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Medicine and Health

Theses/Dissertations

2017

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Full-Text Articles in Social and Behavioral Sciences

Moving Mountains : A Study Examining Long-Term Impacts Of Mountaintop Removal Coal Mining On Mortality In The Appalachian Region Using Geographic Information Sciences Techniques., James Howard Kent Pugh Dec 2017

Moving Mountains : A Study Examining Long-Term Impacts Of Mountaintop Removal Coal Mining On Mortality In The Appalachian Region Using Geographic Information Sciences Techniques., James Howard Kent Pugh

Electronic Theses and Dissertations

Over the last hundred years, the Appalachian region has been dominated by the coal industry. It has also been and currently is one of the unhealthiest regions in the United States. Recent scholarship has examined the relationship between coal mining and health and mortality rates in the Appalachian region. The first study incorporates air quality and pollution data to examine if coal mining counties have higher levels of pollution and if this pollution contributes to mortality disadvantage. In the second study, I construct a population-based coal-exposure measure to better evaluate the relationship between coal mining and health I find that …


Socioeconomic Determinants Of Health Disparities By Race And Ethnicity: The Mediating Role Of Social, Psychological And Behavioral Factors, Amanuel Zimam Melekin Jul 2017

Socioeconomic Determinants Of Health Disparities By Race And Ethnicity: The Mediating Role Of Social, Psychological And Behavioral Factors, Amanuel Zimam Melekin

Dissertations and Theses

Socioeconomic status (SES) is inversely related to health status. Disparities in health status among races and ethnic groups are partly attributable to differences in SES, but the indirect pathways by which SES may influence health status are not widely studied.

Using the Health and Retirement Study (HRS) data, this dissertation examined the pathways by which SES, via social, psychological, and behavioral factors predicted physical impairment and overnight hospitalization, and asked whether these indirect relationships differed by race/ethnicity. The HRS is a nationally representative multistage area probability sample administered biennially to respondents over the age of 51 and their spouses. Data …


Medical Transnationalism: Korean Immigrants’ Medical Tourism To The Home Country, Sou Hyun Jang Jun 2017

Medical Transnationalism: Korean Immigrants’ Medical Tourism To The Home Country, Sou Hyun Jang

Dissertations, Theses, and Capstone Projects

This dissertation examines Korean immigrants’ barriers to formal U.S. healthcare, three distinctive types of healthcare behaviors that they exhibit, contributing factors to their medical tourism, and their experiences and evaluations of medical tourism. Analyzing survey data with 507 Korean immigrants and in-depth interviews with 120 Korean immigrants in the New York-New Jersey area, the study finds that more than half of Korean immigrants have barriers to healthcare in the U.S., the two biggest being the language barrier and not having health insurance. The study also finds that there are three distinctive types of healthcare behavior that Korean immigrants employ to …


A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot Jun 2017

A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot

Electronic Theses, Projects, and Dissertations

As gerontologists may know, there are a great deal of studies and a variety of academic literature on the misuse of alcohol and prescription medication amongst the elderly population. While there is a plethora of information on alcohol and prescription misuse, there is little reported data about the prevalence of other substance misuse experienced by this population. This study aims to help to fill that gap in the data by using quantitative methods to describe the scope of substance abuse of individuals 55-years or older. This study utilizes data from the Treatment Data Set Admission (TEDS-A). The TEDS-A is a …


Strategies And Substance Treatment: Perceptions Of Older Adults 60 And Over, Kim Malveo Jones Jun 2017

Strategies And Substance Treatment: Perceptions Of Older Adults 60 And Over, Kim Malveo Jones

Electronic Theses, Projects, and Dissertations

The purpose of this study was to gather the perceive strategies and substance treatment needs of adults 60 and over. To examine what recovery treatment models and strategies could be most effective for the age-related complex needs of the 60 and over population who are at risk for substance misuse, use or abuse. In the coming years, there will be a substantial increase in the numbers of older adults with substance misuse and abuse problems. Even though one in five individuals who experience substance abuse are older adults many clinicians remain ill equipped to serve older clientele, and particularly those …


Flesh And Blood, Clayton Petras May 2017

Flesh And Blood, Clayton Petras

Graduate School of Art Theses

In my work, I look for ways to visualize and document the degenerative mental disease of Parkinson’s and transform it into portrayals of the disease itself, its effects, and those it afflicts. Being a physical breakdown of the body, both popular culture and my own corporal understanding influence my interpretation and representation. This document outlines those influences and their buildup towards a shared understanding of the interests behind the work, as well as implies what the work does through these contexts.

