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(1 - 14 of 14)
- Title
- RACE AND HEALTH BEHAVIORS: A STUDY OF DIABETES AMONG AFRICAN AMERICAN ADULTS.
- Creator
-
Towns, Tangela, Rivera, Fernando, University of Central Florida
- Abstract / Description
-
This project assesses the effects certain variables have on African American adults that suffer from diabetes. These include behaviors of African Americans that contribute to diabetes such as; diet behavior and physical activity. Thus, the focus of this study is to examine the effects of these health behaviors on the likelihood of having diabetes among African Americans. This assessment will be used to provide insights as they pertain to African Americans and diabetes.
- Date Issued
- 2009
- Identifier
- CFE0002620, ucf:48269
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0002620
- Title
- ASSOCIATIONS BETWEEN POSITIVE HEALTH BEHAVIORS AND PSYCHOLOGICAL DISTRESS.
- Creator
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Monroig, Marlaine, Bedwell , Jeffrey, University of Central Florida
- Abstract / Description
-
Research examining the relationship between psychological distress and health behaviors is limited, as most of these studies examine one type of psychological distress and relate it to one type of health behavior. To address this limitation, an exploratory study was conducted that included online self-report measures of a wide range of positive health behaviors (Health Behavior Checklist; HBC) and a wide range of different types of psychological distress (Brief Symptom Inventory; BSI)....
Show moreResearch examining the relationship between psychological distress and health behaviors is limited, as most of these studies examine one type of psychological distress and relate it to one type of health behavior. To address this limitation, an exploratory study was conducted that included online self-report measures of a wide range of positive health behaviors (Health Behavior Checklist; HBC) and a wide range of different types of psychological distress (Brief Symptom Inventory; BSI). Participants were 762 undergraduate students from the University of Central Florida (55% female). Results revealed that the total BSI score showed statistically significant negative correlations with the HBC total score and all four HBC subscales. Thus, participants reporting more overall psychological distress reported that they engaged in fewer positive health behaviors, across all health behavior subtypes. Stepwise regressions that examined the nine BSI subscales and their relationship with the HBC total score revealed that the Hostility subscale of the BSI was the strongest and most consistent predictor of positive health behaviors (in a negative direction). Stepwise regressions also revealed additional relationships of the BSI subscales of Depression and Phobia to particular HBC subscales. The results of this exploratory study provide an initial model on the relationships of particular types of psychological distress that are related to particular types of health behaviors, which will inform future studies on this important topic area.
Show less - Date Issued
- 2011
- Identifier
- CFH0003854, ucf:44700
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0003854
- Title
- Variations in Health Services Utilization by Patients with Prostate Cancer.
- Creator
-
McKee, Roberta, Wan, Thomas, Martin, Lawrence, Zhang, Ning, Sivo, Stephen, University of Central Florida
- Abstract / Description
-
Among men living in the United States, prostate cancer is the second leading cause of cancer death, and, excluding skin cancers, it is the cancer diagnosed most frequently. While incidence and mortality rates have been declining, the American Cancer Society estimated that there were 220,800 men diagnosed with prostate cancer and more than 27,500 prostate cancer deaths in 2015. Various patient-level and community-level factors have been shown to influence the differential patterns of diagnosis...
