Tiffiny Shockley | Queens University of Charlotte (original) (raw)
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Papers by Tiffiny Shockley
Business ethics and leadership, Apr 3, 2024
Obesity is a widespread problem in the United States, particularly affecting Black communities. I... more Obesity is a widespread problem in the United States, particularly affecting Black communities. It is a public health problem, a long-term, cumulative issue of economic and social justice and inequality for this demographic group. Thus, the key to solving it is to eliminate persistent structural root causes. According to the Centers for Disease Control and Prevention (CDC), in 2022, the prevalence of obesity among African American adults is 49.5%, with Black women having the highest prevalence compared to other racial and ethnic groups. The main purpose of this study is to provide a comprehensive literature review that examines the multifaceted factors contributing to obesity among African American women, as well as systematise the determinants related to the economic well-being of the community, social factors, cultural patterns of lifestyle in the community, etc. The analysis revealed a clear inverse relationship between income and obesity among African Americans, with this trend being particularly pronounced among women than men and differing across age groups in black communities. The economic determinants of obesity in Black women are related to the fact that low-income households have limited access to affordable and nutritious food and are regularly exposed to stress related to financial difficulties, with so-called "food swamps" and "food deserts" being common in low-income areas. The social determinants of obesity are related to the fact that Black women face higher levels of racism and sexism than other demographic groups, and unequal social conditions cause structural disparities in health, education and employment. Psycho-social and cultural determinants (cultural norms of body image, social influencers, religion, social networks and family upbringing, etc.) play a key role in the emergence of the problem under study, so Black women often model their eating and physical activity habits by cultural traditions, and those who struggle with overweight may face stigma, social isolation and discrimination. The article makes recommendations for reducing obesity among Black women, which primarily relate to the development of culturally sensitive nutrition education programs, community-based health promotion programs, community-centered food policy advocacy, technology-based health platforms, publicprivate partnerships for affordable healthy food retail, etc.
Although great advances have been made in healthcare, the United States ranks #1 among developed ... more Although great advances have been made in healthcare, the United States ranks #1 among developed countries with advanced economies for maternal and infant mortality. The current rate of maternal and infant deaths has consistently risen over the last 20 years in the United States. This rise is primarily among black women and black infants. The infant mortality for black babies in the United States is roughly 4 times that of the European Union. Research has shown that the key the reasons for these outcomes are rooted in structural racism which has led to implicit and interpersonal racism and while there has been a great deal of research and training on the topic of bias the disparities in maternal and infant outcomes persist. In my proposed presentation, I will discuss the intersection of racialized practices including those found to be social determinants of health for pregnant women and infants. I will address strategies to address structural barriers in the context of ethical le...
Panel discussion: "Proactive Approach to Healthcare - Prevention, Boosting Immune System and... more Panel discussion: "Proactive Approach to Healthcare - Prevention, Boosting Immune System and Promoting Healthy Lifestyle" Facebook live: www.facebook.com/PublicHealthConference Date: 18th of June 2021 Time: 2pm [London] Panelists: Jingduan Yang, MD is a leading physician, board-certified psychiatrist, integrative medicine expert, and fifth-generation educator and practitioner of traditional Chinese medicine (TCM), specializing in clinical acupuncture. A sought-after speaker and author, Dr. Yang is known for pioneering his holistic approach to health that focuses on finding the root causes of disease in the physical, biochemical, bioenergetic, and spiritual dimensions of the human body. He's loved by those who know him for his tireless dedication to improving the lives of others through practice and education. Dr. Yang's knowledge is the culmination of 30 years of training, teaching, and clinical experience in TCM and integrative medicine, coupled with distinguished...
Health science journal, 2020
In this commentary, I examine the issues faced by rural communities in the 21st century as they r... more In this commentary, I examine the issues faced by rural communities in the 21st century as they relate to the use of telehealth in the context of achieving the Quadruple Aim for the betterment of providers and rural populations. Rural communities face unique challenges resulting in some of the worst health outcomes in America and these challenges are expected to be exacerbated in 21st century due to changes in our climate. Coupled with these challenges are the changes and impediments associated with current healthcare ecosystems and infrastructures. In this commentary I assert that these changes and challenges require healthcare leaders to be less reactive and more adaptive in the development and implementation of telehealth solutions.
