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Articles 1 - 30 of 36
Full-Text Articles in Psychology
The Impact Of The Covid-19 Pandemic On The Well-Being Of People Incarcerated In United States Prisons, Kimberly Rivera
The Impact Of The Covid-19 Pandemic On The Well-Being Of People Incarcerated In United States Prisons, Kimberly Rivera
Department of Sociology: Dissertations, Theses, and Student Research
The COVID-19 pandemic has negatively impacted the population as a whole. However, the incarcerated population (which also experiences a variety of health disparities) has been disproportionately affected by the pandemic. Due to overcrowding, poor ventilation, and lack of resources, the incarcerated population already is at a heightened risk for negative health outcomes, made worse by the recent pandemic. To adapt to the rapidly changing conditions during the pandemic in 2020 and into 2022, new safety measures were implemented, but the unintended consequences associated with the implementation of these procedures have yet to be examined empirically. I conducted a qualitative content …
Enhancing The Quality Of Life For Senior Citizens: A Facilitator’S Guidebook For Mindful Music And Movement, Shannon Sexton
Enhancing The Quality Of Life For Senior Citizens: A Facilitator’S Guidebook For Mindful Music And Movement, Shannon Sexton
Mindfulness Studies Theses
Music appreciation and enjoyment enhance well-being throughout the lifespan. The challenges and constraints that people experience as they age can lead to lack of access to music, decreased physical activity, and fewer avenues for creative expression. Group music and movement interventions created for older populations offer opportunities for social connection and improved quality of life. Mindful practices add further benefit when combined with these interventions. Current available programs are scarce and most often do not encompass mixed modalities. In addition, the benefits of these programs do not show long-term sustainability. The purpose of this thesis is to explore the effects …
Our Bodies, Our Stories: Mental And Physical Self Connection As A Protective Factor In Sexual And Gender Minorities, Emerson A. Todd
Our Bodies, Our Stories: Mental And Physical Self Connection As A Protective Factor In Sexual And Gender Minorities, Emerson A. Todd
Electronic Theses and Dissertations
The mind and body connection has been actively examined in neuroscience and developmental psychology backgrounds. Sociological theorists posit ways that individuals develop a sense of self through mind, body, and the social world. While research on the connection between the mind and body in disabled and aging populations is common, less is known of the everyday impact of these connections for other minority populations. The present study uses mixed-methods research to explore the relationship between mind and body and the impacts on internal and social life. The quantitative aspect of the study found significant relationships between physical and mental health …
Driving Habits, Cognition, And Health-Related Quality Of Life In Middle-Aged And Older Adults With Hiv, Josiah J. Robinson, Tess Walker, Cierra Hopkins, Brittany Bradley, Peggy Mckie, Jennifer S. Frank, Caitlin N. Pope, Pariya L. Fazeli, David E. Vance
Driving Habits, Cognition, And Health-Related Quality Of Life In Middle-Aged And Older Adults With Hiv, Josiah J. Robinson, Tess Walker, Cierra Hopkins, Brittany Bradley, Peggy Mckie, Jennifer S. Frank, Caitlin N. Pope, Pariya L. Fazeli, David E. Vance
Graduate Center for Gerontology Faculty Publications
Cognitive impairment is known to increase with aging in people living with HIV (PLWH). Impairment in cognitive domains required for safe driving may put PLWH at risk for poor driving outcomes, decreased mobility, and health-related quality of life (HRQoL). This study described the driving behaviors of middle-aged and older PLWH and examined correlations between driving behaviors and cognitive functioning (Aim 1), and driving behaviors and HRQoL domains (Aim 2). A sample of 260 PLWH ages 40 and older completed a comprehensive assessment including a battery of cognitive tests, an HRQoL measure, and a measure of self-reported driving habits. Associations between …
Neighborhood Safety Concerns And Daily Well-Being: A National Diary Study, Jennifer W. Robinette, Jennifer R. Piazza, Robert S. Stawski
Neighborhood Safety Concerns And Daily Well-Being: A National Diary Study, Jennifer W. Robinette, Jennifer R. Piazza, Robert S. Stawski
Psychology Faculty Articles and Research
