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Social and Behavioral Sciences Commons

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Virginia Commonwealth University

2013

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Articles 31 - 60 of 108

Full-Text Articles in Social and Behavioral Sciences

Evaluating The Effects Of A Group Cognitive Behavioral Therapy For Veterans With Posttraumatic Stress Disorder And Insomnia: A Pilot Study., Laurin Mack May 2013

Evaluating The Effects Of A Group Cognitive Behavioral Therapy For Veterans With Posttraumatic Stress Disorder And Insomnia: A Pilot Study., Laurin Mack

Theses and Dissertations

Combat and war zone veterans are particularly vulnerable to developing Posttraumatic Stress Disorder (PTSD) due to the increased risk of experiencing trauma inherent in military service. Insomnia and nightmares are core symptoms of PTSD and can be factors in the development, maintenance, and exacerbation of PTSD. However, sleep disturbance has received relatively little attention from a treatment point of view until recently. Recent research has demonstrated that cognitive behavioral therapy for insomnia (CBT-I) and imagery rehearsal therapy (IRT) for nightmares are effective stand alone and combination treatments for sleep disturbance in civilian and veteran populations. Although group interventions are lower …


A Workbook To Promote Forgiveness For Ingroup Congregational Offenses, Chelsea Greer May 2013

A Workbook To Promote Forgiveness For Ingroup Congregational Offenses, Chelsea Greer

Theses and Dissertations

Since research on forgiveness has flourished over the past three decades, multiple interventions have been developed to aid individuals in this arduous process. Two interventions in particular have been most-widely studied with diverse groups: Enright’s process model (Enright & Fitzgibbons, 2000) and Worthington’s REACH Forgiveness model (2006). Thus far, these forgiveness interventions have been led by trained professionals in an in-person group. In-person interventions pose issues of cost and attendance. In the current study, I adapted Worthington’s Christian-adapted REACH Forgiveness intervention into a self-directed workbook for Christians who have experienced an offense within a religious community. Participants (N = 52) …


The Role Of Family Organization In Family Health History Communication About Cancer, Vivian M. Rodríguez May 2013

The Role Of Family Organization In Family Health History Communication About Cancer, Vivian M. Rodríguez

Theses and Dissertations

Family health history (FHH) has been recognized as an important tool in cancer prevention and health promotion. To date, literature on FHH discussions about cancer have largely focused on patient-physician communication or the dissemination of cancer-specific genetic tests results within the family. Fewer studies have sought to identify family factors that may promote FHH discussions, yet this type of information could be used to identify families needing support in having these conversations. Thus, the present study examined relations between family organization (cohesion and flexibility), communication openness, and FHH communication about cancer within a diverse group of women recruited from an …


Examining The Relations Between The Mental Health And Physical Health Of Caregivers Of Ms In A Mexican Sample, Gillian Leibach May 2013

Examining The Relations Between The Mental Health And Physical Health Of Caregivers Of Ms In A Mexican Sample, Gillian Leibach

Theses and Dissertations

Evidence suggests that caregiver health affects patient health. Consistent with the Biopsychosocial Model, mental health (anxiety, depression, satisfaction with life, self-esteem), physical health (bodily pain, general health, performance in physical role, physical functioning), burden, and social support were examined in the present study to understand the relations between these variables and the overall health of 81 caregivers of patients with multiple sclerosis (MS) in Mexico. The relation between mental health and physical health was significant. Canonical correlations revealed that depression and general health emerged as primary variables and these were entered into a series of analyses with burden and social …


Differential Behavioral Effects Of Ketamine Between Adolescent And Adult Sprague-Dawley Rats, Maria A. Greenwood May 2013

Differential Behavioral Effects Of Ketamine Between Adolescent And Adult Sprague-Dawley Rats, Maria A. Greenwood

Theses and Dissertations

The dissociative anesthetic ketamine has been subject to growing abuse worldwide, particularly in adolescents. This project compared the effects of ketamine in conditioned place preference and intravenous self-administration in adolescent (PND 28-50) and adult (>PND70) Sprague-Dawley rats. Cocaine served as a positive control. In CPP, adolescents demonstrated preferences for ketamine, while adults developed an aversion. In the self-administration procedure, adults acquired the behavior more rapidly, but there was no difference in the percentage of subjects reaching acquisition nor in responding under a progressive ratio schedule for either drug. The CPP results suggest that adolescents have a greater sensitivity to …


