In Society's Shadow: Identifying Structural Violence In Muna, A Burial Community From Late Intermediate Period (1100 - 1470 Ce) Pachacamac, Peru., Ashley C. Ward

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Structural violence (SV) highlights how social structures harm communities via inequities in health, risk of trauma, and post-mortem treatment, however its applicability outside of Euroamerican capitalist contexts is unclear. Fifty-nine individuals from the MUNA cemetery (Pachacamac, Perú) from the Late Intermediate to Late Horizon Periods (1100-1532 CE) were analysed for evidence of SV. Nonspecific stress markers, osteoarthritis, pathological dental conditions, and physical trauma were recorded and compared as they related to age, sex and/or status and then contextualised using the Spanish Chronicles, ethnographic, and archaeological research. Inequities in resource or labour distribution but not amount to SV, but SV did …

Women And Medicine On The Gold Coast, 1880-1945, Michael Osei

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Prior to colonial rule and the imposition of western medicine and practices, several countries in Sub-Saharan Africa relied on traditional medicine to treat tropical diseases that ravaged the populace. Specialists in traditional medicine, both men and women, restored and preserved their patients' health through herbarium and spiritism. Like their male counterparts, female traditional medicine practitioners on the Gold Coast were highly respected by people for their knowledge and competence as their communities' primary healers and caregivers. This study, drawing on various primary and secondary sources, including oral traditions, colonial reports, medical journals, and historical accounts, argues that women played a …

You Go To My Head: Women's Prescription Pill Use In Postwar America, Erin K. Brown

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During the postwar era, US pharmaceutical companies grew their production and distribution of prescription pills, which included barbiturates, minor tranquilizers, and amphetamines for mass consumption. Middle- and upper-class women were the majority users of these pills, finding assistance with the aid of prescribed drugs that helped correct difficulty with sleeping, eased anxiety, provided energy, and reduced the users’ size. This dissertation works to bring drug history and women’s history together to integrate the impact prescription pills had on women’s lives, positive and negative, and how and why consumers sought these drugs and the effects they promised. This project uncovers interactions …

Exploring Mental Health, Physical Health, And Affective Commitment In Acute Care Oncology Nurses In Ontario, Lesley M. Smith

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With reports of a steady increase in cancer risk as the present population ages (Canadian Cancer Society’s Advisory Committee on Cancer Statistics, 2017; Statistics Canada, 2017), and little knowledge of a definitive cure, ensuring cancer sufferers and their families are adequately supported is increasingly essential. Oncology nurses must therefore be the focus of current and future research, as their front-line presence in the lives of those afflicted, is quite substantial. Further, oncology nurses report the most physical symptoms and second highest levels of emotional distress among cancer care health professionals (Jones, Wells, Gao, Cassidy, & Davie, 2013; Kash et al., …

Essays On Criminal Behaviour, Human Capital Formation, And Mental Health, Diego F. Salazar

Electronic Thesis and Dissertation Repository

My thesis consists of three chapters that contribute to the study of some of the negative consequences of incarceration and their relation with the life-cycle choices of juvenile offenders.

Chapter 2 studies the causal relationship between incarceration and mental health problems. In this chapter, I use different matching estimators to identify the causal effects of incarceration over several dimensions of mental health using data from a survey of juvenile offenders, the Pathways to Desistance (PTD) survey. My findings show that being incarcerated for the first time, between 17 and 18 years old, increases depression by at least 0.18 standard deviations …

Timely Access To Maternal, Neonatal And Child Healthcare For Rural Communities In Rwanda: The Role Of Community Health Workers, Jean Bosco Bigirimana

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Abstract

Introduction: In Rwanda, although there has been some progress in health care delivery as expressed in the reduction in maternal and child mortality, rates are still high and geographically variable. Improving equitable access to quality healthcare services for maternal, neonatal and child healthcare (MNCH), community-based maternal, neonatal and child healthcare (CBMNCH) depends upon using “community health workers” (CHWs). Yet CHWs program faces difficulties that upset delivery of the quality of the comprehensive package of services. Unfortunately, little is known about CHWs` performance and job satisfaction in the provision of CBMNCH.

