare system in the year prior to the new HIV diagnosis but were not tested for HIV. These findings highlight the importance of routine, non-targeted screening to identify patients with HIV as well as continued provider and patient education about the value of routine HIV screening.
    • Mock Me! A guide to developing a first rate training tool on a second rate budget

      Baxter, Galen; Georgia Department of Health (Georgia Public Health Association, 2017)
      Background: Working closely with county Environmental Health Specialists through the Standardization Process, a critical need was identified. Assistance was needed in prioritizing inspections based on risk levels identified in restaurant kitchens during inspections. Additionally, more training was needed to help them identify other areas in food service establishments that require further assessment. Methods: Tight budget constraints prevented the purchase of expensive training equipment; however, with a little creativity and team work, a mock kitchen made entirely out of cardboard, tape and a couple of aluminum pans was created as a portable, hands-on training tool that could be easily transported around the state. Results: Overwhelming positive feedback was received from the districts that experienced training using the tool. Environmental Health Specialists suddenly had an opportunity to practice and apply what they had learned within a controlled environment and increase their confidence in assessing and prioritizing during inspections. Conclusions: Solutions to problems can sometimes be found using a very simple approach. A little bit of creativity and a willingness to literally “think outside the box” can go a long way in providing viable, alternative solutions to common roadblocks in government. The key to creating an effective training tool is to accurately identify training gaps in the intended audience.
    • Modifying And Validating A Quality Of Life Measure to Fit Your Patient Population

      Johnson, Michelle R.; Maclean, J. Ross; Rogers, Rebecca L.; Fick, Donna M.; Kallab, Andre; Augusta State University; Medical College of Georgia; Augusta State University; Medical College of Georgia; Medical College of Georgia (Georgia Public Health Association, 2007)
      Introduction: A well-developed quality of life (QoL) instrument is valuable in identifying the burden of illness. We were interested in exploring whether existing QoL instruments were suitable for patients in our medical setting and, if not, whether this could be rectified by adapting an existing valid and reliable instrument to meet the specific needs of our patient population. For the purposes of this study, we chose to evaluate the quality of life of patients with breast cancer. Specifically, we were interested in two aspects of QoL in women with breast cancer. The first was whether existing instruments were pertinent to the women in our venue. The second research interest was dependent upon the first. If current instruments were found wanting, could this be rectified through the creation and validation of new domains of relevance to these patients? Method: First, five patients were interviewed to ascertain QoL issues pertinent to women in our medical setting. Second, to determine regional appropriateness of existing breast cancer QoL instruments, a search was conducted to identify and review existing breast cancer specific QoL instruments. Third, an addendum was created (to be used in conjunction with an existing instrument identified through the search) that contained three QoL domains not typically found: Financial, Spirituality and Satisfaction with Medical Care. The addendum was then tested along with an existing instrument (FACT-B). Results: Internal consistency for the new scales, Satisfaction with Medical Care, Spirituality, and Financial had alpha coefficients of 0.81, 0.80, and 0.63 respectively. The total score for FACT-B plus addendum was 0.69. Pearson’s correlation coefficients were 0.49 for Financial, 0.64 for Satisfaction with Medical Care, and 0.70 for Spirituality. Total test/retest was 0.71.
    • Molecular Self-Organization of Three-Component Lipid Membranes

      Osby, Austin; Department of Chemistry and Physics (Augusta University Libraries, 2020-03)
      By constructing a Landau-like energy functional, we investigate the molecular organization of a three-component mixture in cell membranes. In the strongly interacting limit, we model the interaction between molecules using pseudospin variables and convert them into non-interacting variables using a mean-field theory. Next, we construct the two-order parameter Landau-type energy functional through the Helmholtz free energy. By analyzing the Landau free energy, we map out the phase diagram focusing on homogeneous and various phase separated states on the cell membrane.
    • A multi-county health district’s journey to accreditation: The challenges and benefits