People living in unsafe neighborhoods often report poor health. The reasons for this are multi-faceted, but one possibility is that unsafe neighborhoods create a situation of chronic stress, which may deplete people's resources to cope with the daily stressors of life. How people respond to daily stressors (e.g., with increased self-reported negative affect and physical symptoms) is positively associated with health problems and may thus be one pathway linking perceptions of neighborhood safety to poor health. The current study investigated the relationship between neighborhood safety concerns, daily stressors, affective well-being, and physical health symptoms in a national sample of adults …
"It's The Way You Sing It": Translating Music Therapy For Isolated Older Adults Affected By Covid-19 To The Television Screen, Eunice Wong
Expressive Therapies Capstone Theses
The current Covid-19 pandemic has increased the likelihood of loneliness and social isolation among older adults due to the restrictions on movement and visitations in care facilities. Loneliness and social isolation have consistently been identified as risk factors for poor mental and physical health in older people. Meanwhile, a growing number of older adults are utilizing technological resources to enhance their interpersonal relationships and overall quality of life. In the winter of 2020/2021, an innovative music therapy-informed television program was designed and produced for isolated older adults in need of mental and emotional support. This project, produced jointly by a …
The Relationship Between Perceived Neighborhood Disorder And Type 2 Diabetes Risk Across Different Racial/Ethnic Groups, Min Yu, Jennifer N. Robinette
The Relationship Between Perceived Neighborhood Disorder And Type 2 Diabetes Risk Across Different Racial/Ethnic Groups, Min Yu, Jennifer N. Robinette
Student Scholar Symposium Abstracts and Posters
Approximately 32 million Americans have Type 2 Diabetes and that number is growing rapidly. Type 2 Diabetes is sensitive to environmental factors, and higher prevalence rates are often observed in disordered neighborhoods (i.e., those with more trash and vandalism). Through discriminatory practices such as redlining, racially restrictive covenants, urban renewal, and gentrification, marginalized racial/ethnic groups are more likely to live in disordered neighborhoods compared to non-Hispanic Whites. These disparities may also contribute to similar disparities in Type 2 Diabetes rates. Yet, research indicates that there may be racial/ethnic differences in the interpretation of neighborhood disorder as a threat to health …
The Impact Of Location On Healthcare Access For Individuals With Disabilities, Addison Kimber
The Impact Of Location On Healthcare Access For Individuals With Disabilities, Addison Kimber
Honors Scholar Theses
This paper analyzes healthcare access for individuals with disabilities living in rural areas. In current political discussion, we typically think of insurance coverage as the metric to analyze healthcare access. However, as demonstrated by studies of healthcare in the United Kingdom, people with disabilities continue to face barriers to health care even with universal healthcare systems. In particular, individuals in rural areas have less healthcare access than urban residents. This is due to factors including socioeconomic status, insurance coverage, access to competent care, and transportation. This study aims to understand if disability status exacerbates the issue of access in rural …
Relationship Satisfaction & Diet: Exploring The Mechanisms Through Which Intimate Relationships Influence Physical Health, Lindsey Robinson, Dylan Hillock, Dr. Josh Novak
Relationship Satisfaction & Diet: Exploring The Mechanisms Through Which Intimate Relationships Influence Physical Health, Lindsey Robinson, Dylan Hillock, Dr. Josh Novak
Southeastern Council on Family Relations Conference
Understanding how intimate relationships influence physical health has been an important topic of focus; however, research remains unclear on the mechanisms through which this influence occurs. The purpose of this study was to examine how relationship satisfaction relates to diet quality, through mental health (depression and anxiety) and diet self-efficacy. Using a dyadic mediation model with a sample of 234 heterosexual couples, researchers found that women's higher relationship satisfaction was associated with better diet through lower depression and higher diet self-efficacy. Results revealed the same association between women's relationship satisfaction and diet through lower anxiety. Interestingly, rather than mediation through …
Impact Of Organizational Culture And Perceived Process Safety In The Uae Oil And Gas Industry, Mohamed Ali Al Mazrouei Mr., Khalizani Khalid Dr., Ross Davidson Dr., Salam Abdallah Dr.
Impact Of Organizational Culture And Perceived Process Safety In The Uae Oil And Gas Industry, Mohamed Ali Al Mazrouei Mr., Khalizani Khalid Dr., Ross Davidson Dr., Salam Abdallah Dr.
