Digital Commons Network^™

Characteristics Of African American Adolescent Females Who Use Emergency Contraception, Erin Little

Public Health Theses

Unintended pregnancy remains to be a public health priority for adolescents as there are a myriad of negative social and developmental consequences for both young mothers and their children. The goal of this study was to examine associations of individual-level determinants of health with sexual risk behaviors and protective factors among a sample of African American female adolescents. African American adolescent females were recruited from sexual health clinics to participate in a cross-sectional survey at 18 months post-participation in a STD/HIV prevention trial. Surveys were administered using Audio Computer Assisted Self Interview (ACASI). Statistical analyses were run to determine associations …

Profiles Of Protective Factors In Urban African American Youth Exposed To Community Violence: A Prospective Study Of Resilience, Devin Colleen Carey

Dissertations

The broad purpose of the study was to investigate the relationship between exposure to community violence and adjustment in an urban sample of African American youth living in Chicago. After years of research on community violence, there has been a call to understand the influences of all levels and systems on child adjustment, as well as to use research to promote positive outcomes and prevention of future violence (Aisenberg & Herrenkohl, 2008). With this in mind, this project used latent profile analysis to create profiles of protection based on individual, family, peer, and community factors, as well as evaluate the …

The Experiences Of Black American Older Adults Managing Pain: A Nursing Ethnography, Sheria Grice Robinson

Wayne State University Dissertations

Introduction: Pain can negatively affect quality of life for Black elders. They are less likely to report pain concerns and have voiced pain needs adequately met. To better understand the pain management experiences and concerns of Black elders, an ethnographic study was completed within an urban, low-income, elder housing facility. Methods: 106 participants completed a questionnaire comprised of a demographic tool, the PROMIS Global Health Scale (PROMIS), the Brief Pain Inventory (BPI), and the Psychological Stress Measure (PSM-9). Additionally, participant observation, informal interviews, and 20 formal recorded interviews with individuals identified as having pain were completed. Qualitative and frequency analysis …

African American Grandparents Residing In A Nursing Facility: Perceptions Of Influence With Their Grandchildren, Family, And Community, Monica Bester

Wayne State University Theses

African American older adults have historically been identified as vital members of the African American family and community (Hill, 1972; Cox, 2002; Waites, 2008). Unfortunately, research has shown an increasing number of older African Americans are being admitted into nursing facilities (Paul, 2004; Feng et al., 2011). Between the years of 1998-2008, it was projected African Americans living in nursing homes increased by 10.8% (Feng et al., 2011).

This study explores the intergenerational relationships of older African American adults with their grandchildren, family, and community through the lens of Intergenerational Family Systems Theory. By viewing this qualitative study through the …

Parent-Child Communication Among African American Families: Does "Being On The Same Page" Protect Against Adolescent Sexual Risk Behavior?, Katherine Bonafide

Dissertations - ALL

African American adolescents continue to be at high risk for HIV and sexually transmitted infections (STIs). Sexual risk reduction efforts have focused on family-level sexual health communication, although they have yielded inconsistent findings. Using dyadic data from African American parents and their children (n= 298), the present study sought to elucidate the influence of sexual health communication on adolescent sexual behavior. Findings confirmed that adolescent reports of family-level sex communication were associated with greater sexual involvement, whereas parent reports of sexual health communication showed no associations to child sexual behavior. Including parent reports of communication did not enhance predictive models …

Knowledge Of Diabetes Mellitus And Health-Preventive Behaviors Among African American Adults, Wanka Ndifor

Walden Dissertations and Doctoral Studies

The purpose of this study was to gain insight into the risk within the African American population of developing diabetes, its complications, and the benefits associated with timely management and treatment of diabetes. The study also looked at how such knowledge may be related to preventive health behaviors. The Risk Perception Survey-Developing Diabetes and the Behavioral Risk Factor Surveillance System questionnaires were employed in this study. The theoretical basis of this study was the health belief model. This was a cross sectional, quantitative study with 126 participants. Descriptive analysis was employed to calculate the mean scores and frequencies across each …

Psychosocial Factors And The Persistence Of Underprepared, African American Community College Students, Denise Michelle Mccory

Walden Dissertations and Doctoral Studies

This study examined a problem at a large community college in the Midwest United States, where African American students experienced poor developmental education outcomes and low degree completion. Those outcomes had negative effects on the institution and the surrounding community. This qualitative case study was framed in Astin's theory of involvement, which attributes students' behaviors, whether productive or unproductive, to their levels of motivation. Purposeful sampling was used to select 20 African American students who successfully completed the developmental education sequence. The participants were interviewed to determine how psychosocial factors impacted their decisions to persist through their courses. The data …

