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Health indicator #1: % prevalence of women with breast cancer in Texas

Behavioral Indicator: 65% of women who get screened frequently (Data:  North American Association of Central Cancer Registries, 2022)

Environmental Outcome: % women without access to health care services.

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Lorena. Informed Parents: Early Childhood Development (Program Evaluation)

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Lorena. Informed Parents: Early Childhood Development (Program Evaluation)

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Health Indicator:  Early Childhood Development

One in six, or about 17%, of children aged 3 to 17 years have one or more developmental disabilities in the United States (CDC, 2022).

ECD, epi data from The National Survey of Children’s Health (NSCH), funded by the Health Resources and Services and Administration’s Maternal and Child Health Bureau (HRSA MCHB).

Poverty and Brain development:

Children younger than 18 years who live in households below the poverty line at a national level is around 17%, and 19% in the state of Texas (America’s Health Rankings, 2022). Research found that children in low-income or poor families had total gray matter volumes that were significantly smaller than in children with higher socio-economic status (Mercadante et al., 2022).

National Institute of Health MRI Study of Normal Brain Development (Blair et al., 2016)

Behavior Indicator:

Positive Parenting Self-Efficacy
The theories that best inform ECD are Community-based participatory research (CBPR) (Holkup et al., 2004), the Social Ecological Model (SEM) and the Social Cognitive Theory (SCT) (Bandura 1986).

Social Indicator:
Understand the link between the clinics and the community. Does the community trust health care providers?

Community-Institutional Partnerships: Understanding Trust Among Partners (White-Cooper, et al., 2009)

Environmental indicator:

Access to screening tools for ECD and access to health care for follow-up if developmental issues are identified.

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Type 2 diabetes management and self-care adherence Rebecca 

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Type 2 diabetes management and self-care adherence Rebecca 

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Health indicator
1. Prevalence of type 2 diabetes among adults aged 18 years and older in Ghana

Behavioral indicator
2. % of adults who monitor their blood glucose levels daily (source: don't know)

Environmental indicator
3. Access to care providers

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Obesity in Adolescent African American Girls in Houston, TX (Chishinga)

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Obesity in Adolescent African American Girls in Houston, TX (Chishinga)

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Health Indicator: Prevalence of obesity was 20.6% for high school aged Black/African American (B/AA) girls in Houston, TX (CDC-YBRSS, 2020)

Behavioral Indicator: 7.4% of B/AA high school aged girls did not consume fruits in the 7 days before completing survey, 11.6% of B/AA girls did not consume vegetables in the 7 days before completing survey (CDC-YBRSS, 2020)

Environmental Indicator: Parent home fruit and vegetable availability and accessibility

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Well Child Visit Compliance Rate in Harris County (Yiqun)

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Well Child Visit Compliance Rate in Harris County (Yiqun)

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Health indicator
#1: % of infants in Harris County compliant with Child and Adolescent Well-Care Visits standard by NCQA (Data source: Texas Health and Human Services)

Behavioral Indicator
#2: attitudes towards Well Child Visit?

Social Indicator
#3: % of infants who are uninsured; among those insured, type of insurance (Data source: TBD)

Environmental Indicator
#4: access to pediatricians within 10 miles (Data source: TBD)

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Taylor - Access to Specialty Care in Middle Tennessee

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Taylor - Access to Specialty Care in Middle Tennessee

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Topic: Addressing access to specialty care for patients aged 19-64 in the Middle Tennessee region who lack access to affordable care

Indicator: % of adults in the region who need access to specialty care

Social Indicator: % of adults who are uninsured in the region (County Health Rankings, Sycamore Institute County Tracker)

Environmental Indicator: % of specialists and hospitals available in the region (THA, TMA reports)

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Comorbidities with Major Depressive Disorder (MDD) Among Young Latina Women

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Comorbidities with Major Depressive Disorder (MDD) Among Young Latina Women

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(Sharon)
Health Indicator #1: % of women 18-29 with an MDD diagnosis and another chronic condition diagnosis in the same year. (Data: All of Us from the NIH)

Health Indicator #2: Did MDD diagnosis happen 12 months prior to childbirth or 12 months after childbirth (Data: All of Us)

Social Indicators: At or below 150% of the federal poverty level. Latina. Citizen or immigrant status.

Environmental Indicator:  Presence of healthcare providers for mental health and prenatal care and social support within three miles of her home or via public transportation in Travis County, TX.

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COVID-CARE: Community-Driven Approaches to Assess, Resource and Engage Underserved Communities to Address the Burden of COVID-19 - Houston/Harris County (Ghia)

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COVID-CARE: Community-Driven Approaches to Assess, Resource and Engage Underserved Communities to Address the Burden of COVID-19 - Houston/Harris County (Ghia)

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Current NIH project I am working on:

Health Indicator: # of adults who needs medical assistance/resources (Data Source: TX CEAL Common Survey)

Behavioral Indicator: # of adults who got vaccinated/boostered (Data Source: City of Houston COVID-19 Data Hub; TX CEAL Common Survey)

Social Indicator: # of adults who need housing assistance (TX CEAL Common Survey)

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Health Indicator
Indicator #1 % teens/adults reporting new HIV infections - CDC

Behavioral Indicator
Indicator #2 % teens/adults who use condoms during sexual intercourse

Social Indicators
Indicator #3 % of teens/adults who have access to a hospital/clinic

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health indicator: The prevalence of obesity was 19.7% and affected about 14.7 million children and adolescents. CDC

behavioral indicator: academic correlation ThecorrelationcoefficientsbetweenHFZachievementandSTAARmathematics performance were very weak and ranged from 0.059 (Trunk Extensor Strength) to 0.168 (Aerobic Capacity). TEA

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Health Priorities in Hays County (Example)

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Health Priorities in Hays County (Example)

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Health Indicator
Indicator #1: % of adults reporting frequent mental distress (Data source: Behavioral Risk Factor Surveillance System via County Health Rankings - % of adults who report their mental health was poor on >14 days over the past 30)

Behavioral Indicator
Indicator #2: % of adults who drink excessively  (Data Source: BRFSS via County Health Rankings - % of adults who report binge or heavy drinking).

Social Indicator
Indicator #3: % of adults who are uninsured (Data Source: Small Area Insurance Estimates).

Environmental Indicator
Indicator #4: Mental Health Provider Access (Data Source: U.S. Department of Substance Abuse and Mental Health Services Administration via PolicyMap)