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Foundations of Rural Public Health in America spans a wide variety of important issues affecting rural public health, including consumer and family health, environmental and occupational health, mental health, substance abuse, disease prevention and control, rural health care delivery systems, and health disparities. Divided into five sections, the book covers understanding rural communities, public health systems and policies for rural communities, health disparities in rural communities and among special populations, and advancing rural health including assessment, planning and intervention. Written by a multidisciplinary team of experienced scholars and practitioners, this authoritative text comprehensively covers rural health issues today.

Mounting evidence suggests that differential environmental exposures significantly contribute to a wide range of population health disparities. Adopting a life course approach to maternal and child health enables readers to uncover the mechanisms by which prenatal and early life environmental exposures potentially shape both short- and long-term physical and mental health outcomes. This chapter applies the life course approach to explore the adverse influences of environmental risk factors on maternal and child health. The following four case studies will be discussed: (1) the pervasive impacts of secondhand smoke; (2) the deleterious effects of lead exposure; (3) the development of asthma; and (4) the potential origins of autism spectrum disorder. The chapter also provides recommendations for programmatic and policy interventions to reduce the prevalence of four salient environmental hazards, including secondhand smoke, lead, air pollution, and pesticides, as well as proposed future directions in research regarding these exposures.

The aging population in the world constitutes one of the greatest challenges of the 21st century across social sectors; dental education is no exception. This review explored the status of geriatric dentistry teaching in Cuba and contrasted it with examples from international curricula and programs. Google Scholar, PubMed, Wiley, and Scielo databases were used to search for articles that address geriatric dentistry topics, focusing on undergraduate curricular issues and the management of postgraduate specialization. The findings highlight the need to update curricula and programs for dentistry studies in Cuba to improve the quality of dental care for the aging population. The evolution of training future Cuban graduates aims to meet the healthcare needs of older adults while preserving their quality of life. Additionally, the incorporation of new information and communication technologies has been observed during this process. © 2024, IGI Global. All rights reserved.

Background Post stroke sleep duration could increase the risk of death. This study tested the hypothesis that inadequate sleep duration is associated with increased mortality among stroke survivors. Methods The REasons for Geographic And Racial Differences in Stroke (REGARDS), a national population-based longitudinal study, was the data source. Sleep duration was ascertained between 2013 and 2016 among stroke survivors who were subsequently followed up until death or censored on December 31, 2022. Sleep duration was estimated as the difference between wake-up time and bedtime to which was subtracted the time spent in bed without sleep. Cox proportional hazards regression models were employed to investigate the association between sleep duration and all-cause mortality adjusting for demographic factors, socioeconomic factors, behavioral factors, and co-morbidities. Results A total of 468 non-Hispanic Black and White stroke survivors were included in this analysis. The mean age was 76.3 years, 52.6% were females and 56.0% were non-Hispanic White individuals. The distribution of short (≤6 h), adequate (7.0–8.9 h), and long sleep (≥9 h) was 30.3%, 44.7%, and 25%, respectively. Over a mean follow-up of 5.0 years, 190 (40.6%) deaths occurred. Compared to stroke survivors with adequate sleep (7.0–8.9 h), stroke survivors with long sleep (≥9 h) were at increased risk of all-cause mortality (HR=1.46, 95% CI=1.01, 2.12). However, short sleep (≤6 h) was not significantly associated with an increased risk of all-cause mortality (HR=1.31, 95% CI=0.90, 1.91). Subgroup analyses indicated higher risk in the age <75 years, females, non-Hispanic Black individuals, and those living in the Stroke Belt region, but those differences were not statistically significant. Conclusion In this study of stroke survivors, 9 hours or more of sleep per day was associated with an increased risk of all-cause mortality. This finding suggests that excessive sleep duration may be a warning sign of poor life expectancy in stroke survivors.