      Echols, Tara; Gwinnett, Newton and Rockdale County Health Departments (Georgia Public Health Association, 2017)
      Background: In September 2011, the Gwinnett, Newton, and Rockdale Health Departments began to discuss accreditation. We regarded accreditation as a way to highlight our strengths and identify areas for quality and performance improvement as well as an opportunity to improve our capacity for greater accountability, increased efficiency and improved process flow. We further viewed it as a means to successfully carry out our mission, and effectively deliver the core functions and ten essential public health services. Methods:With financial backing from Healthcare Georgia Foundation and technical assistance from Georgia Southern University, the Gwinnett, Newton and Rockdale County Health Departments began its pursuit of accreditation by assessing department processes, policies, and procedures for alignment to the Public Health Accreditation Board (PHAB) standards. This resulted in identified areas for improvement and needed policy and procedure development. The Model for Improvement was actively used throughout our pursuit of accreditation, and we viewed the process as several inter- related plan, do, check, act (PDCA) cycles. After being advised on several options, we changed our application from multi-jurisdictional to a local health district based on guidance from PHAB for all the health districts in Georgia. Domain leads were assigned; these later developed into domain teams comprised of individuals with expertise in various relevant areas. The teams met on a regular basis to review domain documentation and to discuss the ‘story’ it tells about our department. We prepared for the site visit by conducting a mock site visit using local PHAB site visitors. This experience was extremely helpful in calming the participant staff and identifying areas that we could improve. Results: After several iterations of guidance from PHAB on how we should apply we applied as a local public health district. With feedback from our mock site visit we were able to prepare for and successfully complete our site visit with no request to reopen any measures. We received a stellar site visit report with 93% of the measures scored ‘fully demonstrated’ and 7% scored ‘largely demonstrated’. Our department was accredited on August 17, 2016 as the 3rd accredited health district in the State of Georgia. Conclusions: The process of pursuing accreditation has been a challenge on various fronts; from indecision about how we should apply, to uncertainty about interpretation of the standards, to hesitance about choosing county-specific or departmental documentation. However, the culture of quality and solidified community partnerships that resulted from this process are invaluable.
    • Multi-Level Evaluation of a Perinatal Health Program in Rural Southeast Georgia

      Raychowdhury, Swati; Tedders, Stuart H.; O'Steen, Greta; Jones, Sarah K.; Georgia Southern University; Southeast Health District (Georgia Public Health Association, 2007)
      Problem: Infant mortality has declined steadily in the past decade, however, significant disparities associate with lack of adequate perinatal health services and barriers to access disproportionately impact women residing in rural areas. In Georgia, data suggest significant challenges with respect to birth outcomes, and this problem seems to be exacerbated in rural regions of state. The objective of this presentation is to report on the impact of a regional perinatal health care collaborative implemented in rural southeast Georgia. Method: Analysis of pre-intervention and post-intervention birth outcomes (gestational age, birth weight and infant mortality) served as the focal point programmatic evaluation. Differences in mean gestational age and mean birth weight were analyzed using a t-test (α = 0.05). Proportional differences in low birth weight and infant mortality were assessed using the chi-square test (α = 0.05). Differences were investigated relative to race (white and nonwhite). Results: Analysis of white participants showed no significant difference in any birth outcomes investigated. Furthermore, analysis of non-white PHP participants suggested significant improvements in all birth weight (p < 0.001), gestational age (p = 0.007), low birth weight (p = 0.002), and infant mortality (p = 0.007). Conclusion: The perinatal health program in southeast Georgia demonstrated considerable effectiveness as measured through pre-intervention and post-intervention birth outcomes. The potential for improved health outcomes of high risk pregnant women and infants as a result of adequate perinatal care may also lead to the achievement of Healthy People 2010 within this region.
    • A multisite evaluation of pediatric asthma-related treatment in accordance to the 2007 National Heart, Lung, and Blood Institute Expert Panel Report – 3 guidelines

      Oraka, Emeka; Robinson, Brittani; Ousley, Trevor; Lopez, Francesca; Graham, LeRoy (Georgia Public Health Association, 2016-08-18)
      Background: To determine if Georgia-based healthcare providers who received continuing education on pediatric asthma as described by 2007 National Heart, Lung, and Blood Institute Expert Panel Report – 3 guidelines demonstrated improvements in asthma-related treatment. Methods: We used a multi-site, cross-sectional design. Data were collected via surveys administered to healthcare providers and via randomized medical chart abstractions. Chart abstraction occurred at 12 months prior to intervention (n = 149); one-month post-intervention (n = 208); and three months post-intervention (n = 123). Results: Substantial improvements were observed among the providers who used pre/post bronchodilator spirometry (5% at baseline, 12% at one month, and 19% at three months), and there was a significant increase in the number of patients being advised to improve conditions at home or school to avoid asthma triggers (9% at baseline, 43% at one month, and 37% at three months). However, prescription of preventive medications and patients being taught proper medication/spacer technique by providers decreased from baseline to three-months (69% vs 55% and 41% vs 27%, respectively). Providers’ self-reported barriers and patient load were consistently associated with poorer treatment outcomes. Healthcare providers who received continuing education on NHLBI - EPR 3 guidelines demonstrated an increase in spirometry use and in advising patients on improving home and school conditions. While these findings are useful, provider-reported barriers such as time, organizational, and insurance barriers prevent providers from effectively systematically incorporating all of the EPR 3 guidelines. Conclusions: Internal efforts to address clinical barriers combined with continued education may result in improvements in pediatric asthma-related treatment outcomes.
    • The need for culturally-tailored smartphone applications for weight control.

