Digital Commons Network^™

A Randomized Trial Of A Diet And Exercise Intervention For Overweight And Obese Women From Economically Disadvantaged Neighborhoods: Sisters Taking Action For Real Success (Stars), Sarah Wilcox, Patricia A. Sharpe, Deborah Parra-Medina, Michelle L. Granner, Brent E. Hutto

Faculty Publications

Background - Lower socioeconomic status at both the individual and neighborhood level is associated with increased health risks. Weight loss can reduce this risk, but few high quality weight loss studies target this population.

Objectives - STARS tests a culturally-appropriate, group-based behavioral and social support intervention on body weight and waist circumference in women from financially disadvantaged neighborhoods.

Design - A stratified (by BMI) randomized trial. Randomization to group was generated by a random numbers table with allocation concealment by opaque envelopes.

Methods - Participants 25-50 years who had a BMI ≥ 25 kg/m² and a waist circumference ≥ …

United States Medicine, Women And Jefferson Medical College, Michael Angelo, Matt Varrato

50 and Forward: Posters

Poster with timeline from 1824 to 2008 highlighting contributions to Medicine by women in the United States and Jefferson Medical College.

First Female Students Admitted To Jefferson Medical College, Michael Angelo, Matt Varrato

50 and Forward: Posters

Poster highlighting the first female students admitted to Jefferson Medical College in 1961. On June 6, 1960, the Board of Trustees voted to admit women to Jefferson Medical College. The first woman accepted was 21-year-old Nancy Szwec who also won a scholarship.

Validity Of Waist-To-Height Ratio As A Screening Tool For Type 2 Diabetes Risk In Non-Hispanic Whites, Non-Hispanic Blacks, And Mexican American Adult Women, Lindsey Cochran Ms.

Public Health Theses

Abstract

Validity of waist-to-height ratio as a screening tool for type 2 diabetes risk in non-Hispanic Whites, non-Hispanic Blacks, and Mexican American Adult Women, from the ages 20-65 years of age.

Background:

A prominent screening measure for type 2 diabetes is a simple measure of waist circumference. Waist circumference is an aggregate measurement of the actual amount of total and abdominal fat accumulation and is a crucial correlate of the complexities found among obese and overweight patients. However, waist circumference does not take into consideration the frame of an individual. Hence, recent epidemiologic data have suggested the use of height …

A Comparison Of Indicators Of Female Empowerment And Selected Socioeconomic Indicators In India From The 1998-1999 And The 2005-2006 Demographic And Health Surveys, Katherine E. Kroell Ms.

Public Health Theses

The purpose of this study was to compare indicators of female empowerment gathered in the Demographic Health Survey, conducted in India as the National Family Health Survey. The National Family Health Survey (NFHS) is a country-wide, nationally representative survey that collects important information on household characteristics, health information, and other topics, such as family planning. Two different years, NFHS-2 in 1999 and NFHS-3 in 2006, of the NFHS were compared to examine areas of progress, change, or lack of change in the selected indicators of female empowerment. Specifically, the level of decision-making and autonomy was assessed through the questions located …

Lived Experience: East African Somali Speaking Women Accessing The U.S. Healthcare System, Shukri Adam Phd

Dissertations

Access to prenatal healthcare for East African Somali Speaking Women (EASSW) who are immigrants to the U.S. has been dependent on the availability of a systematic healthcare treatment model. The purpose of this study was to explore EASSW's lived experiences in accessing prenatal healthcare services in the U.S. A descriptive, qualitative phenomenological approach informed by the work of Husserl was used to explore EASSW's experiences, views, and problems encountered while attempting to access prenatal healthcare services in the U.S. Fifteen EASSW of childbearing age (ages 18–45) were recruited for this study. All participants interviewed privately, beginning with a semi-structured, open-ended …