Sociodemographic Risk Factors Of Glycemic Control For Youth With T1d: Cross-Sectional And Longitudinal Patterns Of Hba1c, Priscilla Powell May 2013

Sociodemographic Risk Factors Of Glycemic Control For Youth With T1d: Cross-Sectional And Longitudinal Patterns Of Hba1c, Priscilla Powell

Theses and Dissertations

Individual growth curve (IGC) modeling evaluated longitudinal trajectories of glycemic control and diabetes care of youth with Type 1 Diabetes (T1D) over three years. IGC modeling allowed comparison of confounded sociodemographic predictors of disease outcomes that included ethnicity, SES, parent marital status, family structure, as well as disease duration, to determine the relative impact of these factors in the evolution of HbA1c and diabetes care throughout adolescence. At baseline, participants recruited from two pediatric endocrinology clinics included 198 youth, ages 9-15 (M age = 12.65, 77% Caucasian, 74% lived with married biological parents, M SES = 45.70) with average HbA1c …


Do It Yourself: A Content Analysis Of Free Pornographic Tube Sites, Jill Kubichan May 2013

Do It Yourself: A Content Analysis Of Free Pornographic Tube Sites, Jill Kubichan

Theses and Dissertations

In 2008 it was reported that there are approximately 28,258 internet users viewing pornography every second, and that men look at pornography online more than any other subject matter (Eberstadt 2009). Pornography has become a primary tool of sex education for young men (Bowater 2011) with the average age of first exposure being age 11 (Stefan 2012). However, research on viewer understanding and interpretation of the images is scarce. What are boys learning about sexuality as they watch pornography? Do they use pornography as a ‘how-to’ manual expressing a desire to mimic the onscreen act or do they use pornography …


The Seeds Of Mistrust: The Relationship Between Perceived Racism, Hiv Conspiracy Theories And Hiv Testing Attitudes, Joshua Brevard May 2013

The Seeds Of Mistrust: The Relationship Between Perceived Racism, Hiv Conspiracy Theories And Hiv Testing Attitudes, Joshua Brevard

Theses and Dissertations

Although the number of HIV infected peaked in the late 1980’s, HIV remains a major concern within the African American community (CDC, 2008). African Americans are disproportionately affected, comprising 14% of the U.S. population but representing 44% of new HIV infections in 2009 (CDC, 2011). It is vital to identify barriers to positive health behaviors like consistent condom use and HIV testing. This study focus on factors impacting attitudes towards HIV testing, including mistrust of the healthcare system, measured by support for HIV conspiracy theories (Thomas & Quinn, 1991). It also examined the prevalence of HIV conspiracy beliefs among African …


A Dual Dilemma: An Examination Of Body Dissatisfaction Among Asian American Females In Emerging Adulthood, Sarah Javier May 2013

A Dual Dilemma: An Examination Of Body Dissatisfaction Among Asian American Females In Emerging Adulthood, Sarah Javier

Theses and Dissertations

The purpose of this study was to examine what factors contribute to and result from body dissatisfaction using the theoretical framework of the Tripartite Model of Influence, which included family, peer, and media influence. Participants were recruited from SONA and student organizations and participated in an online survey (N =148). A MANCOVA indicated that Asian and White females did not differ in body dissatisfaction and other health outcomes. Thin-ideal internalization mediated the relationships between media influence, peer influence, and body dissatisfaction among Asian American females. Moderation analyses indicated that ethnic identity, Asian American identity, and acculturation did not moderate the …


Relations Between Sexual Identity Exploration And Risky Sexual Behavior In Emerging Adulthood, Jennifer J. Reid May 2013

Relations Between Sexual Identity Exploration And Risky Sexual Behavior In Emerging Adulthood, Jennifer J. Reid

Theses and Dissertations

Examined within this study were the relations between two processes within sexual identity development, sexual identity exploration and sexual identity commitment, and risky sexual behaviors. The moderating effects of sexual identity commitment, sexual self-efficacy, and positive condom use attitudes on relations between sexual identity exploration and risky sexual behaviors were also examined. Risky sexual behaviors included the frequency of substance prior to and barrier protection use during sex, multiple sex partners, and the initiation of sex prior to age sixteen. Study participants included 322 college students attending an urban university in the Southeastern United States. All were heterosexual and reported …


