Digital Commons Network^™

Community Heritage: A Source Of Health/Medical Aspirational Capital For Black Males, Lafrance Clarke Jr.

USF Tampa Graduate Theses and Dissertations

There is a recognized need for more Black male healers who pursue careers in medical fields.Thus, the purpose of this study was twofold: to explore historical documents to tell the histories of men of African descent who practiced healing in Florida and, from those histories, create a virtual heritage tour to support teaching about leadership through African American history and narratives of healing. The research questions were: How does the heritage curriculum history about Black men healers of FL provide a historical counter-narrative about Black men and their leadership in connection to health/medicine?How do historical counter-narratives about Black men support …

Health And Friendships Of Lgbtqia+ College Students, Komal Asim Qidwai

USF Tampa Graduate Theses and Dissertations

Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual and Others (LGBTQIA+) college students continue to face discrimination in seeking healthcare, having to navigate lack of access, heteronormative practices and protocols, and biased attitudes, even when accessing university health services. Moreover, LGBTQIA+ college students are unlikely to be able to rely on traditional sources of support such as family, and have a need to create a sense of home, by making friends. In this thesis, I explore friendships as an avenue through which these students seek health information and knowledge. I argue that health and friendship intersect in the lives of LGBTQIA+ …

“Practice Basic Hygiene, And You’Ll Stay Healthy”: How Primary School Reading Textbooks Transmitted Cultural Education In The Soviet Union, Victoria Storozenko

University of South Florida (USF) M3 Publishing

Russia’s Cultural Revolution, beginning after the October Revolution in 1917, produced a broadly defined understanding of culture and cultural education at Russian schools that encompassed even basic hygiene and health. Drawing from postdoctoral research, this paper discusses the Cultural Revolution’s impact and its ideas on cultural education as presented in textbooks for 10-year general education schools in the Soviet Union. Discourse analysis revealed that the schoolbooks acted as an interface between a functional education system and changes in its surrounding environment, especially changes due to the Cultural Revolution. Amid today’s COVID-19 pandemic, the study’s findings raise several questions about what …

Sleep Hygiene Practices And Subjective Well-Being As Predictors Of High School Students' Obtaining Sufficient Sleep During The School Week, Erin M. Brennan

USF Tampa Graduate Theses and Dissertations

Sleep is critically important to human health. However, the quantity and quality of sleep can vary within and among individuals over time, affecting overall wellness. Adolescence is a critical time for development, both for physical health, as well as health-related behaviors and habits. Physical health is known to be influenced by health-related behaviors such as sleep hygiene, which promotes good sleep. Physical health and engagement in health-related behaviors also are known to influence other aspects of well-being, namely subjective well-being, or happiness. Adolescents are often characterized by their changing sleep needs, patterns, and habits. This study is a secondary analysis …

Eating And Body Image Disorders In The Time Of Covid19: An Anthropological Inquiry Into The Pandemic’S Effects On The Bodies, Theresa A. Stoddard

USF Tampa Graduate Theses and Dissertations

This thesis examines how the COVID-19 pandemic and its associated lifestyle changes are impacting the experiences of self-identifying women and females with body image disorders (BIDs) and/or eating disorders (EDs), focusing on the mental, physical, and emotional health of participants. Using surveys, person-centered semi-structured interviews, and autoethnography, I collected qualitative and quantitative data regarding the challenges, triumphs, hopes, and fears of participants regarding their EDs/BIDs during the pandemic and situated their experiences within their sociocultural context. Drawing on anthropological and psychological theory, I examine the data through the lenses of Scheper-Hughes’s and Lock’s “The Three Bodies” (the body politic, body …

Effects Of The 340b Drug Pricing Program On Hospitals’ Prescribing Behavior, Patient Mix, And Quality Of Care, Yilu Dong

USF Tampa Graduate Theses and Dissertations

In 1992, Congress created the 340B Drug Pricing Program that requires drug manufacturers to provide outpatient drugs to participating hospitals with substantial discounts. Although the intent of the program is to allow covered entities to increase access to care for more vulnerable patients, hospitals are not required by law to pass on the discounts. Therefore, a concern is that hospitals might over-prescribe. This dissertation includes three chapters to study the effects of the 340B program on hospitals’ behavior changes:

Chapter 1 uses state aggregate hospital service spending data from the Centers for Medicare and Medicaid Services (CMS) to study the …

Villains Or Vermin? The Differential Effects Of Discrimination And Dehumanization On Immigrant Cardiovascular Responses, Mona El-Hout

USF Tampa Graduate Theses and Dissertations

Immigration has been pushed to the forefront of a national political debate, and immigrants are commonly portrayed as villains and vermin looking to invade and infest Western nations. These negative portrayals of immigrants may have negative implications for immigrant health outcomes. Among other negative health outcomes, studies have found that immigrant cardiovascular disease rates increase with time spent in the U.S. This phenomenon of decreasing immigrant health with extended U.S. residency has been labeled “the immigrant health paradox”, and discrimination has often been posited as a possible explanatory factor. In addition to discrimination, immigrants are often the targets of dehumanization, …

Essays On Health, Healthcare, Job Insecurity And Health Outcomes, Ichiro Nakamoto

USF Tampa Graduate Theses and Dissertations

This doctoral dissertation proposal is comprised of three separate chapters, all of which uses the nationally representative uniform survey Health and Retirement Survey (HRS) to examine the relationship between health, insurance, health care and health outcomes. Below, the brief introduction for each section is provided:

 Chapter I: Medicare Part D and Patients' Well-being

 Chapter II: Parent's Health Insurance and Informal Care

 Chapter III: Job Insecurity and Health (with Dr. Ayyagari)

In chapter I, I explore how Medicare Part D (MD) affects the well-being of the severely sick patients both in the short- and in the long- term. …

Patient Experiences And Satisfaction With Homeopathic Treatment In Pune, India, Asmita R. Mhaskar

USF Tampa Graduate Theses and Dissertations

Introduction: Global populations are increasingly pursuing Complementary and Alternative Medicines (CAM) as safe, holistic options to attain health and wellness. Homeopathy is one such system of medicine whose demand is growing across the world, with maximum users in India. Yet, patient satisfaction and experiences with Homeopathy have not been addressed comprehensively in India.

Methods: A two-phase, mixed-methods study was designed to assess patient satisfaction and patient experiences with Homeopathic medicines and clinics in Pune, India. Phase I included the design and validation of a survey on Homeopathy specific experiences in English and Marathi for collecting data. Phase II employed a …

Development And Validation Of The Exercise Appearance Motivations Scale, Leah S. Boepple

USF Tampa Graduate Theses and Dissertations

Exercise rooted in changing one’s appearance is associated with increased disordered eating and body image pathology. There are a limited number of scales assessing appearance-based exercise, and those that do are methodologically flawed. The aim of the current work was to develop a psychometrically sound measure of appearance-based exercise (Exercise Appearance Motivations Scale (EAMS)). Female undergraduate students (N = 650) completed an online survey designed to assess the EAMS’ psychometric properties. Factor analysis and hierarchical regressions were used for measure development and validation. Five factors of the EAMS were identified through factor analysis: muscularity, appearance, societal pressures, shape/weight, and avoidance/shame. …

A Program Evaluation Of A Worksite Wellness Initiative For Weight Loss, Nicholas Martinez

USF Tampa Graduate Theses and Dissertations

The purpose of this study was to conduct a program evaluation of ACME’s worksite weight loss initiative and collect evidence relative to the efficacy of the program. An anonymous online survey was administered to participants of the weight loss initiative. The survey was designed to gather information relative to the research questions, which explored the initiative’s barriers to participation, alignment of initiative with the goals of participants, utilization of initiative resources, overall strengths, weaknesses, and areas of improvement for the weight loss initiative, as well as the respondents’ general profile for the six dimensions of wellness. Reporting of data included …

(Not) Everything Is Good And Easy: Language-Related Healthcare Experiences Of Two Groups Of Low-Income Latina Mothers, Aria Anna Walsh-Felz