Creating Community With Homeless And Marginally Housed Women, Judy Schlaefer

Theses and Graduate Projects

The purpose of this project is to create a weekly Drop-In Center where Homeless and Marginally Housed (HMH) women receive support, respite, and respect in a safe, welcoming environment. Homeless and Marginally Housed (HMH) women have unique needs due to daily struggles with disenfranchisement which include barriers to health services, battering, poor transportation, lack of recreation and education, neglect, and institutionalized poverty. The impetus for the Drop-In Center was to offer respite from the harsh environment created by the institutionalized violence against HMH women who deserve significant emotional and social support, nutrition, and respite. The transculrural nurse will be focused …

Applying Community Participatory Methods To Meet Women's Mental Health Needs In Karachi, Pakistan, Nargis Asad, Judith Mcfarlane, Saima Hirani, Farhana Madhani, Shireen Shehzad

School of Nursing & Midwifery

Poor mental health is a global epidemic with women affected more often compared to men. Compromised mental health jeopardizes women's health and functioning and also the health and wellbeing of their children. To promote women's mental health, principles of community participatory methods were used to design and implement a mental health program, which was predicated on empirical research, sensitive to community culture and needs, and delivered by Lady Health Workers in an urban slum area of Karachi, Pakistan. The sequential steps of community participation, program development, implementation and strategies for sustainability are described.

Perceived Susceptibility Of Cardiovascular Disease As A Moderator Of Relationships Between Perceived Severity And Cardiovascular Health Promoting Behaviors Among Female Registered Nurses, Deborah Mcclendon

Nursing Dissertations (PhD)

Significance: Morbidity and mortality related to CVD among women in the U.S. and most developed countries surpasses that of all cancers combined (AHA, 2008). Yet, CVD in women remains understudied, yielding low awareness among women and healthcare providers. The purpose of this study was to examine whether the relationship between health beliefs related to perceived cardiovascular disease (CVD) severity and health promoting behaviors were different in women with high self perception of CVD susceptibility versus women with low self perception of CVD susceptibility.

Methods: This study used a descriptive, correlational design. A convenience sample (N = 220) included female registered …

Public Health Implications Of Mass Rape As A Weapon Of War, Missale Ayele

Public Health Theses

Although rape and other forms of sexual violence have historically been present during wartime, it has recently become a strategic weapon of war in many settings. The term mass rape as a weapon of war is defined as a systematic pattern of rape perpetrated by fighters usually against civilian women and children at a rate much higher than the rate of rape prevailing during peacetime. This study will examine issues surrounding mass rape as a weapon of war including: emerging theories, effectiveness of current international law, public health consequences, and relevant indicators of likelihood of occurrence. Grave physical and mental …

Is There A Sex Difference In The Age Of Elite Marathon Runners?, Sandra K. Hunter, Alyssa A. Stevens, Kelly Magennis, Katalin W. Skelton, Mckenzie Fauth

Exercise Science Faculty Research and Publications

Purpose: The purposes of this study were to determine i) if there is a sex difference in the age of the elite marathon runners and ii) if the sex difference in performance altered across the years that women have participated in the marathon.

Methods: Age at time of competition and running times of the first five placed male and female runners who competed in the seven marathons of the World Marathon Majors Series were analyzed. Data from as many years as was available online were retrieved so that 410 men and 410 women were included in the analysis. …

Understanding Mesosystemic Influences On Reported Health Among Rural Low-Income Women: A Structural Equation Analysis, Tiffany Wigington

College of Education and Human Sciences: Dissertations, Theses, and Student Research

While ensuring access to health insurance and health care services is important, emerging research indicates that individual health and well-being result from a complex array of environmental, social, and psychological factors. The delineation of how factors of health and well-being unfold and impact rural low-income women is particularly salient for social workers who provide services to rural residents and who work within a rural context. Utilizing components from the ecological systems perspective, this study explored how the factors associated with health risk influenced reported health and mesosystemic processes among rural low-income women. This sample (n=304) for this study was drawn …

Beliefs About Racism And Health Among African American Women With Diabetes: A Qualitative Study, Julie A. Wagner, Lisa M. Budris, Sophia Belay, Howard A. Tennen

