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Aging Trends & Challenges In Nevada, Jennifer R. Keene, Jacqueline Ragin

Social Health of Nevada Reports

Societal aging is one of the most important social trends of the 21st century. It affects our political, social, and economic institutions and also the nature of our interpersonal and family relationships (Quadagno 2011). In the coming decades, both as individuals and as a society, we will have to make important decisions regarding the consequences of our aging population. Policy makers, families, businesses, local, state, and federal governments, health care providers will have to meet the growing needs of the older population in the U.S. and in Nevada.

By the year 2020, the percent of the U.S. population over age …

Family Life And Divorce In Nevada, Katherine Hertlein Ph.D., Anita Horvath, Julia Seyferth-Smith

Social Health of Nevada Reports

This chapter surveys family life and divorce in Nevada. Its main goal is to provide readers with a broad understanding of marriage patterns and divorce trends in the Silver State. After presenting history and marriage dynamics in the United Sates, the authors review wedding-related expenses and present data illuminating the differences between Nevada and other states, as well as provide cross-county comparisons.

This report discusses legal grounds for divorce in Nevada, the no-fault procedures governing the divorce process, the custody issues facing the divorcing spouses, and the circumstances under which alimony may be due to parties involved in a divorce …

Child Abuse And Neglect In Nevada, Ramona W. Denby-Brinson, Hanna Haran

Social Health of Nevada Reports

Child maltreatment in Nevada reflects the general social, economic, and health conditions within the state and its local communities. This chapter starts with various definitions of child abuse and neglect, focusing on the approach adopted by Nevada legislators and comparing it with competing definitions. Next, this report examines child abuse and neglect rates in Nevada and tracks the progress the state has made toward achieving its goals related to child welfare outcomes, including child protection and safety, child permanency, and child well-being. The discussion then moves to the most promising child welfare intervention practices and approaches. Finally, the chapter outlines …

Does Movie Viewing Cultivate Unrealistic Expectations About Love And Marriage?, Lauren Galloway

Graduate Research Symposium (GCUA) (2010 - 2017)

The present study investigated the connection between romantic movie viewing frequency and endorsement of dysfunctional beliefs for romantic relationships in a university-based sample of 228 participants. Respondents completed a questionnaire in which they reported demographic information as well as responses to the several scales that measure endorsement of romantic ideals. I base this investigation of Segrin and Nabi’s (2002) examination of television viewing habits and proclivity for unrealistic expectations of sex, love, and marriage. Both the current study and the investigation conducted by Segrin and Nabi (2002) support the supposition that media play a part in reinforcing beliefs about coupleships. …

Police Responses To Domestic Violence And Public Perception, Kelly Stout, Alexis Kennedy

Graduate Research Symposium (GCUA) (2010 - 2017)

Domestic violence, also known as, intimate partner violence (IPV), has become an epidemic in the United States. This research is intended to explain the types of IPV, describe the effects of severe IPV, look at the change in public perceptions of IPV situations, and explore the police responses to such situations. Students at UNLV participated in the “Police Responses to Calls for Service” survey, that was created to determine the public’s level of awareness of IPV situations and whether that awareness increases support for police policies in responding to intimate partner violence calls.

Survivors Of Childhood Sexual Abuse:What Heals And What Hurts In A Couple Relationship, Laura Smedley, Kathy Disney-Fairchild, Stephen Fife, Colleen Peterson

Graduate Research Symposium (GCUA) (2010 - 2017)

Childhood sexual abuse (CSA) is a significant trauma that affects a person’s self-concept and ability to form healthy intimate relationships later in adulthood. Approximately 20% of adults who experienced childhood sexual abuse go on to evidence serious psychopathology in adulthood (Harway & Faulk, 2005). Knowledge of how relationship partners affect the healing of the survivor may be very beneficial to couples’ therapists, to survivors themselves, and to their intimate partners. The purpose of this qualitative study is to increase understanding of the survivor’s experience of what is helpful and what is counterproductive in their healing process within the construct of …

Awareness And Beliefs Regarding Intimate Partner Violence Among First-Year Dental Students, Rhonda J. Everett, Karl Kingsley, Christina A. Demopoulos, Edward E. Herschaft, Christine Lamun, Sheniz Moonie, Timothy J. Bungum, Michelle Chino

Environmental & Occupational Health Faculty Publications

Intimate partner violence (IPV) may affect one to four million individuals per year in the United States, with women accounting for the majority of both reported and unreported cases. Dental professionals are in a unique position to identify many types of IPV because injuries to the head and neck may be indicators or predictors of IPV abuse. Fewer than half of dental programs surveyed have reported having IPV-specific curricula, and most dental students surveyed have reported having little experience or training to recognize IPV. Based on this information, this pilot study sought to assess the awareness and beliefs regarding IPV …

Blood Lead Levels In Nevada Children, Arthur F. Di Salvo, Terry R. Hall

Nevada Journal of Public Health

The purpose of this study was to assess the prevalence of plumbism in children one to six years of age in Nevada. During a four-year period from 1992 – 1996, 10,700 children were screened for evidence of blood lead intoxication. The capillary specimens were analyzed by atomic absorption spectrometry. All children with a lead level => 10 ug/L were retested using venous blood. Ninety three percent of the children had blood lead levels < 10 µg/dL

African American And Non-Hispanic White Births In Enhanced Prenatal Care Programs And Wic, Monica Cain

