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Effects Of Religious Participation On Negative Mental Health Symptoms Among Low-Income, Urban African American Adolescents, Alfonso L. Floyd

College of Science and Health Theses and Dissertations

African American adolescents living in low-income, urban neighborhoods are at high risk for developing psychological problems due to increased exposure to urban stressors. Given the complexity and chronic nature of these stressors, protective factors such as involvement in one’s religious institution may protect adolescents from harmful stressors associated with living in urban, low-income neighborhoods. This thesis sought to examine whether religious participation is an effective moderator of the relation between urban stressful life experiences and internalizing/externalizing psychological outcomes among low-income, urban African American adolescents. Two dimensions of religious participation, organizational and non-organizational, were examined as potential moderators of the effect …

A Home-Based Biofeedback Intervention In A Hypertensive African American Sample: A Pilot Study, Paige Frankfurt

Electronic Theses and Dissertations

Approximately 70-80 million people in the US have hypertension. Left untreated, it can lead to heart disease and stroke, the 1st and 2ND leading causes of death in the US, respectively. African Americans (AA) are at particular risk for developing hypertension and, when present, they experience increased morbidity and mortality, in comparison to other races, as well as elevated risk of psychological distress. Further, when treated with the prevailing approaches, AAs experience more adverse side effects and often face a greater number of challenges with adherence. Despite some successful efforts at reducing high BP in general hypertensive populations, AAs continue …

The Makings Of An Activist: Navigating Through An Oppressive System And Understanding The Characteristics Of African American Male Activist, Tenille Wallace

All Student Theses

The U.S. minimizes struggles that African Americans have endured since enslavement. Oppression has robbed many minorities from developing their full potential as humans both psychologically and socially. Many African American men grapple with their identity, because their identity is formed by the dominant culture's narrative, developed by European Americans. Thus, the identity of African Americans may not be fully integrate into the dominant narrative which describes the lived experiences envision by African Americans. European Americans, specifically white researchers, maintain the status quo by neglecting African American experiences in academic literature. In order to develop a counter-narrative, researchers need to understand …

Social Support And Intimate Partnerships In African American Women With Breast Cancer, Tess Thompson

Arts & Sciences Electronic Theses and Dissertations

This mixed methods study investigated social support in African American breast cancer patients in one Midwestern metropolitan area. The study includes a quantitative analysis of social support in 227 African American breast cancer patients participating in a quality of life study, as well as a qualitative component involving a subsample of 15 married participants. In the larger sample, growth curve models were used to assess factors contributing to initial levels of perceived social support and change in social support over time. Interviews with women in the qualitative study allowed an in-depth exploration of how breast cancer affected womens relationships with …

Assessing Cultural Competence In A Mental Health Outpatient Facility., Alexis N. Keen Crook

Electronic Theses and Dissertations

Cultural competence is a concept that has been thoroughly investigated in healthcare, but there is a dearth of literature and research on this topic as it pertains to mental health services. In healthcare, research has shown that a lack of cultural competence is directly linked to high levels of misdiagnoses, mistrust of healthcare and professionals, and overall poor health in minority populations. Using the Campinha-Bacote model for cultural competence in health care, I explore how cultural competence is defined and operationalized in an outpatient mental health facility. I hypothesize that, similar to research addressing cultural competency in healthcare systems, cultural …

Sex, Love, And Black Lives, Mack Curry Iv

English Theses & Dissertations

The title of my thesis is Sex, Love, and Black Lives. This title embodies the three prominent aspects of my life: intimacy, relationships, and being black in America. These subjects are important to me because they influence a lot of my writing. They have also made played a key role in shaping me into the person I am today. Section one will focus on my sexual experiences, section two will focus on romantic and platonic relationships I’ve had, and section three will focus on my perspective of being black in America.