USF Tampa Graduate Theses and Dissertations

This cross-sectional, comparative, qualitative study explored language-related issues experienced by low-income Spanish-speaking mothers navigating pediatric care for their children in Hillsborough County, Florida. Hospitals, pediatric clinics, specialists, and dental care have differing degrees of linguistic accessibility and accommodations for limited English proficient families. Two groups of mothers were interviewed: bilingual (n=9) and Spanish-speaking limited-English proficient (SSLEP) mothers (n=21). These groups perceived the effect of language on navigating pediatric healthcare differently, creating tension in perceptions and experience between them. Such tensions included SSLEP mothers expressing satisfaction with pediatric care simultaneously with shortcomings in communication. SSLEP mothers said that everything was easy, …

Environmental And Community Health In South San Diego County: A Behavior Analysis Of Recreational Ocean Users Along Imperial Beach, California, Trista Brophy

USF Tampa Graduate Theses and Dissertations

Garbage & sewage runoff into the Pacific Ocean at the shoreline along the U.S./Mexico Border region poses serious health and environmental threats. The purpose of this study was to analyze the current beach users’ behavioral factors that may be linked to illness prevalence from Coronado Island to the U.S./Mexico border at Imperial Beach in San Diego County. It is a continuation of a study completed by Wildcoast and Imperial Beach Clinic in 2011. The study tried to answer the following two major questions: How have the number of illnesses reported by users along South San Diego County beaches changed in …

Concerns Of Water Scarcity And Water Quality Among Two Andean Communities In Peru, Kelsey Anne Anderson

USF Tampa Graduate Theses and Dissertations

This thesis sought to explore the perceptions and experiences of Andean women regarding water quality, water scarcity, and health among two communities in Carhuaz province of Ancash, Peru. Household surveys (n=25), semi-structured interviews (n=10), unstructured interviews (n=2), and participant observation were conducted with local women to investigate their concerns and perceptions of water and health. An additional two unstructured interviews were conducted with a local water authority and doctor in order gain another perspective on the issues of water security and health.

The pressure of a changing climate and of a problematic water governance system in Andean Peru create an …

The Effects Of Parent-Adolescent Communication And Parenting Style On The Physical Activity And Dietary Behaviors Of Latino Adolescents, Dianna Mary Boone

USF Tampa Graduate Theses and Dissertations

The obesity epidemic among children and adolescents has been growing rapidly over the past 10 years, particularly in Latino children. Multiple researchers have found support for positive associations between parent-child communication and healthy nutrition and exercise behaviors. The present study examined the relations between parent-adolescent communication and parenting style and the dietary and exercise behaviors of Latino adolescents. The study included 79 adolescents between the ages of 13 and 18 years and their parents (100% are Latino). Correlation and hierarchical regression analyses were conducted to determine which parenting style and communication variables are significantly associated with adolescents’ dietary and physical …

Federal Disaster Declarations And Denials: Analyzing Spatial Equity In The Implementation Of The Stafford Act, Richard Salkowe

USF Tampa Graduate Theses and Dissertations

Federal disaster declarations are authorized by the president under the provisions of the Robert T. Stafford Disaster Relief and Emergency Assistance Act of 1988. Prior studies have found varying levels of political influence associated with the declaration process. Factors including electoral votes, reelection years, congressional committee appointments, geographic location, and party favoritism have been implicated in claims of inequity associated with the distribution of federal disaster assistance. Compounding these concerns is evidence of recurring problems associated with disparities in the long-term recovery from disasters based on social and economic factors. This dissertation is a response to the call for further …

A Comparative Study: How Educational And Healthcare Preparedness Affected Marketization Of The Chinese And Indian Economies, Cindy Arjoon

USF Tampa Graduate Theses and Dissertations

In this archival study, I explore reasons why India's economic takeoff into marketization in 1991 failed to meet the same success as China in 1979 when it made the same transition. I analyze the impact of education and healthcare on development and how investments in both sectors can yield significant returns privately and socially. The research in this paper seeks to answer the following question: Why was the Indian economy unable to meet the same success as China when developing a global, open market economy?

In order to answer this question, I begin by proving a solid relationship between education, …

Assessing Appropriate Technology Handwashing Stations In Mali, West Africa, Colleen Claire Naughton

USF Tampa Graduate Theses and Dissertations

Proper hand hygiene is the most effective and efficient method to prevent over 1.3 million deaths annually from diarrheal disease and Acute Respiratory Infections (ARIs). Hand hygiene is also indispensable in achieving the fourth Millennium Development Goal (MDG) to reduce the childhood mortality rate by 2/3rds between 1990 and 2015. Handwashing has been found in a systematic review of studies to reduce diarrhea by 47%#37; and is, thus, capable of preventing a million deaths (Curtis et. al., 2003). Despite this evidence, hand washing rates remain seriously low in the developing world (Scott et al., 2008).