The Qualitative Report
In the last few decades, there had been a lot of accidents in the oil and gas industry throughout the world. This article reports a qualitative study of 30 employees employed in the United Arab Emirates (UAE) oil and gas industry. Health, Safety, and Environment (HSE) culture is a concept which was studied in many researches. However, this research is set to examine how certain behaviors affect the safety performance in UAE’s oil and gas industry. Four core themes that were drawn from the interviewee discussions of how safety culture, leadership safety behaviors, supervisory safety behaviors, and employee training on …
Community-Based Responses To Negative Health Impacts Of Sexual Humanitarian Anti-Trafficking Policies And The Criminalization Of Sex Work And Migration In The Us, Heidi Hoefinger, Jennifer Musto, P.G. Macioti, Anne E. Fehrenbacher, Nicola Mai, Calum Bennachie, Calogero Giametta
Community-Based Responses To Negative Health Impacts Of Sexual Humanitarian Anti-Trafficking Policies And The Criminalization Of Sex Work And Migration In The Us, Heidi Hoefinger, Jennifer Musto, P.G. Macioti, Anne E. Fehrenbacher, Nicola Mai, Calum Bennachie, Calogero Giametta
Publications and Research
System-involvement resulting from anti-trafficking interventions and the criminalization of sex work and migration results in negative health impacts on sex workers, migrants, and people with trafficking experiences. Due to their stigmatized status, sex workers and people with trafficking experiences often struggle to access affordable, unbiased, and supportive health care. This paper will use thematic analysis of qualitative data from in-depth interviews and ethnographic fieldwork with 50 migrant sex workers and trafficked persons, as well as 20 key informants from legal and social services, in New York and Los Angeles. It will highlight the work of trans-specific and sex worker-led initiatives …
Working Conditions For Erotic Dancers: A Review Of Health And Safety Concerns From A Minneapolis Based Needs Assessment, Alexander Twohy
Working Conditions For Erotic Dancers: A Review Of Health And Safety Concerns From A Minneapolis Based Needs Assessment, Alexander Twohy
All Graduate Theses, Dissertations, and Other Capstone Projects
The present studies utilizes data from a needs assessment for dancers in Minneapolis-based strip clubs focusing on structural and in-club safety concerns as well as levels of cleanliness within the club. Research was conducted utilizing Participatory Action Research with help from the Sex Workers Outreach Project: Minneapolis. The assessment consisted of an online survey utilizing both quantitative and qualitative questions (n = 62) with follow-up interviews for willing participants (n = 33). Questions regarding personal safety, structural safety, cleanliness levels, and exposure to diseases were reported using descriptive statistics, and qualitative responses were examined with thematic analysis. Data indicated that …
Understanding The Relationship Between Perfectionism And Health: Mediational Effects Drug Use, Sarah Nelsen
Understanding The Relationship Between Perfectionism And Health: Mediational Effects Drug Use, Sarah Nelsen
Electronic Theses and Dissertations
Past research has provided evidence on the consequences of perfectionism. One particular consequence of perfectionism is that of general health. Research has suggested that perfectionism type influences general mental health. Using the 3-cluster perspective of perfectionism by Slaney, Rice, Mobley, Trippi, & Ashby (2001), the current work investigates the mediating effects of drug use on the relationship between perfectionism clusters and general mental health, in the context of Conservation of Resources Theory (COR; Hobfoll, 1989). Adaptive perfectionists had higher general mental health compared to non-perfectionists and maladaptive perfectionists. However, the three clusters of perfectionism did not differ in drug use …
A Change Of Heart: Internal Narratives, Forgiveness & Health, Keiko Ehret
A Change Of Heart: Internal Narratives, Forgiveness & Health, Keiko Ehret
Dissertations, Masters Theses, Capstones, and Culminating Projects
In this thesis I investigate the interconnectedness of forgiveness as a narrative, as a philosophical, religious and cultural phenomenon, and the ways in which forgiveness is increasingly being used as a vehicle for improving health and psychological well-being. By threading together how scholars in a variety of fields have approached these areas of study, we can better understand the way the interdisciplinary nature of forgiveness grants access to heal not merely relationships with others, but also our bodies, our minds, and our relationship with ourselves.
