• Aspirin Use among Adults with Cardiovascular Disease in the United States: Implications for an Intervention Approach

      Ansa, Benjamin E.; Hoffman, Zachary; Lewis, Nicollette; Savoy, Cassandra; Hickson, Angela; Stone, Rebecca; Johnson, Tara; Institute of Public and Preventive Health (Augusta University, 2019-11-11)
      Cardiovascular disease (CVD) is a major underlying cause of death, with high economic burden in most countries, including the United States. Lifestyle modifications and the use of antiplatelet therapy, such as aspirin, can contribute significantly to secondary prevention of CVD in adults. This study examined the prevalence and associated factors of aspirin use for the secondary prevention of angina pectoris, myocardial infarction (MI), and cerebrovascular disease (stroke) in a sample of American adults. The 2015 Behavioral Risk Factor Surveillance System (BRFSS) dataset was analyzed for this cross-sectional study. Almost 16% of the study population (N = 441,456) had angina, MI, or stroke. Weighted percentages of respondents with angina, MI, and stroke were 4%, 4.3%, and 3%, respectively. Overall, weighted prevalence of daily (or every other day) aspirin use was about 65%, 71%, and 57% among respondents with angina, MI, and stroke, respectively. Factors that were significantly associated with aspirin use included male sex, more than high school education, high blood pressure, diabetes, and less than excellent general health. There were existing differences among individuals with CVD based on diagnosis, demographic and socioeconomic status in the use of aspirin for secondary prevention. Resources for promoting aspirin use should be directed toward groups with lower utilization.
    • Attitudes and Behavior towards Interprofessional Collaboration among Healthcare Professionals in a Large Academic Medical Center

      Ansa, Benjamin E.; Zechariah, Sunitha; Gates, Amy M.; Johnson, Stephanie W.; Heboyan, Vahé; De Leo, Gianluca; Institute of Public and Preventive Health (MDPI, 2020-09-06)
      The increasing rates of comorbidities among patients and the complexity of care have warranted interprofessional collaboration (IPC) as an important component of the healthcare structure. An initial step towards assessing the e ectiveness of collaboration requires the exploration of the attitudes and experience of healthcare professionals towards IPC. This online survey aimed to examine the attitudes of healthcare professionals working in a large public academic medical center toward IPC in patient care and the healthcare team, and their behavior and experience regarding IPC. The rankings, according to the perceived importance among the respondents, of the four Interprofessional Education Collaborative (IPEC) core competencies (values/ethics, roles/responsibilities, interprofessional communication, teams/teamwork) were assessed. There were strong but varying levels of consensus among healthcare professionals (N = 551) that IPC facilitates ecient patient care, improves patient problem-solving ability, and increases better clinical outcomes for patients. They acknowledged that IPC promotes mutual respect within the healthcare team and providers’ ability to make optimal patient care decisions. However, overall more than 35% of the respondents did not attend multidisciplinary education sessions (grand rounds, seminars, etc.), and about 23% did not participate in bedside patient care rounds. Interprofessional communication was ranked as the most important IPEC core competence. Although the attitude towards IPC among healthcare professionals is strongly positive, many healthcare professionals face challenges in participating in IPC. Institutional policies that facilitate interprofessional learning and interactions for this group of healthcare professionals should be formulated. Online distance learning and interactions, and simulation-enhanced interprofessional education, are options for addressing this barrier. Hospital administrators should facilitate conducive work environments that promote IPC, based on IPEC core competencies, and promote programs that address the challenges of IPC.
    • Beliefs and Behaviors about Breast Cancer Recurrence Risk Reduction among African American Breast Cancer Survivors

      Smith, Selina A.; Whitehead, Mary S.; Yoo, Wonsuk; Ansa, Benjamin E.; Coughlin, Steven S.; Augusta University (2015)
    • Colorectal Cancer Screening Trends in Georgia: 1997-2012

      Smith, Selina A.; Ansa, Benjamin E.; Augusta University (2016-03)
    • Correlations between weight gain and physical health among African American breast cancer survivors

      Smith, Selina A.; Ansa, Benjamin E.; Claridy, Mechelle D.; Whitehead, Mary S.; Sheats, Joyce Q.; Baban, Babak; Yoo, Wonsuk; Alema-Mensah, Ernest; School of Medicine; Georgia Regents University; et al. (2014-10)
    • Determinants of adherence to physical activity guidelines among adults with and without diabetes

      Ansa, Benjamin E.; Covington, Katherine; Augusta University (2017-10)
    • Determinants of adherence to physical activity guidelines among overweight and obese African American breast cancer survivors: Implications for an intervention approach

      Smith, Selina A.; Whitehead, Mary S.; Yoo, Wonsuk; Ansa, Benjamin E.; Coughlin, Steven S.; Augusta University (2015)
    • Evaluation of blood stool test utilization for colorectal cancer screening in Georgia

