Social and Behavioral Sciences Commons^™

Racial Disparities In Pain Management In Primary Care, Miriam Ezenwa

Journal of Health Disparities Research and Practice

This descriptive, cross-sectional, secondary data analysis was conducted to examine racial disparities in pain management of primary care patients with chronic nonmalignant pain using chronic opioid therapy. Data from 891 patients, including 201 African Americans and 691 Caucasians were used to test an explanatory model for these disparities. We predicted that: (1) African American patients would report worse pain management and poor quality of life (QOL) than Caucasians; (2) the association between race and pain management would be mediated by perceived discrimination relating to hopelessness; and (3) poor pain management would negatively affect QOL. Results revealed significant differences between African …

Interview With Henry Scott Regarding Ccc (Fa 81), Manuscripts & Folklife Archives

FA Oral Histories

Transcription of an oral history interview done with Henry Scott related to his work in a Civilian Conservation Corps camp at Mammoth Cave in the 1930s.

Hagerman, Henry Thomas, 1862-1935 (Sc 443), Manuscripts & Folklife Archives

MSS Finding Aids

Finding aid and scan (Click on "additional files" below) for Manuscripts Small Collection 443. Legal papers setting the execution date of Jim Buckner, African American, Marion County, Kentucky, as 9 June 1911, and stay of execution by Acting Governor William Hopkinson Cox until 8 July 1911, because of the incompletion of the installation of the electrocution apparatus. Henry Thomas Hagerman, warden of Kentucky Penitentiary, Eddyville, attested to Buckner’s death.

Equal Care, Unequal Outcomes: Experiences Of A Reach 2010 Community, Diane Neal, Barbara Carlson, Carolyn Jenkins, Gayenell Magwood

Journal of Health Disparities Research and Practice

Diabetes is growing in prevalence and costs. Guidelines for care have been available since 1983, yet diabetes care and outcomes remain less than ideal. CDC’s Racial and Ethnic Approaches to Community Health 2010 (REACH 2010) identified diabetes in African Americans as a priority for action. This article documents the activities, interventions, and current progress of the REACH 2010 diabetes coalition formed in Charleston and Georgetown counties, South Carolina, in reducing health care disparities and describes next steps for improving outcomes. The Chronic Care Model guided many of the implementation activities, and chart audits were used to document outcomes. Ambulatory care …

Elevated Depressive Symptoms In A Community Sample Of African-Americans And Whites, Robert J. Jagers, Fernando A. Wagner, Pamela E. Scott-Johnson, Yan Wang, Dorothy C. Browne

Journal of Health Disparities Research and Practice

This study examined demographic and psychosocial correlates of elevated depressive symptoms among African-Americans and Whites from comparable socioeconomic and neighborhood backgrounds. 851 African-Americans and 597 Whites from adjacent census tracts were interviewed using previously validated indicators of depressive symptoms, social support, religious practices and various demographic characteristics. More Whites than African-Americans reported elevated depressive symptoms and the groups also differed on several demographic variables and psychosocial variables. Employment, marital status and age were salient demographic covariates for African Americans, while income was for Whites. For both groups, social support and church attendance were inversely associated with depressive symptoms. Prayer was …

A Geospatial Analysis Of Cdc-Funded Hiv Prevention Programs For African Americans In The United States, G. A. Gilliam, Carol L. Hanchette, Kieran J. Fogarty, Deborah A. Gibbs

Journal of Health Disparities Research and Practice

Given the increase in HIV/AIDS infection rates among racial and ethnic minorities, particularly African Americans, this study was undertaken as part of a larger research effort to examine the distribution of HIV prevention services focusing on African American populations within the United States. Data were gathered via a national survey of community-based organizations (CBOs) funded by the Centers for Disease Control and Prevention (CDC). A geocoded national database was constructed to identify, locate, and map these HIV prevention programs. A total of 1,020 CBOs responded to the survey, yielding a response rate of 70.3%. These CBOs administered a total of …

Family Breast Cancer Education: A Model For African American Women, Frankie D. Powell, Edwin D. Bell, Jamilla Shepperson, Thomas Coaxum

Journal of Health Disparities Research and Practice

The purpose of this study, funded by the American Cancer Society, was to increase knowledge and understanding, i.e., the willingness and ability to discuss, of breast cancer in southern minority women and their families. A family model of health education guided the research questions. (a) To what extent will an action research intervention increase knowledge about the causes and treatment of breast cancer in minority women? (b) To what extent will an action research intervention increase willingness to talk with family members? The t-test analysis of a 67-item, self- administered survey indicated significant increases in knowledge of cancer and in …

Evaluating “Not In Mama's Kitchen” Second-Hand Smoke Campaign In Georgia, Jonathan B. Vangeest, Verna L. Welch

