Author ORCID Identifier

0000-0001-8039-3526

Defense Date

2021

Document Type

Dissertation

Degree Name

Doctor of Philosophy

Department

Public Policy & Administration

First Advisor

Dr. Sarah Jane Brubaker

Second Advisor

Dr. Ronke Akinkugbe

Third Advisor

Dr. Susan Bodnar-Deren

Fourth Advisor

Dr. Sarah Raskin

Abstract

Chlamydia is a growing public health concern that disproportionately impacts southern states. While social determinants of health are not direct causes of chlamydia infections, studies have found that these determinants do influence infections by creating environments that promote or hinder health seeking behaviors, as well as exposure to risk factors. Guided by the Social Ecological Model of Public Health and the Healthy People 2030 Social Determinants of Health Conceptual Framework, this dissertation study aimed to examine the associations between social determinants of health and chlamydia infections among Georgia counties. This study employed a correlational research design. Aggregate-level secondary data for all 159 Georgia counties were extracted from GeorgiaData, the state of Georgia’s online data repository.

Results showed that the following social determinants were positively associated with chlamydia infections among Georgia counties: proportion identifying as Black, African American, proportion between 15 and 29 years of age, proportion at or below the poverty threshold, proportion above 25 years of age with less than a high school diploma or its equivalency, physician rate, proportion of single parent-headed households, proportion residing in a rural area, and total crime rate. Additionally, the following social determinants were found to be negatively associated with chlamydia infections among Georgia counties: unemployment rate, proportion under 65 years of age and uninsured, and civic participation.The results of this study had implications for local governments related to the development and implementation of targeted multi-level public policy initiatives and prevention interventions.

Rights

© Bre'Auna K. Beasley

Is Part Of

VCU University Archives

Is Part Of

VCU Theses and Dissertations

Date of Submission

12-17-2021

Available for download on Saturday, December 17, 2022

Share

COinS