How do we give identity to a disease that is difficult to diagnose or view on medical technology, currently …


A Guide For Assessing Older Adults’ Needs On Maine Islands, Beatrice Byrne May 2017

A Guide For Assessing Older Adults’ Needs On Maine Islands, Beatrice Byrne

Muskie School Capstones and Dissertations

This template may help Maine island communities identify older adults’ needs and island resources, in order to allow older adults to age in the island communities.

Three interviews with island health leaders, one community conversation with older islanders, and one pilot test provided information about what to include in the template.

The template includes a demographic survey, guides for conducting semi-structured interviews and group conversations with older adults and caregivers, a guide and worksheet for analyzing the data, a guide for assessing community resources, a guide for dissemination, and a list of additional resources.


Experiences Of Former Participants In Teen Advocates For Sexual Health (Tash), Celeste Nicholas Apr 2017

Experiences Of Former Participants In Teen Advocates For Sexual Health (Tash), Celeste Nicholas

Dissertations

This qualitative study explores the experiences of former participants in a Planned Parenthood youth development and sex education program, Teen Advocates for Sexual Health (TASH). Phenomenologically-based interviews centered the question, “What did it mean to participate in TASH?” Chapter 1 introduces the study context and synthesizes foundational literature from the fields of sex education, public health, critical pedagogy, civic engagement, youth development, and youth organizing. Chapters 2-4 each contain complete manuscripts, representing three complementary analytic approaches to a common data set and inviting multiple audiences. Chapter 2 addresses sex educators in describing TASH’s “rights-based” sex education model. Research questions included: …


A Study Of Nature Versus Nurture While Diagnosing Anxiety Or Conduct Disorders In Adolescents, Austin Laura Schnur Mar 2017

A Study Of Nature Versus Nurture While Diagnosing Anxiety Or Conduct Disorders In Adolescents, Austin Laura Schnur

Social Sciences

No abstract provided.


Warmth And Competence Traits: Perceptions Of Female And Male Nurse Stereotypes, Randolph E. Gross Feb 2017

Warmth And Competence Traits: Perceptions Of Female And Male Nurse Stereotypes, Randolph E. Gross

Dissertations, Theses, and Capstone Projects

A nursing shortage looms ahead; 1.03 million new nurses will be needed by 2022 to meet society's healthcare needs. A major barrier to recruitment of women and men are nurse stereotypes. The literature suggests four female and four male stereotypes exist; however, no quantitative research exists that explores perceptions of non-nursing undergraduate students. Approximately, 90% of college students do not consider nursing as a career option, and 72% have misconceptions of what nurses do in reality.

According to social cognitive theory's Stereotype Content Model (SCM), perceptions are viewed through a combination of two dimensions: warmth and competence. The author devised …


"We're Human": An Analysis Of Formal And Informal Training Methods For Direct Care Staff Working With Dual-Diagnosis Populations, Adam Clay Stephenson Jan 2017

"We're Human": An Analysis Of Formal And Informal Training Methods For Direct Care Staff Working With Dual-Diagnosis Populations, Adam Clay Stephenson

Theses, Dissertations and Capstones

Direct care staff, or DCS, are individuals tasked with providing a number of care services to individuals with disabilities in various settings. This study focuses on a group of direct care staff working at a day habilitation program in central West Virginia. Training techniques used to prepare these workers for a diverse array of roles are reviewed comparatively and through a sociological theoretical lens utilizing perspectives from Bandura (1977), Laubach (2005), Marx (1964), and Wolfensberger (1983). Semi-structured interview results indicate that formal training is driven by a less valorous view of disabled individuals as a class than informal training; that …


African American Mothers' Narratives Of Breastfeeding Support From Healthcare Providers, Tessa Treadwell Jan 2017

African American Mothers' Narratives Of Breastfeeding Support From Healthcare Providers, Tessa Treadwell

Honors Undergraduate Theses

Research indicates that African American women breastfeed at the lowest rates of any racial/ethnic group in the U.S. Breastfeeding has shown to have numerous health benefits for both mother and baby, making the lower rates of breastfeeding among African Americans a public health concern. Racial disparities in healthcare may contribute to these discrepancies. This research will analyze the perceptions of information and social support for breastfeeding provided by healthcare providers among a sample of African American mothers who breastfed their babies. The study asks: Do participants regard their healthcare providers as supportive of breastfeeding? Data were collected through in-depth qualitative …


An Exceptional Nation: Why The United States Lacks Universal Health Insurance, Sebastian Bernard Spitz Jan 2017

An Exceptional Nation: Why The United States Lacks Universal Health Insurance, Sebastian Bernard Spitz

Senior Projects Spring 2017

Senior Project submitted to The Division of Social Studies of Bard College.


