This dissertation seeks to contribute to a growing body of research on student outcomes by way of a public health perspective examining the intersection of education policy and adolescent mental health and well-being. The conceptual approach underpinning this project rests on the key theoretical assumption that education policy, shaped at...
The relationship between physicians and patients is undeniably unique. To understand the qualities of a healing relationship, it is essential to analyze the perceptions that influence physician behavior. Metaphors and relationship models are often used in bioethics to analyze the construction of perceptions. The goal of this study is to...
Hepatocellular carcinoma (HCC) is one of the leading causes of cancer death in the United States. Patients with cirrhosis are more likely to develop HCC. More than 80% of HCC patients are found have preexisting cirrhosis. The prevalence of cirrhosis increased from 0.26% to 0.3.% between 1999 to 2010 and...
Health effects stemming from animal feeding operations pollution in the contiguous United States are analyzed using a 20-year, county-level data set. Several quasi-experimental, potential outcome models are used to estimate the impact of high concentrations of animal units on mortality rates and other health and economic outcomes over a 20-year...
Research Objective: Nearly 60 million people in the United States reside in a rural area. Residents in rural areas have higher rates of chronic disease, risky health behaviors, disability, infant mortality, and age-adjusted mortality than their urban counterparts. Health insurance and access to care mitigate those risks, in part because...
Background. Total knee arthroplasty, or replacement, is a common, generally successful, and expensive procedure. Tools to predict outcomes following orthopedic procedures are abundant, yet no commonly used assessment accounts for an individual’s propensity to engage in adaptive health behavior. The 13-item Patient Activation Measure (PAM) questionnaire is a tool that...
American Indians and Alaska Natives (AIAN) have more negative sexual and reproductive health outcomes than non-Hispanic whites. Little is known, however, about the factors that lead to sexual and reproductive health disparities for AIANs, including the role of sexual and reproductive health services (SRHS).
Logistic regression analyses were performed on...
Background: Access to and effective utilization of healthcare services during the postpartum period is essential in preventing and managing health risks among women after childbirth, ensuring a smooth transition to motherhood, and promoting long-term health outcomes for women and their families. Low-income Medicaid women and those belonging to minority race/ethnicity...
Unmet healthcare needs and/or delays in needed care are widespread among patients with serious mental illness (SMI). Mental healthcare delivery has changed dramatically over the last two decades. Although access to mental health specialists remains challenging, mental healthcare is now increasingly provided in primary care settings. However, it is unclear...
Domestic violence (DV) is a major social and public health issue in countries such as India and Pakistan where patriarchy is the way of life and cultural norms, and beliefs hold a greater say in community decision-making. Women in these countries are discriminated against from birth and face hurdles in...