      Coughlin, Steven S.; Hardy, Dale; Caplan, Lee S.; Coughlin, S. S., Hardy, D. Caplan, L. S. (2016). Department of Community Health and Sustainability, Division of Public Health, University of Massachusetts, Department of Epidemiology, Rollins School of Public Health, Emory University, College of Allied Health Sciences, Augusta University, Department of Community Health and Preventive Medicine, Morehouse School of Medicine (Georgia Public Health Association, 2016)
      Approximately 35% of U.S. adults are obese, and this rate is expected to increase by almost 50% by 2030. New media such as smartphone applications (apps) provide a useful and low-cost way to disseminate weight control information. For many culturally distinctive population subgroups, however, there is currently an absence of research-tested smartphone apps for weight control.
    • A Needs Assessment of Hypertension in Georgia

      Lopez, Faye; Rimando, Marylen; Khapekar, Harshali; Mercer University (Georgia Public Health Association, 2006)
      Hypertension is a leading cause of stroke, coronary artery disease, heart attack, and heart and kidney failure in the United States. In Georgia, the percentage of those with hypertension and related diseases remain above the national average. The aim of this paper is to offer a basic review of hypertension including physical complications of the disease and to provide statistics regarding the scope of hypertension in the state of Georgia. Additionally, the paper provides insights on current hypertension programs such as the National High Blood Pressure Education Program (NHBPEP) and Dietary Approaches to Stop Hypertension (DASH). In conclusion, a statewide or local hypertension education program should be implemented to improve awareness, treatment, opportunities, and control of hypertension in an effort to reduce cardiovascular disease rates in Georgia.
    • New recreational water quality criteria and their impact on beach advisories in Coastal Georgia

      Aslan, Asli; Benevente, Sara; Georgia Southern University (Georgia Public Health Association, 2016)
      Background: To monitor pollution of marine beaches in Georgia, enterococci have been used as indicators of fecal contamination. For the 1986 Recreational Water Quality Criteria (RWQC), the beach action value (BAV) was 104 colony-forming units (CFU)/100 ml; the new RWQC, instituted in 2012, is 70 CFU/mL, a 32.6% decrease. When the beach action value is reached, authorities are to issue a beach advisory for protection of swimmer health. The present study investigated changes in compliance with the 2012 RWQC at five high-use beaches in Georgia. Methods: In the summer of 2015, samples of water were collected from five beaches at Tybee Island. Enterococci concentrations were enumerated by USEPA-approved methods. Samples exceeding the 1986 and 2012 RWQC beach action values were compared with times that advisories were posted at these beaches. Results: At these beaches, advisories were posted four times during the summer. Since, in 2015, the previous RWQC was in use, these decisions were based on the guideline value of 104 colon-forming units (CFU)/100 ml. When the new beach action value (70 CFU/100 ml) was applied, retrospectively, for samples collected at these sites, we found that the number of advisories would have been doubled if this value had been in place at that time. Conclusions: Staring from January 2016, Georgia has adopted new water quality criteria to monitor beaches. Decreasing the beach action value to 70 CFU/100 ml strengthens beach monitoring programs because it allows for better prevention from waterborne diseases, thus protecting the health of swimmers.
    • Nicotine poisoning trends in Georgia