Writing about my various thoughts and opinions allowed me …

Race Representatives: Why Black Members Of Congress Matter, Shenika Mcdonald

Honors Theses

My research project consisted of examining 200 bills sponsored by six African American members of Congress during the Ninety-third Congress (1973-1975). These six members of Congress represented Chicago, Illinois; Detroit, Michigan; or New York, New York- three metropolitan cities with significant African American populations. This research emphasizes the importance of Black members of Congress to African Americans nationwide by highlighting the Congressional Black Caucus' formation and mission, examining the bills' key terms and public policy issues for racial implications, and consulting a variety of secondary source material that underscores the need for descriptive representation in the Black community. The primary …

Leveling The Playing Field: Ensuring African-American Students Access To Advanced Placement Courses, Alisa L. Lawson-Mckinnie

ETD Archive

The under-representation of African-American high school students in advanced placement classes must be understood in terms of broader school contexts and practices. This qualitative study investigated how teachers and guidance counselors contribute to the academic success of African-American students of high potential at a large suburban high school in the city of Cleveland. The purpose was to improve the participation and performance of these students in AP courses. Data indicates that (a) school employees (teachers and guidance counselors) can positively affect achievement, (b) their definitions of success shape these students’ opportunities for achievement, and (c) developing the capacities of high-potential …

An Exploration Of African American Male College Students’ Perceptions Of Factors That Contribute To Their Academic Success, Yvette N. Daugherty-Brown

ETD Archive

According to the Congressional Black Caucus Foundation (2012), college degree attainment among African American males is only 16%, as compared to 20% for African American females, and 32% for Caucasian males. A great deal of research and emphasis has been placed on the struggles, challenges and shortcomings relative to African American male educational attainment. However, more work needs to be done to determine the factors that contribute to their academic success.

The purpose of this phenomenological qualitative study was to explore the factors that contributed to the academic success of African American male college students that participated in the Baldwin …

African American Urban Public High School Graduates’ Experiences Concerning Mathematics, Lorenzo A. Rashid

ETD Archive

This interpretive qualitative study explored African American urban public high school graduates’ experiences concerning mathematics, how these experiences may play a role in the choice to further their mathematics education, and how the Model of Academic Choice (MAC) may facilitate in the understanding of the experiences.

It examined the lived experiences of seven African American urban public high school graduates concerning their mathematics education. Through criterion-based sampling, the seven participants selected had graduated from a public high school located in Northeast Ohio school districts having similar characteristics.

Data were collected through semi-structured interviews that explored participants’ kindergarten through post-secondary mathematics …

Rage And Social Media: The Effect Of Social Media On Perceptions Of Racism, Stress Appraisal, And Anger Expression Among Young African American Adults, Morgan Maxwell

Theses and Dissertations

Recently, social media has become a sociopolitical hotbed for discussions of racism. However, no extant studies have questioned if social media use increases how often African Americans vicariously and/or personally experience discrimination in America. The current study sought to answer this question. By examining the relationships between social media use, general stress, race-related stress, and anger expression, and the mediating role of perceived racism, this study explored if frequent social media use influences young African American adults’: a) perceptions of racism, b) experiences with general and race-related stress, and/or c) expressions of anger. The current study conducted an online survey …

The Impact Of African-Centered Psychotherapy On Depressive Symptoms And Africentric Worldview In African Americans, Larae Tillis

Walden Dissertations and Doctoral Studies

Depression is a prominent issue in the African American community. However, there are significant gaps in the literature on the delivery and outcomes of culturally relevant mental health psychotherapy to African Americans. Cultural variables, such as worldview, have been noted to impact an individual's overall psychosocial functioning and have significant implications for mental health service delivery. The purpose of this study was to use archival data to analyze the impact of African-centered therapeutic services on depressive symptoms and on Africentric worldview among African Americans. Archival data on 38 African American adults, recorded from 2012-2015, were obtained from a community mental …

Examining Nurse Practitioners' Perceptions And Beliefs Regarding Hospice Referrals For African Americans, Karen Jackson Mcclary