Goal: The study aimed to provide insight into …

Healthy And Happy: Creating And Evaluating A Catalyst To Improve The Health Of University Students Via An Online Training System, Gillian E. Mandich

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Increasingly, university students are facing unique, significant physical and mental health challenges. Additionally, they are spending more and more of their time online and are using online platforms to access mental health resources; consequently, there is a timely opportunity to explore the potential of online happiness interventions, specifically with video, to improve happiness among university students. Evidence suggests that improved happiness relates to improved physical health, mental health, and academic outcomes.

The purpose of this research was to test if an online happiness intervention, using videos to boost happiness, can increase self-reported happiness among university students. The primary outcome was …

Learning Lessons From The Impacts Of Relocating Indigenous Scholars For Academic Appointments, Andrew Judge

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In 2014 and 2015, significant efforts were made by colleges, institutes, and universities to overhaul Indigenous post secondary education in Canada. For universities, the reasons are clear. University achievement rates for Indigenous peoples living in the sixty-five closest communities to where the 15 research intensive universities in Canada (U15) are located is five times lower then the national average. Three major documents outlining strategic plans identified a need to increase Indigenous faculty who represent just .3% of total academic staff at U15. To better grasp how increasing IUI numbers at U15 will impact them a multisite exploratory case study grounded …

The Impact Of Beauty, Body Image, And Health Discourses On Eating Disorder Risk In South Asian-Canadian Women, Nazia Bhatti

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This study explores socio-cultural influences that impact South Asian women’s self-perceptions and eating behaviours. The findings revealed that cultural gender ideologies played a substantial role in shaping the way women view themselves and their bodies. The analysis of interviews conducted with seven South Asian-Canadian women between the ages of 19-29 years, demonstrate that women’s perceptions of their own physical appearance is framed within the context of their South Asian cultural identity and cultural norms. This study was approached through the lens of post-colonial feminism by examining cultural factors that contribute to South Asian women’s increased risk for developing eating disorders. …

Rekindling The Flame: An Exploration Of The Relationships Between Health, Culture And Place Among Urban First Nations Men Living In London, Ontario, Cindy Smithers Graeme

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In this dissertation, I present the findings of a community-based participatory research project with the Southwest Ontario Aboriginal Health Access Centre (SOAHAC). Embracing a decolonizing methodology that draws upon strengths-based and intersectional approaches, I qualitatively explore the relationships between health, culture and place among urban First Nations men living in the city of London, Ontario.

Indigenous cultures are broadly defined as a “systems of belief, values, customs, and traditions that are transmitted from generation to generation through teachings, ecological knowledge and time-honoured land-based practices” (McIvor & Napoleon, p. 6). Culture is increasingly recognized as an important determinant of Indigenous health …

Probiotic Yoghourt For Health, Nutrition And Women's Empowerment In Kenya: A Community-Based Approach, Ellena Andoniou

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The dissertation aims to examine the impacts of probiotic yoghourt on health, nutrition and women’s empowerment within the context of HIV/AIDS in Kenya. Mixed methods that combine quantiative and qualitative approaches are used to understand the effects of probiotic yoghourt on the health, nutrition and quality of life for men and women. Results of the quantiative analysis (n=227) demonstrated that the probiotic yoghourt confers a variety of health benefits – physiological (fewer urogenital conditions and digestive problems; reduced dependence on medical treatment), and psychological (perceived improvements with bodily appearance, felt an increased meaningfulness with life). Results of the qualitative analysis …

Transnational Engagement And Immigrants’ Well-Being In Canada, Jonathan Anim Amoyaw

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After migration, most immigrants do not dissociate themselves from their relational networks in their homeland. Instead, they nourish, reproduce, and maintain ties with their non-migrant relatives and friends by engaging in various forms of transnational activities. Within the transnational paradigm, remittances are central to maintaining transnational relationships. Immigrants’ demonstration of affection and solidarity in the absence of physical propinquity and intimacy is highly contingent on their remittance transfers. Over the years, the motives, determinants, benefits, and consequences of these financial flows on the well-being of recipients in origin communities have been extensively studied. However, the existing literature is mainly informed …

