school of public health welcome to the university of minnesota school of public health division of...
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School of Public Health
WELCOME TO THE
UNIVERSITY OF MINNESOTA
SCHOOL OF PUBLIC HEALTH
Division of Epidemiology & Community Health
Traci Toomey, PhD & Sonya Brady, PhD
School of Public Health
Traci Toomey, PhD
• Courses:
–Community Health Theory & Practice II
–Legislative Advocacy for Public Health
–Skills for Policy Development
–Policy as a Prevention Strategy
• Research:
– Assess and prevent alcohol and tobacco-related problems
–Alcohol & tobacco policy
School of Public Health
Sonya Brady, PhD
• Courses:
– Community Health Theory & Practice I
– Adolescent Health
– Human Behavior II
• Research:
– Health risk & protective behaviors during adolescence and young adulthood
– Disparities in consequences of risk taking
– Mechanisms linking stressful life circumstances to risk behavior and factors promoting resilience
School of Public Health
Defining Public Health
PUBLIC HEALTH IS:
• The science and art of protecting and improving the health of communities through education, promotion of healthy lifestyles, and research for the prevention of disease and injury in local communities and around the globe.
• Prevention of illness and injury to populations.
School of Public Health
Public Health VS. Medicine
Public Health• Prevention of illness
• Population-oriented
• Public Health model
• a blend of physical and social science.
Medicine• Treatment of illness
• Individual-oriented
• Medical model
• physical science basis
School of Public Health
What Public Health does…
School of Public Health
The 20th Century’s Ten Great Public Health Achievements
School of Public Health
University of Minnesota School of Public Health
School of Public Health
WHY MN?
Highly ranked: We are a top-ranked school at a top-ranked university, where diverse populations build knowledge and public health professionals make a difference.
World-class research: We consistently attract more National Institutes of Health research funding than most other schools of public health housed at a public university.
Leadership development: Educating the next generation of public health leaders is a priority here. Our student-centered philosophy means that academic needs are listened to and acted upon.
Mentor opportunities: The SPH is home to the largest Mentor Program of any school of public health in the nation. Co-sponsor: MPHA since 1993.
For these reasons and many more, the School of Public Health at Minnesota is an attractive choice for students from all walks of life and all corners of the globe.
School of Public Health
The School of Public Health at a glance…
• About 1,200 students
• 130+ faculty
• 50% mid-career professionals; 50% recent graduates
• SPH has moved up in the U.S. News and World Report school rankings! Up from 10th to 8th place among all schools of public health
Up from 6th to 4th place among all publics.
School of Public Health
SPH Degree Options
• Master of Public Health (M.P.H.)
• Master of Healthcare Administration (M.H. A.)
• Master of Science (M.S.)
• Doctorate (Ph.D.)
sph.umn.edu
School of Public Health
Dual and Joint Degree ProgramsBusiness• Healthcare Administration - MBA/MHA
Dentistry• Public Health Practice - DDS/MPH
Law• Community Health Promotion - JD/MPH• Environmental Health - JD/MPH, JD/MS, JD/PhD• Epidemiology - JD/MPH• Healthcare Administration - JD/MHA• Health Services Research, Policy & Administration
- JD/MS, JD/PhD• Maternal and Child Health - JD/MPH• Public Health Administration and Policy - JD/MPH• Public Health Practice - JD/MPH
Medicine• Epidemiology - MD/PhD• Health Services Research, Policy & Administration
- MD/PhD• Public Health Practice - MD/MPH
Pharmacy• Public Health Practice - PharmD/MPH
Public Policy• Public Health Practice - MPP/MPH
Social Work• Community Health Promotion - MSW/MPH• Maternal and Child Health - MSW/MPH
Urban and Regional Planning• Public Health Practice - MURP/MPH
Veterinary Medicine• Public Health Practice - DVM/MPH
School of Public Health
DivisionsSchool of Public Health
Public Health Practice
BiostatisticsEnvironmental
Health Sciences
Epidemiology and
Community Health
Health Policy and
Management
School of Public Health
Epidemiology & Community HealthFocus on disease and health in various populations. Faculty and students examine the distribution,
cause and prevention of diseases, and how human behavior affects overall health.
4 MPH Programs
Community Health Promotion gain the skills needed to translate research into practice by designing community based program and policy interventions that improve the health of diverse communities
Epidemiology identify trends in health and disease for populations
Maternal & Child Health improve the health of women, children, youth and families, including socially vulnerable populations and the environments and policies that affect their wellbeing
Public Health Nutrition study the link between diet and health; designed for students who want training in health promotion, disease prevention, program development, and nutrition interventions
School of Public Health
Epidemiology & Community HealthFocus on disease and health in various populations. Faculty and students
examine the distribution, cause and prevention of diseases, and how human behavior affects overall health.