International Journal of Applied Research on Public Health Management
Situations like Coronavirus (COVID-19), severe acute respiratory syndrome (SARS), Middle East res... more Situations like Coronavirus (COVID-19), severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS) coronaviruses, and the damaged caused by Hurricane Maria in September 2017 in Puerto Rico create complex health public health management logistics problems. Disasters and pandemics often demand logistics planning to involve large-scale transportation of medical aid in the form of personnel and supplies, specialized equipment, and personnel for search and rescue, food, shelter, and other commodities used in massive relief operations. The research suggests improvements in organizational culture, modernization of recruitment strategies, and enhancement of leadership and professional development as approaches to improve gender diversity in leadership roles in emergency public health supply chain and logistics management. This paper provides emergency and disaster public health supply chain and logistics management practitioners and scholars insight into the dynamics ...
International Journal of Public and Private Perspectives on Healthcare, Culture, and the Environment
In our society, childhood obesity has become a pressing health issue. Childhood obesity occurs wh... more In our society, childhood obesity has become a pressing health issue. Childhood obesity occurs when children are considerably overweight for their age and height. Body mass index (BMI) is used to measure the percentage of body fat; therefore, the higher the BMI, the more body fat an individual has accompanied by the likelihood that the individual is obese. This research aims to address the factors that cause childhood obesity. A total of 116 journal articles were used for the development of this paper; the articles were analyzed and selected based on the occurrence of the following keywords and phrases: (1) childhood obesity, (2) social cognition theory, (3) telemedicine, and (4) nutrition education. The literature review showed a relationship between childhood obesity and body mass index (reduction, the use of telemedicine, and school food gardens). Using telemedicine video conferencing software and adding food gardens to public school curricula may be a strategy educators and poli...
Health Science Journal, 2020
In this commentary, I examine the issues faced by rural communities in the 21 st century as they ... more In this commentary, I examine the issues faced by rural communities in the 21 st century as they relate to the use of telehealth in the context of achieving the Quadruple Aim for the betterment of providers and rural populations. Rural communities face unique challenges resulting in some of the worst health outcomes in America and these challenges are expected to be exacerbated in 21 st century due to changes in our climate. Coupled with these challenges are the changes and impediments associated with current healthcare ecosystems and infrastructures. In this commentary I assert that these changes and challenges require healthcare leaders to be less reactive and more adaptive in the development and implementation of telehealth solutions.
Business ethics and leadership, Apr 3, 2024
Obesity is a widespread problem in the United States, particularly affecting Black communities. I... more Obesity is a widespread problem in the United States, particularly affecting Black communities. It is a public health problem, a long-term, cumulative issue of economic and social justice and inequality for this demographic group. Thus, the key to solving it is to eliminate persistent structural root causes. According to the Centers for Disease Control and Prevention (CDC), in 2022, the prevalence of obesity among African American adults is 49.5%, with Black women having the highest prevalence compared to other racial and ethnic groups. The main purpose of this study is to provide a comprehensive literature review that examines the multifaceted factors contributing to obesity among African American women, as well as systematise the determinants related to the economic well-being of the community, social factors, cultural patterns of lifestyle in the community, etc. The analysis revealed a clear inverse relationship between income and obesity among African Americans, with this trend being particularly pronounced among women than men and differing across age groups in black communities. The economic determinants of obesity in Black women are related to the fact that low-income households have limited access to affordable and nutritious food and are regularly exposed to stress related to financial difficulties, with so-called "food swamps" and "food deserts" being common in low-income areas. The social determinants of obesity are related to the fact that Black women face higher levels of racism and sexism than other demographic groups, and unequal social conditions cause structural disparities in health, education and employment. Psycho-social and cultural determinants (cultural norms of body image, social influencers, religion, social networks and family upbringing, etc.) play a key role in the emergence of the problem under study, so Black women often model their eating and physical activity habits by cultural traditions, and those who struggle with overweight may face stigma, social isolation and discrimination. The article makes recommendations for reducing obesity among Black women, which primarily relate to the development of culturally sensitive nutrition education programs, community-based health promotion programs, community-centered food policy advocacy, technology-based health platforms, publicprivate partnerships for affordable healthy food retail, etc.