Social Connectedness, Social Support And The Health Of Older Adults: A Comparison Of Immigrant And Native-Born Canadians, Natalie Iciaszczyk

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Considerable research exists on the influence of social relationships for health in old age. However, few studies have compared the associations of social connectedness and social support with the health of older adults. Using data from the CCHS-Healthy Aging, this study examines how these constructs are related to the self-reported health status of immigrant and native-born adults aged 65+. Results show that social connectedness and social support are differently associated with health in later life; whereas connectedness is linked to better health, social support is negatively related with health once levels of social connectedness are considered. Furthermore, these associations hold …

Essays On Human Capital Complementarities, Hiroaki Mori

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The thesis consists of three chapters that study the interplay between skills and health in shaping labour market outcomes. I focus on two distinct but related issues: i) the wage losses among older workers due to work-limiting health conditions, and ii) the long lasting effects of childhood health conditions on human capital formation. Chapter two studies how health conditions among older workers affect their wages depending on the characteristics of their occupations. The U.S. Social Security Act defines disability as the inability due to health conditions to perform physically or mentally demanding tasks. To examine the potentially task-specific nature of …

Uprootedness And Health Of Women Temporary Agricultural Workers: A Critical Ethnography, Kathryn Ann Edmunds

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In recent years, increased global mobility for work, gendered approaches to migration, and the vulnerabilities of women in temporary and precarious work have received increased attention. However, there is limited evidence regarding the health of women temporary foreign workers in Canadian agriculture. The purposes of this critical ethnography using feminist and intersectional perspectives were to: 1) explore and describe women temporary agricultural workers’ experiences and meanings of health in the context of prolonged and repeated uprootedness from their homes and families, 2) to critically examine how the intersections of current gendered, global, political and economic conditions shaped their everyday lives …

More Than Plumbing: The History Of Sexual Education In Ontario, 1960-1979, Michelle K P Hutchinson Grondin

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During the 1960s and 1970s, Ontario educators were concerned that the “sexual revolution” would encourage youths to engage in sexually promiscuous behaviour, become unwed mothers, and contract STIs. As parents were perceived as unreliable sex educators, school administrators and educators felt compelled to teach traditional sexual values, and the importance of the nuclear family through sexual education. This dissertation analyzes the creation and instruction of sexual education in physical and health education courses throughout the 1960s and 1970s in Ontario. This study provides the first comprehensive discussion of sexual education in Ontario during the sixties and seventies through an examination …

The Sixties Scoop Among Aboriginal Veterans: A Critical Narrative Study, Munira Abdulwasi

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This study explored the experience of Aboriginal Veterans adopted and/or fostered during the Sixties Scoop using critical narrative inquiry. The objectives were to: 1) understand the lived experience of Aboriginal veterans adopted and/or fostered during the Sixties Scoop, 2) explore any health needs expressed by Aboriginal veterans adopted and/or fostered during the Sixties Scoop, and 3) provide recommendations for the implementation of health services and programs to assist this group of Aboriginal veterans with their health needs. Eight individual interviews were conducted with participants in Kitchener-Waterloo, London, Ottawa, Winnipeg, and Vancouver. All interviews were audio-taped, transcribed verbatim, and analyzed using …

Settlement Experiences Of Professional Immigrant Women In Canada, Usa, Uk And Australia, Naila Meraj

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Highly skilled professionals are often forced to accept jobs below their educational levels after they immigrate and may experience a downward shift both in their career and in their quality of life. This has particular implications for highly skilled immigrant women who strive to maintain their professional identities and balance the demands of family and work. Using a scoping review methodology, this thesis explored the settlement experiences of professional immigrant women in Canada, USA, UK and Australia and how these influence their health and well being. Close readings of the peer-reviewed literature revealed seven themes that relate to the experience …

Canadian Post-Secondary Students, Stress, And Academic Performance – A Socio-Ecological Approach, L. Nicole Versaevel

