<p>  </p> <p>Food safety researchers and extension workers are focused on educating the different actors of the supply chain, from farm to fork. To accomplish this, researchers identify areas of improvement and investigate the factors that cause or explain food safety behaviors. This thesis is divided into a systematic literature review with a meta-analysis and qualitative synthesis (Ch. 2), then two case studies that use predictive models to find top predictors of food safety behaviors (Ch.3 and 4). The systematic review (Ch.2) investigates online food safety educational programs and their effectiveness, barriers, and recommendations on different subpopulations of students, consumers, and food workers. The findings showed a limited effect on attitudes in the different subpopulations. Several areas for future research and recommendations for educators were identified. The first case study (Ch.3) developed predictive models of different food safety behaviors at ten time points throughout the COVID-19 pandemic. Findings suggest an effect between changes in COVID-19 case numbers and how well attitudes related to COVID-19 can make predictions. Additionally, findings suggest the importance of attitudes when predicting food safety behaviors. Lastly, results identified that the belief that handwashing protects against foodborne illness was more important than the belief that handwashing protects against COVID-19 when predicting handwashing at most time points. These findings can identify insights into consumer behaviors during the pandemic and several possible areas for future research. The second case study (Ch. 4) developed predictive models of consumer flour handling practices and consumer awareness of flour-related recalls and how they are affected by the total number of flour-related recalls for a state where the consumer lives. Findings identified the importance of risk perceptions in predicting consumer flour handling practices. Results also showed that younger consumers were predicted to be more likely to be aware of flour recalls than consumers of older ages. Lastly, results show that the total number of flour-related recalls for a state where the consumer lives do not affect predictions. Findings identify potential challenges to recall communication and areas for future studies.</p>

<p>  </p> <p>This dissertation explores the healthcare status, concerns and access of Spanish-speaking, immigrant Latinos who live and work in and around Clinton County, Indiana. The study analyzed the responses of 579 participants who answered questions during 20-minute, door-to-door interviews (80% of which were conducted in Spanish). The study’s sponsor, the Indiana Minority Health Coalition (IMHC), was interested in assessing the health needs of this Latino community because it receives IMHC’s funding for health disparity reduction. IMHC was interested in comparing the results of a previous benchmarking study, conducted a decade earlier, to the 2020 results for the purposes of understanding how successfully programming was being implemented. Between 2010 and 2020, Indiana’s Latino population increased nearly 25%, and the population in Clinton County (where more than half of the school children are now Latino) almost doubled.</p> <p>The study was spearheaded by the Purdue Center for Regional Development in conjunction with the Learning Network of Clinton County, a community-based organization that provides education and training in English and Spanish to adult learners, as well as the Mexican Consulate of Indianapolis that promoted the study among Spanish-speakers and shared the study results. Faculty and staff from the Indiana University School of Medicine at Purdue University served in an advisory capacity with medical students enrolled in West Lafayette’s Latino Concentration Program serving as co-investigators. They were assisted by 10 bilingual (Spanish/English) youth of the community and two adult, bilingual (Spanish/English) Promotores de Salud (community health workers) who were trained and earned their ethical research certifications to participate.</p> <p>The study used a mixed-methods, community-based participatory research approach to survey design, data collection, data analysis, dissemination of results. The findings this study revealed are detailed in the following three journal articles that each concentrate on a component of the project. In addition to its focus on health, the survey asked participants about their education and literacy levels, job satisfaction, and feelings of acceptance in the United States. The study provided insights based on descriptive statistics as well as a set of logistic regression models. </p> <p>Immigrant voices were elevated to build awareness of their healthcare and workforce situation among providers, educators, public policymakers, community organizations, and employers of Latino workers. As this work was both exploratory and comparative in nature, there are implications for healthcare and workplace interventions that could improve equitable outcomes. </p>

<p>  </p> <p>Globally, communities are embracing the cured-in-place-pipe (CIPP) process due to the need to address damaged buried water and sewer pipes. CIPP involves the chemical manufacture of a new plastic pipe inside an existing buried water and sewer pipe, without the need for excavation. The process is popular because it can be 80% less costly than alternative methods and construction workers can be present for hours to not days to weeks. However, as CIPP use has grown, so have the number of hazardous material (HAZMAT) incidents caused by using this practice. Evacuations of daycare centers, schools, homes, healthcare, institutional, and other buildings have been caused. In some cases, chemical exposure victims have required medical assistance and hospital admission. For decades, organizations within the CIPP industry and municipalities have encouraged chemical waste discharge into ambient air, resulting in preventable exposures. Recent work has indicated tons of volatile organic compounds (VOC) may be released during a single CIPP project into the air. Chemicals released include hazardous air pollutants (HAP), carcinogens (CAR), endocrine disrupting chemicals (EDR), and other compounds with little toxicological information. While polymer composites have been manufactured for other applications for more than 50 years, little information exists about what chemicals and materials are used to manufacture CIPPs. As CIPP use has grown along with the number of bystander chemical exposures, concerns about the type, magnitude, and toxicity of chemical emissions