Land Grab Or Development Planning Strategy: An Analysis Of Agricultural Development Led Industrialization Planning In Ethiopia., Nathan Teklemariam Apr 2013

Land Grab Or Development Planning Strategy: An Analysis Of Agricultural Development Led Industrialization Planning In Ethiopia., Nathan Teklemariam

Theses and Dissertations

Observing the current wave of large scale land acquisitions in Sub-Saharan Africa, many have found it easy to call the situation land grab, the new form of neo colonialism in Africa. In Ethiopia, few underlining socio-economic and political currents have shaped the leasing of its arable land to both national and international investors in recent years. The Agricultural Development Led Industrialization strategy the country adopted in the early 1990s, followed with consecutive short-term strategic plans focused primarily on agriculture as the driver for the nation’s economic growth and structural transformation, have acted as the main underpinnings in the commercialization of …


Evaluating Social Sustainability In Plans For Inter-Cultural Cities, Diane Faye Gapas Apr 2013

Evaluating Social Sustainability In Plans For Inter-Cultural Cities, Diane Faye Gapas

Theses and Dissertations

Recently, there is an increasing interest and awareness on sustainability and sustainable development. Sustainability is comprised of the three E’s: environment, economy and equity. Of these three, the equity or the social sustainability component is often overlooked. As cities become more global and demographically diverse due to immigration, diversity’s impact to the city should be addressed through policies and plans. The content analysis and evaluation of city plans, policies and urban design examines their response to accommodating and including inter-cultural diversity using identified indicators of social sustainability and equity. This study finds that the length of time a city has …


Dispositional Mindfulness As A Moderator Of Electrocortical And Behavioral Responses To Affective Social Stimuli, Jordan T. Quaglia Apr 2013

Dispositional Mindfulness As A Moderator Of Electrocortical And Behavioral Responses To Affective Social Stimuli, Jordan T. Quaglia

Theses and Dissertations

Numerous studies have linked dispositional mindfulness to enhanced emotion regulation. The present research examined dispositional mindfulness as a predictor of emotion regulation in social affective contexts. Participants completed passive viewing and Emotional Go/No-Go tasks involving social affective stimuli (happy, neutral, and fearful facial expressions). Event-related potentials (ERPs) and behavioral responses were examined to discern whether dispositional mindfulness predicted differential neural and behavioral responses indexing attention to, awareness of, and inhibitory control over automatic responses to affective social stimuli. Dispositional mindfulness predicted larger (more negative) N100, N200 and No-Go N200 amplitudes during the Emotional Go/No-Go task, but was not associated with …


Uncertainty And Primary Appraisal As Predictors Of Acute Stress Disorder In Parents Of Critically Ill Children: A Mediational Model, Monica Durrette Apr 2013

Uncertainty And Primary Appraisal As Predictors Of Acute Stress Disorder In Parents Of Critically Ill Children: A Mediational Model, Monica Durrette

Theses and Dissertations

This study examined illness-related uncertainty and primary appraisals of threat, centrality, and challenge as predictors of acute stress disorder (ASD) symptoms in parents of children hospitalized in a pediatric intensive care unit (PICU). Ultimately, a mediational pathway was tested to determine if primary appraisal was a mechanism that accounted for the impact of uncertainty on ASD symptoms. Ancillary study aims were to assess the degree to which parents perceived uncertainty in the PICU environment, and to determine the prevalence of ASD among parents in this setting. Self-report data was collected from 77 parents (57 mothers, 19 fathers) of children hospitalized …


A Positive Dimension: Exploring Factors That Enhance Utilization Of And Adherence To Prevention Of Mother-To-Child Transmission (Pmtct) Of Hiv Services In An Urban Setting In Kenya, Lydia Murithi Apr 2013

A Positive Dimension: Exploring Factors That Enhance Utilization Of And Adherence To Prevention Of Mother-To-Child Transmission (Pmtct) Of Hiv Services In An Urban Setting In Kenya, Lydia Murithi

Theses and Dissertations

Despite expansive scale-up of prevention of mother-to-child transmission (PMTCT) of HIV services in Kenya over the last decade, Kenya remains one of the countries contributing high numbers of children living with HIV globally and among the 22 PMTCT global plan priority countries. Using a mixed methods approach this study examined enabling factors –individual, social and structural – that enhance utilization of and adherence to PMTCT services in a plural urban setting in Kenya. The study was conducted from October-December of 2012 at St. Mary’s Mission Hospital, Lang’ata. HIV-positive birthmothers whose infants were HIV-negative at the time of the study were …