Although great advances have been made in healthcare, the United States ranks #1 among developed ... more Although great advances have been made in healthcare, the United States ranks #1 among developed countries with advanced economies for maternal and infant mortality. The current rate of maternal and infant deaths has consistently risen over the last 20 years in the United States. This rise is primarily among black women and black infants. The infant mortality for black babies in the United States is roughly 4 times that of the European Union. Research has shown that the key the reasons for these outcomes are rooted in structural racism which has led to implicit and interpersonal racism and while there has been a great deal of research and training on the topic of bias the disparities in maternal and infant outcomes persist. In my proposed presentation, I will discuss the intersection of racialized practices including those found to be social determinants of health for pregnant women and infants. I will address strategies to address structural barriers in the context of ethical le...
Panel discussion: "Proactive Approach to Healthcare - Prevention, Boosting Immune System and... more Panel discussion: "Proactive Approach to Healthcare - Prevention, Boosting Immune System and Promoting Healthy Lifestyle" Facebook live: www.facebook.com/PublicHealthConference Date: 18th of June 2021 Time: 2pm [London] Panelists: Jingduan Yang, MD is a leading physician, board-certified psychiatrist, integrative medicine expert, and fifth-generation educator and practitioner of traditional Chinese medicine (TCM), specializing in clinical acupuncture. A sought-after speaker and author, Dr. Yang is known for pioneering his holistic approach to health that focuses on finding the root causes of disease in the physical, biochemical, bioenergetic, and spiritual dimensions of the human body. He's loved by those who know him for his tireless dedication to improving the lives of others through practice and education. Dr. Yang's knowledge is the culmination of 30 years of training, teaching, and clinical experience in TCM and integrative medicine, coupled with distinguished...
Health science journal, 2020
In this commentary, I examine the issues faced by rural communities in the 21st century as they r... more In this commentary, I examine the issues faced by rural communities in the 21st century as they relate to the use of telehealth in the context of achieving the Quadruple Aim for the betterment of providers and rural populations. Rural communities face unique challenges resulting in some of the worst health outcomes in America and these challenges are expected to be exacerbated in 21st century due to changes in our climate. Coupled with these challenges are the changes and impediments associated with current healthcare ecosystems and infrastructures. In this commentary I assert that these changes and challenges require healthcare leaders to be less reactive and more adaptive in the development and implementation of telehealth solutions.
International Journal of Applied Research on Public Health Management
Situations like Coronavirus (COVID-19), severe acute respiratory syndrome (SARS), Middle East res... more Situations like Coronavirus (COVID-19), severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS) coronaviruses, and the damaged caused by Hurricane Maria in September 2017 in Puerto Rico create complex health public health management logistics problems. Disasters and pandemics often demand logistics planning to involve large-scale transportation of medical aid in the form of personnel and supplies, specialized equipment, and personnel for search and rescue, food, shelter, and other commodities used in massive relief operations. The research suggests improvements in organizational culture, modernization of recruitment strategies, and enhancement of leadership and professional development as approaches to improve gender diversity in leadership roles in emergency public health supply chain and logistics management. This paper provides emergency and disaster public health supply chain and logistics management practitioners and scholars insight into the dynamics ...
International Journal of Public and Private Perspectives on Healthcare, Culture, and the Environment
In our society, childhood obesity has become a pressing health issue. Childhood obesity occurs wh... more In our society, childhood obesity has become a pressing health issue. Childhood obesity occurs when children are considerably overweight for their age and height. Body mass index (BMI) is used to measure the percentage of body fat; therefore, the higher the BMI, the more body fat an individual has accompanied by the likelihood that the individual is obese. This research aims to address the factors that cause childhood obesity. A total of 116 journal articles were used for the development of this paper; the articles were analyzed and selected based on the occurrence of the following keywords and phrases: (1) childhood obesity, (2) social cognition theory, (3) telemedicine, and (4) nutrition education. The literature review showed a relationship between childhood obesity and body mass index (reduction, the use of telemedicine, and school food gardens). Using telemedicine video conferencing software and adding food gardens to public school curricula may be a strategy educators and poli...
Health Science Journal, 2020
In this commentary, I examine the issues faced by rural communities in the 21 st century as they ... more In this commentary, I examine the issues faced by rural communities in the 21 st century as they relate to the use of telehealth in the context of achieving the Quadruple Aim for the betterment of providers and rural populations. Rural communities face unique challenges resulting in some of the worst health outcomes in America and these challenges are expected to be exacerbated in 21 st century due to changes in our climate. Coupled with these challenges are the changes and impediments associated with current healthcare ecosystems and infrastructures. In this commentary I assert that these changes and challenges require healthcare leaders to be less reactive and more adaptive in the development and implementation of telehealth solutions.