Walden Dissertations and Doctoral Studies

Terminally ill patients often have difficult choices at the end-of-life, and electing to receive hospice services is one of them. Hospice has been linked to improved quality of life and death and is accessible to terminally ill patients. Despite the accessibility, African American patients often make the decision to forgo hospice services. The purpose of this descriptive study was to explore perceptions and beliefs of nurse practitioners (NPs) regarding the lack of utilization of hospice for African American patients and the feasibility of NPs for initial referral for terminally ill African American patients. The research questions addressed whether an NP's …

African Americans' Understanding Of The Provisions Of The Affordable Care Act, Ewang Theo Epie-Alobwede

Walden Dissertations and Doctoral Studies

African Americans as a group tend to have numerous health issues, and by the time they seek healthcare, the conditions often advance into more serious ailments. Researchers have shown that cultural distrust of the U.S. healthcare system coupled with some discriminatory practices has hindered African Americans seeking care and taking full advantage of the healthcare system. With the introduction of the Patient Protection and Affordable Care Act (ACA), there is some confusion about the application of the law, resulting in many intended beneficiaries misinterpreting it, and not accessing quality healthcare. This interpretive phenomenological study explored how African Americans in the …

Admixture Mapping Of Subclinical And Clinical Cardiovascular Disease Among African Americans, Aditi Shendre

All ETDs from UAB

The purpose of this dissertation is to evaluate the association of local European ancestry (LEA) with subclinical and clinical cardiovascular (CV) disease (CVD) among African Americans in three prospective cohorts from the United States. CVD burden is higher among African Americans compared to other racial/ethnic groups and prevention efforts have led to the evaluation of subclinical measures of CVD such as carotid artery intima-media thickness (CIMT), and risk factors including the underlying genetic component of the disease. Admixed populations such as African Americans may have increased risk of disease as a result of the increased prevalence of a disease among …

Factors Predicting African American Renal Patients’ Completion Of The Medical Evaluation Process For Kidney Transplantation, Camilla W. Nonterah

Theses and Dissertations

African Americans (AA) are more susceptible to end-stage renal disease (ESRD) for several reasons. Treatment options for patients with ESRD include dialysis therapy and transplantation, with the latter typically producing better outcomes. AA are less likely to complete the medical evaluation process, which requires patients to consult with doctors and undergo a series of tests and examinations. This study sought to determine the factors that predict completion of the medical evaluation for AA ESRD patients using a mixed methods design. Participants consisted of transplant professionals (N=23) recruited from nine transplant centers in the Mid-Atlantic, Mid-Western and Southeastern parts …

Communicating Social Support: Understanding Complexities Of Breastfeeding Communication Among African American Mothers, Nicole Rachael Peritore

Theses and Dissertations--Communication

Breast milk is the best choice for meeting the nutritional needs for an infant whenever possible. Despite the knowledge that this nutritional choice is the best choice for an infant, data demonstrates that there is a sharp decline in the rates of breastfeeding mothers. Among African Americans, breastfeeding rates are significantly lower than the national averages. Despite many of the applications of social support in communication research, there is a gap in knowledge on the social support systems in the context of breastfeeding, especially for African Americans. With the social ecological model as a framework, social support theory provides understanding …

Developing University Students’ Argumentative Discourse: An Ill-Structured Issue Pertaining To Black African Immigrants And African Americans, Olubusayo Olojo-Adeoye

Wayne State University Dissertations

The overarching goal of this three-article five-chapter dissertation was to develop university students’ argument-counterargument integration abilities in persuasive essay writing on an ill-structured issue pertaining to black African immigrants and African Americans. Article One consisted of using phenomenography as a research approach to identify the qualitatively different ways university students perceive black African immigrants and African Americans. The university participants had 24 perceptions in which 10 pertained to black African immigrants and 14 to African Americans. The perceptions were grouped into six descriptive categories. The variations in perceptions were then used as statements for argumentation. The study implies that university …

