Objectives: Recent research finds that self-provided and non-clinical abortions are on the rise, largely due to abortion restrictions. This is a qualitative study with a geographically diverse sample to describe people’s motivations for using and providing alternative abortion outside the formal healthcare system in North ...

Purpose To assess factors contributing to the late-stage breast cancer presentation in Uganda. Methods A survey with open and close-ended questions was conducted on a community sample of Ugandan women to assess 1. Breast cancer downstaging practices and breast health messaging preferences to present early for a CBE in the ...

Organophosphate flame retardants (OPFRs), including Tris (1,3-dichloro-isopropyl) phosphate) (TDCPP), triphenyl phosphate (TPP), and isopropylated triphenyl phosphate (ITP), are increasingly used in consumer products because of the recent phase out of polybrominated diphenyl ether (PBDE) flame retardants. OPFRs have been ...

Background: A substantial percentage of the U.S. population does not speak English well (Limited English proficient [LEP]). When a LEP reporting person (RP) calls 9-1-1 for a cardiac arrest and receives Telephone-Assisted Cardiopulmonary Resuscitation (T-CPR) from the dispatch call receiver (CR), communication barriers may ...

The United States is experiencing a demographic transition as the population of older adults increases. Many older adults continue to work and drive to support and sustain economic and social health. However, for some, the aging process can be accompanied by declines in cognitive and physical capacity which may increase the ...

Nearly three out of four people over 65 years of age in the United States (U.S.), or greater than 35 million older adults, have two or more chronic conditions. People with multiple chronic conditions (MCCs) pose a significant challenge to the health care system because they are at greater risk for morbidity and mortality, ...

Background Undernutrition during the 1,000 most critical days – pregnancy through the first 24 months of life – is a particular risk factor for morbidity and mortality among infants and young children. Inadequate knowledge about complementary foods and feeding practices is often the cause and can be a greater determinant of ...

In 2013 an online survey was administered to 9-1-1 telecommunicators in six call centers in an effort to measure variables associated with occupational stress. The survey instrument used, the Calgary Symptoms of Stress Inventory (C-SOSI), has previously successfully measured stress in cancer patients, but had not been used ...

Local Health Department (LHD) services play a crucial role in driving community health outcomes. However, LHDs face critical decisions, in times of budget and staffing shortfalls, around how essential public health services should be delivered. This dissertation describes variation in how LHDs are delivering services, and how ...

Importance: Bronchiolitis is the leading cause of infant hospitalization in the United States. Bronchiolitis clinical pathway implementation may result in more efficient, higher value care. Objective: To examine associations between level of adherence to bronchiolitis clinical pathway recommendations, healthcare utilization ...