Globally, air pollution accounts for approximately one in eight deaths, and diarrheal diseases account for one in nine child deaths annually. Lead exposure contributes to concerns of heart disease, stroke, and developmental intellectual disability. Further, across the world, nearly 23 million people are displaced by extreme weather events each year, which have been exacerbated by climate change and contribute to physical and mental health implications for entire communities. These and many other environmentally related experiences and their subsequent health outcomes are not experienced equally by race, ethnicity, or income, with Black, Brown, and Indigenous communities and low-income communities repeatedly experiencing the heaviest of burdens. Due to a variety of historic and contemporary policy and planning decisions, these patterns of environmental injustice persist on local, national, and global scales. In response, environmental justice (EJ) is a social movement, as well as a belief that people of all backgrounds deserve access to clean air and water and a healthy community in which to thrive. This chapter heavily focuses on the USA and its environmental health inequities, policies, and historic EJ movement. However, in our globalized society, EJ is a global issue that must be addressed as such by the field of public health.

The information and skills build to Chapter 10, where the work of a grassroots organization was investigated and how that work coincides with other advocacy and policy issues. Grassroots advocacy is a specific form of advocacy that starts from the roots (i.e., from the community itself) and grows upward from there. This is where the advocate deepens their knowledge about partnership building and collaboration and how it serves the profession to further the development of changes needed. Professional organizations and associations become important to the advocacy efforts at this level, and how to work together on the issues is shared.

Shortcomings in traditional methods for understanding sources of bacteriological contamination limit the ability of public health o cials to adequately protect public health and mitigate pollution sources. This study used polymerase chain reaction (PCR) as a tool for microbial source tracking to attempt to identify host species contributing bacteria to three watersheds fl owing into Long Island Sound. Samples were collected once a month near the mouth of each watershed and analyzed for other E. coli (a traditional fecal indicator) and genetic markers for members of the phylum Bacteroidetes. Genetic markers included host-specifi c markers that can be used to identify sources of contamination such as humans, domestic animals, and wildlife. Despite observing elevated E. coli levels in all three watersheds, we could not make a conclusive determination of actual sources using the available tools. Additionally, as there was disagreement between the E. coli levels and the presence of the general Bacteroidetes marker, it is important to evaluate the accuracy of this indicator with respect to recent fecal contamination and human health risks. Limitations posed by using indicator organisms, such as enterococci, illustrate the need to develop other methodologies for assessing actual sources of bacterial contamination.

We initiated a collaboration between local government, academia, and citizen scientists to investigate high frequencies of elevated Escherichia coli bacteria levels in the coastal Short Beach neighborhood of Branford, Connecticut. Citizen scientist involvement enabled collection of short-duration postprecipitation outfall flow water samples (mean E. coli level = 4930 most probable number per 100 mL) and yielded insights into scientific collaboration with local residents. A records review and sanitary questionnaire identified aging properties with septic systems (3.3%) and holding tanks (0.6%) as potential sources of the E. coli contamination. (Am J Public Health. 2022;112(9):1261–1264. https://doi.org/10.2105/AJPH.2022.306943)

Recreational boating is increasing in popularity worldwide, prompting challenges concerning pollution management, aquatic ecosystem preservation, and waterway access. Electric boating technology may provide a sustainable alternative to gasoline-powered boats, helping to address these challenges. In this study, the environmental and health impacts associated with using electric service vessels in the recreational boating industry were assessed. The focus was on pump-out boats, which enable the sanitary management of human waste generated onboard recreational vessels, as a tractable model of the whole recreational boating service sector. To query stakeholder attitudes about changing to electric technology, surveys were distributed to a nationwide network of pump-out boat service providers. A wide range of attitudes exists among this group towards the adoption of electric technology, and financial concerns dominate the anticipated barriers to electric technology adoption. A life-cycle assessment of electric and gasoline-powered pump-out boats revealed that electric boats have lower lifetime greenhouse gas emissions than do gasoline-powered equivalents, especially when electric boats are charged using renewable resources. Our study demonstrates that already-existing electric technology is a sustainable alternative to gasoline combustion in the boating service sector, and identifies the key challenges remaining for the widespread adoption of electric service boats.

