
Megan Ashley QuinnEast Tennessee State University | ETSU · Department of Biostatistics and Epidemiology
Megan Ashley Quinn
Doctor of Public Health
About
56
Publications
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435
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Introduction
Additional affiliations
August 2012 - present
Publications
Publications (56)
Introduction: Radon, a naturally occurring gas, is the second leading cause of lung cancer in the United States (U.S.), contributing to 21000 deaths and $2 billion in economic costs. Despite decades of research, epidemiological studies on residential radon exposure and lung cancer outcomes have yielded inconsistent results, which provides justifica...
Abstract
Background: Despite having relatively high COVID-19 infection rate, Tennessee is ranked 47th among the 50 states in the US in COVID-19 vaccine uptake with only 63.8% acceptance rate. The increasing burden of HIV/AIDS in Tennessee with likely increased risk of complications from COVID-19 infection among PLWHA necessitated this study.
Objec...
Background: The administration of the COVID-19 vaccine at some points in the COVID-19 pandemic resulted in a significant reduction in the spread, risk of complications, and death from coronavirus infection. However, in the face of hesitancy against COVID-19 vaccination springing from the novelty of the vaccines and safety concerns, vulnerable popul...
Background: The administration of the COVID-19 vaccine at some points in the COVID-19 pandemic resulted in a significant reduction in the spread, risk of complications, and death from coronavirus infection. However, in the face of hesitancy against COVID-19 vaccination springing from the novelty of the vaccines and safety concerns, vulnerable popul...
Background
The development, approval and adoption of the malaria vaccine has provided effective supplemental protection against malaria for children in Ghana. However, heightened awareness of the new vaccine will play a critical role in its mass deployment and acceptance among potential recipients. This study therefore determined the sociodemograph...
Introduction: Radon, a radioactive gas found in soil and rocks, is the second leading cause of lung cancer in the United States (1). Despite its significant health risks, radon awareness and knowledge remain low (2). In Tennessee, where geological factors contribute to elevated radon levels, understanding the levels of awareness and knowledge about...
Waterborne diseases remain a significant public health problem, and biosand filters (BSFs) are a common household water filtration method for improving drinking water quality to prevent diseases. The purpose of this study was to evaluate the effectiveness of BSFs over time in a rural Rwandan community. Sixteen BSFs were installed – eight in 2015 an...
Background:
Housing is an important social determinant of health and substandard housing is linked to physical, mental, and social health problems.
Purpose:
The purpose of the study was to qualitatively assess the impacts of repairs to substandard housing in rural East Tennessee through twenty-eight interviews.
Methods:
Zoom was utilized for r...
The Higher Education Trauma Resilience Assessment (HETRA) measures the degree to which higher education settings incorporate trauma resilient practices in their curricula and day-to-day operations. Students, faculty, staff, and administrators respond to 50 Likert-type items contained in five subscales (1. Training and Sustaining Trauma-responsivene...
This chapter presents the background, development, and description of a new instrument (the Higher Education Trauma Resilience Assessment (HETRA) to measure the degree to which higher education settings incorporate trauma resilient practices in their curricula and day-to-day operations. To date, there are no instruments that measure trauma-informed...
Rwanda met the Millennium Development Goal targets for access to drinking water and sanitation. However, the WASH practices of high-risk communities are undocumented. Lack of information may hide disparities that correlate with disease. The purpose of this study was to assess WASH and childhood diarrhoea in Bugesera District. A survey was administe...
Rwanda met the Millennium Development Goal targets for access to drinking water and sanitation. However, the WASH practices of high-risk communities are undocumented. Lack of information may hide disparities that correlate with disease. The purpose of this study was to assess WASH and childhood diarrhoea in Bugesera District. A survey was administe...
Prescription drug use is a growing public health concern and studies show it is a contributing risk to motor vehicle collisions. The Appalachian region is also known to have an ever-increasing number of patients on controlled substances. This retrospective study of patients from the years 2011-2015 on controlled substances presenting to an Appalach...
Introduction: Decreasing overweight and obesity prevalence requires precise data at sub-national levels to monitor progress and initiate interventions. This study aimed to estimate baseline age-standardized overweight prevalence at the lowest administrative units among women, 18 years and older, in seven African countries. The study aims are synony...
