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Tagged With "Ryan White"

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PHC6937: A Trauma-Informed HIV Prevention Intervention in a Diverse Population

Austin Gordon ·
This trauma-informed, culturally sensitive HIV intervention will focus on the diverse subset of the men who have sex with men (MSM) community who have experienced at least one adverse childhood experience (ACE). Current data suggests exposure to ACEs increases a person’s risk to contracting HIV; as such, our program will be based in resilience. Through education, peer mentoring, motivational interviewing, and therapy sessions, we will guide our participants toward safer sex practices. These...
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Town Hall Meeting -Two Years after Parkland: Are schools safer, and at what cost?

Kelsey Visser ·
Events that Make an Impact Two Years after Parkland: Are schools safer, and at what cost? Sponsored by the Orlando Sentinel and Valencia's School of Public Safety Thursday, February 13th Doors open at 6:30 pm Valencia College School of Public Safety 8600 Valencia College Lane, Orlando, FL 32825 We will address the safety measures in place and still to come, and what they’ve meant to the students and staff who now have to live with it. The panel will include parents, mental health...
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Upates, good news, recommendation and link to register for Making Meaningful Change: Addressing ACEs through Public Policy Webinar February 18

Mimi graham ·
The World Health Organization has compiled a recent meta-analysis about how much ACEs cost us Millions of adults across Europe and north America live with a legacy of ACEs. Their findings suggest that a 10% reduction in ACE prevalence could equate to annual savings of $105 billion. Programs to prevent ACEs and moderate their effects are available. Rebalancing expenditure towards ensuring safe and nurturing childhoods would be economically beneficial and relieve pressures on health-care...
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12 Myths of the Science of ACEs

Jane Stevens ·
The two biggest myths about ACEs science are: MYTH #1 — That it’s just about the 10 ACEs in the ACE Study — the CDC-Kaiser Permanente Adverse Childhood Experiences Study . It’s about sooooo much more than that. MYTH #2 — And that it’s just about ACEs…adverse childhood experiences. These two myths are intertwined. The ACE Study issued the first of its 70+ publications in 1998, and for many people it was the lightning bolt, the grand “aha” moment, the unexpected doorway into a blazing new...
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ACEs Connection's Inclusion Tool makes sure nobody's left out

We developed ACEs Connection's Diversity, Equity & Inclusion Tool — called the Inclusion Tool, for short — to ensure that ACEs initiatives across the world focus on being inclusive when forming a steering committee, recruiting leaders, providing education about ACEs science, recruiting members, or providing resources and services within their communities. The more inclusive your ACEs initiative is, the more diverse it will be, giving your initiative a real shot at achieving equity and...
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HSC4930 - "Soul Sistas" Black Women Intervention

Olivia Brown ·
Soul Sistas There is undoubtable race related trauma in the Black community. However, for Black women, this existence in two minority groups, race and gender, can be even more detrimental. Especially when those identities are comorbid with others including SES, sexuality and ability. Trauma is playing a role in the lives and death of how black people black women navigate the world and there is a necessary shift to be created in communities where black women exist. Essentially black women are...
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It took 3 years, 6 versions to develop ACEs screener that works for parents & providers

Laurie Udesky ·
It’s irrefutable: Widespread research shows that adverse childhood experiences (ACEs) are common. That’s why researchers in a recent study insist: “It behooves pediatric providers to take an active role in preventing and identifying childhood adversity in order to reduce the health consequences of toxic stress.” In other words, if you want your kids to have a good shot at a healthy life, make sure they — and you — are educated about and screened for ACEs and resilience. In a recent study —...
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Personal stories from witnesses, U.S. representatives provided an emotional wallop to House Oversight and Reform Committee hearing on childhood trauma

Room erupts in applause for the grandmother of witness William Kellibrew during July 11 House Oversight and Reform Committee hearing. The power of personal stories from witnesses and committee members fueled the July 11 hearing on childhood trauma in the House Oversight and Reform Committee* throughout the nearly four hours of often emotional and searing testimony and member questions and statements (Click here for 3:47 hour video). The hearing was organized into a two panels—testimony from...
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PHC6534-A Trauma-Informed Approach to Narrowing Racial Disparities in Negative Birth Outcomes Among Women in Alachua County