Show moreAmong men living in the United States, prostate cancer is the second leading cause of cancer death, and, excluding skin cancers, it is the cancer diagnosed most frequently. While incidence and mortality rates have been declining, the American Cancer Society estimated that there were 220,800 men diagnosed with prostate cancer and more than 27,500 prostate cancer deaths in 2015. Various patient-level and community-level factors have been shown to influence the differential patterns of diagnosis, care, and outcomes for men with prostate cancer. Detailed information regarding the utilization of health services by prostate cancer patients, particularly those with higher propensity for health services use, could be used to inform efforts intended to improve the coordination and delivery of care to work towards the elimination of disparities. The purpose of the study is to facilitate a better understanding of the determinants of health services utilization by older males with prostate cancer in the United States by examining the relative influence and interaction effects of factors characterizing individual patients and their county of residence. Andersen's behavioral model of health services utilization is used as a framework to guide this study. A cross-sectional design is used to analyze administrative claims data from the 2008 Medicare Provider Analysis Review (MEDPAR) file (n=5,754). County-level data from Area Health Resources File (ARHF) are merged to include the community and contextual characteristics. American Hospital Association (AHA) annual survey data are also used to examine the importance of hospital attributes in a subset analysis (n=555). A two-stage approach is used for analyzing the data. First, several social and demographic variables are included in automatic interaction detector (AID) analysis to identify relatively homogenous subgroups of patients with similar service utilization patterns for emergency room visits and hospital length of stay. Second, regression analysis is performed in the full dataset including all patients, and in each subgroup to determine the amount of variance explained by predictor variables categorized as predisposing, enabling, and need-for-care factors. Hierarchical logistic regression is performed to analyze the variability in emergency room use, and hierarchical multiple regression is performed to analyze the variability in hospital length of stay. The results show that the need-for-care factors are dominant predictors of service use. However, the relative importance of the predictor variables varies by subgroups of prostate cancer patients identified in the initial AID analysis. The findings lend some support of the use of an integrated approach to examine the personal and social determinants of health services utilization by prostate cancer patients enrolled in the U.S. Medicare program. The theoretical framework and analytic approach employed in this study make it possible to obtain an in-depth understanding of the influential factors associated with emergency room use and length of stay for all-cause hospitalizations, which can be used to inform future research and efforts aimed at developing targeted interventions to improve the coordinated care and to reduce health disparities among Medicare beneficiaries with prostate cancer.
Show less - Date Issued
- 2016
- Identifier
- CFE0006352, ucf:51523
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006352
- Title
- Constructing and Validating an Integrative Economic Model of Health Care Systems and Health Care Markets: A Comparative Analysis of OECD Countries.
- Creator
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Helligso, Jesse, Wan, Thomas, Liu, Albert Xinliang, King, Christian, Hamann, Kerstin, University of Central Florida
- Abstract / Description
-
This dissertation argues that there are three basic types of health care systems used in industrial nations: free market (private insurance and provision), universal (public insurance and private provision), and socialized (public insurance and provision). It examines the role of market forces (supply and demand) within the health care systems and their effects on health outcomes by constructing an integrative model of health care markets and policies that is lacking within the scientific and...
Show moreThis dissertation argues that there are three basic types of health care systems used in industrial nations: free market (private insurance and provision), universal (public insurance and private provision), and socialized (public insurance and provision). It examines the role of market forces (supply and demand) within the health care systems and their effects on health outcomes by constructing an integrative model of health care markets and policies that is lacking within the scientific and academic literature. The results show that, free market systems have decreased access to care, good quality of care, and are economically inefficient resulting in 2.7 years of life expectancy lost and wasted expenditures (expenditures that do not increase life expectancy) of $3474 per capita ($1.12 trillion per year in the U.S.). Socialized systems are the most economically efficient systems but have decreased access to care compared to universal systems, increased access to care compared to free market systems and have the lowest quality of care of all three systems resulting in 3 months of life expectancy lost per capita and a saving of $335 per capita. Universal systems perform better than either of the other 2 systems based on quality and access to care. The models show that health insurance is a Giffen Good; a good that defies the law of demand. This study is the first fully demonstrated case of a Giffen good. This investigation shows how the theoretically informed integrative model behaves as predicted and influences health outcomes contingent upon the system type. To test and substantiate this integrative model, regression analysis, Time-Series-Cross-Section analysis, and structural equation modeling were performed using longitudinal data provided and standardized by the Organization for Economic Cooperation and Development (OECD). The results demonstrate that universal health care systems are superior to the other two systems.
Show less - Date Issued
- 2018
- Identifier
- CFE0007335, ucf:52114
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007335
- Title
- Factors Influencing Hypoglycemia Care Utilization and Outcomes Among Adult Diabetic Patients Admitted to Hospitals: A Predictive Model.