from CIPP projects have markedly increased. To reduce the potential for human harm and environmental degradation, a better understanding of CIPP composite chemistry and manufacturing is needed. This dissertation aimed to elucidate the processes that control the composition of waste generated during plastic CIPP manufacture and ascertain how to modify the manufacturing practice to minimize impacts on composite integrity and emission toxicity. </p> <p>Chapter 1 focused on indoor VOC exposure simulation and styrene contamination/ decontamination to evaluate the risk of occupant exposure during CIPP installation. Styrene is a common monomer used in many CIPP resins and can be discharged into the air at CIPP worksites. A review of prior incidents revealed that CIPP waste (liquid, organic chemicals, etc.) could enter nearby buildings through multiple routes including windows, doors, or heating, ventilation, and air conditioning outdoor air intakes. When CIPP is manufactured inside a sanitary sewer pipe, waste can enter buildings through sewer laterals of nearby buildings and through foundation cracks. Study results showed that plumbing seal backflows in bathrooms caused by sewer repair work are hydraulically possible: the minimum pressure required to displace water in the plumbing trap was estimated to be 0.995 kPa and 8.85 kPa for a sink and toilet, separately. These pressures are much lower than those applied by the contractor during the sewer lining (up to 193.05 kPa). Based on the indoor exposure events, the dissipation potential of vapors, as well as the hydraulic calculations, indoor air chemical contamination and decontamination profiles were also examined. A mass balance model of chemical vapor dispersion was developed. Modeling results revealed that bathroom exhaust fan operation during a CIPP project can increase the indoor styrene concentration by enhancing the inflow of styrene-containing air from the sink and toilet. However, the styrene concentration decreased as air leaked across the bathroom door due to reduced suction in the plumbing. Based on incident reviews, chemical magnitudes, and modeling results it was concluded that CIPP waste discharge should be treated as hazardous material discharge, because of its threat to human health. Actions are needed to reduce waste generation and contain the waste, so it does not leave the worksite. Chapter 2 aimed to determine the manufacturing conditions that most influence chemical residual left in the thermally manufactured CIPP. Bench-scale testing of multiple styrene- and non-styrene composites revealed the manufacturing conditions (curing time, temperature, initiator loading) necessary to produce a high integrity composite while minimizing chemical residual and air emissions. Even though the VOC loading of the non-styrene resin (4 wt.%) was much less than that of styrene resin (39 wt.%), the non-styrene resin did contain HAP, EDR, CAR compounds including ethylbenzene, 2-ethylhexanoic acid, methacrylic acid, styrene, toluene, and <em>m</em>-xylene. Study results also revealed that by changing initiator loading a drastic reduction in the amount of styrene (-42 wt.%) and styrene oxide (-33 wt.%) residual left in the newly manufactured composite was achieved. Discoveries prompted a new hypothesis that this decreased residual also prompted a decreased amount of VOCs emitted into the air. The explanation is that this occurs because that a greater amount of the monomer styrene was incorporated into the resin during polymerization and not permitted to enter the air. Despite decades of polymer composite use, this study provides a new fundamental understanding of composite chemicals and techniques for reducing air pollutant emissions during plastic composite manufacture. In Chapter 3, the complexity of organic vapor chemicals found in the air during thermal heating of CIPP composites was explored and quantified. The emission rate of a popular monomer, styrene, was quantified from the materials before, during, and after composite manufacture. Scaling up bench-scale results, 1.9 to 14 US tons and 0.18 to 1.35 US tons of VOCs (0.05 to 0.36 US tons and 0.001 to 0.007 US tons of styrene) were estimated to be emitted during curing of styrene- and non-styrene CIPPs (i.e., typically 1-3 m of diameter pipes). By modifying standard air sampling methods, previously undetectable chemicals associated with CIPP manufacture were found in the styrene-laden air. These include acetophenone, benzaldehyde, phenol, and 1,3,5-trimethylbenzene. Results have immediate relevance to improved air monitoring for public and worker safety. Further, results can be used to examine the cumulative health and environmental risks of the CIPP pollutant mixtures. Chapter 4 focused on identifying CIPP technology/knowledge gaps and feedback from health officials from multiple state and federal agencies. Through this study, a public health workgroup was assembled to include disciplinary experts and 13 federal, state, and city health agencies and public health associations. Building on dialogue with U.S. health officials, the state of knowledge pertaining to CIPP chemical exposures, mitigation, and response actions was reviewed. Topics included 1) CIPP manufacturing process and waste; 2) sewers and buildings; 3) chemical exposure and health; 4) chemical risk assessment; 5) risk communication. This study helped establish relationships among federal, state, and city officials to improve public health response. Additionally, a primer for CIPP chemical fate and transport, as well as assisting in identifying and prioritizing public health information needs was developed. Identification and prioritization of current public health knowledge gaps and proposed practices for reducing exposures to the public and workers were reported. CIPP-related bench and research results throughout the dissertation can serve as an important basis for environmental policy and public health guidelines on the prevention and mitigation aspects of environmental and human health impacts resulting from CIPP manufacturing practices.</p>