Journal of Health Disparities Research and Practice

North Carolina uses Maternity Care Coordination (MCC), an enhanced prenatal care program, to improve birth outcomes for high risk women. The WIC program provides similar services to achieve the same goal. Women in North Carolina Medicaid can choose to participate in either, both, or neither the MCC and WIC programs. The study compares the percentages of low birth weight (LBW)—less than 2500 grams—births and maternal risk characteristics of women: (1) participating in the MCC program only, (2) participating in WIC only, or (3) participating in both programs, to those women who receive conventional Medicaid prenatal care. The analysis is further …

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 …

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 …

Race/Ethnicity As A Risk Factor Of Mother To Child Transmission Among Hiv Infected Mothers, Wei Yang, Fares Qeadan, Mona L. Brown, Michelle Chino, Scott Hall, Mary Guinan

Journal of Health Disparities Research and Practice

Objectives: African American women, living with HIV, exhibit a higher percentage of giving birth as compared to other race/ethnicity groups. The aim of this study is to understand the apparent black and non-black differences (health disparities) among the HIV Infected Mothers group and examine whether race/ethnicity can explain the high variation in different prenatal and HIV mother-to-child-transmission (MTCT) risk factors.

Methods: Data-Linkage was conducted on all women HIV+ cases, who delivered a child during the time period and reported to the Nevada state HIV with the live birth registries. Demographic and social data, separated into black and Non-black groups, were …

Social Capital And Violence Across Racial And Ethnic Samples Of Adolescents, Darlene R. Haff, Kevin M. Fitzpatrick, H. H. Floyd

Journal of Health Disparities Research and Practice

Using a national sample of adolescents, results of this study demonstrate the important role family and school social capital plays in protecting both White and selected non- White students against violent outcomes. For example, parent-child relationship was associated with reduced violence for Black and White adolescents but not for Hispanics. School affiliation was significant in models for Hispanic and White adolescents but not in models for Black students. Sports participation was associated with greater violence among Hispanics and Whites, but not Blacks. Interestingly, club participation was significant for Whites, but, like sports, it was associated with greater violence. Parental monitoring …

Child Abuse And Neglect In Nevada, Ramona W. Denby

Social Health of Nevada Reports

Child maltreatment in Nevada reflects the general social, economic, and health conditions within the state and its local communities. This chapter starts with various definitions of child abuse and neglect, focusing on the approach adopted by Nevada legislators and comparing it to competing definitions. Next, this report examines child abuse and neglect rates in Nevada and tracks the progress the state has made towards achieving its goals related to child welfare outcomes, including child protection and safety, child permanency, and child well-being. After that, the discussion moves to the most promising child welfare intervention practices and approaches. Finally, the chapter …

Prenatal Care And Infant Mortality In Nevada, Douglas L. Garner, Roger Cleveland, A. Dexter Samuels, Tiffany G. Tyler

Social Health of Nevada Reports

The U.S. outspends all other industrial countries on health care, and yet Americans hardly enjoy better health (Gorman 2010). An American baby born in 2006 can expect to live 78 years – two years less than a baby born across the Canadian border. The U.S. ranks 28th in infant mortality out of the 30 major industrial countries (Gorman 2010). A large part of the gap in infant mortality can be traced to high infant death rates in certain populations, particularly African-Americans who make up about 13% of the total population. In 2005, infant mortality for non-Hispanic blacks in the U.S. …

Aging Trends And Challenges In Nevada, Jennifer Reid Keene, Kathryn Mcclain, Jacqueline Ragin

Social Health of Nevada Reports

Societal aging is one of the most important social trends of the 21st century. It affects our political, social, and economic institutions and also the nature of our interpersonal and family relationships (Quadagno 2011). In the coming decades, both as individuals and as a society, we will have to make important decisions regarding the consequences of our aging population. Policy makers, families, businesses, local, state, and federal governments, health care providers will have to meet the growing needs of the older population in the U.S. and in Nevada.

Marriage And Family Life In Nevada, Stephen M. Wilson, Jeanne Hilton

Social Health of Nevada Reports

For almost twenty years, Nevada has been the fastest growing state in the country. Much of this growth is due to numerous immigrant and retiree families moving in every day, creating unique challenges to the state. On the other hand, Nevada ’s families, like families in the rest of the United States , are changing in predictable ways. Over the last century, families have become smaller and more diverse. Today, families are not only smaller, but they move more often, have more family members living into old age, enjoy better health, and have more education and wealth than has been …

Environment And The Quality Of Life In Nevada, Robert Futrell

Social Health of Nevada Reports

When the first environmental decade was launched in the U.S. more than thirty years ago with the inaugural Earth Day, protecting our air, water, land and other natural resources seemed a relatively simple task. Environmental polluters and exploiters would be brought to heel by tough laws. The U.S. and other industrialized nations responded to quality of life concerns associated with the degradation of the natural environment by adopting dozens of major environmental and resource policies and creating new institutions such as the U.S. Environmental Protection Agency to manage environmental programs. With a sense of urgency Congress passed the Clean Air …

Conclusion: Social Capital And The Quality Of Life In Nevada, Craig Walton

Social Health of Nevada Reports

Our contributors have presented data and analyses which bring up questions Nevadans need to raise when they talk about the kind of home we want Nevada to be. We must take seriously their findings, their recommendations, and their pleas for help. These social indicators must be re-visited periodically. We make a beginning today, but we need to sustain public discussion of these problems of poor social capital in our home town and home state. Aristotle mentioned that a large number of people in one place does not make a community – practices, customs, institutions, and a shared moral culture change …