Human Papillomavirus: Identifying Vaccination Rates, Barriers, And Information Gathering Among College Women Ages 18-26, Timmerie Cohen Apr 2013

Human Papillomavirus: Identifying Vaccination Rates, Barriers, And Information Gathering Among College Women Ages 18-26, Timmerie Cohen

Theses and Dissertations

This dissertation examines vaccination rates for Human Papillomavirus (HPV) among college women 18-26 years of age who participated in the American College Health Association’s National College Assessment (ACHA-NCHA). Utilizing secondary data, this research sought to report HPV vaccination rates among a racially diverse population and to identify potential barriers to vaccination. The ACHA-NCHA survey provided a large sample size (N=68,193) in which to perform a binary logistic regression analysis. Demographic characteristics were analyzed as potential barriers to HPV vaccination. Additionally, lack of certain health behaviors were explored as potential barriers to HPV vaccination. In this study, White/non-Hispanic women had a …


Disruptive Transformations In Health Care: Technological Innovation And The Acute Care General Hospital, D. Pulane Lucas Apr 2013

Disruptive Transformations In Health Care: Technological Innovation And The Acute Care General Hospital, D. Pulane Lucas

Theses and Dissertations

Advances in medical technology have altered the need for certain types of surgery to be performed in traditional inpatient hospital settings. Less invasive surgical procedures allow a growing number of medical treatments to take place on an outpatient basis. Hospitals face growing competition from ambulatory surgery centers (ASCs). The competitive threats posed by ASCs are important, given that inpatient surgery has been the cornerstone of hospital services for over a century. Additional research is needed to understand how surgical volume shifts between and within acute care general hospitals (ACGHs) and ASCs. This study investigates how medical technology within the hospital …


Four Virtues: Interventions For Goodness' Sake, Caroline Lavelock Apr 2013

Four Virtues: Interventions For Goodness' Sake, Caroline Lavelock

Theses and Dissertations

Empirical interest in promoting virtues has dramatically increased over the last decade. The present study will focus primarily on the warmth-based virtues of forgiveness and humility, and the conscientiousness-based virtues of patience and self-control. I introduced participants (N = 135) to a workbook intended to promote one of these four virtues, or to promote general positivity for participants in a workbook control condition. I hypothesized that virtue workbooks would produce higher levels of the target virtue, more so than in both a non-action control condition (n = 33) and in a control condition that completes a workbook that promotes general …


Notions Of Spirits As Agents Of Mental Illness Among The Akan Of Ghana: A Cultural-Psychological Exploration, Annabella Opare-Henaku Apr 2013

Notions Of Spirits As Agents Of Mental Illness Among The Akan Of Ghana: A Cultural-Psychological Exploration, Annabella Opare-Henaku

Theses and Dissertations

The study explores lay conceptualizations of mental illness among the Akans of Ghana as influenced by their cultural worldview. Akan, the largest ethnic group in Ghana, is noted for the use of supernatural attributions for various health-related issues. The supernatural attributions are based on Akan ontological belief that the universe is unitary such that there is no clear distinction between physical and spiritual occurrences. This worldview guides Akans in how they deal with a wide range of issues including their mental health. Clinicians and other mental health professionals who rely solely on biomedical approaches to mental health fail to meet …


Public Participation In Transportation Planning: How Does The Level Of Engagement And Deliberation Affect Transportation Decisions In Virginia's Mpos?, Unwanna Dabney Apr 2013

Public Participation In Transportation Planning: How Does The Level Of Engagement And Deliberation Affect Transportation Decisions In Virginia's Mpos?, Unwanna Dabney

Theses and Dissertations

Federal, state and local laws entitle the public to have an active role in the transportation decision making process. However, it remains difficult to engage the public in the long range planning process. The laws requiring public involvement are intentionally vague and don’t prescribe specific approaches, so there is little consistency in public participation approaches and many state, regional, and local transportation agencies choose to do only what is necessary to meet minimum requirements (PBS&J, 2009). The purpose of this study is to examine public participation in transportation planning with specific focus on how the characteristics of public participation, the …