Important to my investigation is understanding that the life circumstances that prompt forgiveness consist of …
The Impact Of Beauty, Body Image, And Health Discourses On Eating Disorder Risk In South Asian-Canadian Women, Nazia Bhatti
The Impact Of Beauty, Body Image, And Health Discourses On Eating Disorder Risk In South Asian-Canadian Women, Nazia Bhatti
Electronic Thesis and Dissertation Repository
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. …
Social Networks, Health & Hispanic Gay Men Living In South Florida, Victor Christian Vila
Social Networks, Health & Hispanic Gay Men Living In South Florida, Victor Christian Vila
FIU Electronic Theses and Dissertations
Aging Hispanic populations are expected to increase in the United States (U.S.) to 21.5 million by 2060 according to the National Council on Aging (NCA) (2014). Although actual estimates vary, Gates (2013) asserts that over one million Hispanics identify as gay or bisexual and their unique needs must be explored (Clover, 2006; Cohn & Taylor, 2010; Fenkl, 2014). Unfortunately, few studies examine aging Hispanic men who identify as gay or bisexual according to the National Hispanic Council on Aging (NHCOA) (2013). The objective of the current study was to extend the limited research on aging gay/bisexual men in the southeastern …
Health Care Agency: Statewide Awareness Of Patient-Centered Care In Maine’S Mental Health Care Facilities, Holly Hogan A
Health Care Agency: Statewide Awareness Of Patient-Centered Care In Maine’S Mental Health Care Facilities, Holly Hogan A
Honors Theses
This research project focuses on patient-centered care (PCC) in the context of inpatient acute psychiatric units. Hospitals have been claiming their renewed outlooks on health-care via PCC. It has become an increasingly popular term to use on hospital websites and in presidential statements. The technologies and practices surrounding psychiatric care have evolved in such a way that patients are more welcomed to have an input in their care. This project discusses the discourse around PCC at Mental Health Care Facilities in Maine. There is no consensus on the definition; the meanings ascribed to it are derived from the individual institutions. …
Experiences Of Victimization And Health Care Access Among Non-Metropolitan Lgbtq+ Individuals, Ashley-Ann Marcotte
Experiences Of Victimization And Health Care Access Among Non-Metropolitan Lgbtq+ Individuals, Ashley-Ann Marcotte
Theses and Dissertations (Comprehensive)
Lesbian, gay, bisexual, trans, and queer (LGBTQ+) individuals report substantial rates of violence, discrimination, and negative life events due to homophobia and transphobia and these experiences impact access to health care services and programs (Bauer et al, 2009; Grant, Mottet, Tanis, Harrison, & Keisling, 2010) These experiences result in LGBTQ+ communities needing services, programs, and social supports to provide safer spaces. Although it is well recognized that health care services are not a major determinant of health outcomes and yet use more than 60% of health spending (Canadian Institute for Health Information, 2014; Muzyka, Hodgson, & Prada, 2012). As such, …
The Effects Of Trade Competition On Health, And Determinants Of Workplace Behavior, Thomas Clayton Mcmanus
The Effects Of Trade Competition On Health, And Determinants Of Workplace Behavior, Thomas Clayton Mcmanus
Doctoral Dissertations
My dissertation consists of three essays related to workplace behavior. In the first paper, we design a controlled laboratory experiment to study image motives in a setting where decisions signal intelligence. The experiment results show that in some settings social scrutiny can discourage individuals from making choices that signal their intelligence, despite evidence that the signal was privately valuable. In the second paper, we study the effect of Chinese import competition on occupational safety and health at US manufacturers. We find that a change in US trade policy and Chinese import shocks significantly increases worker injury and illness rates in …
Lay Theories About Social Class Buffer Lower-Class Individuals Against Poor Self-Rated Health And Negative Affect, Jacinth J. X. Tan, Michael W. Kraus
Lay Theories About Social Class Buffer Lower-Class Individuals Against Poor Self-Rated Health And Negative Affect, Jacinth J. X. Tan, Michael W. Kraus
Research Collection School of Social Sciences
The economic conditions of one’s life can profoundly and systematically influence health outcomes over the life course. Our present research demonstrates that rejecting the notion that social class categories are biologically determined—a nonessentialist belief—buffers lower-class individuals from poor self-rated health and negative affect, whereas conceiving of social class categories as rooted in biology—an essentialist belief—does not. In Study 1, lower-class individuals self-reported poorer health than upper-class individuals when they endorsed essentialist beliefs but showed no such difference when they rejected such beliefs. Exposure to essentialist theories of social class also led lower-class individuals to report greater feelings of negative self-conscious …