PhD and MS programs
Epidemiology PhDoffers formal tracks in social/behavioral epidemiology and clinical/biological epidemiology for students interested in research and teaching careers in the health sciences
MS in Clinical Research trains the next generation of clinical and translational researchers who will advance our understanding of diseases and their outcomes and develop and evaluate new therapies for patients (for physician-scientists and biomedical researchers)
School of Public Health
Field and Culminating Experiences
School of Public Health
Public Health EmployersGovernment Non-Profit Private Hospital/ClinicWorld Health Org. Am. Red Cross Medtronic Mayo ClinicHennepin County United Way GE Healthcare Children’s Hospital & ClinicsMN Dept. of Health Planned Parenthood Accenture Kaiser PermanenteCDC Family Tree Clinic Deloitte Allina Hospitals & ClinicsEPA Mill City Farmers Market ChemRisk Stanford University HospitalCity of Mpls. Am. Heart Assoc. General Mills Salem HospitalUSAID Am. Cancer Society Proctor & Gamble Mercy Health SystemUS Navy HeadStart Kellogg Intermountain HealthcareUNICEF Wilder Foundation St. Jude Medical HealthEast Care SystemFDA March of Dimes Health Fitness U of MN PhysiciansUSDA MN Aids Project Abbott Sutter HealthRamsey Co. Blue Cross Blue Shield Genetech, Inc. Cleveland ClinicWI Dept. of Health Am. Refugee Committee 3M SentaraNIH Children’s Defense Fund Merck & Co. St. Cloud HospitalDept. of Education Way to Grow United Health Group Fairview
Plus many more…all over the globe
School of Public Health
Application Process - SOPHAS
Centralized application for CEPH accredited schools and programs of public health
Statement of Purpose and Objectives Résumé or C.V. Official U.S. and/or Canadian Transcripts 3 Letters of Recommendation Official GRE scores World Education Services (WES) ICAP course-by-course evaluation
of non-U.S/Canadian academic credentials Proof of English proficiency
School of Public Health
Application Deadlines
Priority Deadline: December 1 For first-round SPH scholarship consideration
Final Deadline: PhD programs – February 15 Master’s programs – April 15
Check out the videos on our admissions page for tips on completing your application.
School of Public Health
Carleton students
•Since 2010, 18 Carleton students have been admitted to one of the 4 Epidemiology and Community Health MPH Programs:
– 3 to Epidemiology
– 8 to Community Health Promotion
– 6 to Maternal and Child Health
– 1 to Public Health Nutrition
School of Public Health
Visit Us!
Come to an information session, a fall preview day, or one of the many graduate fairs the SPH will be at locally and nationally!
sph.umn.edu/students/prospective/calendar/
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Questions?
School of Public Health
Introduction to Our Research
School of Public Health
Social Ecological Model
Individual
Interpersonal
Institutional
Community
Society / Public Policy
School of Public Health
Alcohol Epidemiology Program (AEP)
•Traci Toomey, PhD•Darin Erickson, PhD•Toben Nelson, ScD•Rhonda Jones-Webb, DrPH
•Plus 12 wonderful staff members!
School of Public Health
Goal = Reduce Problems
•Traffic crashes•Suicides•Violent crime•Nuisance crime•Unplanned pregnancies
•STI’s
School of Public Health
Excessive Alcohol Use Economic Costs
•U.S. total: $223.5 billion
•MN total: $3,547,400,000
Includes: lost productivity, healthcare, criminal justice, property damage, etc.
Sacks et al., 2013, http://www.cdc.gov/alcohol/data-stats.htm
School of Public Health
Integrated Theory of Drinking Behavior
Legal Availability
Economic Availability
Social Integration
Physical Availability
Models of Drinking
Formal Social Controls
Conditioned Response
Biological/ Pharmacological
Social Roles
Alcohol Cognitions/ Perceptions
Drinking Behavior
GeneralBeliefs/ Perceptions/
Personality
Macro/Societal Level
Micro/Individual Level
Public Policy
Institutional Structures
Market Mechanisms
Social Interaction
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Policy/Program
Alcohol-related
ProblemsAvailability
Rates and
Patterns of
Consumption
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AEP Mission & Research
- Identify need for policies/programs
- Identify effective policies/programs
- Improve implementation of policies/programs
School of Public Health
Examples of AEP Assessment Studies
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Density of Alcohol Establishments
•Number of establishments per:–Population–Roadway mile–Geographic area (including around campuses)
•Density important at smaller geographic units than community or state
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AEP Density Study: Minneapolis
Total Density On- & Off-premise Density
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AEP Density Project
•Density in Minneapolis neighborhoods
•Associated with:–Violent crime–Non-violent crime
•Stronger for on-premise vs. off-premise
•No variation by type of neighborhood
Toomey et al., 2012a,b; Erickson et al., 2015
School of Public Health
Alcohol Service at Licensed Venues
•Sales to underage•Over-service of alcohol•Promotion of heavy drinking
–Drink specials–Promotion of drinking games
School of Public Health
AEP Assessment of Alcohol Sales Projects
Pseudo-underage Pseudo-intoxicated
School of Public Health
What is the sales rate to underage youth prior to intervention?
