Social Work Commons^™

Colon Cancer Care And Survival: Income And Insurance Are More Predictive In The Usa, Community Primary Care Physician Supply More So In Canada, Kevin M. Gorey, Sindu M. Kanjeekal, Frances C. Wright, Caroline Hamm, Isaac N. Luginaah, Emma Bartfay, Guangyong Zou, Erc J. Holowaty, Nancy L. Richter

Social Work Publications

Background: Our research group advanced a health insurance theory to explain Canada’s cancer care advantages over America. The late Barbara Starfield theorized that Canada’s greater primary care-orientation also plays a critically protective role. We tested the resultant Starfield-Gorey theory by examining the effects of poverty, health insurance and physician supplies, primary care and specialists, on colon cancer care in Ontario and California.

Methods: We analyzed registry data for people with non-metastasized colon cancer from Ontario (n = 2,060) and California (n = 4,574) diagnosed between 1996 and 2000 and followed to 2010. We obtained census tract-based socioeconomic data from population …

The Stephen Klein Wellness Center As A Community-Centered Health Home - A Partnership Between Jefferson And Project Home, James D. Plumb Md, Mph, Lara Weinstein Md, Mph, Monica Mccurdy Pa-C, Mhs

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Wisdom From Experience: Understanding Men’S Experience Of Marriage And Poverty, Aaron Rusnak

Master of Social Work Clinical Research Papers

The current study looked to understand the relationship between marriage and poverty from a male perspective. Previous research identified a number of barriers to marriage of those in poverty, with an emphasis on a female perspective. Previous research also found that there is a desire to marry amongst women who have experienced poverty, however many do not because of the lack of quality, marriage-ready candidates. The current research sought to fill this gap through better understanding men’s experience of marriage and poverty. Data was collected through a qualitative design by interviewing 13 men who had experienced poverty and had been …

The Impact Poverty Has On Adolescents’ Experiences At School According To School Social Workers, Kelly Williams

Master of Social Work Clinical Research Papers

Poverty is prevalent throughout the United States and can impact an individuals childhood following them into adolescence. The purpose of this project is to look at the impact poverty has on adolescents’ experiences at school according to school social workers. Using a qualitative design, seven school social workers were interviewed regarding poverty in relation to their adolescent student’s experiences at school. The interviews were transcribed and coded into themes and sub-themes. The emerging themes correlated with the literature. The findings showed themes of adolescents’ living in poverty, academic, social and emotional experiences, to be key experiences school social workers see …

Breast Cancer Among Women Living In Poverty: Better Care In Canada Than In The United States, Kevin M. Gorey, Nancy L. Richter, Isaac N. Luginaah, Caroline Hamm, Eric J. Holowaty, Guangyong Zou, Madhan K. Balagurusamy

Social Work Publications

This historical study estimated the protective effects of a universally accessible, single-payer health care system versus a multipayer system that leaves many uninsured or underinsured by comparing breast cancer care of women living in high-poverty neighborhoods in Ontario and California between 1996 and 2011. Women in Canada experienced better care, particularly as compared with women who were inadequately insured in the United States. Women in Canada were diagnosed earlier (rate ratio [RR] = 1.12) and enjoyed better access to breast conserving surgery (RR = 1.48), radiation (RR = 1.60), and hormone therapies (RR = 1.78). Women living in high-poverty Canadian …

"It Takes Time To Shift Historical Paradigms": Changes In Structure, Governance, Perception, And Practice During A Decade Of Child Welfare Policy Reform In Florida, Amy Catherine Vargo

USF Tampa Graduate Theses and Dissertations

This dissertation explored changes in structure, governance, perception and practice within Florida's child welfare system over a ten-year period (2001-2011) inclusive of two concurrent, statewide reform efforts: the privatization of child welfare services and implementation of a Title IV-E Waiver Demonstration. Using an anthropological perspective and holistic approach, the child welfare system is presented as a type of meta-organizational culture inclusive of subsystems and subcultures which are all embedded in historical and socioeconomic context that involves alternations between child safety and family preservation approaches to care.

Guided by a grounded theory approach to qualitative data analysis, content analysis of child …

The Impact Of Developmental And Humanitarian Aid In The Nation Of Haiti, Hannah J. Chitty, Jessie A. Comeau, Esther R. Fluhart, Lauren N. Mullahy, Katherine A. Ward

The Research and Scholarship Symposium (2013-2019)

Short term aid has numerous benefits and limitations in contrast with sustainable development. For this project sustainable development is defined as: utilizing the resources in communities and encouraging indigenous leadership to promote well being for future generations. The impact of short term relief is determined by various factors. The focus of this research will be the impact of humanitarian emergency assistance and developmental assistance in the nation of Haiti. The research findings obtained through literature review educates the local community on how to effectively assist developing communities both domestically and abroad to become self-sustaining.