- Creator
-
Kattan, Waleed, Wan, Thomas, Ramirez, Bernardo, Gurupur, Varadraj, Stevenson, Robyne, Pratley, Richard, University of Central Florida
- Abstract / Description
-
Diabetes Miletus (DM) is one of the major health problems in the United States. Despite all efforts made to combat this disease, its incidence and prevalence are steadily increasing. One of the common and serious side effects of treatment among people with diabetes is hypoglycemia (HG), where the level of blood glucose falls below the optimum level. Episodes of HG vary in their severity. Nevertheless, many require medical assistance and are usually associated with higher utilization of...
Show moreDiabetes Miletus (DM) is one of the major health problems in the United States. Despite all efforts made to combat this disease, its incidence and prevalence are steadily increasing. One of the common and serious side effects of treatment among people with diabetes is hypoglycemia (HG), where the level of blood glucose falls below the optimum level. Episodes of HG vary in their severity. Nevertheless, many require medical assistance and are usually associated with higher utilization of healthcare resources such as frequent emergency department visits and physician visits. Additionally, patients who experience HG frequently have poor outcomes such as higher rates for morbidities and mortality.Although many studies have been conducted to explore the risk factors associated with HG as well as others that looked into the level of healthcare utilization and outcomes among patients with HG, most of these studies failed to establish a theoretical foundation and integrate a comprehensive list of personal risk factors. Therefore, this study aimed to employ Andersen's health Behavior Model of health care utilization (BM) as a framework to examine the problems of HG. This holistic approach facilitates enumerating predictors and examining differential risks of the predisposing (P), enabling (E) and need-for-care (N) factors influencing HG and their effects on utilization (U) and outcomes (O). The population derived from the national inpatient sample of the Healthcare Cost and Utilization Project (HCUP) database and included all non-pregnant adult diabetic patients admitted to hospitals' Emergency Departments (EDs) with a diagnosis of HG from 2012-2014. Based on the BM framework, different factors influencing HG utilization and outcome were grouped under the P, E, or N component. Utilization was measured by patients' length of stay (LoS) in the hospital and the total charges incurred for the stay. Outcome was assessed based on the severity ranging from mortality (the worst), severe complications, mild complications, to no complications (the best). Structural Equation Modeling (SEM) followed by Decision Tree Regression (DTREG) were performed. SEM helped in testing multiple hypotheses developed in the study as well as exploring the direct and indirect impact of different risk factors on utilization and outcome. The results of the analysis show that N is the most influential component of predictors of U and O. This is parallel to what was repeatedly found in different studies that employed the BM. Regarding the other two components, P was found to have some effect on O, while E influences the total charge. Interaction effects of predictors were noted between some components, which indicate the indirect effect of these components on U and O. Subsequently, DTREG analysis was conducted to further explore the probability of the different predictor variables on LoS, total charge, and outcome. Results of this study revealed that the presence of renal disease and DM complications among HG patients play a key role in predicting U and O. Furthermore, age, socio-economic status (SES), and the geographical location of the patients were also found to be vital factors in determining the variability in U and O among HG patients.In conclusion, findings of this study lend support to the use of the BM approach to health services use and outcomes and provide some practical applications for healthcare providers in terms of using the predictive model for targeting patient subgroups (HG patients) for interventions among diabetic patients. Moreover, policy implications, particularly related to the Central Florida area, for decision makers regarding how to approach the growing problem of DM can be drawn from the study results.
Show less - Date Issued
- 2017
- Identifier
- CFE0006611, ucf:51304
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006611
- Title
- INVESTIGATING A POTENTIAL RELATIONSHIP BETWEEN SIBLING GENDER COMPOSITION AND HEALTH BEHAVIOR INDICATORS IN YOUNG ADULT AND ADOLESCENT MALES.
- Creator
-
Goss, Taylor N, Rovito, Michael J., Jasinski, Jana, University of Central Florida
- Abstract / Description
-
The presence of siblings during childhood and adolescence has a significant impact on the behaviors and perceptions of adults later in life. Effects of mixed-gendered sibling dyads on delinquent behavior, gender typing, and romantic and sexual relationships are of interest. These behaviors can lead to notable health disparities, making it imperative to gain insight into factors associated with such behaviors in young adult and adolescent males. This project explored possible correlations...