This study developed and implemented …

Use Of Services By Female Survivors Of Intimate Partner Violence: In Their Own Words, Michele M. Scordato

USF Tampa Graduate Theses and Dissertations

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The Dynamics Of Alcohol Consumption In The Russian Federation: Implications Of Using Price Related Policies To Control Alcohol Use, Arseniy Pavlovich Yashkin

USF Tampa Graduate Theses and Dissertations

This dissertation models the dynamics of alcohol use in the Russian Federation with an emphasis on identifying policy implications most likely to be effective at controlling alcohol use. Utilizing data from The Russian Longitudinal Monitoring Survey, models of alcohol consumption are estimated using both myopic and rational specifications via ordinary least squares, fixed effects two stage least squares and, the focus of this study, two-step system generalized method of moments. Alcohol consumption is studied both as a composite good and as a distinct beverage category (wine, beer, and hard liquor). Furthermore, equations stratified by gender and rural status are included …

Day-To-Day Variability In Nap Duration Predicts Medical Morbidity In Older Adults, Natalie D. Dautovich, Daniel B. Kay, Michael L. Perlis, Joseph M. Dzierzewski, Meredeth Rowe, Christina S. Mccrae

Nursing Faculty Publications

Objective: The objectives for the present study were to (a) examine within-person variability of nap duration and (b) assess how variability in nap duration is related to the number of health conditions in a sample of older adults. For highly variable behaviors such as sleep, it is important to consider fluctuations within the person instead of solely comparing averages of behaviors across persons. Method: Data were drawn from a previous study examining sleep in 103 community-dwelling older adults. Subjective estimates of napping behavior were obtained from sleep diaries and objective estimates of napping behavior were obtained using actigraphy. Both measures …

Fit To Lead? Supervisors' Health Behaviors, Well-Being, And Leadership Behaviors, Kristin Saboe

USF Tampa Graduate Theses and Dissertations

This study proposes a model to test the relationships amongst supervisors' health behaviors and leadership behaviors. Specifically, 107 supervisor-subordinate pairs responded to a cross-sectional survey. Supervisors provided self-reports of their health behaviors (physical activity, diet, sleep, alcohol/tobacco use) and perceived well-being. Subordinates rated the supervisors' perceived leadership style and the quality of relationships they share at work. Results were mixed with support largely being found for previously established relationships between (a) physical activity, sleep duration and quality, and well-being, and (b) leadership behaviors and supervisor-subordinate relationship quality. The primary thesis of this study--that leaders with improved health behaviors and well-being …

Beyond Practice And Constraint: Toward Situating Female Sexual Agency On St. Croix, Usvi, Jamae F. Morris

USF Tampa Graduate Theses and Dissertations

Women are shaped by the social structure, but they are not simply passive products. They act. They respond. They pursue. This holds true for many aspects of women's complex and dynamic lives, including their sexual health. Daily, women negotiate social expectations, individual proclivities and desires, and the need to provide for themselves and their families. Through the use of ethnographic methodology, focusing on three major social pillars--the regulation of the female body, the organization of social space, and the structuring of gender--this investigation, based on the island of St. Croix, USVI, seeks to offer an ethnographic assessment of women's attempts …

Hiv Education For Youth In Transition To Adulthood, Peter Eugene Gamache

USF Tampa Graduate Theses and Dissertations

This dissertation investigated the role of Human Immunodeficiency Virus (HIV) stigma in program implementation. A case study design comprising qualitative methods provided in-depth, context-sensitive comparisons of adult educator (n = 8) and youth (n = 67) perspectives among programs that provide HIV services and those that provide risk reduction services. Nearly half of the youth participants were male, 42% were female, and 6% identified as transgender. Two thirds of participants were Black or African American, one quarter of participants were Hispanic or Latino, and the average participant age was 19. Although program personnel from all youth service programs in this …