UCHC Articles - Research

Exposure to racism has been linked to poor health outcomes. Little is known about the impact of racism on diabetes outcomes. This study explored African American (AA) women’s beliefs about how racism interacts with their diabetes self-management and control. Four focus groups were conducted with a convenience sample of 28 adult AA women with type 2 diabetes who were recruited from a larger quantitative study on racism and diabetes. The focus group discussions were transcribed verbatim and analyzed by the authors. Women reported that exposure to racism was a common phenomenon, and their beliefs did in fact link racism to …

Hiv And Women: Incongruent Policies, Criminal Consequences, Aziza Ahmed

Aziza Ahmed

The new agency UN WOMEN must play an active role in the standardization of laws and policies at the global and national level where their incongruence has negative and often criminal consequences for the health and lives of women and girls. This article focuses in on three such examples: opt-out testing for HIV, criminalization of vertical transmission, and the new World Health Organization guidelines on breastfeeding.

Factors That Influence Smoking Cessation In Women Following An Invasive Cardiovascular Procedure, Leslie C. Moore

Nursing Dissertations (PhD)

Women smokers with heart disease (HD) are at increased risk for negative health effects. At the time of invasive cardiovascular (CV) interventions is a critical opportunity to make lifestyle changes to reduce future CV interventions. The purposes of this study guided by the Health Belief Model were to determine which factors predict smoking cessation (SC) in women following an invasive CV procedure and to explore assistance received with SC.

A correlational, prospective design was used. Data were collected from women smokers at the time of an invasive CV intervention and three months later. Instruments measured commitment to stop smoking, perceived …

Exploring Women's Life Course Experiences With Weight Using Story Theory, Poff Allison Edmonds

Electronic Theses and Dissertations

This qualitative study included women who had gone through the menopausal transition and had experienced obesity, and it focused on their weight histories and experiences across the life course. The goal of this research was to add to the body of knowledge concerning weight gain by applying a novel middle range theory (story theory). Story theory was used to collect and interpret from women’s life course stories the critical themes and patterns of their weight gain. Oral accounts were elicited during personal interviews from a convenience sample of ten women recruited from a weight loss and exercise program in Central …

Don’T Split The Baby: How The U.S. Could Avoid Uncertainty And Unnecessary Litigation And Promote Equality By Emulating The British Surrogacy Law Regime, Austin R. Caster

Austin R Caster

This article will show that the United States can protect the rights of the intended parents, the surrogate, and the child while avoiding uncertainty and unnecessary litigation by enacting uniform legislation akin to the United Kingdom’s regime. The first section will examine the history of surrogacy law in the United States, demonstrate the inconsistency of these laws, and suggest that reform is needed. Section two will discuss the United Kingdom’s legislative response to the problem of surrogacy arrangements, which has provided more uniformity despite obstacles similar to those faced in the United States. The third section will illustrate that the …

Sex And Sexism In Australian Alcohol Advertising: (Why) Are Women More Offended Than Men?, Sandra C. Jones, A Reid

Faculty of Health and Behavioural Sciences - Papers (Archive)

Alcohol advertisements often attract criticism for portraying women in an overtly sexual and demeaning fashion, with past research finding that women are more critical than men. The first study reported here found that neither feminism nor gender role identity added substantial explanatory power beyond that of gender. Females reported more negative attitudes toward ads that used demeaning sexual appeals and more positive attitudes toward empowering appeals. The second study provided quantitative evidence in support of the assumption that it is offensive sexual portrayals, rather than other aspects of sexist advertisements, that are disliked.