This study examined patient outcomes from accidents involving nontraditional motorized vehicles. A total of 558 patients aged >17 years were observed retrospectively. The study groups were divided by age. The Adult Trauma Group (ATG) (N=452) consisted of patients aged 18-64 years and the Elderly Trauma Group (ETG) (N=106) consisted of patients aged...
Background:
Previous studies show a positive association between household wealth and overweight in sub-Saharan African (SSA) countries; however, the manner in which this relationship differs in the presence of educational attainment has not been well-established. This study examined the multiplicative effect modification of educational attainment...
This study examined the impact of injuries on the hospital resource utilization rate among trauma patients admitted to the Johnson City Medical Center (TN, USA), a rural Level I trauma center, due to accidents caused by farm animals. A total of 52 patients aged >3 years were studied, with the average age being 44 years. Patients above 65 years of a...
This was a retrospective study that aimed to determine the treatment outcome of patients seen in the trauma unit of the Johnson City Medical Center (JCMC). The study included 2844 patients in the trauma registry and evaluated age, sex, injury severity score (ISS), length of stay (LOS) in the intensive care unit (ICU), overall hospital lengths of st...
Background:
Nationally, 85% of general surgery graduates pursue fellowships reducing the incoming general surgical workforce with a predicted shortage of 41,000 general surgeons by 2025. In recent studies, the lack of confidence appears to be a major factor contributing to resident decision to pursue fellowship. The aim of the study was to determi...
Smokefree environment created by smokefree policies is associated with smoking reduction; however, there is paucity of literature on the relationship between smokefree home rules and smoking intensity in low-and-middle income countries (LMICs), and how smokefree policy affects smoking behavior of smokers at different stages of smoking cessation. Th...
Background: Prior work examining the association of maternal obesity and neonatal mortality indicate the presence of a positive relationship. However, regional evidence to provide insight on country-level heterogeneities within sub-Saharan Africa (SSA) with nationally representative datasets are non-existent. Objective: We aimed to determine the re...
Objective
Adult women are disproportionately affected by overweight and obesity in Sub-Saharan African (SSA) countries. Existing evidence on the sociocultural context remains unconsolidated. In this qualitative research synthesis, we aggregate research literature on contextual factors that potentially predispose adult women and adolescent girls to...
Background
This paper reviews the efficacy of a community psychosocial arts program focused on building mental health capacity within post-Ebola Liberia. The aim of this paper was to evaluate the outcome effects of two groups using pre- and post-treatment data. We hypothesized that there would be a difference in symptoms pre- and post-treatment, an...
Background:
Long term negative physical and mental health problems occur from the lack of appropriate interventions targeting the adult population who experienced adverse childhood experiences (ACEs) and partake in risky alcohol consumption behaviors.
Objective:
This study aimed to identify the risk for alcohol consumption behaviors, specificall...
Diarrheal diseases are a global public health burden, killing 1.8 million people annually. Diarrhea disproportionately affects children and those in poverty. Most diarrheal cases can be prevented through safe drinking water, basic hygiene and/or sanitation measures, with drinking water interventions having the most impact on reducing diarrheal dise...
Background
Smoke-free policy is
associated with smoking reduction; however, it is unknown if the reduction in
smoking intensity occurs across the stages of smoking cessation, and there is
paucity of literature on the relationship between home smoking rule and smoking
intensity in low- and middle-income countries (LMICs). The aim of this study
was t...
Background
The psychological and physiological addictive
nature of tobacco smoking makes it difficult for some smokers to quit without
assistance. Tobacco cessation and utilization of cessation assistance rates are
low in low-and-middle income countries (LMICs). It is not clear if health care
provider tobacco screening and quit advice promote utili...
Background and aim:
There is a need to improve utilization of cessation assistance in low-and middle-income countries (LMICs) and tobacco cessation research has been identified as priority in LMICs. This study evaluates the relationship between health-care provider intervention and cessation assistance utilization in LMICs.
Method:
Data from 13,...
Cervical cancer is the second most common cancer affecting women in developing countries and accounted for 84% of the global incidence of cervical cancer in 2012. Nicaragua is one country illustrating this disparity, with an annual cervical cancer mortality six times the U.S. rate. This may be explained by lack and poor utilization of effective scr...