Celiac Is A Social Disease: Family Challenges And Strategies, Gonzalo Bacigalupe, Aleksandra Plocha
Celiac Is A Social Disease: Family Challenges And Strategies, Gonzalo Bacigalupe, Aleksandra Plocha
Gonzalo Bacigalupe, EdD, MPH
Celiac disease is the most common autoimmune inherited disorder in the United States, affecting approximately 1% of the population. Little research exists on the impact of family processes on adherence to a gluten-free diet (GFD), the only treatment for celiac disease. The objective of this qualitative study was to examine the barriers that families with a celiac child face and the strategies they use to adhere to the recommended diet. In-depth interviews were conducted with 10 families with a child between the ages of 6 and 12 diagnosed with celiac disease. Grounded theory and narrative analysis were used to analyze …
Physician Role In Enhancing Patient Communication, Tamanna Sahni
Physician Role In Enhancing Patient Communication, Tamanna Sahni
Undergraduate Research Posters
Communication in the in-patient environment is crucial, and the relationship between a patient and physician enhances patient health and wellness. Patients should feel confident with their abilities to feel comfortable conversing with physicians, which would thus treat symptoms more effectively. This communication has decreased over time, hence patients are often are unable to obtain medical information from their healthcare providers. What is the relationship between psychological factors, such as self-esteem, and quality of patient-physician communication? And can physicians ensure increased patient comfort in the medical environment?
Various factors can affect the patients’ comfort with their physicians, and when addressed, these …
Green Exercise And Rural America: Cultural, Ecological, And Ideological Implications For Positive Social Change, Joshua M. Garrin
Green Exercise And Rural America: Cultural, Ecological, And Ideological Implications For Positive Social Change, Joshua M. Garrin
Journal of Sustainable Social Change
As the global obesity pandemic continues to extend its epidemiological reach, its magnitude continues to transcend demographic boundaries. Increasingly, the extant literature highlights the myriad challenges experienced by socioeconomically disenfranchised populations to combat the insidious biopsychosocial impact of chronic health conditions. However, a counter argument suggests that rural Americans have wide ranging access to the natural environment—an intrinsic resource that offers a broad spectrum of health and wellness opportunities. Beyond its application as a tool for good health practices, green exercise—defined as physical activity in natural settings—can provide an existential platform for the ideals of self-sufficiency, solidarity, and sustainability. A …
The Power Of Workplace Wellness: A Theoretical Model For Social Change Agency, Joshua M. Garrin
The Power Of Workplace Wellness: A Theoretical Model For Social Change Agency, Joshua M. Garrin
Journal of Sustainable Social Change
As millions of individuals face the complex challenge of adopting prohealth behavior as a core lifestyle attribute, there is an ever-increasing need to take an opportunistic approach to practicing and internalizing such behavior. Time constraints, prioritization, and time mismanagement widely contribute to the perceived inability of individuals to adhere to prohealth behavior. Given vocation as a demand that constitutes approximately one third of daily life activity, the organizational setting has emerged as a context that can potentially offer a vast array of viable workplace wellness (WW) opportunities. Such initiatives go beyond framing organizations as vehicles for health behavior promotion—instead, the …
The Relationship Between Sex-Typing And Help-Seeking Behaviors In Adults, Joshua Juvrud
The Relationship Between Sex-Typing And Help-Seeking Behaviors In Adults, Joshua Juvrud
UNLV Theses, Dissertations, Professional Papers, and Capstones
The process of expressing what is masculine promotes attitudes and behaviors that can discourage men from seeking help, contributing to numerous health issues in males. The purpose of this study was to explore how personally endorsed gender stereotypes vs. gender stereotyped attitudes impacted help-seeking behavior. In the current study, female and male adults completed challenging puzzle tasks, recalled previous health help-seeking behavior, and completed sex-typed measures. Females utilized personally endorsed gender stereotypes more during the puzzle tasks, while males utilized both personally endorsed gender stereotypes as well as gender stereotyped attitudes. When males recalled health-related events, however, personally endorsed feminine …
How To Get Rid Of Thunder Thighs, Helena E. Yang
How To Get Rid Of Thunder Thighs, Helena E. Yang
SURGE
I appreciate the insightful and important things your muffin top has to say to me, but my thunder thighs still think they’re fat.