Refund To Savings 2013: Comprehensive Report On A Large-Scale Tax-Time Saving Program, Michal Grinstein-Weiss, Dana C. Perantie, Blair D. Russell, Krista Comer, Samuel H. Taylor, Lingzi Luo, Clinton Key, Dan Ariely

Center for Social Development Research

Refund to Savings 2013: Comprehensive Report on a Large-Scale Tax-Time Saving Program

Multiplicative Disadvantage Of Being An Unmarried And Inadequately Insured Woman Living In Poverty With Colon Cancer: Historical Cohort Exploration In California, Naomi R. Levitz, Sundus Haji-Jama, Tonya Munro, Kevin M. Gorey

Social Work Publications

Background: Many Americans diagnosed with colon cancer do not receive indicated chemotherapy. Certain unmarried women may be particularly disadvantaged. A 3-way interaction of the multiplicative disadvantages of being an unmarried and inadequately insured woman living in poverty was explored. Methods: California registry data were analyzed for 2,319 women diagnosed with stage II to IV colon cancer between 1996 and 2000 and followed until 2014. Socioeconomic data from the 2000 census classified neighborhoods as high poverty (≥30% of households poor), middle (5–29%) or low poverty (<5% poor). Primary health insurance was private, Medicare, Medicaid or none. Comparisons of chemotherapy rates used standardized rate ratios (RR). We respectively used logistic and Cox regression models to assess chemotherapy and survival. Results: A statistically significant 3-way marital status by health insurance by poverty interaction effect on chemotherapy receipt was observed. Chemotherapy rates did not differ between unmarried (39.0%) and married (39.7%) women who lived in lower poverty neighborhoods and were privately insured. But unmarried women (27.3%) were 26% less likely to receive chemotherapy than were married women (37.1%, RR = 0.74, 95% CI 0.58, 0.95) who lived in high poverty neighborhoods and were publicly insured or uninsured. When this interaction and the main effects of health insurance, poverty and chemotherapy were accounted for, survival did not differ by marital status. Conclusions: The multiplicative barrier to colon cancer care that results from being inadequately insured and living in poverty is worse for unmarried than married women. Poverty is more prevalent among unmarried women and they have fewer assets so they are probably less able to absorb the indirect and direct, but uncovered, costs of colon cancer care. There seem to be structural inequities related to the institutions of marriage, work and health care that particularly disadvantage unmarried women that policy makers ought to be cognizant of as future reforms of the American health care system are considered.

Mental Illness, Poverty And Stigma In India: A Case-Control Study, Jean-Francois Trani, Parul Bakhshi, Jill A. Kuhlberg, Sreelatha S. Narayanan, Hemalatha Venkataraman, Nagendra N. Mishra, Nora E. Groce, Sushrut Jadhav, Smita Deshpande

Brown School Faculty Publications

Objective: To assess the effect of experienced stigma on depth of multidimensional poverty of persons with severe mentalillness(PSMI) in Delhi, India, controlling for gender, age and caste. Design: Matching case(hospital)–control(population) study. Setting:University Hospital (cases) and National Capital Region (controls),India. Participants: A case–control study was conducted from November 2011 to June 2012. 647 cases diagnosed with schizophreniaor affective disorders were recruited and 647 individuals of same age,sex and location of residence were matched as controls at a ratio of 1:2:1. Individuals who refused consent or provided incomplete interview were excluded. Main outcome measures: Higher risk of poverty due to stigma among …

Growing Up In The Inner City: Exploring The Adolescent Development And Acculturation Of Urban Suicidal Latinas., Carolina Hausmann-Stabile, Lauren Gulbas, Luis H. Zayas

Graduate School of Social Work and Social Research Faculty Research and Scholarship

This chapter examines how adolescent development and acculturation impact suicidal behavior among Latinas living in the US inner city. After providing an overview of conceptual and empirical premises underlying immigrant youth development, acculturation, and suicidal behaviors, the article discusses cultural influences on Latina adolescents and their families. Drawing on data collected between 2005 and 2009, it then explores the various individual and interpersonal changes that Latina teens go through as a result of developmental and acculturative processes and how these changes relate to risks for suicide attempts. Based on cases that illustrate the developmental and acculturation trajectories of Latina nonattempters …

Mental Illness, Poverty And Stigma In India: A Case–Control Study, Jean-Francois Trani, Parul Bakhshi, Jill Kuhlberg, Sreelatha S. Narayanan, Hemalatha Venkataraman, Nagendra N. Mishra, Nora E. Groce, Sushrut Jadhav, Smita Deshpande

Brown School Faculty Publications

Objective: To assess the effect of experienced stigma on depth of multidimensional poverty of persons with severe mental illness (PSMI) in Delhi, India, controlling for gender, age and caste.Design: Matching case (hospital)–control (population) study.Setting: University Hospital (cases) and National Capital Region (controls), India.Participants: A case–control study was conducted from November 2011 to June 2012. 647 cases diagnosed with schizophrenia or affective disorders were recruited and 647 individuals of same age, sex and location of residence were matched as controls at a ratio of 1:2:1. Individuals who refused consent or provided incomplete interview were excluded.Main outcome measures: Higher risk of poverty …

Who's Left Out: Characteristics Of Households In Economic Need Not Receiving Public Support, Vincent A. Fusaro

The Journal of Sociology & Social Welfare

The American welfare state is often referred to as a social safety net, yet many in economic need do not receive public benefits. This article examines the characteristics of low-income households in the United States that do not participate in any of several public cash or near-cash support programs. Using the Survey of Income and Program Participation (SIPP) 2008 panel—a representative sample of U.S. households—households below the federal poverty threshold but not participating in any of eleven different income support programs were identified. Over a third (38.02%) of households in poverty did not receive any assistance from the examined programs. …