Women's Job Search Behavior In The Egyptian Labor Market, Somaya Abdel Mowla

Poverty, Gender, and Youth

This study evaluates the difference between male and female job search behavior in the Egyptian labor market and the changes in this behavior between 1998 and 2006, in order to examine the effect of transition toward a market-oriented economy on job search activity. The paper also investigates the determinants of women’s job search behavior. The results reveal three alarming facts that raise worries about women’s labor force participation and their future labor market outcomes: women were less active job searchers than men, the gender gap in job search has widened, and this gap is even wider when excluding registration in …

Rethinking Social Support In Women's Midlife Years: Women's Experiences Of Social Support In Online Environments, Julie Dare, Lelia Green

Research outputs 2011

The midlife years (45–55) often coincide with fundamental changes in women’s lives, as women experience transitions such as menopause, changes to family structure due to departure of children or divorce, and parents’ ageing and death. These circumstances tend to increase women’s reliance upon their social support networks. Evidence suggests that social support is critical in helping women manage transitions during the midlife period and develop a sense of self-efficacy; this article highlights that this support is being increasingly exchanged through mediated communication channels. The article presents a comparative investigation of mediated communication channels, primarily email and online chat, through which …

Reproductive Health For Afghan Women: Decreasing High Maternal Mortality Rates By Increasing Access To Reproductive Health And Education A Proposal For Advocacy And Change, Rosalia Abreu

The Trinity Papers (2011 - present)

This proposal examines the social, cultural, political and structural factors that contribute to high maternal mortality rates in Afghanistan and women’s severe lack of access to adequate health services and education, particularly in the more rural areas of the country. Some of the factors contributing to high maternal mortality rates are distance, lack of trained female doctors and nurses, lack of access to medical supplies, and Afghan cultural norms that require women to remain in the home and stigmatize being treated by male doctors, who are overwhelmingly represented in the medical profession. High illiteracy rates due to lack of access …

Women Reproductive Rights In India: Prospective Future, Srinivas Kosgi, Vaishali Hegde N, Satheesh Rao, Shrinivasa Bhat Undaru, Nagesh B. Pai

Graduate School of Medicine - Papers (Archive)

Reproductive rights were established as a subset of the human rights. Parents have a basic human right to determine freely and responsibly the number and the spacing of their children. Issues regarding the reproductive rights are vigorously contested, regardless of the population’s socioeconomic level, religion or culture. Following review article discusses reproductive rights with respect to Indian context focusing on socio economic and cultural aspects. Also discusses sensitization of government and judicial agencies in protecting the reproductive rights with special focus on the protecting the reproductive rights of people with disability (mental illness and mental retardation).

Australian Women's Perceptions Of Breast Cancer Risk Factors And The Risk Of Developing Breast Cancer, Sandra C. Jones, Christopher A. Magee, Lance R. Barrie, Donald C. Iverson, Parri Gregory, Emma L. Hanks, Anne E. Nelson, Caroline L. Nehill, Helen M. Zorbas

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background Numerous studies have shown that the majority of women overestimate both their own risk and the populations’ risk of developing breast cancer. A number of factors have been found to correlate with perceived risk. Methods This paper reports on a telephone survey of a nationally representative sample of approximately 3,000 Australian women aged 30 to 69 years, conducted in 2007, and compares the findings with those of a similar survey conducted in 2003. Results There was a clear tendency for respondents to overestimate the proportion of women who will develop breast cancer during their lifetime. Approximately half the respondents …

Evaluation Of The Sageplus Steps Program To Promote Physical Activity And Decrease Cardiovascular Risk In Low-Income Women, Callie Anne Avis

All Graduate Theses, Dissertations, and Other Capstone Projects

There is little known about the effectiveness of the Steps Program specifically used in the SagePlus program in Minnesota to promote physical activity and reduce cardiovascular risk. The purpose of this study was to evaluate the effectiveness of the SagePlus Steps Program for low-income middle-aged women ages 40 to 64 to meet a daily physical activity goal of 10,000 steps and reduce their cardiovascular disease risk, measured by their Framingham Risk Score. A nonexperimental, descriptive correlational design was used to guide data collection for this study. Demographic data, step counts after weeks 1, 4, 12, and 24, activity level at …

Le Travail Des Femmes Dans Le Secteur Agricole: Entre Précarité Et Empowerment—Cas De Trois Régions En Egypte, Au Maroc Et En Tunisie, Zhour Bouzidi, Saker El Nour, Wided Moumen