Sarah Hanson ·
African American women in Alachua County are experiencing higher rates of poor birth outcomes than their white counterparts (FLHealthCharts, 2018). This is, in spite of the fact that women from both races have clinically similar starts to their pregnancies (FLHealthCharts, 2018). Trauma, experienced in the form of toxic stress from environmental and social variables, is the key difference between these women (Sandoval, 2018). My grant proposal looks to reduce the amount of stress a black...
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Higher Education’s Role in Promoting Racial Healing and the Power of Wonder (criticalimpact.com)

As protests erupt across the country and around the world demanding justice for George Floyd, a black man who was killed while in Minneapolis police custody, higher education must play a leadership role in addressing the issues at their center—racism and white supremacy. The devastating video that shows Mr. Floyd pleading for his life follows high-profile news reports of the killing of Breonna Taylor, a young black woman who was shot in bed by Memphis police engaged in a botched search for a...
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ACEs Connection Anti-Racism Resources

Morgan Vien ·
Hi everyone! We'd like to introduce our new ACEs Connection Anti-Racism Resources List c ulled from resources shared by Learn4Life, Prevention Institute., Rise Magazine , V A TICN , Vital Village , 10% Happier . and our own ACEs Connection members and staff . You can access them from this widget on the top right side of our home page or by clicking here. The list has the following categories of resources: Racial Trauma, Historical Trauma, & Healing Police Brutality & Reform...
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Resilience for Children & Families: Being Brave When Things are Hard

Building Resilience with Children During Racial Discrimination & Violence: This attached Resilience Brief for Children has been the hardest one I have written yet. I have been an active advocate for the equal treatment of people from all backgrounds, religions, ethnic heritages, orientations, and families my entire life. It is hard to see the pain present today, not only due to COVID19 but also due to the harm and anger we see daily in the news. I want to share a story about the person...
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Do safe, stable, and nurturing relationships work? New research has important findings for responding to ACEs

Alyssa Koziarski ·
While we know that adverse childhood experiences (ACEs) can cause risk behaviors, research has told us that the presence of protective factors can help mitigate the effects of ACEs. Common risk behaviors such as smoking tobacco and alcohol misuse can be a result from the trauma of childhood disadvantage. In responding to ACEs, public health research proposes that protective factors such as safe, stable, nurturing relationships (SSNRs) with a caring adult can mitigate the long-term effects of...
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Health Disparity, Racial Weathering, and Social Determinants: How Do We Create Antiracist Healthcare? [saragottfriedmd.co]

By Sara Gottfried, Dr. Sara Gottfried MD, July 13, 2020 I take respectful care of my patients regardless of skin color, but in the past few years, I’ve realized that is not enough. There are many sources of information that have influenced me. Conversations, particularly a recent interview with integrative physician Andrea Pennington MD. Books, mentioned in this article, including How to Be an Antiracist by Boston University Professor Ibram X. Kendi and founder of the Antiracism Center for...
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Structural Racism and its Impact on Black Maternal Health (New Security Beat)

Karen Clemmer ·
By Deekshita Ramanarayan, July 21, 2020, New Security Beat. “The past months have been profoundly difficult for our nation, and for Black communities in particular,” said Representative Lauren Underwood (D-IL-14) at a recent March of Dimes event on the impact of structural racism on maternal health. COVID-19 has highlighted health outcome inequity caused by race and racism. Though Black people constitute 13 percent of the U.S. population, the CDC estimates they represent over 30 percent of...
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Greater Richmond Trauma Informed Community Network, first to join ACEs Cooperative of Communities, shows what it means to ROCK!

Jane Stevens ·
In 2012, Greater Richmond SCAN and five other community partners hatched a one-year plan to educate the Richmond, Virginia, community about ACEs science and to embed trauma-informed practices. Eight years later, the original group has evolved into the Greater Richmond Trauma-Informed Community Network (GRTICN) with 495 people and 170 organizations. And they're just scratching the surface.
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Donald Trump is the product of abuse and neglect. His story is common, even for the powerful and wealthy.

Jane Stevens ·
“In order to cope,” writes Mary Trump, “Donald began to develop powerful but primitive defenses, marked by an increasing hostility to others and a seeming indifference to his mother’s absence and father’s neglect….In place of [his emotional needs] grew a kind of grievance and behaviors—including bullying, disrespect, and aggressiveness—that served their purpose in the moment but became more problematic over time. With appropriate care and attention, they might have been overcome.”
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Does VP Candidate Kamala Harris know about ACEs?  You bet!