"Black Is, Black Ain't" : A Theoretical Exploration Of The Impact Of Systemic Racism On African American Adolescent Identity Development, Janae A. Peters

Theses, Dissertations, and Projects

This theoretical thesis explores the impact of systemic racism on the African American adolescent's ability to secure a cohesive and positive identity. Working from a symbolic interactionist frame influenced by critical race theory and social identity theory, this thesis explores the unique challenges African Americans face in this critical identity development process and seeks to explore explanations for the role of racism as an institutionalized system that hinders healthy development. This thesis aims to examine how the messages received by African Americans in all systems--ranging from schools to health services--privilege the dominant perspective and ideology and negatively impact racial identity …

Social Inequality: Cultural Racism As A Predictor Of Collegiate Academic Success, Natasha L. Ball

Walden Dissertations and Doctoral Studies

The economic sustainability of an area is largely dependent on the education level of its population, yet little is known about the role cultural racism may play in academic success. The purpose of this correlational study was to evaluate the theory of cultural racism, defined as, the establishment of cultural institutions by whites/Europeans to the detriment of non-white people, as it relates to academic success at the college level. Data were collected from 100 participants from 3 predominately African American high schools in the Atlanta, Georgia area to explore whether the presence of cultural racism existed from the perspective of …

Predictors Of Condom Use Among Middle-Income, African American Women, Yvonne Maire Reed

Walden Dissertations and Doctoral Studies

Abstract

The human immunodeficiency virus (HIV) and acquired immune deficiency syndrome

(AIDS) continue to be a major public health threat, not only within the United States but

also on a global scale. Within the U.S. heterosexual population, African Americans

(AAs) continue to bear the greatest burden of new HIV infections. Additionally,

HIV/AIDS interventions have focused on low-income AA women, virtually ignoring

their middle-class counterparts who may be subject to the same sexual risks. The purpose of this quantitative, cross-sectional study was to determine whether if there was an association between the 5 constructs of the Health Belief Model (HBM) and …

Understanding The Pathways To Youth Involvement In The Juvenile Justice System: A Longitudinal Investigation Of Poor, Inner-City African American Adolescents, Charlene Harris

Theses and Dissertations--Family Sciences

It is widely recognized that African American youth are disproportionately represented in the juvenile justice system in comparison to other ethnic/racial groups, and this has generated a large body of research into the etiology and prevention of crime in this population. Although there has been considerable research attention to identifying and reducing the disproportionate contact among African American youth within the juvenile justice system, it is still unclear what factors contribute to their involvement in the criminal justice system. Accordingly, the dissertation tests whether self-reports of behaviors in early adolescence are predictive official offending behaviors in late adolescence, as measured …

A Mixed Method Study Of Diagnostic And Adaptive Functioning Challenges In African American Preschool-Aged Children With Autism Spectrum Disorders, Douglene Jackson

Walden Dissertations and Doctoral Studies

Children with Autism Spectrum Disorder (ASD) are known to experience performance and participation challenges, with early diagnosis being critical for improved outcomes. Children from ethnic minority backgrounds tend to receive their diagnoses later, even when symptomatology is similar. This mixed methods study explored symptom severity, functional difficulties, and age at diagnosis for ASD and to describe the functional challenges encountered by preschool-aged children with ASD of African American descent. The International Classification of Functioning, Disability, and Health along with the Model of Human Occupation were the theories used for this study to conceptualize functional challenges and other potential factors. Research …

Health Care Seeking Behavior And Provider Responses For Hcv-Positive African Americans, Kathleen Susanna Bailey

Walden Dissertations and Doctoral Studies

Of the 3.5 million persons infected with chronic HCV in the United States, the African American population is the largest racial group with chronic HCV. Disparities in access to care and treatment involve a complex set of individual, interpersonal, socioeconomic, and environmental factors that influence the course of HCV infection in the African American population, resulting in poorer outcomes and survival. Drawing upon both the theory of reasoned action and the theory of planned behavior, this study was conducted to determine whether the seeking of health care by HCV-positive African Americans and the responses of health care providers to HCV-positive …

The Impact Of Self-Imposed Barriers On African Americans Successes, Pennie L. Murray

Walden Dissertations and Doctoral Studies

Researchers and economists have argued that the economic and social stagnation of African Americans is the result of their lack of self-confidence, initiative, and commitment toward their own advancement. This qualitative study examined whether historical conditioning and personal experiences have created a hypersensitivity in this population to events triggering behaviors that mirror the success fearing personality when seeking social, economic, and political advancement. It used Zuckerman and Allison's fear of success scale to identify the range of success fearing in 30 African American men and women aged 35 years or more; this group was also interviewed regarding their lived experiences …