Show moreThe presence of siblings during childhood and adolescence has a significant impact on the behaviors and perceptions of adults later in life. Effects of mixed-gendered sibling dyads on delinquent behavior, gender typing, and romantic and sexual relationships are of interest. These behaviors can lead to notable health disparities, making it imperative to gain insight into factors associated with such behaviors in young adult and adolescent males. This project explored possible correlations between gender composition of siblings and health behavior indicators for violence, competition and risk, and sexual and romantic relationships. Analysis of these variables was performed using data from the Young Adult and Adolescent Male Health Behavior Indicator Scale [YAAMHBIS]. Descriptive analyses showed YAAM understanding of abuse and successful marriage and relationship qualities, as well as a conditional acceptance of violence, competition, and risk. Means testing between those with and without sisters indicated that those with sisters acknowledged abuse, marriage qualities, and the consequences of infidelity. Additionally, those with sisters had, on average, an earlier age of sexual debut than those without supporting previous research regarding the effects of female communication in childhood on adult interactions. The correlations found between sibling gender and YAAM perceptions later in life could lay the groundwork for future studies further investigating sibling gender or split households and an association with health behaviors.
Show less - Date Issued
- 2018
- Identifier
- CFH2000317, ucf:45807
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000317
- Title
- Brief Behavioral Health Intervention Program for Patients with Stable Coronary Artery Disease.
- Creator
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Wiener, Chelsea, Cassisi, Jeffrey, Gupta, Rema, Paulson, Daniel, University of Central Florida
- Abstract / Description
-
Healthy eating, physical activity, stress management, and smoking cessation are widely recognized as essential for preventing and treating coronary artery disease (CAD). Research on lifestyle programs for patients with CAD has largely focused on long-term interventions (e.g., several months to one-year in duration). Further, many studies have recruited patients immediately post-cardiac event. By contrast, evaluation of brief lifestyle interventions for stable patients treated in outpatient...
Show moreHealthy eating, physical activity, stress management, and smoking cessation are widely recognized as essential for preventing and treating coronary artery disease (CAD). Research on lifestyle programs for patients with CAD has largely focused on long-term interventions (e.g., several months to one-year in duration). Further, many studies have recruited patients immediately post-cardiac event. By contrast, evaluation of brief lifestyle interventions for stable patients treated in outpatient cardiology is lacking. The present study evaluated the feasibility, acceptability, and efficacy of a 3-session behavioral health lifestyle program for patients with stable CAD being treated in an outpatient cardiology clinic. Thirty-three patients were randomized to the Intervention Group (IG) or to Treatment as Usual (TAU). Outcome measures were assessed at Post-treatment (two-weeks after Baseline) and at 30-day Follow-up. Reliable change and parametric analyses were used to evaluate study outcomes. Results indicated that the program was both feasible and acceptable to patients, as determined by a priori criteria: over 60 percent of referred and eligible patients agreed to participate, over 75 percent of consented IG participants completed the program through 30-day Follow-up, and over 80 percent of participants reported that they would recommend the program to other patients. With regard to treatment outcomes, data from 28 participants were available. Reliable change analyses revealed that at both Post-treatment and 30-day Follow-up, significantly more IG than TAU participants exhibited an increase in self-efficacy as compared with Baseline. There were no observed between-group differences on other study measures, though repeated-measures ANOVAs were underpowered. Overall, results support the feasibility and acceptability of brief lifestyle interventions in outpatient cardiology care and highlight the role of behavioral health providers on integrated cardiology care teams in helping to increase patient self-efficacy in managing chronic disease.
Show less - Date Issued
- 2019
- Identifier
- CFE0007876, ucf:52770
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007876
- Title
- Predictors of Food Insecurity in 3 Central Florida Communities.