The [E]Motionless Body No Longer: Tracing The Historical Intersections Of Mental Illness And Movement In The American Asylum, Holly Adele Herzfeld Jan 2017

The [E]Motionless Body No Longer: Tracing The Historical Intersections Of Mental Illness And Movement In The American Asylum, Holly Adele Herzfeld

Senior Projects Spring 2017

Senior Project submitted to The Division of Multidisciplinary Studies of Bard College.


Recovery From Design, Cassandra J. Ellison Jan 2017

Recovery From Design, Cassandra J. Ellison

Theses and Dissertations

Through research, inquiry, and an evaluation of Recovery By Design, a ‘design therapy’ program that serves people with mental illness, substance use disorders, and developmental disabilities, it is my assertion that the practice of design has therapeutic potential and can aid in the process of recovery. To the novice, the practices of conception, shaping form, and praxis have empowering benefit especially when guided by Conditional and Transformation Design methods together with an emphasis on materiality and vernacular form.


Health Care Delivery For The U.S. Hispanic Minority Can Be Improved, Samantha Pascoe Jan 2017

Health Care Delivery For The U.S. Hispanic Minority Can Be Improved, Samantha Pascoe

Honors Theses

America was born as a melting pot of peoples. From the very beginning this culture has been mixed with others. Diversity is a huge part of the American experience, and over the past 30 years, the Hispanic and Latino population has been increasing. With this population increase, the experience in the medical field that latino and Hispanic patients receive needs to be improved due to the cultural differences concerning individualism, values, and medical care: especially when concerning Latino patients. As a whole, the Hispanic community in the United States have a lower mortality rate then that of non-Hispanics living in …


The Role Of Afrocentric Features In Mental Healthcare Utilization And Counselor Preferences In Black College Students, Randl B. Dent Jan 2017

The Role Of Afrocentric Features In Mental Healthcare Utilization And Counselor Preferences In Black College Students, Randl B. Dent

Theses and Dissertations

Though mental health issues are prevalent in Black young adults, they underutilize mental healthcare services. This research examined the role of feature-based discrimination in mental healthcare (under)utilization. Study 1, a secondary analysis of the National Longitudinal Study of Adolescent to Adult Health, provided no evidence supporting a link between skin tone and mental healthcare utilization, when controlling for depression diagnosis. However, when controlling for depression symptoms, there was a trend such that Black young adults with darker, as opposed to lighter, skin tone utilized healthcare less. Study 2, an experimental study with 33 Black college students, showed 73% of the …


Depressive Symptoms Among College Students: An Exploration Of Fundamental Cause Theory, Peter A. Carrico Jan 2017

Depressive Symptoms Among College Students: An Exploration Of Fundamental Cause Theory, Peter A. Carrico

Theses and Dissertations

Fundamental Cause Theory suggests that socioeconomic and demographic factors are causal to various illnesses, including depression. However, no known previously existing research has used Fundamental Cause Theory to create a model of depression among college students. To do this, the present study conducted a stepwise binomial logistic regression to examine how socioeconomic status and the sociodemographic variables of Gender, Race, and Sexual Orientation, and others predict depressive symptoms in a large sample of undergraduates when controlling for stressful life events and social support (N = 2,915). Results support the hypothesis that socioeconomic disparities in depressive symptoms are the result …


Towards Active Ageing: A Comparative Study Of Experiences Of Older Ghanaians In Australia And Ghana, Daniel Doh Jan 2017

Towards Active Ageing: A Comparative Study Of Experiences Of Older Ghanaians In Australia And Ghana, Daniel Doh

Theses: Doctorates and Masters

Population ageing has become a central feature of the 21st century, as most countries search for economically viable strategies to support and manage their ageing populations to live in a dignified way. In 2002, the World Health Organisation (WHO) proposed the active ageing policy framework to guide countries to develop policies that promote the quality of life for their older people. However, the interpretation and application of the active ageing model in the literature and policy discussions are inconclusive on the most important elements that promote the quality of life of older people. The discussions have largely focused on health …


Investigation Of Sandwich Generation Caregiver Perceptions And Factors Of Caregiving Strain, Samantha Marie Young Jan 2017

Investigation Of Sandwich Generation Caregiver Perceptions And Factors Of Caregiving Strain, Samantha Marie Young

Masters Theses

The Sandwich Generation caregiver is responsible for caring for their children and parents simultaneously (Miller, 1981). In this study, stressors, burdens, and strains were analyzed in relation to caregiver demographics and the following variables: caregiving relationship quality, caregiving roles, communication, and resources (time and finances). The purpose of this study is to investigate the factors that contribute to perceived strains in Sandwich Generation caregivers. The Sandwich Generation Caregiver Survey was distributed through social media (Facebook, Instagram, Twitter, and LinkedIn), email, listservs, and word of mouth through a nonprobability snowball approach (Creswell, 2012). The researcher used frequency counts, percentages, and mean …