Perceived Workplace Discrimination As A Mediator Of The Relationship Between Work Environment And Employee Outcomes: Does Minority Status Matter?, Nicole Ellis Jagusztyn

USF Tampa Graduate Theses and Dissertations

The purpose of the current study was to explore the role of six organizational factors (Equal Employment Opportunity, minority segmentation, diversity climate, instrumental social support, emotional social support, and token status) in the perception of discrimination in the workplace by minorities and majority-group members. Five outcomes (job satisfaction, organizational commitment, intention to turnover, physical health, and psychological health) were investigated in response to perceived discrimination. Moderated mediation was used to test hypothesis where perceived discrimination mediated the relationship between organizational antecedents and outcomes; minority status served as the moderators. Support for the mediating role of perceived discrimination was found in …

Workplace Nutrition And Exercise Climate: Scale Development And Preliminary Model, Joseph J. Mazzola

USF Tampa Graduate Theses and Dissertations

Obesity is a major concern in the United States and has a multitude of negative physical and mental health consequences. Proper nutrition and exercise are important elements to initiating and maintaining a healthy lifestyle. Since most people spend a large amount of their time working, it is important that organizations create an atmosphere that is conducive to employees being able to eat healthy diets and exercise regularly. The social and environmental climate in terms of health was examined through the construct of a Workplace Nutrition and Exercise Climate (WNEC), defined here as the situational, social, and environmental factors within an …

The Subjective Experience Of Pms: A Sociological Analysis Of Women’S Narratives, Christiana B. Chekoudjian

USF Tampa Graduate Theses and Dissertations

The phenomenon known as premenstrual syndrome (PMS) has been researched across many disciplines including Psychology, Women's Health, Women's Studies and Sociology. It has been researched as a personal issue, a health issue, a psychological issue, and a political issue. Underlying these approaches to the study of PMS are two basic paradigms: the medical model and the social constructionist model. A rather polarized debate has emerged between the two. While both approaches have contributed to research on PMS, neither paradigm has focused particular attention on what PMS is and what it means from the perspective of the women who experience it. …

Integrating Rural Cambodian Villagers’ Perspectives Into Monitoring And Evaluation Protocols For An Ngo’S Water And Sanitation Program, Elizabeth Churchill

USF Tampa Graduate Theses and Dissertations

Bridges Across Borders (BAB), a non-governmental organization (NGO) in Cambodia, directs diverse and complementary projects to improve the lives of Cambodians living in poverty. The Hand In Hand project (HIH) is one of these projects, implemented in the rural community of Chamcar Bei. This project started in 2006 and is designed to be completely sustained by the villagers after 5 years. One of the four components of HIH is a health component, whose goal is to improve the health of the community. In 2007 and 2008, through these health initiatives, BAB provided the community with 280 ceramic water filters, 20 …

Communicating Spirituality, Dying And A “Good Death” At The End-Of-Life: The Role Of Hospice Interdisciplinary Team Members, Jillian A. Tullis Owen

USF Tampa Graduate Theses and Dissertations

Hospices use interdisciplinary teams to aid patients and families as they cope with the imminence of death while helping them achieve a death free of physical and spiritual pain, also known as a good death. This study investigated the communication between hospice team members and their patients regarding spirituality, dying, death and a good death. Through 300 hours of participant observation and interviews with hospice staff at one large not-for-profit hospice in the Southeastern United States this project shows that team members understand patient's spirituality through a religious frame potentially compromising spiritual care. Talk between patients and their care …

The Effects Of Depressed Mood On Academic Outcomes In Adolescents And Young Adults, Robert Christopher Jones

USF Tampa Graduate Theses and Dissertations

The following dissertation investigates the relationship between depressed mood and academic performance (measured in terms of grade point average) in U.S. middle and high schools.

Utilizing data from AddHealth, the dissertation establishes Ordinary Least Squares, Two-Stage Least Squares (2SLS), and individual and sibling fixed effect regressions that attempt to control for confounding factors, including student motivation, personality characteristics, and parental inputs that are unobserved but may influence both mental health and achievement.

Study findings indicate that students who report feeling depressed do not perform as well academically as non-depressed students. Additionally, the degree of GPA impact increases with the severity …