- Creator
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Towns, Tangela, Rivera, Fernando, Carter, Shannon, Wright, James, Dunn, Stacey, University of Central Florida
- Abstract / Description
-
This study examined the association between different socio-demographic factors and food insecurity in the Central Florida Communities of Maitland, Winter Park, and Eatonville. Data from the Institute for Social and Behavioral Sciences at the University of Central Florida were utilized to analyze 3 main questions: In which community is food insecurity more prevalent? To what extent are food consumption, transportation, poverty, and unemployment associated with food insecurity? Does the...
Show moreThis study examined the association between different socio-demographic factors and food insecurity in the Central Florida Communities of Maitland, Winter Park, and Eatonville. Data from the Institute for Social and Behavioral Sciences at the University of Central Florida were utilized to analyze 3 main questions: In which community is food insecurity more prevalent? To what extent are food consumption, transportation, poverty, and unemployment associated with food insecurity? Does the association between food consumption, transportation, poverty, unemployment, and food insecurity remain when controlling for self-reported overall health, education, marital status, and race. The results revealed differences in predictors of food insecurities. Particularly, there was a positive relationship between food consumption and the knowledge of recommended number of servings of fruits and vegetables suggesting that those who have nutritional knowledge practice healthy dietary behaviors. Furthermore, structural dysfunctions and affordability pose food consumption limitations on the communities studied (mainly Eatonville).
Show less - Date Issued
- 2013
- Identifier
- CFE0004947, ucf:49564
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0004947
- Title
- HAVE YOU HEARD? PREDICTORS OF HPV AWARENESS AMONG A RANDOM SAMPLE OF COLLEGE STUDENTS.
- Creator
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Arrastia, Meagan, Rivera, Fernando, University of Central Florida
- Abstract / Description
-
College students have been identified as at high risk for contracting Human Papillomavirus (HPV) due to engaging in risky behaviors, such as binge drinking and unprotected sex. Before preventative measures like vaccination and condom usage can be promoted, awareness must be evaluated. A random sample of 438 college students was surveyed on their awareness of HPV using both paper and online surveying methods. Using binary logistic regression, HPV awareness was predicted using demographic...
Show moreCollege students have been identified as at high risk for contracting Human Papillomavirus (HPV) due to engaging in risky behaviors, such as binge drinking and unprotected sex. Before preventative measures like vaccination and condom usage can be promoted, awareness must be evaluated. A random sample of 438 college students was surveyed on their awareness of HPV using both paper and online surveying methods. Using binary logistic regression, HPV awareness was predicted using demographic measures. The majority of the sample reported having heard of HPV before. Sexually active respondents and females were significantly more likely to report awareness. Non-whites and first-generation college students were also more likely to report awareness. These demographic predictors will help identify groups needing educational and HPV intervention programs. Implications and further research is discussed.
Show less - Date Issued
- 2009
- Identifier
- CFE0002640, ucf:48208
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0002640
- Title
- Health Behaviors in Military Veterans with and without Posttraumatic Stress Disorder.
- Creator
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Kitsmiller, Emily, Neer, Sandra, Beidel, Deborah, Bowers, Clint, University of Central Florida
- Abstract / Description
-
A link between posttraumatic stress disorder and health behaviors, such as exercise, alcohol, smoking, and caffeine has been suggested. However, it is unknown whether veterans with combat-related PTSD differ from combat veterans without PTSD and whether health behaviors change over the course of exposure therapy for PTSD or differ based on PTSD severity. This study examined the relationship between health behaviors and PTSD. More specifically, combat veterans with and without PTSD were...
Show moreA link between posttraumatic stress disorder and health behaviors, such as exercise, alcohol, smoking, and caffeine has been suggested. However, it is unknown whether veterans with combat-related PTSD differ from combat veterans without PTSD and whether health behaviors change over the course of exposure therapy for PTSD or differ based on PTSD severity. This study examined the relationship between health behaviors and PTSD. More specifically, combat veterans with and without PTSD were compared across self-reported levels of alcohol use, smoking, exercise, and caffeine. Health behaviors of combat veterans with PTSD were compared before and after a 17-week treatment for PTSD. Results showed a significant number of participants decreased alcohol use at post-treatment by an average of eight drinks over 30 days, regardless of their PTSD severity level or amount of improvement in PTSD symptoms. No significant differences were found for other health behaviors.
