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University of Alabama at Birmingham

Theses/Dissertations

Health disparities

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The Association Of Cognitive And Physical Functioning With Health And Mortality Outcomes Among Puerto Ricans, Cheyanne Celine Barba Jan 2023

The Association Of Cognitive And Physical Functioning With Health And Mortality Outcomes Among Puerto Ricans, Cheyanne Celine Barba

All ETDs from UAB

Puerto Rico has experienced a rapid increase in the older adult population over the last decade. With a growing older adult population, the importance of healthy aging becomes increasingly more important to understand. Understanding the impact that impairments in cognitive and physical functioning have on older adults in Puerto Rico will be important to supporting the rapidly aging population. The current project proposed to (1) examine predictors of transition to frailty, (2) examine whether cognitive function and frailty are associated with healthcare utilization, and (3) examine frailty and cognitive impairment as predictors of mortality and Alzheimer’s disease related cause of …


"'Wimpy White Boy Syndrome': Does It Exist In The Nicu?", Brittany Nicole Stewart Jan 2023

"'Wimpy White Boy Syndrome': Does It Exist In The Nicu?", Brittany Nicole Stewart

All ETDs from UAB

“Wimpy White Boy Syndrome” (WWBS) is a social phenomenon and belief that exists in the neonatal intensive care unit (NICU), where white boys fare the worst and Black girls fare the best. However, this belief is based on little to no empirical evidence and contradicts the majority of the research that documents Black Americans tend to have worse health outcomes than white Americans. Utilizing electronic medical record data from a Southern, regional, and level IV neonatal intensive care unit, this research project explored racial differences in length of hospital stay, mortality, and resource allocation among low and very low birthweight …


Labor Union Membership Tenure And Midlife Health: A Gendered Perspective, Clifford Ross Jan 2022

Labor Union Membership Tenure And Midlife Health: A Gendered Perspective, Clifford Ross

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The benefits of labor unions have not gone unstudied. Individuals in labor unions have better access to lower cost/more substantial health insurance plans, higher quality pension plans, and better wages leading to increased lifetime earnings. Even though many of these benefits create important pathways that could lead to better health, unions have been paid little attention in health literature. Additionally, in the modern workplace Mothers are offered lower starting salaries, are perceived as less competent, and face a penalty regarding hiring, promotion, and workplace educational opportunities. Compared to men, women with children see an income gap 20 cents wider than …


Examining Interpersonal Diffnces Among Caregivers In Health Outcomes Using A Stress Process Model: The Influence Of Adverse Social Experiences And Social Support, Wesley Browning Jan 2021

Examining Interpersonal Diffnces Among Caregivers In Health Outcomes Using A Stress Process Model: The Influence Of Adverse Social Experiences And Social Support, Wesley Browning

All ETDs from UAB

Many Americans are informal caregivers who are responsible for caring for their loved ones who have difficulty performing everyday functions. Black and White caregivers each have many of the same burdens associated with caregiving, but often the way in which burden is experienced differs between these two racial groups. Caregiving places unique burden on individuals, and this burden is associated with depression and worse quality of life (QoL). This study aimed to use the stress process model to describe differences between Black and White caregivers. This study also examined the role of adverse social experiences (negative interaction, experiences of discrimination …


Early Childhood Quality Of Education And Late-Life Cognitive Function In A Population-Based Sample From Puerto Rico, Cheyanne Celine Barba Jan 2020

Early Childhood Quality Of Education And Late-Life Cognitive Function In A Population-Based Sample From Puerto Rico, Cheyanne Celine Barba

All ETDs from UAB

In general, greater years of education is associated with reduced risk of cognitive impairment in older adulthood, but the strength of this association has been found to differ by study population. Additionally, quality of education is understudied, despite evidence that quality of education and, in turn, literacy, may be additional indicators of cognitive reserve. This thesis examined years of education, literacy, and childhood quality of education indicators in relation to late-life cognitive outcomes in an older Puerto Rican population. We hypothesized that greater years of education, literacy, and quality of childhood education would be positively associated with each other, as …


The Influence Of Child, Parent, And Context Factors On Children’S Traffic Injury Risk, Emma Sartin Goodman Jan 2019

The Influence Of Child, Parent, And Context Factors On Children’S Traffic Injury Risk, Emma Sartin Goodman

All ETDs from UAB

Child restraint systems, like car seats and booster seats, are effective at preventing serious injury and death for children involved in motor vehicle collisions. Despite this, the majority of families in the United States either do not use, or incorrectly use, child restraint systems. Further, racial minorities are consistently reported to have higher rates of child restraint system non- and misuse than their White peers; research has yet to explain this relationship with previously hypothesized factors (e.g., caregiver education, sources of information). The overall objective of this project was to explain how child, caregiver, and context factors interacted to influence …


Beyond Access: Predictors Of Unmet Need For Health Care From Adolescence To Young Adulthood, Sarah B. Rutland Jan 2019

Beyond Access: Predictors Of Unmet Need For Health Care From Adolescence To Young Adulthood, Sarah B. Rutland

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Background: Unmet need (UN) can be characterized as a person not getting care even when they think they need it. Younger populations are understudied for UN, even though UN can emerge as early as adolescence. The aim of this dissertation is to use the national Longitudinal Study of Adolescent to Adult Health (Add Health) to examine whether adolescent socioeconomic status (SES) or health factors better predict UN over time, and how UN differs by race/ethnicity. Life course perspective, cumulative advantage and disadvantage hypothesis, and fundamental cause theory inform my hypotheses. Primary hypotheses: 1) The likelihood of UN will increase over …


Disaster Medical Preparedness In The Birmingham Metropolitan Community, Angela Hollowell Jan 2018

Disaster Medical Preparedness In The Birmingham Metropolitan Community, Angela Hollowell

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This research study aims to determine the presence of disaster medical preparedness in residents of the Birmingham metropolitan area. A concurrent collection of qualitative and quantitative data analysis was used to assess the perceived risk of a natural disaster, determine the socioeconomic status of residents, evaluate the health needs of residents, and examine the presence of disaster medical preparedness. Face-to-face interviews of research participants were conducted for six weeks at five churches: 6th Avenue Baptist Church, Avondale Church of Christ, Mountain Brook Community Church, Southside Church of God, and True Love Church of Ensley. In analyzing the results of the …