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USF Tampa Graduate Theses and Dissertations

Social determinants of health

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Analysis Of The Role Of Residential Segregation On Perinatal Outcomes In Florida, Georgia, And Louisiana, Tabia Henry Akintobi Jun 2006

Analysis Of The Role Of Residential Segregation On Perinatal Outcomes In Florida, Georgia, And Louisiana, Tabia Henry Akintobi

USF Tampa Graduate Theses and Dissertations

The purpose of this study was to investigate the relationship between residential segregation (the physical separation of Blacks and Whites in residential contexts) and adverse perinatal outcomes (low birth weight, preterm delivery and small for gestational age births) in Florida, Georgia and Louisiana. The study determined the independent effect of the level of residential segregation on the likelihood of adverse perinatal outcomes after controlling for contextual and individual factors. The study also assessed whether the relationship between residential segregation and adverse perinatal outcomes were moderated by ethnicity and median income.The studied employed an observational, cross-sectional study design that utilized secondary …


The Role Of Social Structural And Social Contextual Factors In Shaping Chronic Disease And Chronic Disease Risk Behavior: A Multilevel Study Of Hypertension, General Health Status, And Mental Distress, Caroline Mae Mckay Jun 2006

The Role Of Social Structural And Social Contextual Factors In Shaping Chronic Disease And Chronic Disease Risk Behavior: A Multilevel Study Of Hypertension, General Health Status, And Mental Distress, Caroline Mae Mckay

USF Tampa Graduate Theses and Dissertations

At present there is a reliance on behavioral interventions that have been limited in their effectiveness to reduce the public health burden of chronic disease, partly because the effects of social context on the initiation and maintenance of health behaviors is not incorporated into public health policy and practice. Yet current research indicates that there are macro-level structural and contextual influences on population health that cannot be reduced to individual or compositional effects. This study investigated the associations between social structural factors, community social context, individual characteristics, and self-reported correlates of disease. Distal influences included social structural inequalities such as …