Journal of Health Disparities Research and Practice

In 2003-2005, the Association of Black Cardiologists, Inc. initiated the Not in Mama’s Kitchen (NIMK) second-hand smoke (SHS) prevention campaign in Georgia as part of their effort to reduce exposure to SHS in African American communities statewide. This initiative was evaluated using baseline data from pledge cards as well as data from a self-administered mail survey of 1,000 campaign participants. 14,770 Georgians participated in NIMK, signing pledges to make their homes and cars smoke free. Majorities of those surveyed followed through with their pledge, banning tobacco use in their homes (76.1%) and cars (80.2%). The program was cited by 65.4% …

African American Adults’ Experiences With The Health Care System: In Their Own Words, Keri A. Jupka, Nancy L. Weaver, Vetta L. Sanders-Thompson, Nicole M. Caito, Matthew W. Kreuter

Journal of Health Disparities Research and Practice

African Americans suffer a disproportionate burden of death and illness from a number of different chronic diseases. Inequalities in health care practices and poor patient and provider communication between African American patients and health care professionals contribute to these disparities. We describe findings from focus groups with 79 urban African Americans in which the participants discussed their interactions with the healthcare system as well as beliefs and opinions of the healthcare system and professionals. Analysis revealed five major themes: (1) historical and contextual foundations; (2) interpersonal experiences with physicians and other health care workers; (3) discrimination; (4) trust, opinions and …

Pastors’ Influence On Research-Based Health Programs In Church Settings, Shirley M. Timmons

Journal of Health Disparities Research and Practice

Churches, in the United States, are recognized essential players in addressing our mounting health and social service needs. Yet, even though they implement a relatively large number of programs, few are research-based. Focus groups were conducted with pastors from 11 Baptist churches in a small Southeastern town to explore factors that influence the implementation of research-based health programs. Transcripts were coded for domains resulting in four themes: congregant needs, shared programming ethics, common understanding of programming processes, and care for the church and congregation. Pastors value research and seek church-based programs that enhance the health of congregants. Yet, future study …

Promoting Physical Activity In Low Income African Americans: Project Laps, Dorothy W. Pekmezi, Brooke L. Barbera, Jamie S. Bodenlos, Glenn N. Jones, Phillip J. Brantley

Journal of Health Disparities Research and Practice

Low income African Americans are at increased risk for physical inactivity and related chronic illnesses. Thus, effective interventions are needed to address these health disparities. The current study examined the efficacy of a home-based physical activity intervention among a low income African American sample with high rates of chronic illnesses (obesity, hypertension, diabetes, high cholesterol). Participants (n=214) were randomly assigned to either the home-based physical activity intervention (self-help print materials, five monthly newsletters, two telephone counseling sessions) or an attention control condition, which promoted healthy diet. Results indicated that the intervention did not produce significantly greater increases in physical activity …

Beyond The It Magic Bullet: Hiv Prevention Education And Public Policy, Fay C. Payton

Journal of Health Disparities Research and Practice

Analytic applications are vital in the assessments of public health and surveillance as these applications can drive resource allocation, community assessment and public policy. Using a dataset of nearly 90,000 patient hospital encounters, the number of instances with an ICD code of HIV and co-morbidities was identified. Blacks accounted for 75 percent of HIV hospital encounters in the dataset. While business analytic applications informed this study of cross-tabulations and interaction effects among race, age and gender, there appears to be a significant relationship among HIV diagnoses and substance abuse. Payer data is informed by the Healthcare Cost and Utilization Project …

A Review Of Smoking Among Rural African Americans: Recommendations For Research And Cessation Interventions, Susan Hedgecock, Anita Fernander

Journal of Health Disparities Research and Practice

Objective: The purpose of this review is to synthesize the available literature on smoking among rural African Americans.

Methods: Using search terms “rural” “African American” “Black” and “smoking” 19 relevant articles were identified in the Medline data base. Findings gleaned from the 19 articles are presented in four categories: a) smoking prevalence, b) smoking behavior and patterns, c) smoking cessation interventions and quitting, and d) smoking-related outcomes.