Nadine Burke Harris, California’s Surgeon General, has a lot in common with the vice presidential candidate Kamala Harris—Jamaican heritage, surname, home state—and a commitment to addressing ACEs and toxic stress. As reported in the New Yorker article by Paul Tough, “The Poverty Clinic,” Dr. Harris told Kamala Harris, then San Francisco district attorney, about ACEs in 2008 and in response, she offered to help. District Attorney Harris then introduced her to professor of child and...
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The Intersection of Systematic Racism, the Pandemic, and SDoMH: Reality Mandates Change

Ellen Fink-Samnick ·
Systematic racism is at the core of mental health disparities and social determinants of mental health (SDoMH).Upstream factors obstruct patient access to needed and appropriate assessment, timely intervention, with treatment for these populations often reflecting poorer quality, and ending prior to completion of treatment. COVID-19 and the recent pandemic have only amplified meso and micro-level gaps in care. considered, provided, and reimbursed.
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Opportunity to sign on to “A Trauma-Informed Agenda for the First 100 Days of the Biden-Harris Administration”—Deadline Dec. 8th

The Campaign for Trauma-Informed Policy and Practice ( CTIPP ) is inviting individuals and organizations to express their support for a set of executive actions for the Biden-Harris Administration to take “to address trauma and build resilience throughout the country.” Most of these actions could be taken early in the Administration and would not require congressional action with the exception of some recommendations that could be included in a new stimulus package. The recommendations are...
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Whole People Watch Weekend on ACEs Connection (Dec. 11th - 13th)

Christine Cissy White ·
The Transform Trauma with ACEs Sciences FREE Film Festival continues this weekend. Please join us to watch parts 1, 2, and 3 of the PBS Whole People series at your convenience, on ACEs Connection, by clicking play on the videos below: Whole People | 101 | Childhood Trauma | Episode 1 (27 min) Preview: Whole People | 102 | Healing Communities | Preview | Episode 2 Whole People | 102 |Healing Communities Episode 2 (27 min) Whole People | 103 |A New Response | Episode 3 (27 min) This is one of...
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PHC6534 CHILDREN OF AN INCARCERATED PARENT: Applying a trauma-informed approach to mitigate the risks of poor health outcomes.

Stacey Willingham ·
This grant proposal addresses the population of children with an incarcerated parent. The U.S. leads internationally in the imprisonment of its citizens and incarceration per 100,000 residents from 1970-2015 has increased by > 400% in 15 to 64 year-olds. 1 The staggering disparities between non-white and white incarceration rates of U.S. citizens are multifactorial. Children of the incarcerated have a higher number of Adverse Childhood Experiences than the general population and carry an...
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Walk Away from Obesity: A Multi-Level Public Health Intervention to Reduce Obesity Prevalence in Jackson, Mississippi

Veronica Blancato ·
For my PHC6451 class, I created a hypothetical multi-level public health intervention, as the "Creative Director for ResilientU". This intervention is set to target individuals living in Jackson, Mississippi, the city with the highest obesity rates in the state of Mississippi and across the country (Oliver, 2017; Robert Wood Johnson Foundation, 2019). Using the CDC's (2021) Social Ecological Model (SEM), I looked at each separate level (individual, relationship, community, and society) to...
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Resilience-Building among Immigrant and Refugee Children: Initiatives to Foster Awareness, Autonomy, and Advocacy

Andrea Rangel ·
The public health issue of concern is traumatic experiences specific to immigrant and refugee children under the age of seventeen, that negatively affect the neurology and development of these children. The target population for this analysis is immigrant children, specifically non-white immigrants and international refugees within the low socioeconomic realm. In 2016 alone, fifty million children were migrated or forcibly displaced (Wood, 2018). Yet, there is no existing literature on the...
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[The Grand Finale] All new Talks on Trauma featuring 33+ amazing experts, celebrities & healers [wisdomoftrauma.com]

Carey Sipp ·
We are just a few days away from broadcasting our all-new 7-day event October 4‒10 , which includes the Talks on Trauma Series Part 2 , a showing of the Wisdom of Trauma Movie, daily meditations, integration sessions, and artistic performances. Dr. Gabor Maté will be in conversation with 33+ trauma experts, physicians, authors, visionaries and artists. The talks will be exploring how trauma relates to parenting, chronic pain, the medical paradigm, the climate crisis, politics, spirituality,...
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A Trauma-Informed Approach to Vaccine Hesitancy (Sign On Letter Attached In First Line)