Poverty, Gender, and Youth

Despite a remarkable decline in the agricultural labor force in general, the number of women employed in the agricultural sector is growing substantially, particularly as a result of the intensification of agricultural activity. This Population Council working paper focuses on the working conditions of women in the agricultural sector based on the analysis of three case studies in three countries: the West of Delta in Egypt, the coastal zone of Gharb in Morocco, and the Nadhour region in Tunisia. The report analyzes to what extent agricultural work could be a means of precariousness or empowerment for women workers. Results show …

La Dynamique De La Discrimination Salariale Et De L'Équité Gendorielle Sur Le Marché Du Travail Au Maroc, Sami Zouari

Poverty, Gender, and Youth

This Population Council working paper investigates the dynamics of the wage gap between men and women in Morocco. Estimates have shown that women earn up to 35 percent less than men in the periods observed. Differences in characteristics between the two sexes, mainly due to the difference in human capital endowments, are explained by only a small proportion of the gap. A negative proportion reported, though, is a kind of breakthrough for women, since it means that in terms of human capital skills, women are better qualified than their male counterparts. These negative differences confirm that women, especially those working …

Women's Economic Resources And Bargaining In Marriage: Does Egyptian Women's Status Depend On Earnings Or Marriage Payments?, Rania Salem

Poverty, Gender, and Youth

This working paper reports on a study using Egyptian survey data to determine whether the effect of women's work on their status is mediated by the material transactions that accompany marriage. This perspective posits that marriage payments made to the bride, as well as assets she herself brings to the marriage, enhance her bargaining position. Analysis of the 2006 Egypt Labor Market Panel Survey panel data is used to explore the associations between women’s labor market activity, earnings, absolute and proportional marriage payments, and a measure of women’s status within marriage, namely their decisionmaking power. Consistent with the existing literature, …

Evaluation Of Health-Related Quality Of Life Of Women Living In A City Center In The East Of Turkey, Nüket Paksoy Erbaydar, Nazmi̇ Bi̇li̇r, Lütfi̇ye Hi̇lal Özcebe, Songül Vai̇zoğlu, Di̇lek Aslan

Turkish Journal of Medical Sciences

To evaluate the health-related quality of life of women living in Van city center by SF-36 and its association with the women's characteristics. Materials and methods: The women (n = 1527) answered a questionnaire through a face-to-face interview, and some measurements were made. The variations of physical component score (PCS) and mental component score (MCS) of SF-36 were investigated by non-parametric tests, and by linear regression analysis. Results: The percentage of early marriages among married women was 55.6. Number of pregnancies per married woman was 4.5 ± 2.8, the lowest mean in vitality (44.0 ± 20.6) and the highest mean …

Mobility, Balance, And Falls In Persons With Multiple Sclerosis, Jacob J. Sosnoff, Michael J. Socie, Morgan K. Boes, Brian M. Sandroff, John H. Pula, Yoojin Suh, Madeline Weikert, Steven Morrison, Robert W. Motl

Rehabilitation Sciences Faculty Publications

Background: There is a lack of information concerning the relation between objective measures of gait and balance and fall history in persons with MS (PwMS). This investigation assessed the relation between demographic, clinical, mobility and balance metrics and falls history in persons with multiple sclerosis (MS).

Methods: 52 ambulatory persons with MS (PwMS) participated in the investigation. All persons provided demographic information including fall history over the last 12 months. Disease status was assessed with Expanded Disability Status Scale (EDSS). Walking speed, coordination, endurance and postural control were quantified with a multidimensional mobility battery.

Results: Over 51% of the participants …

“What Are You?” A Recurring Question In A Cross-Cultural Psychiatrist’S Life And Career., M Hicks

Madelyn Hsiao-Rei Hicks

This article contributes to the Transcultural Psychiatry special issue of autobiographical articles on: ''The Personal and the Professional: Lives and Careers of Cultural Psychiatrists.''