• A Comparison of Health Risk Behavior of College Students in Upstate NY and National Norms

      Banerjee, Priya; Skomra, Katie D.; The College at Brockport (2008-01-01)
      The Centers for Disease Control and Prevention conducts an annual survey of adolescent health risk behavior with the intention of establishing national norms for variables such as the extent of alcohol and other substance abuse behaviors habits, sexual health risk behaviors, nutrition habits, extent and nature of physical activity and violence. The purpose of this project and thesis is to compare the self reported health behaviors of college student at SUNY Brockport with national averages for the same topics. The goal of this project is to examine the differences and similarities between local data and national norms to make recommendations for improving health standards of local college students. The method used was to take the Youth Risk Behavior Survey of 2007 created by the Centers for Disease Control and Prevention and modify the questions to fit the objectives of the project. Then the survey will be administered to intact groups of college students at SUNY Brockport and data derived from the analysis of the survey will then be correlated and compared with national data.
    • Attitudes towards Condom Usage among College-Going Women

      Banerjee, Priya; Carson, Caitlyn; The College at Brockport (2015-05-10)
      This thesis looks at differences in attitudes toward condom usage across ethnicities and age for college women. A 25 question MCAS Multidimensional Condom Attitudes Scale, along with three questions to measure cultural influence written by the researcher and a demographic survey was given to 100 female students on the campus of The College at Brockport. The survey sought to answer the primary research question: Is there a difference in attitudes towards condom usage among college-going Hispanic women and women of other ethnicities? The research question was constructed with a broader goal of exploring two questions of practical application: If the researcher were to discover that the general attitude toward condom use were to be assessed at a low level across ethnicities, what could be done to improve attitudes towards condom use and frequency of condom use? Secondly, if there were to be a difference in attitudes toward condom use between ethnicities, what would be the cause of such a difference? The ANOVA test determined that there was no statistically significant difference in attitudes towards condom usage in any of the five subscales between ethnic groups. Thus eliminating the question as to whether or not attitudes are culturally informed. Additionally, tests indicated that, although attitudes towards condom usage are generally positive, this did not appear to improve condom usage.
    • Factors that Impact Readmission for Medicare and Medicaid HMO Inpatients

      Jegier, Briana; Stiller, Arinne; The College at Brockport (2014-05-01)
      Background: Hospital readmission is an outcome associated with failure of treatment because readmitted patients are still sick despite recent inpatient treatment. The specific 30-day period is critical because the U.S. Government's Centers for Medicare and Medicaid Services uses a 30-day period for measuring treatment quality and reimbursement for many conditions. Objective: The purpose of this study was to identify demographic factors associated with 30-day readmission for patients initially admitted with any of the following conditions; Congestive Heart Disease (CHF), Pneumonia (PN), and Chronic Obstructive Pulmonary Disease (COPD). Methods: This retrospective study analyzed factors that were associated with readmission. Descriptive statistics and bivariate analysis were used to assess the impact on readmission for the following variables: age, sex, length of stay (LOS), payer, admitting location, initial and secondary diagnosis, and initial discharge location. Results: The results demonstrated that the following variables were statistically associated with readmission were: LOS (p=.008), gender (p=.019), admitting location (p=.002), initial diagnosis (p < .001), secondary diagnosis (p < .001), and discharge location (p < .001). CHF patients were specifically more likely to be readmitted compared to patients without CHF (p < .001). Conclusion: This study suggests that patient demographics, LOS, diagnosis and location may increase readmission risk. CHF patients specifically have higher readmission than other patients. Further research should examine additional factors that may contribute to higher readmission for CHF patients.
    • Identifying Barriers to HIV Testing Among Men who have Sex with Men