Jesse Maxwell Kohler ·
Please sign onto and share this memo supporting using a trauma-informed approach to decreasing vaccine hesitancy! Many of the challenges we are facing with vaccine hesitancy can be better understood by looking at the issue through a trauma-informed lens. The following memo has been developed with input from many of the clinical and academic thought leaders from the trauma healing field to offer supportive guidance to the Administration. To successfully address this challenge, we need to...
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A Trauma Informed Approach to Vaccine Fear

Jesse Maxwell Kohler ·
PLEASE SIGN ON TO THIS MEMO TO SUPPORT OUTREACH ALONG THESE LINES TO THE ADMINISTRATION! If the goal is to impact meaningful change, it might prove helpful to view vaccine fear through a trauma informed-lens. There is an intentional shift from the use of the word “hesitancy” and instead using the more specific and appropriate term “fear”. We are more likely to change that which we better define and understand. The following memo has been developed with input from an interdisciplinary team of...
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PHC6534: Preventing Adverse Childhood Experiences Due to Substance Abuse

Lauren You ·
Adverse childhood experiences (ACEs) can occur in a child’s life and are potentially traumatic while having the ability to make a long-lasting impact on that child through adulthood. They can be caused by many events such as substance abuse, neglect, household disfunction, etc. There is a very high prevalence rate of substance abuse in Alachua County households which exhibits the necessity for more access to interventions and aid to help prevent future ACEs from occurring. This project aims...
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PHC6534: Universal ACEs Screenings & Intervention at IDEA Public Schools

Megan Heron ·
Adverse childhood experiences are prevalent in the United States, yet those who report the highest number of traumatic events are individuals already more at risk to health disparities—minority, economically disadvantaged populations (Turney, 2020). ACEs affect many children based on surveys reported by adults asked to reflect on their childhood experiences. According to the CDC, nearly 61% of adults surveyed across more than half of the United States reported experiencing at least one type...
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PHC 6451: Building Strong Kids and Families: The Power of Resilience

Angela Cournoyer ·
This blog post will describe a Multi-Level Public Health Resilience Building Intervention program focused on building resiliency in children and their caregivers who have experienced adverse childhood experiences (ACEs). The theme of the program is “Building Strong Kids and Families: The Power of Resiliency” and the name of the after-school program for the children is “Club Resilience.” Adverse childhood events (ACEs) are traumatic events that occur before the age of 18 that significantly...
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How much would the NAS poverty reduction packages reduce referrals to CPS and foster care placements? Would they reduce racial disproportionality in child welfare? (nasonline.org).

Carey Sipp ·
Because of a collaboration with Columbia University and UW-Madison, we have answers to these questions. By Peter Peter Pecora, Casey Family Programs, March 17, 2023 - Overview The National Academy of Sciences (NAS) recently released a “ roadmap ” to reduce child poverty by as much as half through the implementation of a series of social policy packages. The aim of this study was to simulate the reductions in Child Protective Services (CPS) involvement and foster care placements that are...
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PHC6534: The CHANGE Program: Creating Hope and Affirming the Needs of Generational HIV Educators – A Trauma-Informed

Antwan Brrinson ·
Human immunodeficiency virus (HIV) is a virus that attacks the immune system by decreasing the number of healthy white blood cells in the body (CDC, 2022a). In 2020, 30,636 people in the United States (US) were diagnosed with HIV (CDC, 2022b). In 2019, there were 34,800 new HIV diagnoses in the US, of which 70% or 24,500 were from same-gender-loving (SGL) men (CDC, 2022c, & HIV, 2022). Unfortunately, SGL men are disproportionally impacted by HIV, with black men being diagnosed at a...
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PHC6534: Breaking the Cycle: Cultural Sensitive and Trauma Informed Screening and Treatment for ACEs and its Mental Health Sequelae in an Asian American Community

