Objective: Examine factors contributing to high rates of Appalachian female cancer incidences and mortalities by examining cancer literacy and associated sociological influences among Appalachian university students. Participants: This study evaluated Appalachian and non-Appalachian undergraduate students in Eastern Kentucky. Methods: A Qualtrics…

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…

Background: Case investigation and contact tracing (CI/CT) are important public health tools to interrupt COVID-19 transmission. Our study aims to understand how parents and school staff perceive COVID-19 CI/CT. Methods: Using a mixed methods approach, we distributed a community survey and conducted 15 focus group discussions (FGDs) in English and…

Since the COVID-19 pandemic began, children have presented with increased psychiatric symptoms. Little research has been done regarding early childhood mental health, particularly those from vulnerable socioeconomic contexts who are exposed to adversity. We aimed to assess mental health and the impacts of the pandemic on this population. A survey…

Due to advances in medical treatments, students with terminal illnesses are more likely to attend public schools, increasing the possibility that they may die on school property. However, educational health plans often fail to consider end-of-life care decisions. In the absence of federal or state statutes, school boards are left to navigate the…

Asthma is one of the most common pediatric chronic physical conditions. Youth with comorbid asthma and anxiety/depressive symptoms tend to have less controlled asthma and an increased use of health services in schools. The purpose of this integrative review was to examine the literature on educational and behavioral/ cognitive behavioral skills…

Background: Early sexual reproductive health (SRH) education is linked to a reduction in risky sexual behaviors. Sexually transmitted infections (STIs) are rising at alarming rates. Risky sexual behaviors, including initiation of sex before age 13, having more than four sexual partners, and lack of use of condoms, increase the chance of infection…

Background: Although the current preventive measures relating to COVID-19 can lead to challenges in the daily work of direct support workers (e.g. keeping 1.5 m distance), it remains vital to uphold the principles of person-centred care when working with older people with intellectual disabilities. The current study explores the extent to which…

This study assessed associations between school nurse workload and student health and academic outcomes. We hypothesized that lower school nurse workload would be associated with better student outcomes, with associations being greater for members of groups who experience health disparities. Our methods entailed secondary analysis of data for New…

Through an exploratory descriptive study, we examined school counselors' attitudes and beliefs about their role in HIV prevention, and their professional behaviors in addressing HIV in their schools. Participants reported strong support of youth's sexual health rights, moderate agreement with school counselors' role in HIV prevention, moderate to…

The literature confirms that COVID-19 disrupted what was once considered normal. Evidence of lived experiences is emerging, creating a pattern of learned lessons that, if critically assessed, can lead to a better understanding of what happened globally. This integrative literature analysis (review) is among many other studies that evaluated how…

Sex education has long been a controversial topic in the United States in terms of both policy and practice. A lack of consensus on the implementation of sex education, its content, and its participants continues to be a concern for equitable inclusion of all young people and their sexual and emotional health as a result. Current policy guidance…

Montana is proud to have completed over three decades of participation in the Youth Risk Behavior Survey (YRBS). These results are valuable to educators, school boards, and communities, including parents and students, in understanding the health risks of Montana students, enabling districts to design local health and physical education curriculum…

During Covid-19, educators have been forced to quickly and creatively rethink teaching practices and the education of future generations. Community is a key consideration in reconceptualizing how the traditional classroom might function successfully in an online space. How does the virtual community of language learners interact with each other…

Incarcerated people are at disproportionately high risk of contracting COVID-19. Prisons are epicenters for COVID-19 transmission, including to the community. High rates of preexisting health conditions, limited access to quality health care, and inability to social distance make it impossible to reduce the impact of COVID-19 in prisons. Due to a…