      Fabayo, Oluwayomi; Chung, Alina; Kenneth, Ray; O'Connor, Jean; Georgia Department of Public Health (Georgia Public Health Association, 2016)
      Background: Nicotine is a toxic chemical that can cause adverse health effects. Nicotine poisoning can result from exposure to tobacco and other nicotine containing products. It can cause nausea, vomiting, abdominal pain, fever, dizziness, seizures, tachycardia, hypertension and edema. Nicotine poisoning can affect both adults and children. Methods: The Georgia Department of Public Health secured data from the Georgia Poison Center in order to analyze nicotinespecific poisoning calls, including e-cigarette poisoning calls. The data on tobacco/nicotine poisoning or exposure calls were collected from April 2009 to April 2015. The data on calls related to nicotine poisoning from e-cigarettes were collected from January 2011 to April 2015. Results: Approximately 1,513 tobacco/nicotine poisoning calls were received over 6 years. Of these, 1, 212 were related to exposures in children ages 0 to 5 years, including 853 from cigarette use, 474 from cigars and chewing tobacco, and 23 from Nicoderm, Nicorette and hookahs. Approximately, 164 calls on nicotine poisoning from e-cigarettes were received over 4 years. Of these, 93 were related to exposure in children ages 0 to 5 years. Ingestion accounted for 107 of the calls, while 22 had nicotine poisoning through dermal routes, 21 through inhalation/nasal routes and 12 through ocular routes. Conclusions: Nicotine poisoning is a major public health problem in Georgia; it is caused by tobacco products and electronic nicotine delivery systems. Adopting tobacco-free/smoke-free policies that include e-cigarettes in homes, workplaces and vehicles will prevent nicotine poisoning.
    • Nonprofit hospitals and community health needs assessments

      Stephens, Beth (Georgia Public Health Association, 2015)
      Background: The Patient Protection and Affordable Care Act of 2010 requires all hospitals filing as 501(c)(3) nonprofit organizations to conduct a Community Health Needs Assessment (CHNA) every three years. Many Georgia hospitals published their first CHNAs in 2012 and 2013. The goals of this research and policy project were to assess compliance with the new CHNA requirements for nonprofit hospitals, provide recommendations to hospital administrators and policymakers, and encourage hospitals to engage in meaningful ways with community-based organizations and local public health departments in the next round of CHNAs. Methods: With funding from the Healthcare Georgia Foundation, Georgia Watch reviewed the initial CHNAs of 38 nonprofit hospital facilities in Georgia. Georgia Watch developed an evaluation tool to assess hospital compliance with five major components of the new CHNA requirements: 1) defining community; 2) collecting secondary data on community health; 3) gathering community input and primary data; 4) prioritizing community health needs; and 5) implementing strategies to address identified community health needs. To gain a deeper understanding of hospital processes, Georgia Watch supplemented document review with hospital leadership interviews and a survey of community input providers. This research was intended to inform, assist, and encourage citizens, community health stakeholders, public health departments, and hospital administrators. At the end of the session, audience members were better equipped to evaluate the adequacy of nonprofit hospital CHNAs within their own communities and encourage local hospitals to develop effective community benefit programs. Results: Georgia Watch found that hospitals are still learning how to navigate the CHNA process and that improvements can be made during the next round of CHNAs. Conclusions: Georgia Watch’s research provides insight on how hospitals can best engage their communities, prioritize local health concerns, initiate valuable partnerships, and develop meaningful, evidence-based strategies to address community health needs.Methods: With funding from the Healthcare Georgia Foundation, Georgia Watch reviewed the initial CHNAs of 38 nonprofit hospital facilities in Georgia. Georgia Watch developed an evaluation tool to assess hospital compliance with five major components of the new CHNA requirements: 1) defining community; 2) collecting secondary data on community health; 3) gathering community input and primary data; 4) prioritizing community health needs; and 5) implementing strategies to address identified community health needs. To gain a deeper understanding of hospital processes, Georgia Watch supplemented document review with hospital leadership interviews and a survey of community input providers. This research was intended to inform, assist, and encourage citizens, community health stakeholders, public health departments, and hospital administrators. At the end of the session, audience members were better equipped to evaluate the adequacy of nonprofit hospital CHNAs within their own communities and encourage local hospitals to develop effective community benefit programs. Results: Georgia Watch found that hospitals are still learning how to navigate the CHNA process and that improvements can be made during the next round of CHNAs.
    • Operational and financial performance of Georgia’s Critical Access Hospitals