Show less - Date Issued
- 2017
- Identifier
- CFE0006891, ucf:51711
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006891
- Title
- Designing Calorie Counter Smartphone Applications for Effective Weight Loss.
- Creator
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Milliard, Sharlin, Fanfarelli, Joseph, Bockelman, Patricia, Hartshorne, Richard, University of Central Florida
- Abstract / Description
-
Poor dietary choices and lack of physical activity are two main contributing factors for the increasing prevalence of overweight and obesity in the United States. Overweight and obese individuals are at risk for developing major life-threatening diseases. Weight loss is an effective means for reversing these adverse health effects, and smartphone applications (apps) may be an effective means for supporting weight loss outside of formal clinical settings. This study involved identifying...
Show morePoor dietary choices and lack of physical activity are two main contributing factors for the increasing prevalence of overweight and obesity in the United States. Overweight and obese individuals are at risk for developing major life-threatening diseases. Weight loss is an effective means for reversing these adverse health effects, and smartphone applications (apps) may be an effective means for supporting weight loss outside of formal clinical settings. This study involved identifying factors that contribute to effective weight loss to compare with functionality commonly found in a sample of calorie counter apps. A content analysis was performed using a design framework that included a conceptual model describing the interaction of behaviors for effective weight loss and functional design requirements based upon behavior change and motivation to achieve weight loss. The requirements were used to analyze the presence of features in a sample of popular calorie counting apps, to infer their capability in supporting users' motivation to achieve weight loss. Results indicated that app features might not provide sufficient support to facilitate effective weight loss. Lack of supportive features affects perceived autonomy, relatedness, and competence, reducing motivation. This study provided guidelines to improve the design of calorie counter apps to include more features that support users as they engage in weight loss behaviors. The guidelines may become practical for use in mHealth apps used as part of formal and informal weight management strategies. Implications for future research involving wearable technologies and the use of gamified design strategies are discussed.
Show less - Date Issued
- 2019
- Identifier
- CFE0007838, ucf:52824
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007838
- Title
- TRAUMA-FOCUSED MODELS FOR CAREGIVERS: A SYSTEMATIC REVIEW OF EMPIRICAL RESEARCH.
- Creator
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Paul, Wesley, Lawrence, Shawn, University of Central Florida
- Abstract / Description
-
Child and Adolescent caregivers are rarely the focus of research and/or trauma-focused or informed models when working with traumatized children (Baynard, Englund, & Rozelle, 2001; Chapman, Dube, & Anda, 2007). It has been shown that use of caregivers in the treatment of children who have suffered trauma can have a significant impact on not only the child, but also reduce the trauma symptoms of the caregivers themselves (Cohen, Mannarino, & Staron, 2006). The purpose of this study is to...
Show moreChild and Adolescent caregivers are rarely the focus of research and/or trauma-focused or informed models when working with traumatized children (Baynard, Englund, & Rozelle, 2001; Chapman, Dube, & Anda, 2007). It has been shown that use of caregivers in the treatment of children who have suffered trauma can have a significant impact on not only the child, but also reduce the trauma symptoms of the caregivers themselves (Cohen, Mannarino, & Staron, 2006). The purpose of this study is to critically review the empirical research of trauma-focused and trauma-informed trainings and treatment models for children who have suffered some form of trauma and whose caregiver is included in the treatment. The outcomes of trauma-focused models will be examined in terms of its purpose, intervention, facilitation, adaptability and modification. Implications for further research and application are drawn.
Show less - Date Issued
- 2013
- Identifier
- CFH0004369, ucf:45026
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004369
- Title
- Factors Contributing to Low Adequate Prenatal Care Rates in Orange County, Florida.
