Digital Commons Network^™

Adverse Childhood Experiences, Discrimination, & Adulthood Health Outcomes: Impacts Of Protective And Compensatory Experiences In Childhood, Sallie A. Mack

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Adversity encompasses a wide range of stress-inducing experiences that are often prolonged and/or recurring in nature. Adverse childhood experiences (ACEs) capture adversity experienced before the age of 18, including abuse, neglect, and general household dysfunction. ACEs are widely linked to physical and mental health outcomes across the lifespan. Racial/ethnic discrimination, a form of adversity that can occur across the lifespan, has also been linked to many negative health outcomes. Protective and compensatory experiences in childhood (PACEs) are a relatively newer conceptualization of early-life resiliency factors. Early life resiliency is linked to positive health outcomes later in life. Our studies investigated …

Using Social Network Analysis To Examine The Intersection Of Adolescent Friendships And Health Behavior, Emily Long

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Adolescence marks a vulnerable developmental period for health behavior, and research demonstrates that social context and interpersonal relationships impact the health behavior choices of adolescents. In addition, theories of adolescent development suggest a bidirectional relationship between environmental factors, including social relationships, and health. Friendships are one of the most salient relationships during adolescence, and new methods from the field of social network analysis allow researchers to explicitly examine the mechanisms through which friends influence health behavior, and simultaneously, how health and health behavior impacts the formation of friendships. Importantly, social network methods (e.g., stochastic actor-based models, exponential random graph models) …

Contributors To Wisconsin’S Persistent Black-White Gap In Life Expectancy, Max T. Roberts

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

For decades, blacks have faced shorter life expectancy than their white counterparts. This persistent disparity has led to a gap in life expectancy between the two groups. Nationally, this gap has decreased over the last 40 years. However, this is not the case at the state-level as some states have experienced little or no improvement in the life expectancy gap. Such is the case in Wisconsin, where the life expectancy gap is the largest in the nation for males, and the gap actually has grown for females over the last two decades. This study seeks to examine this persistent gap …

Sexual Orientation Change Efforts, Identity Conflict, And Psychosocial Health Amongst Same-Sex Attracted Mormons, John P. Dehlin

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Both religiosity and sexuality are acknowledged by the American Psychological Association as important considerations for overall psychosocial well-being. Consequently, the denunciation of same-sex sexuality as sinful by many religious organizations leads many lesbian, gay, bisexual, and transgender individuals to experience significant identity conflict. Historically, conservative religious institutions such as The Church of Jesus Christ of Latter-day Saints (Mormons) have offered
developmental (i.e., nonbiological) explanations as to the origins of same sexuality, along with various nonaffirming approaches including: (a) sexual orientation change efforts, (b) increased religious devotion, (c) celibacy, and (d) mixed-orientation (heterosexual) marriage. However, relatively little research has been conducted …

Nga Whaiora Tikanga Roanga: Māori Views Of Health In Utah, Sydney H. Davies

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study looked at the health beliefs of Māori who live in Utah, U.S. and examined what ways those beliefs have evolved from traditional Māori health beliefs. It also looked at the conditions and indicators of those conditions that maintain those health beliefs. A New Zealand study found that Māori older than age 45 years were more likely to have traditional health beliefs, whereas Māori younger than age 45 were more likely to have western-based health beliefs. Using grounded theory, the narratives—from two groups, younger or older than 45 years, where each group was composed of eight randomly selected participants—were …

Centering Pregnancy And Traditional Prenatal Care: A Comparison Of Health Practices, Kaylynn Shakespear

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Centering Pregnancy is an alternative method of providing prenatal care with increased education and social support with health assessment in a group setting. This study, a cross-sectional, correlational, convenience-sample design, sought to determine the difference between women who receive prenatal care in Centering Pregnancy prenatal care and those in traditional prenatal care in regards to health behaviors. Adult pregnant women (n = 125) were surveyed from at least 28 weeks gestation. The sample comprised primarily White low-income women. Using multiple linear regression, it was determined that women in Centering Pregnancy had significantly lower index health behavior scores compared with …

Uncovering The Key Of Success In The Utah Medicaid Work Incentive Program: A Grounded Theory Study, Renee H. Nolan

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The purpose of this grounded theory research was to determine what differentiates people with disabilities who leave Social Security Disability Insurance (SSDI) benefits due to increased income from those who cannot. Fifteen individuals, former and current participants in a Medicaid Buy-In program, were interviewed. Within the context of health and disability, four theoretical propositions were identified: education, opportunity to work, interpersonal support, and secure housing. Higher benefit levels were also found to be an effective barrier for many.

Diabetes, Cognitive Decline, And Alzheimer's Disease: The Cache County Study On Memory, Health, And Aging, Gene Charoonruk

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Studies have reported mixed results for people with or without diabetes with cognitive decline or Alzheimer's disease (AD). Cognitive decline and AD among people with diabetes will be the focus of much discussion since results have been controversial.

The study examined whether diabetes is associated with cognitive decline and whether it is an independent risk factor for the development of AD among elderly residents of Cache County, Utah.

Results revealed an association between diabetes and a lower average Modified Mini Mental State Examination (3MS) score of nearly a point lower at baseline. Results also showed an association between diabetes and …

The Effects Of Parental Modeling On The Health-Related Behaviors Of American Indian Adolescents: A Culturally Specific Investigation Of Social Learning Theory, Amy Jo Williams

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Health-compromising behavior is a leading cause of death among American Indian (Al) adolescents. Examples of these behaviors include: smoking, alcohol consumption, drug use, and lack of seatbelt use. Theories that predict which Al youth are most at risk for executing these behaviors are needed.

Social learning theory (SL T) has shown adolescents' behaviors are sometimes highly correlated with their parents' behaviors across different ethnic groups. However, there has been little previous research done with Als.

The present study attempted to determine if SLT was applicable to Al adolescents and their parents with regard to four health-related behaviors: cigarette smoking, alcohol …

Health And Lifestyle Among Ute Native American Elders, Laura L. Prestwich

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

A basic health and lifestyle questionnaire was given to a convenience sample of 103 Ute elders, age 50 and older. Fifty-three percent reported being diagnosed with diabetes. The mean BMI (body mass index) was 33.31 (SD=8.72). For descriptive purposes, BMI was divided into three categories: less than 25, 25-29.99, 30 or above. Eleven percent were in the BMI category of less than 25. Thirty percent of Ute elders reported a BMI between 25-29.99. Fifty two percent had a BMI of 30 or above. Diabetes rates among this Ute elder sample were significantly lower with a lower income, lower education level, …