      Kimsey, Linda; Apentenge, Bettya; Mase, William; Opoku, Samuel; Hanna, Mark; Boakye, Kwabena; Carhuff, Lisa; Owens, Charles; Peden, Angela; Tedders, Stuart; et al. (Georgia Public Health Association, 2017)
      Background: Georgia’s Critical Access Hospitals (CAHs) face increasingly complex threats to financial sustainability, as demonstrated by the disproportionally high number of closures in comparison to other states in the nation. Methods: Financial performance measures (including profitability, revenue, liquidity, debt, utilization, and productivity), site visits, key personnel interviews, and a revenue cycle management assessment were used to assess the strategic landscape of CAHs in Georgia, analyze financial and operational performance, and provide recommendations. Results: For CAHs in Georgia, financial and operating performance indicators, interviews, and assessments depict a challenging operating environment, but opportunities for improvement exist through implementation of a Lean Six Sigma program and improved benchmarking processes. Conclusions: Georgia’s CAHs operate in a challenging environment, but operational improvement strategies (such as a Lean Six Sigma program) and benchmarking directed towards business processes, including revenue cycle management, provide opportunities for sustainability in the future.
    • Partnership approach to establishing tobacco-free colleges and universities in Georgia

      Coleman, Anne-Marie; Ray, Kenneth; Toodle, Kia; Chung, Alina; O'Connor, Jean; Georgia Department of Public Health (Georgia Public Health Association, 2016)
      Background: Smoking rates in young adults ages 18-24 have been steadily declining since 2011 (2011:25.0%, 2012:22.3%, 2013:16.5% (BRFSS). The Georgia Department of Public Health (GDPH) partnered with the Georgia Board of Regents to adopt the 100% Tobacco Free Colleges/Universities policy. Methods: The Behavioral Risk Factor Surveillance System (BRFSS) is a state-based surveillance system, administered by the GDPH in collaboration with the CDC. The survey began in 1984 with 15 states participating, including Georgia. The data from this survey were used to inform key shareholders of smoking prevalence to encourage policy adoption as a method of decreasing tobacco use. The GDPH used the CDC’s Partnership Toolkit to recruit and retain partnerships with various multi-sector organizations in working towards systems change. Results: The Georgia Board of Regents—the governing body for the state’s system of colleges and universities –adopted the model 100% tobacco free colleges/universities policy resulting in a systems change of 31 campuses now having the model policy in place. The policy not only impacted the students who fall in the 18-24 age group, but the staff and visitors as well. Conclusions: Partnerships play a key role in creating systems changes. The partnership between the Georgia Board of Regents and the Georgia Department of Public Health contributed to the growing number of colleges and universities who are now 100% Tobacco Free. Using the CDC’s Partnership Toolkit allowed for sustainable partnerships leading to positive social change.
    • Partnership between academic and public health to train public health nurses new chronic diseases protocols

      Martin, Kathryn; Wood, Elena; Goggans, Stephen; Mulloy, Anthony; Brown, Shilpa; Wallach, Paul; Augusta University, East Central Health District (Georgia Public Health Association, 2017)
      Background: According to the Georgia Department of Public Health (DPH), cardiovascular disease is the leading cause of death in Georgia (29% in 2013). Diabetes (DM) and hypertension (HTN) are known risk factors for cardiovascular disease. In 2013, the prevalence of diabetes was 11% and of hypertension was 35% of the state’s adult population. There are not sufficient healthcare providers to manage these patients. To address this concern, the DPH Chronic Disease Prevention Section contracted with the Medical College of Georgia (MCG) at Augusta University to design and implement an innovative training program for Georgia public health nurses on diabetes and hypertension protocols. Methods: The two days’ training consisted of lectures, workshops, case discussions, simulation, physical examination practice, and both written and clinical skills testing developed and presented by MCG faculty members in accordance with DPH DM and HTN protocols. The epidemiology, risk factors, disease process, and appropriate pharmacologic and non-pharmacologic management protocols were covered during the training sessions. Results: A post-training evaluation survey was conducted to evaluate accomplishment of the 10 learning objectives, the effectiveness of teaching approaches, appropriateness of training facilities, and whether personal learning goals were met. Participants rated “meeting program objectives” highly with 96% of responses “met”, 3.5% “somewhat met”, and 0.5% “not met”. Participants were asked to rate personal knowledge of HTN and DM before and after the training (5-1 Likert scale with 5 = most knowledgeable and 1 = least knowledgeable). Average for pre-training was 3.0, and after the training 4.2. Conclusions: A partnership between the DPH and a public medical school resulted in a successful training of public health nurses. Participants agreed that the training effectively improved knowledge and ability to provide care with diabetic and hypertensive patients. Evaluation of the training on public health nurses’ actual practice is desired, with the hope of disseminating better services to and improved healthcare for the population of Georgia.
    • The Past is a Foreign Country They View Things Differently There: The Perception of “The Invisible Empire of the Ku Klux Klan” as a Benevolent Secret Society from 1915 to 1965

