HSPM 7431 – Public Health Practice Trends

Today’s public health landscape is increasingly complex and constantly changing. This course focuses on emerging trends and challenges in public health practice that epitomize the increasing complexity and nature of challenges facing public health practitioners

HSPM 7432: Theoretical Underpinnings of Health Policy

This course discusses the theoretical foundations of health policy including the individual, community-based, organizational, and systems frameworks for health policy

HSPM – 7135 Health Policy Development and Evaluation

This course introduces students to health policy development, analysis and management by examining issues in the health sector. It fosters an appreciation of the complexity of policy problems and provides the basic tools used in public health policy design, implementation and evaluation

HSPM 7135-A: Public Health Policy Development & Evaluation

This course introduces students to health policy development, analysis and management by examining issues in the health sector. It fosters an appreciation of the complexity of policy problems and provides the basic tools used in public health policy design, implementation and evaluation

Association between Smoking and Child Mortality Rate in Georgia Counties.

Association between Smoking and Child Mortality Rate in Georgia Counties. Background: Despite the major advances in health care, child mortality is still a major concern in the United States and Georgia included. Studies have shown that smoking (especially secondhand smoke) can cause multiple health problems in children, including mortality. Objective: The study objective is to examine the association between smoking and child mortality rate in Georgia counties. Methods: This study used data from the 2021 County Health Rankings for Georgia State. The total number of counties analyzed in Georgia was 159. Descriptive statistics and linear regression analyses were conducted to examine the association between the dependent variable-child mortality rate and independent variable-county level percentage of smokers while controlling for sociodemographic factors. Results: Our results show that there was a significant association between child mortality rate and county level percentage of smokers at p Conclusion: There is a need for stakeholders to educate people on the negative impact of smoking on child health and develop community-level behavioral interventions for smoking cessation. More studies need to be conducted to analyze other community-level factors contributing to child mortality

HPV Knowledge, Attitudes, and Vaccination Among Hispanic/Latino College Students in the USA

This study evaluated Human Papillomavirus-related knowledge and attitudes, vaccination practices, and explored associated factors among Hispanic/Latino college students in the United States of America. Using a self-administered survey, a descriptive, cross-sectional quantitative study was conducted in 2018 at colleges and universities in the United States of America. Our results indicate that Hispanic/Latino college students had a low level of HPV-related knowledge, a moderately positive attitude, and a moderate rate of HPV vaccination. Students who were in a health-related major, married/divorced, and had health insurance had greater knowledge and more positive attitudes towards HPV and its vaccines. This study is important due to the disproportionate high rate of HPV associated cervical cancers among Hispanic/Latinos when compared to other races and ethnicities. Our findings will inform the development of innovative intervention to promote HPV vaccination uptake across educational institutions

Personal Mastery and All-Cause Mortality among Older Americans Living with Diabetes

Introduction: Higher personal mastery is associated with better physical functioning, wellbeing, and longevity among older populations. However, few studies have focused on whether personal mastery is protective against mortality among older adults living with diabetes over time. Methods: A total of 1,779 participants were identified from an off-year survey of the Health and Retirement Study. Proportional Hazard Models were used to evaluate the significance of selected variables in predicting the survival of participants over a 13-year period. Results: A substantial proportion (46.7%) of the diabetic patients had survived by the end of 2016. Adults with lower mastery scores were more likely to die (Hazard Ratio = .94, p \u3c .001). Gender differences in the association patterns between personal mastery and survival were identified. Personal mastery had an independent health-protective effect on the survival of diabetes patients over the study period. With lower educational attainment, the foreign-born female diabetics scored higher in personal mastery measure when compared to their male counterparts. In the face of more severe diabetes comorbidity, foreign-born female diabetics also outlived their male counterparts over the study period. Conclusion: As a crucial psychological resource and a modifiable factor, personal mastery holds a potential for improving the health status among lower SES groups of older adults. Further investigations into the identified gender difference could be applied to break the cycle of poor health among lower Socio-Economic Status groups of older adults

Trajectory Patterns of Self-Rated Health Among the Elderly in Taiwan: A Comparison across Ethnicity

[[abstract]]This study seeks to compare health trajectories across the two major ethnic groups of the elderly in Taiwan, the Taiwanese and the Mainlanders, over 11 years of follow-up. This ethnic division is considered a salient dimension of social stratification in Taiwan, shaping the two groups of elders' pathways through life. Data are from the first four waves of the Taiwan Survey of Health and Living Status of the Elderly (N3,540). Proportional hazard models with time-dependent covariates and multinomial logistic regression were employed to compare health trajectories across ethnicity. There are three major findings. (1) Self-rated health is shown to be a remarkably strong predictor of mortality despite controlling for other variables, which is consistent with the bulk of studies in this area. (2) By using a national representative sample of the elderly in Taiwan and treating self-rated health as a time-dependent covariate, evidence from this study reveals that self-rated health reflects a person's health trajectory. (3) Considerable differences exist in the ways socio-structural forces are related to the health trajectories of Mainlanders and Taiwanese, respectively, over the 11 years of follow-up. In conclusion, it seems that, among this elderly population, the ethnic inequality in health can be explained away by Mainlanders' higher socio-economic standing, which is different from the racial/ethnic health disparities observed in the United States, where social class accounts for part of the differences, but the health disparities between African Americans and whites remain after adjusting for measures of social class

Effect of Influenza Vaccination on Mortality and Risk of Hospitalization in Elderly Individuals with and without Disabilities: A Nationwide, Population-Based Cohort Study

Purpose: The effects of influenza vaccines are unclear for elderly individuals with disabilities. We use a population-based cohort study to estimate the effects of influenza vaccines in elderly individuals with and without disabilities. Methods: Data were taken from the National Health Insurance Research Database and Disabled Population Profile of Taiwan. A total of 2,741,403 adults aged 65 or older were identified and 394,490 were people with a disability. These two groups were further divided into those who had or had not received an influenza vaccine. Generalized estimating equations (GEE) were used to compare the relative risks (RRs) of death and hospitalization across the four groups. Results: 30.78% elderly individuals without a disability and 34.59% elderly individuals with a disability had vaccinated for influenza. Compared to the unvaccinated elderly without a disability, the vaccinated elderly without a disability had significantly lower risks in all-cause mortality (RR = 0.64) and hospitalization for any of the influenza-related diseases (RR = 0.91). Both the unvaccinated and vaccinated elderly with a disability had significantly higher risks in all-cause mortality (RR = 1.81 and 1.18, respectively) and hospitalization for any of the influenza-related diseases (RR = 1.73 and 1.59, respectively). Conclusions: The elderly with a disability had higher risks in mortality and hospitalization than those without a disability; however, receiving influenza vaccinations could still generate more protection to the disabled elderl