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The purpose of this integrated-article dissertation was to examine stress and health in Canadian post-secondary students. Data from the spring 2013 National College Health Assessment (NCHA) was utilized in study one and two. This dataset is comprised of 34,039 students from 34 self-selected Canadian postsecondary institutions who took part in the NCHA survey. Study one examined the impact of stress, identified stressors and predicted which students were more likely to experience stress. Stress was the most commonly identified impediment to academic performance and 57.6% of students reported more than average stress. Most frequently reported stressors include; academics, finances, and sleep …

Older Woman Workers: Met And Unmet Needs For Health And Wellbeing In The Workplace, Gillian Gorfine

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Older women workers report experiencing occupational injustices however the literature focuses on barriers faced rather than understanding the needs-based strategies empowering women as they age at work. This study engaged women aged 55 and older in a participatory action research project defining and examining strategies for older women workers’ health and wellbeing. In Phase 1, a key informant advisory group (N = 4) defined the problem and guided the design of an open answer survey conducted with 72 older women in work. Three categories emerged informing the fundamental, instrumental, and contextual needs of older women workers. Meeting fundamental needs may …

Integrating Spirituality And Medical Education: What Students And Teachers Have To Say - A Qualitative Study, Sharon N. Hatcher

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Aims

This thesis explored the perceptions of medical students and teachers with regards to spirituality, its role in health care, and its integration into medical education.

Methods

Two studies were conducted using qualitative descriptive thematic analysis: the first using focus groups with students; and the second depth interviews with teachers. Both studies were carried out in Francophone Canada.

Findings

Teachers spoke of a concept of spirituality evolving as a journey, while students reported sudden turning-points. Both regarded spirituality as important to patient care. Students were struggling with their future physician role and their commitment to rationality, whereas …

Return To Work After Retirement: Contributing Factors And Health Implications, Jason Settels

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An issue of mounting importance in many industrialized nations, including Canada, is that of population aging. Because of fears that this trend could result in labour force shortages, many national governments and international organizations have encouraged policies aimed at prolonging the working life. This thesis builds on work that has been done to identify factors relevant to the likelihood of involvement in post-retirement work by examining how interactions among various demographic variables impact this likelihood. Furthermore, we investigated how post-retirement work is related to three measures of health and well-being. As well as confirming results obtained by others, we have …

Understanding First Nations Young Adults' Health Literacy, Ebony Rempel

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Relative to non-First Nations, Inuit, and Metis (FNIM) Canadians, FNIM people have poorer health status. A qualitative investigation of the health literacy skill and the health information (HI) needs of young FNIM adults was conducted. Eight single mothers living on-reserve were interviewed. Data analysis generated four main themes along with the subthemes of: (1) Traditional Health (TH), (i) TH Culture Excised, and (ii) Wanting to Know More about TH; (2) HI Needs of First Nations young Mothers; (3) Access to HI, (i) Asking the Doctor / Telehealth (ii) other Female Family and Friends; (4) Online Accessibility, (i) HI Online, (ii) …

A Seat At The Table: A Nonconformist Approach To Grassroots Participation In The Articulation Of Health Standards, Leanne Bekeris

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This paper assesses the need to articulate standard protocol in regards to decision making and monitoring of biomedical and ecosystem health in Canadian Aboriginal communities. This is critical, as standards in Aboriginal communities are applied by external regulators. Absence of collaboration between the Aboriginal community, healthcare institutions, and the federal government has perpetuated the deterioration of health among Aboriginal people through structural violence. This thesis utilizes toxicity results from the University of Western Ontario’s Ecosystem Health Team’s biomonitoring study of Walpole Island First Nation, which reveals that the absence of community input regarding health standards, combined with a fear of …

Underemployment, Unemployment, And Mental Health, Heather L. Maddocks

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Inadequate employment, through unemployment or underemployment is expected to have consequences for the health and well-being of Canadians. This dissertation presents three studies centered on the relationship between underemployment and mental health. In the first study, ideal indicators for underemployment are described, and the stress process model is proposed as a theoretical framework for understanding the relationship between underemployment and adverse health outcomes. The second and third studies use data from a community-based survey conducted in London, Ontario, Canada in 1994/5 and 1996/7. Four indicators of underemployment are used including: lower income or benefits than in a previous job, involuntary …