Institute of Public and Preventive Health
Permanent URI for this communityhttps://hdl.handle.net/10675.2/38
As the State of Georgia's only public academic health center, Augusta University has unique strengths and responsibilities in developing clinical services and biomedical research responsive to community health needs. The innovative solutions developed through the Institute of Public and Preventive Health will ensure that Georgia will be a healthy place to live and work for generations.
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Item Open Access Adherence to the USPSTF Colorectal Cancer Screening Recommendation in the United States(2020-10-27) Ansa, Benjamin; Dergaga, Hayat; Olsen, Erik; Mumford, Pennica; Institute of Public and Preventive HealthTimely screening for colorectal cancer (CRC) can reduce CRC-related mortality by detecting the tumor at an early curable stage. The United States Preventive Services Task Force (USPSTF) recommends screening for CRC starting at age 50 and continuing until age 75, with blood stool test performed every one or two years, sigmoidoscopy every five years, and colonoscopy every ten years. The Healthy People 2020 targets 70.5% of Americans to have received CRC screening by 2020, based on the most recent guidelines. This study assessed the prevalence and likelihood of fully meeting the USPSTF recommendation for CRC screening among individuals aged 50 to 75 in the United States. We analyzed the 2018 Behavioral Risk Factor Surveillance System (BRFSS) dataset and utilized the Chi square test and binary logistic regression method. A total of 201,691 individuals were included in the study. The overall prevalence of those who fully met the screening recommendation was 72.1% (N= 145,347). Individuals older than 50-59 years, that were females, of black ethnicity, in a couple relationship, with high school or greater than high school education, earning $25,000 or more annually, and having insurance coverage, were more likely to meet the screening recommendation. Overall, the majority of adults (72.1%) have met the CRC screening recommendation, and have surpassed the goal of the Healthy People 2020, targeting 70.5% of Americans to have received CRC screening by 2020. However, differences persist in the rates of CRC screening based on socio-economic characteristics. More effort to promote screening among disadvantaged groups is warranted.Item Open Access Alcohol and drug risk patterns of patients screened by advanced practice registered nursing (APRN) students(2016-09) Johnson, J. Aaron; Seale, J. Paul; Augusta University; Mercer UniversityItem Open Access Aspirin Use among Adults with Cardiovascular Disease in the United States: Implications for an Intervention Approach(Augusta University, 2019-11-11) Ansa, Benjamin E.; Hoffman, Zachary; Lewis, Nicollette; Savoy, Cassandra; Hickson, Angela; Stone, Rebecca; Johnson, Tara; Institute of Public and Preventive HealthCardiovascular 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.Item Open Access Assessing similarities and differences in health-related quality of life among African-American women with and without breast cancer(2014) Smith, Selina A.; Whitehead, Mary S.; Sheats, Joyce Q.; Alema-Mensah, Ernest; Claridy, Mechelle D.; Georgia Regents University; Morehouse College; School of MedicineItem Open Access Assessing the impact of mode of delivery and training hours on screening and brief intervention proficiency using a web-based simulated patient(2017) Johnson, Aaron; Chung, Yunmi; Hicks, Megan; Augusta UniversityItem Open Access Association of smoking and quitting behavior with perceived and experienced mental health status among adults who smoke cigarettes, population assessment of tobacco and health study, 2019Majeed, Ban; Institute of Public and Preventative HealthItem Open Access Attitudes and Behavior towards Interprofessional Collaboration among Healthcare Professionals in a Large Academic Medical Center(MDPI, 2020-09-06) Ansa, Benjamin E.; Zechariah, Sunitha; Gates, Amy M.; Johnson, Stephanie W.; Heboyan, Vahé; De Leo, Gianluca; Institute of Public and Preventive HealthThe 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.Item Open Access Attrition in a cluster randomized controlled trial: Lessons learned from the pilot study in the Educational Program to Increase Colorectal Cancer Screening(2013) Smith, Selina A.; Delmoor, Ernestine; Sheats, Joyce Q.; Claridy, Mechelle D.; Damus, Francesca; Alema-Mensah, Ernest; Blumenthal, Daniel S.; Morehouse College; Georgia Regents University; School of MedicineItem Open Access Baseline measures of importance, confidence, and current practice in an SBIRT training program: the role of experience for advanced practice RNs(2015-05) Johnson, J. Aaron; Savage, Christine L.; Finnell, Deborah S.; Seale, J. Paul; Georgia Regents University; Johns Hopkins University; Mercer University School of MedicineItem Open Access Beliefs and Behaviors about Breast Cancer Recurrence Risk Reduction among African American Breast Cancer Survivors(2015) Smith, Selina A.; Whitehead, Mary S.; Yoo, Wonsuk; Ansa, Benjamin E.; Coughlin, Steven S.; Augusta UniversityItem Open Access Colorectal Cancer Screening Trends in Georgia: 1997-2012(2016-03) Smith, Selina A.; Ansa, Benjamin E.; Augusta UniversityItem Open Access A community-engaged approach to promoting adherence to diet-related cancer prevention guidelines(2015-11-09) Smith, Selina A.; Sheats, Joyce Q.; Whitehead, Mary S.; Georgia Regents University; Morehouse College; School of MedicineItem Open Access Comparing attitudes toward addressing patient drug use among health professionals in training(2015-06) Johnson, J. Aaron; Kelly, Ursula; Georgia Regents University; Emory UniversityItem Open Access Correlations between weight gain and physical health among African American breast cancer survivors(2014-10) Smith, Selina A.; Ansa, Benjamin E.; Claridy, Mechelle D.; Whitehead, Mary S.; Sheats, Joyce Q.; Baban, Babak; Yoo, Wonsuk; Alema-Mensah, Ernest; Georgia Regents University; Morehouse College; SISTAAH Talk; School of MedicineItem Open Access Data Management and Research Electronic Data Capture (REDCap) Training using Educational Program to Increase Colorectal Cancer Screening (EPICS) Data(2015-07) Fontenot, Brittney; Alema-Mensah, Ernest; Georgia Regents UniversityItem Open Access Determinants of adherence to physical activity guidelines among adults with and without diabetes(2017-10) Ansa, Benjamin E.; Covington, Katherine; Augusta UniversityItem Open Access Determinants of adherence to physical activity guidelines among overweight and obese African American breast cancer survivors: Implications for an intervention approach(2015) Smith, Selina A.; Whitehead, Mary S.; Yoo, Wonsuk; Ansa, Benjamin E.; Coughlin, Steven S.; Augusta UniversityItem Open Access Disparities of cervical cancer incidence and mortality rates in US between 2000 and 2012(2016-10) Yoo, Wonsuk; Kim, Sangmi; Coughlin, Steven S.; Bae, Sejong; Augusta University; UAB Comprehensive Cancer CenterItem Open Access Efficacy of Hand Hygiene Compliance Interventions: A Systematic Review(2015-07) Hobbs, A. N.; Stone, Rebecca; Georgia Regents UniversityItem Open Access Evaluation of blood stool test utilization for colorectal cancer screening in Georgia(2018) Ansa, Benjamin E.; Lewis, Nicolette; Hoffman, Zachary; Johnson, J. Aaron; Augusta University
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