African Americans (AAs) have higher prevalence of uncontrolled hypertension than Whites, which leads to reduced life expectancy. Barriers to achieving blood pressure control in AAs include mistrust of healthcare and poor adherence to medication and dietary recommendations. We conducted a pilot study of a church-based community health worker (CHW)…

Purpose: Universities and colleges play a major role in facilitating the behaviors of students into adulthood. Active travel (AT; walking or bicycling for transportation) can provide substantial health benefits, though inequities among bicycling are shown in many underserved populations (racial/ethnic minorities, women, LGBTQ+, disabled,…

Overweight and obesity are national epidemics affecting 42.4% of adults in the U.S.; with the southeastern region exhibiting higher obesity rates than most other regions in the U.S. (National Center for Health Statistics, 2020; U.S. Department of Health and Human Services & Centers for Disease Control and Prevention, 2009). Alabama ranks 3rd…

In this dissertation, I examine how two major social programs in Kentucky--state-funded preK and Family Resource and Youth Service Centers--impact children's outcomes across the state, including racial, ethnic, and economic equity through elementary school. In each chapter, I will analyze how early childhood opportunities relate to outcomes…

Child inactivity, overweightness, and obesity are recognized problems in the United States. Despite characterization as an "epidemic," children continue to fall short in meeting physical activity recommendations necessary to maintain proper health. Relevant literature indicates that after-school programs (ASPs) are viable options for…

The COVID-19 pandemic has fundamentally changed the ways schools and other youth-serving agencies are operating. To prevent the continued spread of the virus, many schools and agencies have moved to virtual only or hybrid virtual/in-person activities. Along with adapting many other activities, schools and agencies' approaches to bullying…

Objective: Smoking continues to be a major global cause of mortality and morbidity. Countries have increasingly adopted the use of images as warnings on cigarette packs. We aimed to investigate the likely differential impact of varied images and messages on sub-groups of the United Kingdom (UK) smoking population. Methods: Forty two images…

Background: Racial/ethnic-minority 9th graders are at increased risk for teen pregnancy, HIV, and STIs compared to their White peers. Yet, few effective sexual health education programs exist for this population. Purpose: To apply "IM Adapt"--a systematic theory- and evidence-based approach to program adaptation--to modify an effective…

Background: Because health disparities among Asian Americans are understudied, a partnership program between the Charles B. Wang Community Health Center and the Center for the Study of Asian American Health was created to increase awareness and interest in Asian American research. Purpose: To evaluate the process, outcome, and impact of a health…

The growing number of United States youth and adults categorized as overweight or obese illustrates a need for research-based family wellness interventions. Sequential, online, Extension-delivered family wellness interventions offer a time- and cost-effective approach for both participants and Extension educators. The 6-week, online Healthy…

The National Campaign to Prevent Teen and Unplanned Pregnancy published free online lessons that help students take action to prevent unplanned pregnancy and complete their education. From the fall of 2012 to the spring of 2014, approximately 2,800 students took the online lessons and participated in pre- and post-lesson evaluation surveys at four…

Truant youths frequently experience family problems, emotional/psychological issues, substance misuse, and delinquency. They are likely engaging in alcohol use and sexual risk behavior at a higher rate than the general youth population. Early intervention services would benefit them, their families, and society. We present interim findings from an…

Strong anti-bullying policies are foundational to effective bullying prevention. The Youth Bullying Prevention Act of 2012 (YBPA; DC Law L19-167) is among the most comprehensive bullying prevention policies across the United States and its territories. The law and its implementing regulations require all schools and youth-serving agencies…

Background: During the 2004-2005 school year, the Mississippi Department of Education, Office of Child Nutrition, initiated a pilot program to distribute free fruit and vegetable snacks to students during the school day. This article describes the first-year implementation of the Mississippi Fruit and Vegetable Pilot Program. Methods: The process…

African-American youth experience disproportionate rates of childhood obesity compared to their White counterparts. Culturally tailored electronic media solutions hold the potential to overcome health literacy and health communication barriers. This study aimed to identify the impact of exposure to a new website portal…