Results: There may be gender differences, a pattern of late onset of smoking, and a preference for mentholated brands among rural African American smokers. There is no evidence that rural African Americans are …

Differential Effects Of Race And Poverty On Ambulatory Care Sensitive Conditions, Farrukh B. Hakeem, Daniel L. Howard, Timothy S. Carey, Yhenneko J. Taylor

Journal of Health Disparities Research and Practice

This study is a continuation of an earlier study that examined hospitalization rates for ambulatory care sensitive (ACS) conditions, as a proxy for quality of care, and found evidence of a racial disparity among African American and White Medicare beneficiaries. The current study sought to determine whether neighborhood socioeconomic status (SES) explained this disparity. Differences in rates of ACS hospitalizations by race were assessed using Cochran-Mantel Haenszel tests and Poisson regression. Unadjusted rate ratios for ACS hospitalization for African Americans vs. Whites were found to be higher in low poverty areas (rate ratio (RR)=1.13; 95% CI (1.08, 1.17)) than in …

Recruitment Of African Americans For Obsessive Compulsive Disorder Treatment Research, Georgia Michalopoulou, Pamela Falzarano, David Rosenberg

Journal of Health Disparities Research and Practice

A systematic review of recruitment approaches was conducted as a step towards creating a culturally sensitive approach to enhance participation of African Americans into our Obsessive Compulsive Disorder (OCD) treatment research. From this review, a recruitment plan providing a collaborative partnership between the African American community and the clinical investigators was adopted. We sought to increase participation in OCD research by developing culturally sensitive educational materials, implementing strategies such as recruiter ethnic match, encouraging individuals to participate by a pastor, and providing education in the community that attempted to decrease stigmatization of mental illness and target cultural suspicion of institutional …

Community Resources And Black Social Action, F Street, A Case Study, Robert Joseph Mckee

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study examines the resources employed by the predominantly African American residents of Historic West Las Vegas, Nevada, to protest a street closure in their community. Previous studies of collective social action in the black community have stressed the involvement and resources of the black church. Instead, the residents of this community relied on cultural, social, and economic resources that did not depend heavily on the church. In this ethnographic case study, I combined participant observation, ethnographic interviews, prolonged engagement, photographs, and document analysis. I argue that the resources a community employs in social action can be analyzed using my …

Building A Dream, Jenny Nestelberger

Graduate Research Symposium (GCUA) (2010 - 2017)

The August 28, 1963 March on Washington is often remembered primarily for Martin Luther King, Jr.’s “I Have a Dream” speech, which serves as the pinnacle of civil rights movement oratory. This thesis, in contrast, examines speeches of the leaders of the “Big Six” organizations that preceded King’s well-known words in order to shed light on the complexities of the movement and the outcomes that can result from meaningful dissent. Occurring at a time of division, the March emerged as a symbol of hope for change in the nation. The addresses of the day reflected this hope and helped build …

Walking Increases Among African American Adults Following A Community-Based Physical Activity Intervention: Racial And Ethnic Approaches To Community Health, 2002–2005, I. W. Miles, J. Kruger, Y. Liao, S. A. Carlson, J. E. Fulton

Journal of Health Disparities Research and Practice

Racial and Ethnic Approaches to Community Health (REACH) 2010, a communitybased program, is a cornerstone of CDC’s efforts to eliminate racial and ethnic health disparities. Six African American REACH sites implemented walking interventions as part of their plans to decrease health disparities. We evaluated changes in walking using annual evaluation assessments (2002–2005) from the REACH 2010 Risk Factor Survey. Walking was classified 3 ways: (1) any walking (≥ 10 minutes per week); (2) regular walking (≥ 30 minutes each day, ≥ 5 days per week); and (3) median minutes of walking per week. Any walking increased from 68.3% in 2002 …

Young, Jobless, And Black: Young Black Women And Economic Downturns, Raine Dozier

The Journal of Sociology & Social Welfare

This research challenges William Julius Wilson's (1980) postulation that social class has superseded race in predicting economic outcomes among African Americans. Among the evidence Wilson used to support his claim was the strong position of black degree holders, particularly women. Shortly after the publication of The Declining Significance of Race, however, the United States experienced a severe recession and slow recovery, contributing to a marked growth in the black-white wage gap among women. Young black women were particularly hard hit. Over the 1980s, their cumulative work experience became increasingly correlated with educational attainment, leading to an absolute loss in experience …

"Waiting For The White Man To Fix Things:" Rebuilding Black Poverty In New Orleans, Robert L. Hawkins, Katherine Maurer

The Journal of Sociology & Social Welfare

This paper revisits William Julius Wilson's thesis that class has surpassed race in significance of impact on African Americans. Our study uses qualitative data from a three-year ethnographic study of 40 largely low-income families in New Orleans following Hurricane Katrina. We also include a review of the recent U.S. Census study assessing New Orleans's current economic state. Participants in our study viewed race and class as major factors in four areas: (1) immediately following the devastation; (2) during relocation to other communities; (3) during the rebuilding process; and (4) historically and structurally throughout New Orleans. Our analysis concludes that racism …

Ua12/2/1 National Signing Day, Wku Student Affairs

WKU Archives Records

Special athletics magazine issue of the College Heights Herald.