- Creator
-
Daniel, Lauren, Donley, Amy, Hinojosa, Melanie, University of Central Florida
- Abstract / Description
-
In 2017, only 56% of births in Orange County, Florida, received adequate prenatal care(-)care that has been shown to prevent maternal and infant death. The Florida Department of Health uses the Kotelchuck Index to determine care adequacy. This index rates care adequacy based on when the mother first receives care, and how many recommended appointments she attends. Prenatal care is rated (")inadequate(") if it starts after the fourth month of pregnancy, and/or if less than half of the...
Show moreIn 2017, only 56% of births in Orange County, Florida, received adequate prenatal care(-)care that has been shown to prevent maternal and infant death. The Florida Department of Health uses the Kotelchuck Index to determine care adequacy. This index rates care adequacy based on when the mother first receives care, and how many recommended appointments she attends. Prenatal care is rated (")inadequate(") if it starts after the fourth month of pregnancy, and/or if less than half of the recommended appointments are attended. Receiving earlier and consistent prenatal care has been shown to be an effective way to improve birth outcomes.In Florida, counties that have low adequate prenatal care rates like Orange County's tend to be less populous and rural. However, Orange County stands out with its large population of 1.3 million and more urban environment; other Florida counties similar in population and environment to Orange tend to have rates like that of the state's, at approximately 70%.The objective of this study is to determine which factors contribute most significantly to prenatal care inadequacy in Orange, Duval, Hillsborough, Miami-Dade, and Pinellas counties; determine the differences between the most significant factors in Orange County and those in the other four counties; and to determine if residing in Orange County in of itself a risk factor for inadequate prenatal care, using logistic regression. By identifying factors that may lead to low adequacy rates, interventions intended to increase care adequacy in Orange County can be better targeted towards populations in need.
Show less - Date Issued
- 2019
- Identifier
- CFE0007447, ucf:52715
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007447
- Title
- HEALTHY AGING AND SELF-OBJECTIFICATION: THE IMPACT OF EMPOWERMENT AND FEMINIST ATTITUDES ON BODY IMAGE, EATING BEHAVIOR, AND AGING SATISFACTION.
- Creator
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Grippo, Karen, Tantleff Dunn, Stacey, University of Central Florida
- Abstract / Description
-
The purpose of this study was to contribute to women's healthy aging across the adult lifespan by empirically examining potential protective factors (e.g., empowerment and feminist attitudes) in maintaining positive body image, healthy eating behavior, and aging satisfaction. Objectification Theory (Fredrickson & Roberts, 1997) provided a theoretical framework for understanding the connections between sexual-objectification experiences, media influences, and self-objectification, and the...
Show moreThe purpose of this study was to contribute to women's healthy aging across the adult lifespan by empirically examining potential protective factors (e.g., empowerment and feminist attitudes) in maintaining positive body image, healthy eating behavior, and aging satisfaction. Objectification Theory (Fredrickson & Roberts, 1997) provided a theoretical framework for understanding the connections between sexual-objectification experiences, media influences, and self-objectification, and the resulting negative psychological consequences for women in Western society. This study was the first to examine empowerment in relation to Objectification Theory. Additionally, a developmental perspective was gained by using a diverse sample of young, middle-aged, and older women in the investigation of the impact of self-objectification on aging satisfaction. Results indicated that women of all ages were just as likely to report either body image satisfaction or body image dissatisfaction after accounting for BMI. However, younger women were more likely than older women to view their bodies as objects. Structural Equation Modeling (SEM) was performed utilizing Objectification Theory as a framework for predicting body image, eating behaviors, and aging satisfaction. Empowerment and feminist attitudes were not protective factors in promoting healthy eating behavior and positive thoughts related to body image and aging. The final structural model did, however, provide support for Objectification Theory and its proposed relationships between sexual-objectification experiences and the development of self-objectification and the negative consequences of self-objectification on a variety of health-related constructs. Long-term implications include incorporating this knowledge into empirically supported prevention and intervention programs aimed at reducing body image and eating disturbance and promoting healthy aging across the adult lifespan.
Show less - Date Issued
- 2011
- Identifier
- CFE0003966, ucf:48692
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0003966
