College of Graduate Studies: Theses & Dissertations
Term of Award
Spring 2026
Degree Name
Doctor of Public Health in Public Health Leadership (Dr.P.H.)
Document Type and Release Option
Dissertation (open access)
Copyright Statement / License for Reuse
This work is licensed under a Creative Commons Attribution 4.0 License.
Department
College of Public Health
Committee Chair
Linda Kimsey
Committee Member 1
James Thomas
Committee Member 2
William Mase
Abstract
This study examines the relationship between Adverse Childhood Experiences (ACEs) and preventive healthcare use among adults in Georgia, specifically within rural populations facing structural barriers. Using 2023 Georgia Behavioral Risk Factor Surveillance System (BRFSS) data, the research analyzes associations between ACE exposure, rural residence, and preventive care outcomes, including physical exams and flu vaccinations. Guided by an intersectionally adapted version of Andersen’s Behavioral Model of Health Services Use, the study evaluates how predisposing factors, enabling resources, and perceived barriers relate to healthcare engagement. Logistic regression analyses assess the correlation of ACE exposure, cost barriers, provider access, and sociodemographics with preventive care utilization. Findings highlight how trauma histories, structural constraints, and rural access gaps align with lower preventive care participation and higher long-term health risks. By identifying key correlates of underutilization, this research informs public health strategies and policy interventions to improve health equity in rural Georgia.
Recommended Citation
Traylor, Ryan R., "Exploring the Impact of Adverse Childhood Experiences on Preventive Healthcare Utilization in Rural Georgia" (2026). College of Graduate Studies: Theses & Dissertations. 3103.
https://digitalcommons.georgiasouthern.edu/etd/3103
Research Data and Supplementary Material
No
Included in
Agricultural and Resource Economics Commons, Clinical Epidemiology Commons, Cognitive Behavioral Therapy Commons, Community Health Commons, Community Health and Preventive Medicine Commons, COVID-19 Commons, Environmental Public Health Commons, Epidemiology Commons, Health and Medical Physics Commons, Health Services Administration Commons, Health Services Research Commons, Influenza Humans Commons, Influenza Virus Vaccines Commons, Life Sciences Commons, Medical Sciences Commons, Medical Specialties Commons, Occupational Health and Industrial Hygiene Commons, Other Mental and Social Health Commons, Other Public Health Commons, Patient Safety Commons, Public Health Education and Promotion Commons, Rural Health Commons, Substance Abuse and Addiction Commons