On-premise Establishments Off-premise Establishments
52%
47%
50%
Forster et al., 1995
School of Public Health
What is the sales rate to obviously intoxicated patrons prior to
intervention?
On-premise Establishments Off-premise Establishments
83%
47%
75%
Toomey, et al., 2004
School of Public Health
Sales at Festivals and Stadiums
Underage: 50%Intoxicated: 89%
Toomey et al., 2005
Underage: 18%Intoxicated: 74%
Toomey et al., 2005
School of Public Health
How do we create change?
•Institutional•Local•State•Federal
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Intervention Approaches
•Training programs•Lobbying•Coalition building•Grassroots community organizing
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AEP Training Projects
School of Public Health
School of Public Health
AEP Community Organizing Projects
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http://www.aep.umn.edu/University of Minnesota
School of Public Health
Social Ecological Model
Individual
Interpersonal
Institutional
Community
Society / Public Policy
School of Public Health
http://www.surgeongeneral.gov/priorities/prevention/strategy/
report.pdf
National Prevention and Health Promotion Strategy
School of Public Health
Risk and Resilience Model
Affective Symptoms:
DepressionAnxietyAnger
Cognitions Conflicting with Future Success:
Low Academic Investment
Exposure to Stressors:
HomeSchoolCommunity
Externalizing Behaviors:
Aggression
General Rule Breaking
Inattention to Parents and Teachers
Behavior-FocusedReferral, Diagnosis, and Treatment:
Oppositional Defiant DisorderConduct DisorderAttention-Deficit / Hyperactivity Disorder
Behavior-Focused Disciplinary Action:
SchoolJuvenile Justice
Assets and Resources for Resilience:Coping Skills of Youth
Social Support from Family, Teachers, Other Caring Adults, Friends
Incomplete/Inadequate
Responses by Professionals
School of Public Health
Formative Research:Acknowledgements
•Minnesota Association of Black Psychologists
–William D. Allen, PhD–Willie B. Garrett, EdD–Susan Govern, MA–Monique Lowe, PhD–Gregory Maxie, MS–Beverly Propes, MPH–Willie Winston, PhD
•Project Co-Coordinators–Sonja Ausen-Anifrani, MPH *–Lauren Mammini, MPH *
•Student Volunteers–Ashley A. Chesmore, MSEd, MPH *–Calae Dorsett, MBBS, MPH–Nasra H. Giama, DNP–Sonia E. Gockley, MPH *–Tat’Yana Kenigsberg, MPH *–Sarah Osman-Learmont, BA–Allison J. Woerpel, MPH *
School of Public Health
Formative Research:Methodology
• Focus Groups
– Purpose was to discuss “the most important issues affecting the well-being and future success of young people in the African American community”
• 2 groups of children aged 8-12 years (n=14, 3 male)
• 2 groups of caregivers (n=16, 3 male)
• Structured Interviews
– One-on-one interviews of 46 African American children aged 8-12 and their caregivers
• 43 caregivers were female (93%)
• 21 children were female (46%)
School of Public Health
How Caregivers Address Discrimination:Acknowledge Discrimination and Prepare
Children
• Most parents agreed that it was necessary to acknowledge and prepare their children for potential acts of discrimination
• At the same time, many parents encouraged their children…
–Not to assume that they were being discriminated against
–Not to make it more likely that they would be discriminated against
School of Public Health
How Caregivers Address Discrimination:Be Leaders, Not Followers…
• G1, Woman 1: I don’t know how this is going to sound, but this is how it is going to fly out of my mouth. I think that if the parent, the person at home, whoever that is, is helping to get that child into the world… if they try to get their kid to not talk slang and try to get the child to not sag their pants…
• G1, Woman 2: Be leaders and not followers.
• G1, Woman 1: Be leaders and not followers… because if you are ok with your child going out and talking slang, if you are ok with your child sagging pants, big old clothes, making people scared of you or not understand you, not speaking the same language as you, then therefore, that can impact it [the likelihood of being discriminated against].
• G1, Woman 6: That is also a stereotype.
• G1, Woman 1: Unfortunately that is what it is though.
• G1, Woman 6: Because there are white boys that walk around with sagging pants and they try to talk cool and all this and ain’t nobody scared of them.
• G1, Woman 1: We are talking about African Americans, that is why I said, I know this isn’t going to come off right.