Cognitive Health And African American Elders Study: Knowledge, Attitudes And Practices, Shelytia Cocroft

Wayne State University Dissertations

A substantial body of literature suggests that cognitive impairment disproportionately affects African Americans. To date, research has uncovered disturbing racial disparities associated with the prevalence of cognitive impairment and dementia and found prevalence rates of Alzheimer’s disease (AD) to be higher among African Americans (Potter et al., 2009). Furthermore, a 2002 report from the Alzheimer’s Association described AD in the African American community as an “emerging public health crisis”. This dissertation examined the impact of socioeconomic status (SES) on knowledge, attitudes, and practices (KAP) associated with the promotion of cognitive health among a sample of 120 African American women aged …

Hypertension And African Americans: A Retrospective Review Of Provider Education On Lifestyle Counseling And Medication Management, Danielle Bundrent

DNP Projects

Purpose: The purpose of this study was to evaluate current provider practice of the management of hypertension among African Americans in a primary care clinic in Louisville, KY. Specific aims of the study were to: 1) assess provider adherence to the JNC 8 guidelines related to African Americans with hypertension and, 2) assess provider adherence to hypertension lifestyle education and counseling.

Methods: This descriptive study used a retrospective chart review to evaluate provider management of hypertension. Medical records of African American men and women in a primary care practice in Louisville, KY were reviewed. A random sample of 100 charts, …

Seeing Color In Black And White : New York Defines Its Color Line In Ridgway V. Cockburn In 1937, Nicholas A. Soares

Legacy Theses & Dissertations (2009 - 2024)

This thesis examines the role Ridgway v. Cockburn played in exposing the “Negro race” as a subjective experience rather than a definitive label. Blacks in the 20th century were seen as undesirable. The NAACP fought for blacks’s rights to property and justice in the courts. Racially restrictive covenants became a popular method used by whites to keep blacks out of their neighborhoods. Arthur Garfield Hays, a white lawyer, defended the Cockburns as they moved into Edgemont Hills, a white elite neighborhood.

Factors Influencing African American Mothers’ Adoption Of Baby-Friendly Practices: Results Of A Mixed-Methods Study, Allison Collins Munn

MUSC Theses and Dissertations

Purpose: The purpose of this dissertation was to explore southeastern United States (U.S.) rural-dwelling African American Mothers’ barriers and facilitators to adoption of Baby-Friendly practices and associated breastfeeding decisions. First, an integrative review was conducted to determine the impact in the U.S. of the Baby-Friendly Hospital Initiative (BFHI) on early infant health and breastfeeding outcomes. Next, a mixed-methods study was conducted to explore barriers and facilitators to Baby-Friendly practice adoption for southeastern U.S. rural-dwelling African American mothers. Finally, a directed content analysis approach was used to explore themes of maternal perceptions of Baby-Friendly practices and breastfeeding experiences based upon concepts …

Biological And Psychosocial Risk Factors Of Stroke In African Americans Enrolled In The Jackson Heart Study (Jhs), Sasikiran Nunna

Electronic Theses and Dissertations

Objectives: the objective of this study is to estimate the impact of biological, psychosocial and other risk factors on stroke in African Americans enrolled in the JHS and determine the population attributable risk of risk factors. Methods: this study used a nested case control design. Cases were patients with stroke during the follow up period. Corresponding controls were selected from subjects who are alive at that time period and who are at risk of stroke by matching on the person-years spent in the cohort. Odds ratios (OR) and population attributable risks (PAR) were calculated to understand the association of risk …

A Case Study Of An African American Community's Perceptions Of Problems In Mathematics Education, Renee Jenkins