      Ansa, Benjamin E.; Lewis, Nicolette; Hoffman, Zachary; Johnson, J. Aaron; Augusta University (2018)
    • Evaluation of colonoscopy and sigmoidoscopy utilization for colorectal cancer screening in Georgia

      Ansa, Benjamin E.; Hoffman, Zachary; Lewis, Nicolette; Johnson, J. Aaron; Augusta University (2018)
    • Formative research to develop a lifestyle application (app) for African American breast cancer survivors

      Smith, Selina A.; Ansa, Benjamin E.; Fontenot, Brittney; Whitehead, Mary S.; Sheats, Joyce Q.; School of Medicine; Augusta University; Morehouse College (2016)
    • The Gulf War Women’s Health Cohort: Study Design and Protocol

      Ansa, Benjamin E.; Sullivan, Kimberly; Krengel, Maxine H.; Heboyan, Vahé; Wilson, Candy; Lobst, Stacey; Coughlin, Steven S.; Institute of Public and Preventive Health (MDPI, 2020-04-02)
      Military service and deployment affect women differently than men, underscoring the need for studies of the health of women veterans and their receipt of health care services. Despite the large numbers of women who served during the 1990–1991 Gulf War, few studies have evaluated Gulf War illness (GWI) and other medical conditions specifically as they affect women veterans of the 1991 Gulf War. The objectives of the Gulf War Women’s Health Cohort study are: (1) to establish the Gulf War women’s cohort (GWWC), a large sample of women veterans who served in the 1990–1991 Gulf War and a comparison group of women who served in other locations during that period; and (2) to provide current, comprehensive data on the health status of women who served during the 1990–1991 Gulf War, and identify any specific conditions that affect Gulf War women veterans at excess rates. The study will utilize both existing datasets and newly collected data to examine the prevalence and patterns of Gulf War Illness symptoms, diagnosed medical conditions, reproductive health, birth outcomes and other health issues among women who served during the Gulf War. The Gulf War Women’s Health Cohort study will address the need for information about the comprehensive health of women veterans who were deployed to the Gulf War, and other wars during the Gulf War era.
    • Health related quality of life among African American female breast cancer survivors and survivors of other cancers

      Smith, Selina A.; Ansa, Benjamin E.; Claridy, Mechelle D.; Damus, Francesca; Alema-Mensah, Ernest; School of Medicine; Georgia Regents University; Morehouse College (2014-10-17)
    • Incidence and survival trends of colorectal cancer from 2002 to 2011

      Ansa, Benjamin E.; Alema-Mensah, Ernest; Claridy, Mechelle D.; Sheats, Joyce Q.; Smith, Selina A.; School of Medicine; Georgia Regents University; Morehouse College (2015-03)
    • Interprofessional Education and Collaboration in Healthcare: An Exploratory Study of the Perspectives of Medical Students in the United States

      Zechariah, Sunitha; Ansa, Benjamin E.; Johnson, Stephanie W.; Gates, Amy M.; De Leo, Gianluca; Institute of Public and Preventive Health (MDPI, 2019-10-15)
      Qualified and competent healthcare professionals working in a collaborative team environment is a prerequisite for high quality patient care. In order to be successful in the healthcare working environment, medical students need to be exposed to interprofessional learning early in their education. A single stage online survey was administered to medical students to evaluate their attitudes and perceptions of interprofessional education (IPE) and whether prior exposure to IPE increased their appreciation for interprofessional collaboration. The results suggest that irrespective of prior exposure to IPE, medical students appreciated the importance of interprofessional education and collaboration. Medical students showed a strong interest in attending interprofessional courses in other disciplines. Time constraints, scheduling conflicts, and communication emerged as barriers to IPE. Medical students embraced IPE and welcomed the opportunity to learn with other disciplines. Clinical case studies and simulations were identified as potential methods to integrate with other healthcare disciplines. The positive attitude and perceptions of the medical students toward interprofessional education and collaboration warrants the inclusion of related courses in medical curricula, as this may further increase students’ potentials in becoming effective healthcare providers.
    • Participatory Process for Implementing a Colorectal Cancer Screening Intervention: An Action Plan for Local Intervention Sustainability

      Smith, Selina A.; Ansa, Benjamin E.; Sheats, Joyce Q.; Hamilton, Sandra J.; Whitehead, Mary S.; Augusta University (2015)
    • Stage at diagnosis is an important determinant of survival among pancreatic cancer patients: Learnings from the National Cancer Database

      Ansa, Benjamin E.; Islam, K. M. Monirul; Institute of Public and Preventive Health, Augusta University
    • Syphilis rates and trends in the Central Savannah River Area of Georgia and South Carolina

      Stone, Rebecca; Chung, Yunmi; Ansa, Benjamin E.; Augusta University (2017-10)
    • Trends in HIV testing among adults in Georgia: analysis of the 2011-2015 BRFSS data

      Ansa, Benjamin E.; Smith, Selina A.; Chung, Yunmi; White, Sashia; Augusta University (2017-04)