School of Public Health
Taking Our Children and Our Community Back
• G1, Woman 2: You know what I think we have to do as parents… continue parenting our kids exposing them [to educational opportunities] and talking to them, but taking our children back, taking our community back and just having positive leaders and stuff and people around. We have to do this when they are young. We can’t wait until they are old because they have gotten used to that and habit forming. Once you have a habit, it is hard to break it and we can’t expect our children are just going to stop like that if we don’t start from when they are young and be consistent with them.
School of Public Health
How are children’s coping strategies associated with academic outcomes?
Boys School Progress Report Standardized Test
Coping StrategiesReading
Perf.Reading
EffortMath Perf.
Math Effort
Reading Percentile
Math Percentile
Problem-Focused .55 * .68 ** .37 + .49 * .50 * .55 *
Emotion-Focused.11 .25 .22 .28 .33 .01
Girls School Progress Report Standardized Test
Coping StrategiesReading
Perf.Reading
EffortMath Perf.
Math Effort
Reading Percentile
Math Percentile
Problem-Focused .06 .01 -.13 -.28 .06 -.01
Emotion-Focused.35 .05 -.05 -.02 .19 .16
School of Public Health
• Funding from the National Institute on Minority Health and Health Disparities (NIMHD)
• Community-Based Participatory Research (CBPR)
• Communities that Care (CTC) approach to building coalitions
Current Community Work and Research
School of Public Health
Communities Invested in Healthy Life Trajectories of African American Boys
• Aim: Build community coalitions that will select, refine, implement, and evaluate a school-linked intervention for African American, socioeconomically disadvantaged boys aged 8-14 years and their caregivers
– St. Paul, MN• Ms. Capetra Jolly (Coalition Leader)• Dr. Sonya Brady (University Partner)
– Birmingham, AL• Mr. Charles Branch (Coalition Leader)• Dr. Tina Simpson (University Partner)
School of Public Health
Communities Invested in Healthy Life Trajectories of African American Boys
• Goals1. Promote family, school, and community
connectedness; academic investment; and social and emotional well-being
2. Prevent or reduce externalizing symptoms, risk behavior, receipt of school-based disciplinary action, and juvenile justice involvement
School of Public Health
Communities that Care (CTC)
• Communities that Care (CTC) is a step-by-step coalition-based approach to preventing youth risk behaviors
–CTC provides…• A structure for engaging community stakeholders• A process for establishing a shared community
vision
(Hawkins et al., 2008; Hawkins, Catalano, & Kuklinski, 2011)
School of Public Health
5 Phases of Communities That Care
School of Public Health
Coalition Organization Structure
Community
Key Leaders
Community Board
6 Workgroups
Facilitator/Coordinator
• Risk & Protective Factor Assessment
• Community Outreach & Public Relations
• Youth Involvement • Resource Assessment
& Evaluation • Funding • Community Board
Maintenance
Executive Board
School of Public Health
School of Public Health
Andrea Kish
Epi PhD and Clinical Research
612-626-9989
Kathryn Schwartz
Community Health and MCH
612-626-2247
Shelley Cooksey
Epi MPH and Pub Health Nutrition
612-626-8803
The Division of Epidemiology & Community Health
Program Coordinators
School of Public Health
SPH Contact Information
Maggie AftahiDirector of Admissions and Student Leadership
612-624-0601
Sherlonda ClarkeDirector for Diversity and Inclusion
612-624-7790
School of Public Health
Tips for Applying
• Getting Strong Recommendations: https://www.youtube.com/watch?v=CzGILnnDWWk
• Application Tips: Strong Personal Statements: https://www.youtube.com/watch?v=9nt0ZST7Z4c
• Application Tips: SOPHAS: https://www.youtube.com/watch?v=Z4pSSKL8Nng
School of Public Health
Financing Your Education• Tuition and fees • Scholarships• Loans• Graduate/Research/Teaching Assistantships• Living in the Twin Cities
U of MN SPH Financial Information sph.umn.edu/students/prospective/finances/
ASPPH Financial Information aspph.org/study/financing-your-degree/
School of Public Health
Career Services
Vic - Director Darren - Assistant Director
The Office of Career Services provides comprehensive career guidance and resources to SPH students, postdocs and alumni. We’re here to help facilitate the career development process and job search, and to maximize your career potential. We work to:
● Partner with each student to maximize their career potential● Recommend effective approaches to the job search● Encourage and facilitate ongoing professional and leadership development● Stay current on the public health field● Help employers connect with SPH students
Contact us by phone (612-626-3500) or email [email protected], or stop in with questions about resumes, networking, job searching, field experience, interviewing or any other career related topic.
For a complete Career Spotlight list: http://sph.umn.edu/careers/students/
sph.umn.edu/careers