Walden Dissertations and Doctoral Studies

African American students across income classes have been found to struggle with mathematics, impeding their ability to complete college, pursue lucrative careers, and address socioeconomic problems. Using the tenets of liberation and critical race theory, this qualitative case study explored the perceptions of a small group of 8 African American adults as to what they believe to be the root causes of mathematics achievement disparity for African American K-14 students, and what role the African American community can play in ameliorating these disparities. As most related studies are on low income communities, this study focused on an affluent African American …

African American High School Graduates' Perceived Academic Success Factors, Paula Williams Harris

Walden Dissertations and Doctoral Studies

A large number of African American students attending a low performing, urban high school in Tennessee demonstrated a lack of understanding in reading/language arts by scoring below proficient on the end of course (EOC) exam in reading/language arts. The purpose of this case study was to examine the perceptions of 10 African American graduates who scored proficient on the reading/language arts EOC exam to seek factors they associated with their academic success. This study was guided by Deci and Ryan's self-determination theory. The research question addressed the perceived factors that African American graduates associated with their academic success. Purposeful sampling …

Physical Activity And Cardiometabolic Risk Factors Among African American Women Residing In The Southeastern United States, Felicia Jenkins

MUSC Theses and Dissertations

Cardiometabolic risk (CMR) refers to an increased risk of developing cardiovascular disease (CVD) or diabetes, two of the leading causes of death in the United States. CMR factors include elevated glucose, blood pressure, and lipids. Lifestyle factors including physical inactivity, smoking, and poor dietary habits such as low fruit/vegetable consumption also contribute to CMR. Notably, African American women (AAW) have a high rate for several CMR factors including obesity, physical inactivity, and hypertension. Furthermore, AAW are an understudied population in research focusing on PA health promotion and studies examining PA associations with CMR. The aims of this dissertation study were …

The Impact Of Cardiovascular Disease Risk Factors On Late Graft Outcome Disparities In Adult African American Kidney Transplant Recipients, David J. Taber

MUSC Theses and Dissertations

Introduction: Although outcome disparities for non-Hispanic Black (NHB) kidney transplant recipients are well known and documented, there is paucity in the data assessing the impact of cardiovascular disease (CVD) risk factors and risk control on racial disparities in kidney transplantation. Methods: Longitudinal study of a national cohort of veteran kidney recipients transplanted between Jan 2001 and Dec 2007 (follow up through Dec 2010) with the aim of determining the prevalence and impact of CVD risk factor and control, compared between NHB and non-Hispanic White (NHW) recipients, on death-censored graft loss (DCGL), overall graft loss and mortality. Data included comprehensive baseline …

Development And Pretesting Of A Weight Management Behavior Questionnaire For Overweight And Obese African American Females, Suzanne Myers Sutton

MUSC Theses and Dissertations

Overweight and obesity disproportionately effect the health and well-being of African American women in the United States. Existing vulnerabilities and health disparities compound risks associated with overweight and obesity, leading to increased incidence of disability, morbidity and early mortality. Further, current weight management interventions (WMIs) do not address the needs of overweight and obese (OWO) African American females (AAF), with limited research focusing on the biopsychosocial variables that influence weight-related behaviors in this population. This dissertation describes the development and pretesting of a theoretically-based questionnaire that may be used to assess the biopsychosocial needs of OWO AAF and guide development …

Serum Vitamin D And C-Reactive Protein: Predictors Of Glucose Control In African-Americans With Type 2 Diabetes?, Mary Luree Garvin-Surpris

All ETDs from UAB

Introduction African-Americans experience more years of life lost as a result of complications from type 2 diabetes mellitus (T2DM) than any other racial or ethnic group. Evidence suggests that serum 25(OH)D (serum vitamin D), generally low in African-Americans, may play a role in glucose control. In addition, elevated levels of chronic low-grade inflammation, measured by C-reactive protein (CRP), may also relate to glucose control. The purposes of this study were to determine whether serum 25(OH)D and CRP are independent predictors of glucose control in adult African-Americans with T2DM, after controlling for other factors associated with glucose control, and to examine …