Ina Liu ·
The Asian American population has doubled in size from 2000 to 2019 and is estimated to reach more than 46 million by 2060 in the U.S. (Budiman & Ruiz, 2021). In North Carolina, the Asian American population has grown by 85% from 2000 to 2010, ranking the third highest rate among all states (Asian Americans in North Carolina, n.d.). Despite this growth, little is understood about Asian Americans and their experiences with trauma and adverse childhood experiences (ACEs) due to the lack of...
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PHC6534: Informing Obstetricians & Gynecologists about Adverse Childhood Experiences and Trauma-Infomed Care

Mya Gardner ·
My grant proposal focuses on educating obstetricians and gynecologists about adverse childhood experiences (ACEs) and trauma-informed care. Obstetricians and gynecologists (OB/GYN) lack clarity on identifying and addressing patients’ trauma symptoms and experiences (Nagle-Yang et al., 2022). Physicians using trauma-informed care during patient examinations can help promote mental health in patients and prevent re-traumatization in some (Hall et al., 2021). This program will host biweekly...
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PHC6534: Black, Proud, and Strong: Building Black LGBTQ+ Community Resilience to Improve HIV-related Health Outcomes

Jonathon Antle ·
Kansas City’s Black LGBTQ+ community is the most highly-impacted community for HIV health-related outcomes, including HIV diagnosis and being virally unsuppressed (KC-TGA, 2022). Bond et al. (2021) and Bertolino et al. (2020) indicate a relationship between HIV risk behaviors and adverse childhood experiences (ACEs). Black, Proud, and Strong (BPS) will use a trauma-informed Community-Based Participatory Research approach to assess ACEs within the Black LGBTQ+ community and to build and...
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Our America: Hidden Stories - The 1619 Project | Watch the Full Episode (ABC News 7)

Jeoffry Gordon ·
In a one-night-only event, ABC will air the broadcast debut of two episodes of "The 1619 Project;" "Democracy" and "Justice," May 31 at 8 p.m. ET | PT. All episodes of " The 1619 Project ," from executive producer Nikole Hannah-Jones, are now streaming on Hulu. ABC News 7 Saturday, May 27, 2023 -- ABC Owned Television Stations presents " Our America: Hidden Stories ," featuring Pulitzer Prize-winning journalist Nikole Hannah-Jones and ABC Race and Culture reporters across the country.
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PACEs Research Corner — May 2023, Part 2

Harise Stein ·
[Editor's note: Dr. Harise Stein at Stanford University edits a web site — abuseresearch.info — that focuses on the effects of abuse, and includes research articles on PACEs. Every month, she posts the summaries of the abstracts and links to research articles that address only ACEs, PCEs and PACEs. Thank you, Harise!! — Rafael Maravilla] Domestic Violence – Effects on Children Makris G, Eleftheriades A, Pervanidou P. Early Life Stress, Hormones, and Neurodevelopmental Disorders. Horm Res...
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Switch it Up and Swap it Out

Glenda Weeks ·
Rates of both diabetes and low health literacy are higher in populations from low socioeconomic backgrounds (1). There is a direct correlation between low health literacy in adults and higher rates of overweight and obesity classifications of children in the United States. A study done by the STRONG Kids Study, a Midwest panel survey among parents of preschool aged children showed that only 24% of parents with low health literacy would approve using multiple strategies for healthy weight...
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Project B.R.I.G.H.T: Building Resilience in Gilchrist's Health, Together

Joel Rowe ·
The negative effect that Adverse Childhood Experiences (ACE's) have on individuals is well described. Ample evidence also suggests that ACEs are associated with socioeconomic status. Additionally, socioeconomic status has been linked to poorer access and utilization of health care. Furthermore, specific adversities lead people to avoid seeking health care services, which can be compounded by lack of access or perceived barriers to access of healthcare.(Alcalá et al., 2017) As evidenced by...
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Citizens Vested Against Gun Violence

Denise Burwell ·
Gun violence threatens public health and is the leading cause of premature deaths in the United States (Gramlich, 2023). According to the American Public Health Association (APHA), guns kill more than 38,000, and 85,000 are injured annually (APHA, n.d.). Homicides account for the largest part (60%) of gun deaths for teens younger than 18, with boys being more likely to die by gunfire (83%) compared to girls (17%)( Gramlich, 2023). There are noted racial and ethnic differences in gun deaths,...
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Strengthen Yourself, Embrace Resilience: Increasing cervical cancer screenings among Latina women in Florida by through education and open discussions. 

