The primary purpose of this study is to determine if certain lifestyle and health behaviors (e.g. smoking, physical activity, diet) in the medically underserved population have any influence on particular health statuses. This study also looked to determine if these health behaviors resulted in particular medical aliments being more prevalent or specific to this community. The secondary purpose of this study aims to gain information that may help health care providers practicing in this community to earlier identify risk factors in patients before a medical problem becomes more severe, difficult and expensive to treat. A survey, adapted from the CDC's Behavioral Risk Factor Surveillance System (BRFSS), was created to allow for the collection of descriptive statistical data. The survey contains questions on the various topics of diet, physical activity, chronic diseases, and self-perception of overall health status. The survey was distributed to 20 older adult participants at Hebni Nutrition, LLC, all from disadvantaged backgrounds. Descriptive statistics were used to analyze the data. Of the 20 surveys collected, about half of the respondents reported consuming close to the recommended fruit and vegetable servings and participating in regular physical activity. Furthermore, the participants reported rates of diabetes and hypertension well above average. This study's results were inconclusive as to whether any specific health behaviors among medically underserved individuals influence the prevalence of chronic diseases in this population; more likely a combination of many factors and overall poorer health habits that persist over a lifetime are contributors to chronic diseases among the medically underserved population.

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Despite the well-recognized benefits of exercise, Americans are gaining weight in astounding proportions and levels of physical activity are on the decline. The purpose of this study was to investigate a relationship between physical fitness, self-concept and sexual health. There is a dearth of knowledge on this relationship specifically in the context of sex-negative curricula, which is the dominate discourse in the United States. One hundred and thirty-three participants between the ages of 18 - 50 volunteered for fitness testing and data collection. Physical fitness was assessed through body fat, resting metabolic rate, cardiovascular endurance, muscular strength, muscular endurance and flexibility. Self-reported exercise was measured using the International Physical Activity Questionnaire. Self-concept was measured by the Six Factor Self-Concept Scale, which presented a total self-concept score and as six individual concepts of self (likability, morality, task accomplishment, giftedness, power and vulnerability). Additionally, sexual function was measured by Derogatis Interview for Sexual Functioning and presented as both an aggregate score and five separate constructs of sexual functioning (fantasy/cognition, arousal, orgasm, behavior/experience, and drive/desire). Questions pertaining to sexual partners, sex education, and demographic information were also included. The results of the General Linear Model indicated significant relationships between physical fitness, self-concept and total sexual functioning. The sexual behavior/experience of men was predicted by body fat percentage and flexibility. In women, behavior/experience was predicted by body fat percentage and arousal was predicted by cardiovascular endurance. Total self-concept was related to muscular endurance. When men were isolated in the analysis, likability was positively related to sexual behavior/experience, and task accomplishment was inversely related to sexual behavior/experience. In women, giftedness was related to cognition/fantasy, arousal, orgasm and total sexual functioning. No relationships were found between physical fitness and the number of sexual partners in men; however, both muscular strength and the power self-concept were significantly related to number of sexual partners in women. As a result of these findings, women may be inclined to exercise to improve arousal and sexual functioning. Furthermore, educators should note the findings of a positive relationship between physical and psychological health and sexual well-being because they provide support for the development and adoption of sex-positive curricula that incorporate potential benefits of sexual activity.

This paper explores the history of physical education in the United States, as well as a general look into how public schooling affects how kids learn about and come to view their bodies. Theory and research by Michel Foucault, Elias Norbert, and Katy Bowman form the theoretical framework for this essay, and accounts of visits to a local elementary school to observe PE also grounds the work in present-day experiences. The work concludes that public schools in the US improperly teach students about how to listen to and care for their bodies.

Ankylosing Spondylitis (AS) and Chronic Pain Syndrome (CPS) can be treated in many different ways. I found a problem in the balance of healing modalities surrounding diagnosis and care of illness and disease. This struggle is not singular to AS and CPS, but universal to physical and mental concerns. Some effective treatments and therapies are not recognized as such or are just beginning to become so. The scope of my work reflects on the course of my life. It was heavily influenced by the way my medical care was managed from an early age and how it evolved over the years. Through my educational program, I examined the necessity to bridge the gap between treatment paradigms and to expand on a broader, more inclusive, healing rubric. This rubric includes a broader emphasis on skill-based and complementary and alternative medicines. The viability to incorporate holistic health therapies earlier in life is explored through my use of the Scholarly Personal Narrative (SPN) qualitative research method. I chose this methodology because scientific fact could be argued either way for one therapeutic approach over another. By incorporating lived experience through SPN the union and cohesion necessary in all healing modalities, and their positive aspects, can be seen. The truth becomes self-evident. The results of this examination showed awareness earlier in life toward alternative and holistic treatments being paramount. Parents and educators lack information concerning modern therapeutic approaches. It also showed each situation will vary, but choice in treatment for ailments and illness of all kinds is not only viable, but highly recommended and researched. Access issues such as health insurance remain obstacles with some treatments and therapies, while others are a matter of cost prohibition, such as nutrition therapies. The implications of my work indicate a need for earlier incorporation of holistic healing programs and skill based therapies alongside perpetuated medical models in early childhood development and education. In conclusion, awareness towards medical concerns and how we as a society treat them can be improved upon by systemically incorporating less harmful therapies earlier in life. Fostering relations between medical providers, care providers and educators for students' wellbeing should be the foreground of any educational policy. Educators and parents alike should be made aware of and take advantage of effective skill-based treatments before a physical or mental condition surfaces or medication only approaches are authoritatively recommended. Integrating programs that build strong mental resilience and focus on youth development and education can reduce the necessity for more invasive treatments or medications should an ailment or illness develop.