I’m overweight (sometimes).
On a BMI scale, I fluctuate in and out of the dreaded “overweight” category. While I acknowledge that the BMI scale has its flaws, it was designed to be a quick approximation of weight to height; it is not designed to be a scientific test. Sometimes I tell myself I am super muscular and the scale doesn’t apply to me, but it’s actually not true. [excerpt]
Social Change, Professor Vibhuti Patel
Social Change, Professor Vibhuti Patel
Professor Vibhuti Patel
Rights of Adolescent Girls in India: A critical Look at Laws and Policies by Saumya Uma is timely publication about the most neglected segment of our society namely adolescent girls. Perceived as burden by their parents, neglected by policy makers, subordinated by patriarchal system, crushed before they bloom due to omnipresent misogyny; adolescent girls in India have to tread tight rope walk. The author rightly avers that in India experiences of adolescence for girls are greatly different from that for boys. For boys, adolescence is marked by greater autonomy in decision making about career, financial independence, enhanced status and expanded …
The Long Term Effect Of Parental Involvement In A Child's Education: A Ten-Step Approach, Eraina Ross-Aseme
The Long Term Effect Of Parental Involvement In A Child's Education: A Ten-Step Approach, Eraina Ross-Aseme
Doctoral Dissertations and Projects
Parental Involvement in a child's education is very important to the child becoming a productive citizen. Some parents find themselves getting in at the start of their child entering elementary school; parental involvement should begin before the school age years. Research has demonstrated the effectiveness of establishments such as schools, churches and businesses partnering in a child's education. The goal of this project is to empower parents to build stronger support systems with schools, neighborhoods, churches and communities. Its aim is to show parents, school systems and businesses that collaboration in the education arena can be strengthened to achieve a …
Health Effects Associated With Foreclosure: A Secondary Analysis Of Hospital Discharge Data, Nancy N. Menzel, Sheniz Moonie, Melva Thompson-Robinson
Health Effects Associated With Foreclosure: A Secondary Analysis Of Hospital Discharge Data, Nancy N. Menzel, Sheniz Moonie, Melva Thompson-Robinson
Environmental & Occupational Health Faculty Publications
Objectives: The purpose of this study was to assess the health effects of high home foreclosure rates in an area of the United States of America and the utility of hospital discharge data for this purpose.
Methods: We analyzed hospital discharge data from three postal zip codes using the principal diagnosis for 25 Diagnostic Related Groups associated with stress. Descriptive statistics were used to characterize hospital discharge rates for each condition by year and zip code. To test for differences across time, the Cochran-Armitage trend test was performed.
Results: Most conditions did not demonstrate a statistical change between 2005 and …
Conceptions Regarding Children’S Health: An Examination Of Ethnotheories In A Sending And Receiving Community, Maria Rosario De Guzman, Jennifer Deleon, Gloria Gonzalez-Kruger, Rodrigo Cantarero
Conceptions Regarding Children’S Health: An Examination Of Ethnotheories In A Sending And Receiving Community, Maria Rosario De Guzman, Jennifer Deleon, Gloria Gonzalez-Kruger, Rodrigo Cantarero
Department of Child, Youth, and Family Studies: Faculty Publications
Ethnotheories are beliefs that adults hold about children and the factors that impact upon their development. Scholars suggest that “ethnotheories” serve as cultural models that underlie motivations for parenting practices and the way adults organize children’s early experiences. This study examines Mexican adults’ ethnotheories about children’s health in two communities that are linked by transnational migrants and serve as sending and receiving communities for workers. Forty-four Mexican adults in six focus groups discussed well-being issues affecting children in their communities. Qualitative analyses using grounded theory revealed a complex conception of children’s health issues that included physical, psychological, and behavioral components …