Predictors Of Knowledge Of Stroke And Intent To Call 911 Among African Americans, Hyacinth Idu Hyacinth

Walden Dissertations and Doctoral Studies

Stroke is associated with significant health disparity and predominantly affects the elderly. Stroke outcome is significantly improved if an individual is able to get "clot-bursting" medication. A significant predictor of an on-time arrival to the emergency room for treatment in the event of a stroke is the ability to accurately recognize stroke signs and symptoms. The purpose of this study was to determine the factors (demographic, socioeconomic, and educational) that predict the knowledge of stroke signs/symptoms and intent to call 911 in the event of a stroke. The study was grounded in the social ecological theoretical model and analyzed archived …

Health-Related Beliefs Among Low-Income African American Women And Their Perceptions About Obesity, Cenora Kimberly Akhidenor

Walden Dissertations and Doctoral Studies

The aim of this study was to explore the health-related beliefs and perceptions of low-income African American women regarding obesity. Phenomenology served as the conceptual framework for this study. African American women, especially those in low-income brackets, have been shown to weigh more than women of other racial/ethnic groups. The consequences of these high rates are increased risks of developing chronic health disorders, such as type II diabetes and cardiovascular disease. The study sample consisted of 7 low-income obese African American women, ranging in age from 20 to 62, who resided in the Pacific Northwest. Recruitment for participation occurred via …

How Spiritual Values Correlate With Hospice Use For African Americans, Latrina Dion Frazier

Walden Dissertations and Doctoral Studies

End of life hospice services have consistently been underused by African Americans. This disproportionate use of hospice has contributed to poor quality of life and a lack of cost-effective care for patients with terminal illness. Driven by the theory of reasoned action, the purpose of this quantitative study was to test associations between African Americans' perceptions of hospice, decisions to use hospice, and religiosity. A convenience sample of 154 African American adults was surveyed online. The survey instrument combined the AARP End of Life survey, Perception of Hospice survey, and the Religiousness Measure survey. The results of a multiple linear …

Quality-Of-Life Indicators For African American And European American Long-Term Survivors Of Early-Stage Breast Cancer, Cher De Rossiter

Walden Dissertations and Doctoral Studies

This meta-analysis investigated the difference in perceptions of health-related quality of life (HRQOL) among long-term early-stage breast cancer survivors (BCS). The comparison was between African American and European American women. Initial pilot searches suggested that enough studies existed for a meaningful meta-analysis of a BCS population at least 5 years post diagnosis. Only studies using the outcome measure HRQOL were included in the study; this yielded an initial sample of 212 study reports, with 56 reports entering the coding phase of the process. African American women were grossly underrepresented in this set of studies in comparison to the overall breast …

Archaeological And Historical Research To Establish The Jasper County, Missouri Civil War Museum And Park, Christopher Dennis Dukes

MSU Graduate Theses

In May, 1863 a group of Confederate guerillas led by Major Thomas Livingston attacked Union troops at William Rader’s farm in western Jasper County Missouri. The guerillas killed eighteen Union troops, who were unarmed at the time, and mutilated their bodies. Most of them were from the first African American regiment of the civil war. The following day Union troops retaliated by burning the town of Sherwood, Missouri and multiple homesteads in the area. These events caused an increase in the brutality of the civil war in Southwest Missouri. To commemorate these conflicts and provide a “living history” site for …

Picturing Life: Using Photo Journals To Explore Challenges And Supports For Women Living With Hiv (Wl-Hiv), Toshua Willingham Kennedy

MUSC Theses and Dissertations

Human immunodeficiency virus (HIV) is a health-related stigmatizing condition that progresses to acquired immune deficiency syndrome (AIDS), characterized by a weakened immune system and opportunistic diseases. South Carolina ranks eighth for AIDS prevalence in the United States, and for socioeconomic reasons, women, specifically minority women, in the southern region of the country experience the worst clinical outcomes after receiving an HIV diagnosis. Research that focuses on strategies to improve clinical outcomes for women living with HIV (WL-HIV) has great value in promoting empowerment and health equity especially among minority women. The current study used a participatory research design to collaborate …

A Qualitative Study Of Street Smarts Among African American Male High School Dropouts: Implications For School Counselors, Charlette Taylor

Theses and Dissertations

This study investigates street smart African American males who dropped out of high school. Using a qualitative phenomenological design, the researcher interviewed six participants, to explore their experiences related to street smarts in school and the influences on their decision to drop out. The framework of the study is based on Robert Sternberg’s Triarchic Theory of Intelligence. The role of the school counselor in dropout prevention according to the American School Counselor Association’s (ASCA) National Model is presented. Themes from the data include: intelligence, self-sufficient, and support. Implications for school counselors who work in direct and indirect consultation with teachers, …