In spite of a decline in HIV incidence rates among African American women, they still bear the most significant disease burden among U.S. women. Findings from numerous studies indicate probable explanations for the disparity, such as the impact of poverty, limited healthcare access, low literacy, and living in areas with high HIV rates. Additionally, many study results provide insight regarding prevention strategies. However, the aim of this study is to explore African American women’s perceptions regarding what HIV prevention communication, if any, occurred with their reproductive health providers (RHPs). In this study, 20 African American women with unknown HIV status participated in face-to-face interviews designed to explore their perceptions about HIV prevention communication with their RHPs. Audio-taped interviews were transcribed verbatim and coded using NVivo10 software. Guided by constructs of the Health Belief Model, inductive and deductive coding yielded four key themes: (1) patients’ lack of expectation to receive information; (2) failure of RHPs to initiate and offer information; (3) patients’ desire to receive information; and (4) patients’ recommendations regarding their preferred methods to receive HIV prevention communication. Results indicated that RHPs missed prime opportunities to initiate and offer HIV prevention information during routine reproductive health visits with women at greatest risk. These findings and recommendations for practice will be useful when designing, implementing and evaluating HIV prevention patient education protocols. The recommendations provide strategies to help RHPs seize every opportunity to address HIV prevention with this highly vulnerable population.

This research project intended to explore the possible relationship between physical activity and academic achievement in college students. Using an anonymous online survey, data was collected over two semesters. Ten thousand currently-enrolled college students ages eighteen and older from all states and recognized territories of the United States participated. The survey gathered data concerning a student’s age, gender, race, body weight, height, geographic region of college attendance, cumulative GPA, and physical activity level. The FIT Index of Kasari was used to classify each student’s physical activity level. A quintile split by FIT score was conducted to determine if physically active students were more successful academically than their inactive peers. Univariate analysis of variance (ANOVA), independent sample t-Test, and descriptive analysis were conducted on data pertaining to secondary research questions regarding FIT scores of students in each geographical region of college attendance, gender and race. The research found no statistically significant correlation existed between academic achievement and physical activity in college students. It found that students with very low and very high physical activity levels had lower academic achievement scores than students reporting moderate physical activity. There were significant differences in FIT scores of students in the northwest, but not among students in the southwest, northeast, or southeast. Significant differences in FIT scores were found to exist between males and females and between white and non-white college students. The research found a number of significant differences between groups within the quintile split of FIT score data regarding the primary research question.

The purpose of this dissertation was to evaluate the stability of strength asymmetry over a long-term period (1 year) and investigate the relationship of strength asymmetry to field test performance asymmetry in NCAA division-1 athletes. Isometric mid-thigh pull (IMTP) peak force asymmetry, ground contact time and finish time asymmetries on 10m sprint and 505 agility test performances were also observed. The impact of strength was also investigated in these studies to determine its effect on the magnitude of asymmetry. In the second study, peak force asymmetry over a one-year period was observed to be a rather volatile quality, with ranges between 16% or 8%, depending on the formula used. Based on this finding, it is possible that there may be a “normal” range of asymmetry that an individual athlete exhibits that could be linked to training adaptations along with other factors. Based on simple observation, an individual tendency toward symmetry existed in certain athletes. This relationship may be useful to explore in future study.

The purpose of this study was to perform a qualitative analysis of an elementary school-based health clinic (SBHC). This situational analysis was performed to further understand the impact of accessible primary health care on an elementary school population. Data were collected through 30 participant interviews of parents, educators and medical personnel. Additional data were collected through the clinic files, and a t-test was used to compare the attendance and achievement data of clinic consumers for the clinic year against records from the previous year. The researcher presented information on the steps of SBHC development to include community campaign procedures. The investigation was performed to not only understand the procedural steps of clinic development, but also to document any issues which surfaced in the process. Some of the major recommendations as a result of this investigation were: (1) The health needs of community children must be viewed as a community concern and not one exclusively owned by the school. (2) The community as a whole, must come together in the form of an advisory board holding a broad representation of the community. (3) School communities should assess their school public to understand the level of need for instituting a SBHC. (4) A community needs assessment should be performed to understand the medical services currently available to children. (5) SBHC files and operations must meet the standards and norms of the profession.

This descriptive/correlational study analyzed the perception of recent graduates regarding the effectiveness of the college environment at Milligan College in influencing adult fitness habits. Graduates were divided into five activity level groups through a self-report of physical activity. The purposes of the research were to determine if significant differences existed between the dependent variable, activity level, and the independent variables such as: (a) participation in specific college activities, (b) preferences for types of exercise, (c) social influence, (d) influence of a required freshman fitness course, and (e) environmental barriers. A profile of the student most likely to exercise after graduation was compiled from the data collected. A formula for activity level prediction was calculated from the data analysis. Data were collected from 211 graduates of Milligan College. Data analyses were conducted by calculating measures of central tendency, ANOVA, and multiple linear regression. Major findings revealed statistically significant differences between activity level based on male gender, exercise self-efficacy, intensity level, participation in team sports, participation in fitness activities and health beliefs. The four factors that were revealed to be predictors of activity level by multiple linear regression were habit, self-efficacy, high intensity level, and participation in fitness activities while at Milligan. Recommendations to Milligan College from the study include investing in improved facilities and equipment, implementing more intramural programs at varying ability levels, offering more formal or informal exercise groups on campus, offering more training sessions in use of exercise equipment, and reevaluating the present Fitness for Life course.