The COVID-19 pandemic highlighted the critical need for enhanced outbreak preparedness against viruses. Key elements to this preparedness are robust disease surveillance systems and effective interventions to minimize disease transmission. While individual clinical testing is the conventional disease surveillance approach, environmental…

Harmful alcohol use and sexually transmitted infections (STIs) are significant public health concerns for college students. Because alcohol use and condomless sex often co-occur in this population, alcohol-associated condomless sex has been identified as a target for behavioral interventions. Existing theoretical frameworks have not garnered…

Introduction: Influenza affected an estimated 9 to 41 million individuals from 2018 to 2023 (CDC, 2023). Despite vaccination being highly effective, rates remain low on college campuses. This project evaluated a new vaccination delivery model at a university in Northeast Florida. The Student Health Center collaborated with undergraduate nursing…

Community college women do not obtain the HPV vaccine at the same rate as university women. The aim of this study was to discover the perceptions of community college women in relation to the human papillomavirus (HPV) and associated cancers, the perceived barriers and benefits of obtaining the HPV vaccination, and how health behavior decisions…

Since the COVID-19 pandemic began in the United States in early 2020, individuals have been motivated to protect themselves against the risk of the virus by the wearing of masks, social-distancing, and receiving vaccinations. This study utilizes Rogers' (1975) Protection Motivation Theory (PMT) to test motivations of collegiate student-athletes to…

Background: The Centers for Disease Control and Prevention (CDC) identified Human Papillomavirus (HPV) as the most prevalent sexually transmitted infection (STI) in the United States, with approximately 24 million Americans currently infected. In 2018, men, ages 15-59, had higher HPV infection rates and HPV high-risk type infections compared to…

The Human Immunodeficiency Virus (HIV) prevents the immune system from fighting infections effectively. One in 48 Black women will acquire HIV throughout their life if current trends continue. Black women have the highest HIV infection rates compared to White and Hispanic women. In 2019, 55% of women with HIV in the United States were Black. There…

Young adults are very socially active. During infectious disease outbreaks, their interpersonal interactions serve as a mode of viral transmission, especially to vulnerable populations such as the elderly and immunocompromised. A lack of compliance with recommended health behaviors among college students during the early months of the COVID-19…

Approximately 60-80% of college students report engaging in a hookup at some point during their college career. College students find hookup partners through traditional meeting contexts, but dating apps and social media have become a new resource to identify potential sexual partners. Because males are the ones who physically wear condoms, safer…

This dissertation aimed at examining the predictors of HPV vaccination intentions of college students in a Kenyan university and those in a Midwest university in the United States of America (USA). Using the theory of planned behavior (TPB), the dissertation investigated the most salient factors that predict the vaccination intentions of college…

College students' predicted condom use has been shown to vary by partner social distance, with closer social distance related to less frequent condom use. Condom use has also been associated with condom availability (i.e., delay), with people less likely to use a condom as delay increases. How people value condoms and other commodities, such as…

Sexually transmitted diseases (STD) are preventable conditions for which treatment failure (specifically in gonorrhea) is becoming problematic. U.S. young adults (20-29 years) have high rates of STD incidence and prevention of these diseases, but reaching them to provide primary prevention educations is challenging due to low perceived…

Sexually Transmitted Infections have resulted in millions of dollars being spent by the public in health care costs. Sexually transmitted infections continue to remain a public health concern among young adults. Youth are more susceptible to overlooking the consequences of promiscuous sexual behavior. Promiscuous behaviors include multi partners,…

Parent-child sexual health communication (PCSHC) can have a positive impact on adolescents' sexual health choices, outcomes, and capabilities for communicating with others about sexual health. Many parents are hesitant and feel unprepared for and uncomfortable with communicating about sexual health with their children. Other parental factors as…

A self-perpetuating cycle of poor health literacy and poor oral health knowledge and behavior affects approximately 90 million people in the United States, most especially those from low-income groups and other at-risk populations such as those with addiction. Poor oral health can result from lack of access to regular preventive dental…