Media Insensitivity To People Of Color: A Comparison And Contrast Of How African Americans Are Portrayed In Mainstream Media To White Americans, Tyler Carter

Electronic Theses and Dissertations

July 13, 2013, I in my great-grandmother’s house with my eyes glued to CNN waiting to see George Zimmerman charged in the shooting death of Trayvon Martin. After the verdict of not guilty was read, I remember tuning into social media and seeing people who looked like me tweet about how disappointed they were in the “system.” Leading up to the Zimmerman trial, I paid attention to how mainstream media intentionally tried to defame Trayvon Martin’s character. Headlines read “Trayvon Martin was a weed smoker” and “Martin was suspended from school.” Fast-forward to August 5, 2014, a teen by the …

Exploring Body Image And The Association Between Body Image Dissatisfaction And Waist Circumference Among Overweight And Obese Rural African American Women Participating In A Weight Loss Program, Erica Rayshelle Johnson

All ETDs from UAB

African American (AA) women are disproportionately burdened by obesity, an epidemic with implications that reach beyond physiological consequences. Given that perceptions of body image may impact health-promoting behaviors and weight management efforts, we sought to evaluate the presence and magnitude of body image dissatisfaction (BID) and explore its relationship with waist circumference (WC), independent of weight among overweight and obese treatment-seeking rural AA women. Participants referred to images from the Pulvers Figure Rating Scale that included nine body silhouettes to answer: “How I think I look now” (i.e., current body image) and “How I would like to look” (i.e., desired …

Three-Dimensional Age-Related Changes Of The Adult Face; African American Female Population, Christina Theresa Sutherland

All ETDs from UAB

Objectives: Treatment of older adults is one of the fastest growing areas in orthodontic practice. The objectives of this study are to: 1. Investigate the aging of the female African American face using three-dimensional surface imaging to understand how the soft tissue of the face matures in relation to the teeth and 2.) Compare the effects of aging on African American female faces to aging of Caucasian female faces. Methods: This is a cross-sectional study of 100 African American females with balanced faces. Five age groups (in years) were included: [20-30], [31-40], [41-50], [51-60], [61-70]. Three-dimensional (3D) surface images of …

'She Shall Not Be Moved': Black Women's Spiritual Practice In Toni Morrison's The Bluest Eye, Beloved, Paradise, And Home, Rondrea Danielle Mathis

USF Tampa Graduate Theses and Dissertations

‘She Shall Not Be Moved’: Black Women’s Spiritual Practice in Toni Morrison’s The Bluest Eye, Beloved, Paradise, and Home argues that from The Bluest Eye, Morrison’s debut novel, to her 2012 novel, Home, Morrison brings her female characters to voice, autonomy, and personal divinity through unconventional spiritual work. The project addresses the history of Black women’s activist and spiritual work, Toni Morrison’s engagement with unconventional spiritual practice, and closes with a personal interrogation of the author’s connection to Black women’s spiritual practice.

From With–In The Black Diamond: The Intersections Of Masculinity, Ethnicity, And Identity–An Epistolary Autoethnographic Exploration Into The Lived Experiences Of A Black Male Graduate Student, Vincent Tarrell Harris

LSU Doctoral Dissertations

From With-In The Black Diamond: (Black Diamond) autoethnographically explores the lived experiences of a Black male who navigates his way through a predominately white higher education institutions while existing within marginalized spaces related to his gender, ethnicity, and identity. Black Diamond uses epistolary writing techniques to explore question research question: 1. How has a Black Gay male graduate student studying Higher Education negotiated his way to and through predominately white higher education institutions? In order to support the answering of this question I will argue that the most influential reasons higher education literature rarely addresses controversial topics related to GLBTQ …

Produce & Achieve: A Case Study Of Inner-City Education, Daryl A. Tate

Theses and Dissertations

Despite efforts at narrowing the achievement gap, ethnicity-based disparities in achievement are an enduring and pervasive issue in American education. Holy Angels, a high achieving, African American, urban, elementary school in Chicago, Illinois offers a model for successful education of ethnic minority children. Despite coming from predominantly welfare supported, single-mother homes, located in crime ridden inner-city Chicago, during the period bounded by this study, Holy Angels’ students produced test scores among the highest in the nation. Previous research indicates that characteristics of schools that support academic achievement particularly among ethnic minority students are high teacher expectations, academic emphasis, and culturally …