      Typhair, Dillon; History, Anthropology, & Philosophy (Augusta University Libraries, 2020-05-04)
      This item presents the abstract for a poster presentation at the 21st Annual Phi Kappa Phi Student Research and Fine Arts Conference.
    • Patient-centered outcomes for GoStrong: A self-management diabetes program in Savannah, GA

      Yang, Frances; Roberts, Lizzann; Davis, Bionca; Christianson, Angela (Georgia Public Health Association, 2015)
      Background: To advance the goal of health improvement for diverse populations with diabetes, a patient-centered approach is foundational. Methods: Innovative methods were used to initiate and advance an approach to diabetes engagement and self-management. We began with a strategy to understand how patients with diabetes view and interact with the disease via the medical community and moved to program development through patient-centered design and to the development of strategic partnerships and continuous learning from patients, stakeholders, and academic research partners. Results: The mean age of the participants in the GoStrong™ program (n=106) was 51 ±9.2 (SD) years. There were significant differences in the HbA1c levels over time compared to the Control group (n=100). The mean HbA1c level from baseline to 36 months decreased from 7.49% to 6.89%, with the largest decline (to 6.28%, p<0.01) at 12 months. The mean HbA1c level for the control group increased from 8.38% to 8.49% from baseline to 36 months, with the largest increase (to 8.89%, p<0.01) at 18 months. There were significant differences for total medical costs at 12 months prior to and 12 months after starting the GoStrong program, a difference in total prescription drug costs at 12 months, and differences within the total group in number of emergency room (ER) visits. Claims information showed that GoStrong produced significantly lower total medical costs and ER visits. There was also an increase in total prescription drug costs that may be due to better medication adherence. Conclusions: For diabetics, the GoStrong program results in reduced HbA1c levels, reduced costs, and reduced ER visits.
    • Perceptions of HIV/AIDS testing among urban and rural African American church members

      Walker, Roblena E; Walden University (Georgia Public Health Association, 2015)
      Background: The prevalence of the human immunodeficiency virus (HIV) continues to affect African Americans (AA) disproportionately. The purpose of this mixed methods study, guided by the health belief model, was to examine associations linking church and ambient social environment with knowledge and perceptions of HIV/AIDS testing amongst urban and rural AA church members. Methods: Multiple regressions and t tests were used to compare perceptions of HIV/AIDS testing and knowledge of HIV/AIDS among 236 participants selected from two AA churches located in a large city (n = 122) and in a rural town (n = 114) in the Southern U.S. Results: The quantitative findings indicated that the urban participants reported significantly higher rates of testing than the rural participants, but the groups had equally high HIV knowledge and positive perceptions of HIV/AIDS testing. In-depth, individual interviews (24 urban; 24 rural) were conducted to gain a better understanding of the factors that contribute to perceptions of HIV/AIDS testing and knowledge of HIV/AIDS. Transcripts were axially coded for a priori themes and then analyzed for emergent categories of responses. These interviews indicated that the participant’s perceptions of HIV/AIDS testing were in general, not influenced by the church and that there were no noticeable distinctions regarding why HIV/AIDS testing was sought. The combined results of this study suggested that the churches surveyed were not promoting HIV/AIDS awareness and that the participants felt that the church should do more as it relates to HIV/AIDS. Conclusions: Since the AA church plays an important role in the lives of many AAs, it potentially can, particularly in rural areas, bring forth social change by advocating HIV/AIDS testing and prevention efforts in order to reduce the rate of HIV infections.
    • Perfluorooctanoic Acid (in the Presence of Fetal Bovine Seruym) Induces Proliferation in ERα Positive and ERα Negative Breast Cancer Cell Lines

      Gaw, Victoria; Glenn, Manderrious; 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.
    • Perinatal health and school trajectories

      Williams, Bryan; Weldon, Arianne; Fitzgerald, Brenda; Gary, Fran; Emory University (Georgia Public Health Association, 2016)