Understanding The Public's Attitudes Toward Tissue Donation: A Multi-Method Approach, Lindsey Kurland Apr 2013

Understanding The Public's Attitudes Toward Tissue Donation: A Multi-Method Approach, Lindsey Kurland

Theses and Dissertations

The impact of deceased tissue donation and transplantation is far-reaching; however, little is known about the public’s attitudes towards tissue donation. Siminoff, Traino, and Gordon (2010) found that families’ attitudes towards tissue donation were a significant predictor of consent; specifically, families that were initially favorable towards tissue donation were more likely to donate their loved ones tissues than families that were initially unfavorable towards tissue donation. Using a qualitative coding approach and the Tripartite Model of Attitude Structure (affective, behavioral, and cognitive attitude components) as a conceptual framework, families’ expressed attitudes toward tissue donation were extracted from N=240 audiorecordings of …


The Effects Of Relational Victimization On The Perceived Barriers, Career Decision-Making Self-Efficacy, And Career Aspirations Of Female Offenders, Brooke Green Apr 2013

The Effects Of Relational Victimization On The Perceived Barriers, Career Decision-Making Self-Efficacy, And Career Aspirations Of Female Offenders, Brooke Green

Theses and Dissertations

We explored the relations among relational victimization and career-related variables in a sample of 174 non-violent female felony offenders residing in a community corrections residential facility. Archival data was used from a larger career-related reentry program that represented a joint effort between investigators at the VCU Department of Psychology and staff from the Virginia Department of Correctional Education. Data analyses focused on the association between (a) recent experiences of relational victimization and (b) career aspiration complexity code, (c) career aspirations towards or away from socially-oriented careers, (d) perceived occupational barriers, and (e) career decision-making self-efficacy. Hypothesized associations among this set …


Red Bones And Earth Mothers: A Contemporary Exploration Of Colorism And Its Perception Among African American Female Adolescents, Morgan Maxwell Apr 2013

Red Bones And Earth Mothers: A Contemporary Exploration Of Colorism And Its Perception Among African American Female Adolescents, Morgan Maxwell

Theses and Dissertations

Research on colorism continues to gain momentum across several disciplines. However, while varied studies have explored the social phenomenon among adult populations, especially those of African ancestry, few have systematically investigated the extent to which African American youth are exposed to or endorse hierarchical perceptions of skin color. The current study addresses this void in colorism literature. Employing a grounded theory approach, the present investigation examines African American female adolescents’ perceptions of skin color, aiming specifically to understand the sociocultural factors that underpin and contribute to colorist socializations as well as sources of skin color messages. Five focus groups and …


Trophies, Plaques, And Rewards: An Application Of Cognitive Evaluation Theory To Volunteer Motivation., John Kim Apr 2013

Trophies, Plaques, And Rewards: An Application Of Cognitive Evaluation Theory To Volunteer Motivation., John Kim

Theses and Dissertations

Using Cognitive Evaluation Theory, this research evaluated the impact non-monetary extrinsic incentives in the form of department t-shirts had on the intrinsic motivation of Virginia career and volunteer firefighters. Intrinsic motivation was measured using the Work Extrinsic and Intrinsic Motivation Scale (WEIMS). The survey was administered to a randomly selected sample of firefighters. Data was analyzed using multiple regression analysis. Results suggested that the department t-shirt did not have a statistically significant impact on intrinsic motivation of both career and volunteer firefighters. Additionally, this study suggested that volunteer firefighters did not perceive salary as an inequitable reward. This was exhibited …


Guilt, Blame, And Responsibility: The Experiences Of Parents And Clinicians Providing Services To Adolescents With Co-Occurring Mental Health And Substance Abuse Challenges, Katherine Cohen-Filipic Apr 2013

Guilt, Blame, And Responsibility: The Experiences Of Parents And Clinicians Providing Services To Adolescents With Co-Occurring Mental Health And Substance Abuse Challenges, Katherine Cohen-Filipic

Theses and Dissertations

The purpose of this study is to understand and describe the experiences of parents of, and clinicians who provide services to, adolescents with co-occurring mental health and substance use challenges, particularly as they relate to issues of guilt, blame, and responsibility. The study is based in a theoretical framework derived from Symbolic Interactionism (Blumer, 1969), Attribution Theory (Heider, 1958), and Barrett`s (1995) Theory of Guilt and Shame. The guiding question the study is: What are the experiences of parents of adolescents with co-occurring mental health and substance abuse challenges and clinicians who provide treatment services around issues of blame, guilt, …