• Stephens, Brad. Toppers Address Needs, Build Depth with Signing Class – Football
• Wells, Jordan. Former University of Louisville Commit Ready for WKU Career – Anthony Wales
• Claybourn, Cole. Willie Taggart Looking for National Identity – Football
• Finding the Right Pieces
• Wells, Jordan. Louisville Becomes Pipeline for Toppers
• Stephens, Brad. Nick Sheridan Promoted to Quarterbacks Coach

Suspension And Revocation Status Report For Milwaukee County, John Pawasarat

ETI Publications

Driver’s license suspension and revocation records were analyzed for Milwaukee County residents using a series of data files from the Wisconsin Department of Transportation. Notable changes were observed in number and patterns of charges. The elimination of mandatory revocations for OAR (operating after revocation) charges, a policy reform initiated by the Center for Driver’s License Recovery & Employability, reduced the number of OAR revocations from 10,124 in 2009 to 64 in 2011. The legislative reforms also led to a very large reduction in revocations for OWS (operating while suspended), which dropped from 5,815 revocations issued in 2009 down to 130 …

His Experience: Toward A Phenomenological Understanding Of Academic Capital Formation Among Black And Latino Male Students, Shaun R. Harper, Ph.D., Collin D. Williams Jr., David Pérez Ii, Ph.D., Demetri L. Morgan

Shaun R. Harper, Ph.D.

St. John, Hu, and Fisher (2011) define academic capital formation as “social processes that build family knowledge of educational and career options and support navigation through educational systems.” The authors suggest that particular interventions, programs, and services can equip students from lower-income backgrounds and their families with knowledge of and membership in networks that ultimately help them access colleges and universities, attain postsecondary degrees, and transition into the middle class. This chapter focuses on academic capital formation among Black and Latino male students, with a particular emphasis on giving voice to their navigational experiences along various dimensions of the St. …

"Spectacular Opacities": The Hyers Sisters' Performances Of Respectability And Resistance, Jocelyn Buckner

Theatre Faculty Articles and Research

This essay analyzes the Hyers Sisters, a Reconstruction-era African American sister act, and their radical efforts to transcend social limits of gender, class, and race in their early concert careers and three major productions, Out of Bondage and Peculiar Sam, or The Underground Railroad, two slavery-to-freedom epics, and Urlina, the African Princess, the first known African American play set in Africa. At a time when serious, realistic roles and romantic plotlines featuring black actors were nearly nonexistent due to the country’s appetite for stereotypical caricatures, the Hyers Sisters used gender passing to perform opposite one another as heterosexual lovers in …

Ua12/6 Diversity Programs - Publications, Wku Archives

WKU Archives Collection Inventories

Publications created by and about Diversity Programs.

Ua19/16/1 Lady Topper 2012-13 Basketball, Wku Athletic Media Relations

WKU Archives Records

WKU women's basketball media guide for 2012-13 season.

Ua68/8/2 Potter College Of Arts & Letters History Oral History Committee, Wku Archives

WKU Archives Collection Inventories

Records created by the Oral History Committee. Series includes oral history interview tapes and transcriptions.

Ua12/2/2 Talisman, Vol. 83, Wku Student Affairs

WKU Archives Records

2012 Talisman:

• Couch, Drew. Life Inside the Suit – Big Red
• Waggoner, Tabitha. Mike Nichols
• Plunkett, Amber. Rememberng 9/11
• Cherry, Lauren. Understanding Each Other
• Brown, Bianca. East Meets Western – Confucius Institute
• Heyne, Richard. Cage the Elephant Comes Home
• Clements, Kristin. Never Solo – Track & Field
• Spees, Monica. Out on the Water - Hilltopper Bass Club
• Simmons, Natasha. Kentucky’s Miss America – Ann-Blair Thornton
• Alleyne, Zirconia. The Hungriest Fans – Football
• Wood, Shane. The Making of a Game – Football
• Duke, Alex. Building Confidence – Football
• Henye, Richard. Clearing the Air – Cheerleading
• Florence, Sara. Two-Wheeled Freedom – Bicycling …

A Historical Narrative Of The Student Nonviolent Coordinating Committee's Freedom Schools And Their Legacy For Contemporary Youth Leadership Development Programming, Leslie K. Etienne

Antioch University Full-Text Dissertations & Theses

During what became known as the Mississippi Freedom Summer of 1964, the Student Nonviolent Coordinating Committee (SNCC) established alternative temporary summer "Freedom Schools" in communities throughout the state. SNCC was a civil rights organization led by young, mostly African American college students and ex-students that worked against racial discrimination during the Civil Rights Movement. In 1963, they were poised to lead Freedom Summer, a massive effort that aimed to transform the brutal white dominated power structure of Mississippi, a stronghold of extremely violent southern racism. During the planning for Freedom Summer, SNCC field secretary Charles Cobb suggested that the summer …