One challenge facing spatial scientists trying to support public health outreach and intervention in challenging environments is the lack of fine scale spatial data. These data are required to gain a better understanding of both physical and social systems; why disease occurs where it does, and how to disrupt it. While data options exist, including...
From 2014 to 2015, Liberia experienced the largest Ebola epidemic in world history. The impact of this disease was not only physical; it created fear, loss, and trauma throughout the country. This article will describe the process of three phases of a community-based psychosocial expressive arts program, which used theory from the fields of express...
Diarrhoeal diseases are a global public health burden, killing 1.8 million people annually. Diarrhoea disproportionately affects children and those in poverty. Most diarrhoeal cases can be prevented through safe drinking water and basic hygiene and sanitation measures, with drinking water interventions having the most impact on reducing diarrhoeal...
Introduction
Over 80% of the world’s one billion tobacco smokers reside in low-and middle-income countries (LMICs); therefore, it is important to understand factors that promote intention to quit smoking in these countries. This study evaluated factors associated with three stages of intention to quit tobacco smoking among adults in LMICs.
Methods...
A systems theoretical analysis to capture the evolution and transition of the network systems supporting Ebola survivors and their affected communities, during the 2014-15 Ebola outbreak and recovery phases. The qualitative analysis includes a literature review, archival review, and interviews with representatives of key actors operating in strateg...
A systems theoretical analysis to capture the evolution and transition of the network systems supporting Ebola survivors and their affected communities, during the 2014-15 Ebola outbreak and recovery phases. The qualitative analysis includes a literature review, archival review, and interviews with representatives of key actors operating in strateg...
https://www.gjmedph.com//Uploads/O2-Vo6No1.pdf
This article analyzes data collected from Liberian women afflicted by the Ebola virus disease, survivors of the virus and noninfected persons living in Ebola-affected homes. This research is one of the first statistical analyses examining factors diminishing quality of life: negative experiences, stigma, and psychosocial symptoms among females affe...
Experiences of trauma and maltreatment are frequent predictors of poor physical and mental health outcomes in adulthood. Existing literature also suggests an impact of developmental adversity on criminality and aggressive behavior, though little research exists describing the effects of cumulative adversity in forensic mental health samples. In the...
It is widely believed that the median is “usually” between the mean and the mode for skewed unimodal distributions. However, this inequality is not always true, especially with grouped data. Unavailability of complete raw data further necessitates the importance of evaluating this characteristic in grouped data. There is a gap in the current statis...
Background
Online learning has recently garnered increased attention as technology use in the classroom grows. However, most of the published approaches regarding this topic in postgraduate education centers on clinical environments. Models of partnerships between applied public health agencies and academic centers to produce mutually beneficial on...
Purpose
– Coordinated school health programs (CSHPs), a type of health promoting school (HPS) program adopted by Canada and the USA, were developed to provide a comprehensive approach to school health in the USA. Community partnerships are central to CSHP and HPS efforts, yet the quality of collaboration efforts is rarely assessed. The purpose of t...
Indoor tanning (IT) before the age of 35 increases melanoma risk by 75%. Nevertheless, IT and sunless tanning product (STP) use have gained popularity among youth. However, there are limited data on the prevalence and sociodemographic correlates of both IT and STP use in a representative sample of American teens.
Teenage females (N=778) aged 12-18...
Mortality from colorectal cancer (CRC) can be reduced drastically by early detection and early treatment. However, uptake of CRC screening is relatively low, about 50% for those whom the test is highly recommended.
We examined the influence of and racial differences in depression, insomnia, alcohol use, and tobacco use on CRC screening uptake in th...
This study aimed to raise awareness of maternal, infant, and child health (MICH) risks in the Ulpn Valley of Alta Verapaz, Guatemala. Data were gathered in 2011 through systematic face-to-face home surveys of fifteen communities in the region and supplemented with community mapping exercises and focus groups. A questionnaire was used to survey fema...
Adolescents and Young Adults (AYAs) ages 15-39 years with cancer have received little attention in the health field, resulting in a lack of progress. The purposes of this study were to use the Tennessee Cancer Registry for all new cancer cases from 2004-2008 to determine the main types of cancer that affect AYAs in Tennessee and understand if there...