      Scheidt, Douglas M.; Ferrusi, Charles; The College at Brockport (2013-05-15)
      HIV incidence rates have remained relatively stable throughout the past five years; however, among men who have sex with men (MSM), particularly young MSM, incidence has increased. According to national surveillance data, MSM accounted for 61% of HIV cases diagnosed in 2010. A low viral load reduces the risk of HIV transmission and slows the progression of HIV to AIDS. Treatment as prevention (TasP) has been identified as a major part of the solution to ending the HIV epidemic. This research focuses specifically on reasons for not taking an HIV-test among MSM. For TasP to be effective, widespread testing in order to identify HIV-positive people is needed. For the purpose of the present study, a survey was distributed at gay pride events in Rochester and Buffalo, NY during June and July 2012. Barriers to HIV testing and HIV risk were evaluated using a four-point Likert scale adapted from an instrument developed by Mikolajczak (2006). It was hypothesized that months since last HIV test would be positively correlated with barriers to testing. Months since last HIV test was positively skewed, ranging from 0 to 348 months. Therefore, Spearman rank-order correlations were used. Three items measuring barriers to testing were significantly correlated with months since last HIV test. These were perceived peer support, knowledge of HIV testing sites, and partnered relationship status. Interestingly, previous research suggested that fear of a positive result and low perceived risk were barriers to testing. These findings were not replicated in this sample. Nearly 40% of subjects had not been tested within the last year. TasP would not effectively prevent transmission among an untested group such as this. For TasP to be effective, interventions must be designed to encourage more frequent HIV testing and safer sex among those who have not been recently tested.
    • Student Perspectives on Cardiovascular Disease Risk

      Gardner, Lynne; Mains, Emily; The College at Brockport (2018-05-12)
      Cardiovascular disease is the leading cause of death in America today despite being an entirely preventable disease. This is largely due to the Western diet and lifestyle that has spread to wealthy nations across the world. Many of the behavioral factors that lead to cardiovascular disease begin early in life and accumulate over time, and although it is possible to change these habits many people do not consider doing so until it is too late. If public health officials could successfully educate the public on how to improve their habits, that alone would directly prevent certain non-communicable diseases such as cardiovascular disease as well as indirectly improve healthcare costs, the economy, and poverty. Since college students in particular are notorious for their poor diets, physical inactivity, and lack of sleep and stress management, this literature review will investigate the discrepancy between college students’ perceived risk of developing cardiovascular disease in the future, versus their actual risk based upon the behavioral risk factors they engage in today, and the effects of select demographics. The findings will be critically examined and any gaps in knowledge will be discussed along with potential solutions based on public health educational models and past areas of success.
    • The Effect of Maternal Obesity on Breastfeeding at 6 Months

      Jegier, Briana; Wiltbank, Jennifer; The College at Brockport (2014-12-01)
      This study examined the impact of obesity on breastfeeding duration at 6 months using secondary data analysis of maternal survey responses from 829 mothers with complete data on obesity status and breastfeeding duration who had participated in a prospective cohort study that examined infant feeding practices during the first 6 months of infant life and maternal return to work. The independent variable for this study was obesity status. This was a categorical variable that was defined as obese/overweight (BMI > 25) and normal weight (BMI < 25). The dependent variable for this study was duration of any breastfeeding in days during the infant’s first 6 months of life or the time the mother provided her last survey. Some mothers returned their survey after 6 months and thus breastfeeding duration data was available beyond the infant’s first 6 months of life. This was a categorical variable that was defined as yes if any breastfeeding at 6 months occurred or no if breastfeeding had been discontinued. The control variables for this study were maternal age, minority status, WIC status, delivery type, employed/in school during pregnancy, planning to return to work/school within 6 months, infant in the NICU, mother on Medicaid, tobacco use, alcohol use, medical risk factors during pregnancy (e.g. hypertension), procedures during this pregnancy, depression during pregnancy. This study demonstrated that overweight/obese mothers had longer duration of breastfeeding compared to normal weight mothers. This study also demonstrated that in this sample normal weight mothers were more likely to have other known risk factors that lower breastfeeding duration including participating in WIC, having a c-section, and planning to return to work or school within 6 months of delivery. Taken together, these findings suggest that these other risk factors might be stronger predictors of breastfeeding duration compared to obesity. Healthcare and public health practitioners can use this information to inform their breastfeeding education practices.
    • Use of Classroom Technology to Promote Learning Among Students with Autism

      Wilkens, Christian; Rising, Kelsey; The College at Brockport (2017-04-09)
      The use of technology in the classroom may affect the development of social skills among students – especially those on the autism spectrum, for whom social skills development is a priority. This study reports observational data from six students with and without autism, and interview data from two teachers, in grades k-2 rural New York public schools. Findings include: 1. Students with and without autism demonstrated similar levels of classroom technology use; 2. Technology use was correlated negatively with social interactions; students with autism using classroom technology interacted with others 5.7% of class time, compared to a social interaction rate of 43.5% when not using technology; 3. A similar pattern held for students without autism, with 16.6% of the time on the technology involved interacting with others and 53.3% of the time not on the technology involved interacting with others. Pros and cons of technology use in the classroom for students with autism are discussed, and future directions for research are suggested.