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 Medicine Public Health • Prevention of illness • Treatment of illness • Population-oriented • Individual-oriented • Public Health model • a blend of physical and social science. • 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 Programs Business Pharmacy • Healthcare Administration - MBA/MHA • Public Health Practice - PharmD/MPH Dentistry Public Policy • Public Health Practice - DDS/MPH • Public Health Practice - MPP/MPH Law Social Work • • • • • • Community Health Promotion - MSW/MPH • Maternal and Child Health - MSW/MPH 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 School of Public Health Urban and Regional Planning • Public Health Practice - MURP/MPH Veterinary Medicine • Public Health Practice - DVM/MPH Divisions School of Public Health Public Health Practice Biostatistics Environmental Health Sciences School of Public Health Epidemiology and Community Health Health Policy and Management Epidemiology & Community Health Focus 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 Health Focus 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 PhD offers formal tracks in social/behavioral epidemiology and clinical/biological epidemiology for students interested in research and teaching careers in the health sciences School of Public Health 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 physicianscientists and biomedical researchers) Field and Culminating Experiences School of Public Health Public Health Employers Government World Health Org. Hennepin County MN Dept. of Health CDC EPA City of Mpls. USAID US Navy UNICEF FDA USDA Ramsey Co. WI Dept. of Health NIH Dept. of Education Non-Profit Am. Red Cross United Way Planned Parenthood Family Tree Clinic Mill City Farmers Market Am. Heart Assoc. Am. Cancer Society HeadStart Wilder Foundation March of Dimes MN Aids Project Blue Cross Blue Shield Am. Refugee Committee Children’s Defense Fund Way to Grow Private Medtronic GE Healthcare Accenture Deloitte ChemRisk General Mills Proctor & Gamble Kellogg St. Jude Medical Health Fitness Abbott Genetech, Inc. 3M Merck & Co. United Health Group Plus many more…all over the globe School of Public Health Hospital/Clinic Mayo Clinic Children’s Hospital & Clinics Kaiser Permanente Allina Hospitals & Clinics Stanford University Hospital Salem Hospital Mercy Health System Intermountain Healthcare HealthEast Care System U of MN Physicians Sutter Health Cleveland Clinic Sentara St. Cloud Hospital Fairview 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/ School of Public Health Questions? School of Public Health Introduction to Our Research School of Public Health Social Ecological Model Society / Public Policy Community Institutional Interpersonal Individual 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 Micro/Individual Level Macro/Societal Level Public Policy Legal Availability Biological/ Pharmacological Formal Social Controls Conditioned Response Economic Availability GeneralBeliefs / Perceptions/ Personality Social Integration Institutional Structures Physical Availability Social Interaction Alcohol Cognitions/ Perceptions Market Mechanisms Models of Drinking School of Public Health Social Roles Drinking Behavior Rates and Policy/ Program Availability Patterns of Consumption School of Public Health Alcoholrelated Problems 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 School of Public Health 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 School of Public Health AEP Density Study: Minneapolis Total Density School of Public Health On- & Off-premise Density AEP Density Project • Density in Minneapolis neighborhoods • Associated with: –Violent crime –Non-violent crime • Stronger for onpremise vs. offpremise • 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 School of Public Health Pseudo-intoxicated What is the sales rate to underage youth prior to intervention? 50% 52% 47% On-premise Establishments Off-premise Establishments Forster et al., 1995 School of Public Health What is the sales rate to obviously intoxicated patrons prior to intervention? 83% 75% 47% On-premise Establishments Off-premise Establishments Toomey, et al., 2004 School of Public Health Sales at Festivals and Stadiums Underage: 50% Intoxicated: 89% Underage: 18% Intoxicated: 74% Toomey et al., 2005 Toomey et al., 2005 School of Public Health How do we create change? •Institutional •Local •State •Federal School of Public Health Intervention Approaches •Training programs •Lobbying •Coalition building •Grassroots community organizing School of Public Health AEP Training Projects School of Public Health School of Public Health AEP Community Organizing Projects School of Public Health http://www.aep.umn.edu/ University of Minnesota School of Public Health Social Ecological Model Society / Public Policy Community Institutional Interpersonal Individual School of Public Health National Prevention and Health Promotion Strategy http://www.surgeongeneral.gov/prio rities/prevention/strategy/report.pdf School of Public Health Risk and Resilience Model Assets and Resources for Resilience: Coping Skills of Youth Social Support from Family, Teachers, Other Caring Adults, Friends Exposure to Stressors: Home School Community Affective Symptoms: Depression Anxiety Anger Externalizing Behaviors: Incomplete/ Inadequate Responses by Professionals Behavior-Focused Disciplinary Action: School Juvenile Justice Aggression Cognitions Conflicting with Future Success: Low Academic Investment School of Public Health General Rule Breaking Inattention to Parents and Teachers Behavior-Focused Referral, Diagnosis, and Treatment: Oppositional Defiant Disorder Conduct Disorder Attention-Deficit / Hyperactivity Disorder Formative Research: Acknowledgements • Minnesota Association of • Project Co-Coordinators –Sonja Ausen-Anifrani, MPH * 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 School of Public Health –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 * Formative Research: Methodology • Focus Groups – Purpose was to discuss “the most important issues affecting the wellbeing 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 Reading Perf. Reading Effort Math Perf. Math Effort Reading Percentile Math Percentile Problem-Focused .55 * .68 ** .37 + .49 * .50 * .55 * Emotion-Focused .11 .25 .22 .28 .33 .01 Coping Strategies Girls School Progress Report Reading Perf. Reading Effort Problem-Focused .06 Emotion-Focused .35 Coping Strategies School of Public Health Standardized Test Reading Percentile Math Percentile Math Perf. Math Effort .01 -.13 -.28 .06 -.01 .05 -.05 -.02 .19 .16 Current Community Work and Research • 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 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 • Goals 1. 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 Key Leaders Community Board Executive Board • • Facilitator/Coordinator 6 Workgroups • • • • Community School of Public Health Risk & Protective Factor Assessment Community Outreach & Public Relations Youth Involvement Resource Assessment & Evaluation Funding Community Board Maintenance School of Public Health The Division of Epidemiology & Community Health Program Coordinators Andrea Kish Kathryn Schwartz Shelley Cooksey Epi PhD and Clinical Research Community Health and MCH Epi MPH and Pub Health Nutrition 612-626-9989 612-626-2247 612-626-8803 kish@umn.edu schwa139@umn.edu cooks001@umn.edu School of Public Health SPH Contact Information Maggie Aftahi Director of Admissions and Student Leadership med@umn.edu 612-624-0601 Sherlonda Clarke Director for Diversity and Inclusion sdclarke@umn.edu 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 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 sphcareers@umn.edu, 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 Vic - Director School of Public Health Darren - Assistant Director