Abstract It is clear that there is an increasing proportion of the United Kingdom (UK) population who are suffering with food allergies and this combined with an increase in the frequency of eating away from home (where there is less control over the content of food) poses a significant risk. In December 2014, the European Union (EU) introduced legislation which aimed to ensure that customers with food allergens could make informed choices and safely consume food, without the risk of a potentially life-threatening reaction. The research used semi-structured interviews with staff from a BCB, located in the North West of the UK, as the aim of the research was to explore food handlers’ knowledge, attitudes and understanding of food allergens. The findings of the semi-structured interviews identified five themes: E-learning training programmes: the staff felt that these were ineffective and did not take into account individual learning styles. Responsibility: there is a lack of clarity as to who is responsible, with staff believing the key responsibility lies with the customer. Communication: similarly, communication, both within the kitchen and within the company was not clear and likely to give rise to confusion. Need to make a profit: the staff felt that the drive for profit meant that customer safety was being compromised, especially when staff numbers were reduced. Staff awareness: the staff felt confident in their own ability to prepare a safe meal but indicated that staff may be dismissive towards claims of allergen sufferers. In conclusion, these themes illustrate that a significant risk exists for allergen suffers, who rely upon the knowledge, attitudes and understanding of BCB staff to ensure their meals are safely prepared.

A solar electric pump-out boat for removing human waste. The pump-out boat may include a boat hull, wherein the boat hull may include a bow, a stern, and a self-draining sole disposed therein. The pump-out boat may further include a holding tank disposed within the hull underneath the self-draining sole for collecting waste. The pump-out boat may further include a console disposed approximately center of, and on a top surface of the self-draining sole. The pump-out boat may further include a solar panel for absorbing sunlight to convert into electrical power. The pump-out boat may further include a pump disposed within the console. The pump-out boat may further include a battery connected to a motor, the pump, and the solar panel, such that the solar panel charges the battery to provide the electrical power to operate the pump and the motor.

Black, Indigenous, and People of Color (BIPOC) women faculty and administrators are breaking barriers, maintaining excellence, becoming award-winning scholars, and flourishing as experts in their fields. Still, they must survive while they thrive, grappling with insecurity, writer’s block, and imposter syndrome. Further examination prompts the realization that imposter syndrome may be a scapegoat for structural racism. Moreover, COVID-19 has created substantial health and financial tolls, fueled mental and emotional fatigue, and disrupted workplace productivity. These barriers caused by COVID-19 and structural racism inspire the courage to reassure, uplift, mentor, invite, and make collaborative spaces for BIPOC women to express feelings of vulnerability, unease, and, ultimately, hope. When seats are missing at the table, one can bring their own table and seats. In a field of often unforgiving critics, the authors provided underrepresented scholars the opportunity to promote authenticity and illuminate their voices. This chapter shares the authors’ reflections on being able to share the diverse and resilient perspectives of BIPOC women in academia.

U.S. society has been gripped with dueling pandemics of racial and ethnic disparities in COVID-19 outcomes, highly publicized instances of police brutality against Black persons, and ensuing unrest to challenges these atrocities. In higher education, the rapid pivot response to COVID-19 with remote and virtual learning has also highlighted multiple levels of mental health trauma and disparities. There has also been vicarious trauma for Black women in academia who may have seen their family, friends, or loved ones reflected during increased media coverage of police brutality. This implores the need for effective strategies to mitigate these issues. This chapter discusses evidence-based strategies for Black women who navigate academia and teach during times of COVID-19 and social unrest. This chapter also proposes strategies for university leaders to consider alleviating cultural and racial gaps in the classroom or workplace and foster diversity and inclusion in academia.

When I first took the adverse childhood experiences (ACEs) quiz, I was overcome with the enormity of Black trauma contained in those ten questions. The quiz reflected my own story, as well as those of Black students, women, and families—traumas that were magnified by the impact of three pandemics: COVID-19, economic inequities, and systemic racism. The definition of trauma as “emotional responses to disastrous life events” like COVID-19 can have both short- and long-term health consequences throughout one’s lifespan. The impact of COVID-19 as Black trauma in my family will reverberate long after society heals from the last three years and moves toward living with COVID-19 symbiotically. It is imperative to recognize ACEs and their perpetual trauma to implement successful trauma-informed practices to counteract and undo the damaging effects of COVID-19 on our collective lives.