<p>  </p> <p>Food insecurity describes the lack of access to foods and affects 10.2% of general U.S. households and 27% of low-income households in 2021. Food insecurity is a pervasive public health concern in the United States and has been linked to poor dietary intake and diet quality, overweight and obesity (especially among women), and risk of other chronic diseases, such as diabetes, hypertension and dyslipidemia. </p> <p>To better understand food security status and address its associated health and dietary outcomes among low-income populations, a conceptualized model was built and served as research framework for the dissertation, including 1) internal factors and motivations, such as traits related to self-efficacy and sufficiency that may influence diet and health; 2) external factors of temporary support, such as financial benefits from assistance programs that low-income populations are eligible for that may influence diet and health; and 3) external factors of potentially long-term support, such as nutrition education programs targeting low-income groups that may foster internalized knowledge that could sustain impact and improvement of diet and health in the long-term. Each chapter of this dissertation addresses a component of the model.</p> <p>Cross-sectional analysis of a sample of rural veterans using food pantries quantified psychological traits related to self-motivation and efficacy including grit and help seeking, at the individual and internal factors level of the conceptualized model, and their links to food security and resource use, and revealed an inverse association between grit score and risk of food insecurity. The findings provided evidence for future interventions targeting food insecurity improvement to include education and resources that address traits related to self-efficacy, such as grit, among low-income populations to improve health outcomes directly or through improving food security or use of resources. </p> <p>Using nationally representative data, the second study investigated relationships between food assistance through the Supplemental Nutrition Assistance Program (SNAP) participation, a type of societal level external support, and dietary outcomes among low-income older U.S. adults. There were no differences in dietary quality, usual nutrient intake or risk of inadequacy between SNAP participants and eligible nonparticipants. Furthermore, results revealed a high prevalence of not meeting the Estimated Average Requirement from dietary sources for several nutrients (vitamins A, C, D, E, calcium, and magnesium) but the prevalence was lower when nutrients from dietary supplements were included. The results highlight a need for continued effort to improve nutrient and dietary intake among low-income older adults.</p> <p>External factors of potentially long-term support (e.g. nutrition education and food assistance) were evaluated for relationships with body mass index. A longitudinal sample of low-income women interested in participating in nutrition education through SNAP-Education (SNAP-Ed) was examined to determine the relationship between nutrition education (SNAP-Ed) and food assistance program participation through (SNAP, WIC), separately and in combination, with long-term changes in body mass index. No differences in changes of weight status over time were observed by nutrition education, food assistance, or combination participation. The prevalence of obesity was high among this sample, calling for targeted obesity prevention interventions and further support of healthy lifestyle promotion among low-income populations. </p> <p>The findings shown in this dissertation further reveal a high health burden among low-income groups. The studies filled several research gaps described in the conceptualized model. The results may be used to inform future tailored interventions to address food insecurity, dietary and health outcomes at individual and societal levels, incorporating internal motivation and external support to mediate health and dietary risks among low-income population.</p>

<p>For the projects titled Undergraduate Students’ Interpretation of Fischer and Haworth Carbohydrate Projections and Undergraduate Students' Interpretation of Glycosidic Bonds – there is a prevalent issue in biochemistry education in which students display fragmented knowledge of the biochemical concepts learned when asked to illustrate their understandings (via drawings, descriptions, analysis, etc.). In science education, educators have traditionally used illustrations to support students’ development of conceptual understanding. However, interpreting a representation is dependent on prior knowledge, ability to decode visual information, and the nature of the representation itself. With a prevalence of studies conducted on visualizations, there is little research with a focus on the students’ interpretation and understanding of carbohydrates and/or glycosidic bonds. The aim of these projects focuses on how students interpret representations of carbohydrates and glycosidic bonds. This study offers a description of undergraduate students’ understanding and interpretation using semi-structured interviews through Phenomenography, Grounded Theory and the Resources Frameworks. The data suggests that students have different combinations of (low or high) accuracy and productivity for interpreting and illustrating carbohydrates and glycosidic bonds, among other findings to be highlighted in their respective chapters. More effective teaching strategies can be designed to assist students in developing expertise in proper illustrations and guide their thought process in composing proper explanations in relation to and/or presence of illustrations.</p> <p><br></p> <p>For the project titled Impact of the Pandemic on Student Readiness: Laboratories, Preparedness, and Support – it was based upon research by Meaders et. al (2021) published in the International Journal of STEM Education. Messaging during the first day of class is highly important in establishing positive student learning environments.  Further, this research suggests that students are detecting the messages that are communicated.  Thus, attention should be given to prioritizing what information and messages are most important for faculty to voice. There is little doubt that the pandemic has had a significant impact on students across the K-16 spectrum.  In particular, for undergraduate chemistry instructors’, data on the number of laboratories students completed in high school and in what mode would be important information in considering what modifications could be implemented in the laboratory curriculum and in messaging about the laboratory activities – additionally on how prepared students feel to succeed at college work, how the pandemic has impacted their preparedness for learning, and what we can do to support student learning in chemistry can shape messaging on the first day and for subsequent activities in the course.  An initial course survey that sought to highlight these student experiences and perspectives will be discussed along with the impact on course messaging and structure.    </p> <p><br></p>