Carol Boxtha ·
According to the Center for Disease Control and Prevention, it is estimated that about 11,500 new cases of cervical cancer are diagnosed, and 4,000 women will die of cervical cancer annually. Currently 8.4 women per 100,000 in Florida will be diagnosed with cervical cancer. While these numbers represent a significant decrease in diagnosis across all ages due to HPV vaccination efforts (such as campaigns to increase screening in children) and cervical cancer screenings (for women 21 – 65), it...
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Suwannee County Resilient Mommy, Healthy Baby Program

Nicole Hammer ·
In the United States in 2021, 1 in 6 infants were born to a woman receiving late or no prenatal care (March of Dimes Foundation, 2022). The March of Dimes Foundation also found that on average from 2019 to 2021 9.2% of Black women received late or no prenatal care compared to 4.6% for white women. Infants born to mothers that did not receive prenatal care are three times more likely to have a low birth weight (Novoa, 2020). Low birth weight in infancy contributes to various health-related...
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Talking Through Trauma

Mya Gardner ·
In 2021, around 29 million people were diagnosed with Alcohol Use Disorder (AUD) (National Institute on Alcohol and Abuse, 2023). Sexual abuse victims are thirteen times more likely to participate in alcohol abuse (Rivers, 2015). Women who have experienced sexual assault during childhood are more likely to be heavy drinkers compared to other women (Abbey et al., 2004). Women are more likely to make up the demographics of sexual violence victims in the emergency department (Loder &...
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Resilience Building with Furry Friends

Maya Kelly ·
Children in the juvenile justice system have greater chances of experiencing various and multiple forms of childhood trauma, and oftentimes experiences increase their risks for criminal involvement (Dierkhising et al., 2013). 90% of youth in the juvenile justice system have had exposure to traumatic events (Dierkhising et al., 2013). Children of color are overrepresented in the juvenile justice system and are more likely to be detained and committed than their non-Hispanic white counterparts...
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The future starts with Mama: Improving prenatal care for expectant, Hispanic/Latina adolescent mothers in Chautauqua County, New York

Samantha Grambow ·
Maternal health is a significant public health issue in the United States. “Women in the U.S. are more likely to die from childbirth than women living in other developed countries” (U.S. Department of Health and Human Services, n.d.). Unfortunately, mortality is just a small part of the issue. For every maternal death, there are up to 100 occurrences of Severe Maternal Morbidity. Severe Maternal Morbidity or SMM refers to complications and health conditions attributed to pregnancy, such as...
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Multi-Level Public Health Resilience-Building Intervention: Breaking Barriers, Healing Hearts: Empowering Black Women in the Fight Against Breast Cancer

Karishma Cantarero ·
In the United States, breast cancer is the most diagnosed cancer after skin and is the second leading cause of cancer death in the nation (American Cancer Society, 2023). Despite the higher incidence of breast cancers amongst White women, African American women are dying at much higher rates from breast cancer. The American Cancer Society reports that Black women have a 4% lower incidence rate of breast cancer compared to White women but have a 40% higher breast cancer death rate (2022). The...
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Continued Community Healing After Gun Violence Program

Michelle Aleman ·
Over 352,000 students have experienced a school shooting since Columbine in 1999 (Cox et al., 2023). School shootings have also been on the rise in the U.S. in recent years, with 46 just in 2022 alone. This is the highest number in the history of the U.S., however, shootings in the first three months of 2023 significantly outpaced those in 2022 within the same time frame (Modan, 2023). While school shootings are mainly carried out by white male gunmen, students of color are most affected by...
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Health Equity and the Social Determinants of Health Are NOT Synonyms

Ellen Fink-Samnick ·
Successful health equity strategies must be inclusive, and focus on all marginalized and minoritized persons and their communities. Any lesser view will continue to yield a faulty health equity equation.
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PHC6534: Trauma-Informed Adolescent Pregnancy Prevention Program to Reduce High Risk Sexual Behaviors Among Teens in Orange County, Florida

Shannon Dunn ·
In 2022, 537 infants—or 11.2 infants per 1,000 childbearing persons ages 15 to 19 years—were born to adolescents in Orange County, Florida (Bureau of Community Health Assessment, 2022). Adolescent pregnancy is associated with numerous maternal and child health risks that pose significant public health concern (Flaviano & Harville, 2020) and a strong dose-response relationship exists between the number of adverse childhood experiences (ACEs) and adolescent pregnancy with teen pregnancy...
 
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