Dimensions Of Informal Support Network Development In An Asian American Community In The New South: A Grounded Theory, Suzie Weng Apr 2013

Dimensions Of Informal Support Network Development In An Asian American Community In The New South: A Grounded Theory, Suzie Weng

Theses and Dissertations

The continuum of care framework posits that individuals move from one level to the next in seeking resources for help ranging from first using informal support to finally using formal services. Yet, the literature is mostly focused on formal services. It is well-known in the literature that existing formal services are underutilized by the Asian American population. If that is also the case in nontraditional settlement cities like Richmond, Virginia, the continuum of care framework and existing literature suggest that Asian Americans are turning to their informal support networks to meet their needs. Thus far, the literature on informal support …


Children Who Have Experienced Trauma: An Examination Of The Role Of Race, Ethnicity, And Cultural Factors In Presenting Symptoms And At Three Month (Or First Recorded) Follow Up, Stephanie Susanne Genser Wolf Apr 2013

Children Who Have Experienced Trauma: An Examination Of The Role Of Race, Ethnicity, And Cultural Factors In Presenting Symptoms And At Three Month (Or First Recorded) Follow Up, Stephanie Susanne Genser Wolf

Theses and Dissertations

Child traumatic stress is a pervasive problem that affects the well-being and healthy development of children from all races, ethnicities, and cultures. Major factors known to affect trauma symptoms include type of trauma, level or severity of trauma exposure, and age and gender of children. Utilizing Bronfenbrenner’s ecological model, this study measured the additional influence of children’s race, ethnicity, and cultural factors on symptoms after trauma. A dataset of children in treatment after experiencing trauma (0-21 years, N = 10,115) from The National Child Traumatic Stress Network (NCTSN), a federally funded initiative that collected longitudinal data across 56 research and …


Racial/Ethnic Differences In Fatality Rates From Motor Vehicle Crashes: An Analysis From A Behavioral And Cultural Perspective, Huda Hamdan Apr 2013

Racial/Ethnic Differences In Fatality Rates From Motor Vehicle Crashes: An Analysis From A Behavioral And Cultural Perspective, Huda Hamdan

Theses and Dissertations

Ethnic/racial minorities in the United States are overrepresented in fatalities from motor vehicle crashes (MVC). Growing evidence indicates that there are differences among racial/ethnic groups in risk of involvement in fatal crashes. Based on previous research, numerous factors may be involved in high racial/ethnic fatality rates from MVCs, including failure to use safety equipment, driving while under the influence of alcohol/drug, red light running, and speeding. Using data from the Office of the Chief Medical Examiner (OCME) and the FR300P Police Crash Report, this project explores differences in variables associated with traffic safety behavior and traffic law obedience between non-White …


Finishing On-Time: A Qualitative Examination Of Contributors To Timely Undergraduate Degree Completion, Diane Vermaaten Apr 2013

Finishing On-Time: A Qualitative Examination Of Contributors To Timely Undergraduate Degree Completion, Diane Vermaaten

Theses and Dissertations

The purpose of this study was to determine the most significant factors that contributed to on-time undergraduate degree completion. On-time degree completion requires that a student complete all the requirements of their degree within 4.5 years or less. A grounded theory methodology was used to conduct the study. Narrative data was collected through semi-structured interviews. Thirty former students who completed their undergraduate degree at Virginia Commonwealth University were recruited for this study. To be eligible for the study, participants had to have completed their undergraduate degree in 4.5 years or less and graduated between 2004 and 2011. The analysis of …


The Role Of Doctor-Patient Race Concordance In U.S. Health Disparities, Sarah Simon Apr 2013

The Role Of Doctor-Patient Race Concordance In U.S. Health Disparities, Sarah Simon

Theses and Dissertations

It has been established that much of the disparity in health outcomes between blacks and whites can be explained by accounting for education and income. Once education and income have been taken into consideration, research has found racial disparities in health outcomes for low-income populations are small, and in some cases no longer significant. For middle and upper income populations, however, a significant racial disparity in health outcomes persists even after accounting for education and income. Seeking to explain this variation, I analyze the literature concerning health disparities, race and class, the prevalence and distribution of black physicians, and issues …