Medicine and Health Commons^™

An Exploration Into Health Equity Discourse In Mississippi: Organizational Commitments And Practitioner Perspectives, Thuy-Vy Lillian Pham

Honors Theses

This thesis takes a sociological approach to examine healthcare workers' beliefs and medical organizations’ solidarity statements related to diversity and equity and how these discourses aligned and/or diverged. Through interviews with healthcare providers in Mississippi and content analysis of solidarity statements, the study finds that discussions on health disparities more frequently addressed socioeconomic inequality rather than systemic racism, diverging from organizational statements. This emphasis may partly stem from the demographics of the study participants, who were predominantly White—which also reflected the staff where they worked. Additionally, while healthcare workers recognized structural issues related to health disparities, they often showed hesitancy …

Calculating Risk: A Scoping Review Of Ncaa D1 Football Players’ Motivations To Play And The Correlation To Demographic Characteristics And Injury Experiences, Kathleen D. Walsh

Honors Theses

The purpose of this research was to investigate the motivations of National Collegiate Athletic Association (NCAA) Division 1 (D1) football players for playing the game and how these motivations are associated with their socioeconomic status (SES). Further, the research aimed to investigate how the uncovered motivations were linked to injury experiences. The original project was designed as a survey-based mixed methods study on a national scale. However, issues with participant recruitment led to sidelining of that primary research. The research presented is a scoping review of the available literature pertaining to the research question: What is known from existing literature …

Implicit Racial Bias In Healthcare: A Concept Analysis And Call To Action, Rachel Ferguson

Honors Theses

For students pursuing a nursing degree, exposure to implicit bias during their educational program is as concerning as the lack of training to acknowledge and conquer the development of implicit bias. Both facets can root negative attitudes and behaviors in the student nurse that will be carried into their practice throughout the healthcare system. It is a professional obligation for the registered nurse to be aware of implicit bias and understand its strong connection to increased risk of mortality, health complications, and other adverse health outcomes, especially in racial minority patient populations (Maina et al., 2018). This thesis contains a …

The Patient Narrative And The Impositions Of Implicit Biases In Health Care, Dhara Shukla

Honors Theses

The patient narrative includes the patient’s sentiments about their health condition and how this has affected their lifestyle as opposed to a list of ailments. A large portion of the patient’s diagnosis and treatment plan is rooted in the patient’s narrative. If the health care provider does not listen to the patient’s story, they may miss a vital puzzle piece that could aid them in solving the mystery. The extent to which the health care provider listens to and values the patient narrative could be clouded by implicit biases that the provider holds. Implicit biases are preferential attitudes and associations …

A Look Towards The Future Of Eldercare: Lessons Learned From Social Care Models In Japan, Caroline M. Steil

Honors Theses

The rapidly accelerating trend of population aging is redefining the state of eldercare globally, as every country is currently or will soon face a gap in the excess demand for care versus the scarce supply of caregivers, both formal and informal. Specifically, there is a decrease in the number of elders seeking care through a family member as well as less caregivers in institutions to provide care for elders. Japan is at the vanguard of this caregiving gap, and thus provides key lessons, particularly from two innovative models of eldercare: Ibasho, a grass-roots, non-profit organization, and Japan's Long-Term Care Insurance …

The Long-Term Health And Developmental Impacts Of Children Born At Low Birth Weight, Kathryn Grace Kelly

Honors Theses

The state of Mississippi currently has the highest incidence of low birth weight (LBW) births in the United States. LBW is a negative birth outcome which can lead to suboptimal pediatric health and development. The primary goals of this thesis are to identify the long-term outcomes associated with LBW and to present potential interventions to address LBW. A combination of literature review and quantitative data analysis were used to inform the objective of this thesis. A variety of physical health, behavioral health, and other long-term issues were found associated with LBW. The consequences of LBW place LBW children at a …

Covid-19 Vaccine Hesitancy: Examining The Relationship Between Perceptions Of Covid-19 Vaccine Safety And Intention To Receive It Among African Americans In Mississippi, Tija L. Johnson

Honors Theses

In March of 2020, the World Health Organization declared a global pandemic due to the ongoing spread of SARS-CoV-2, the causative agent of COVID-19 disease. While scientific developers were seeking to understand the biochemical mechanism of SARS-CoV-2, political and public health leaders implemented non-pharmaceutical interventions, such as social distancing measures, to reduce the transmission of COVID-19. As the world began to adjust to the new realities, the race to create an effective vaccine was on. With the later development of the COVID-19 vaccine, receptiveness to the vaccine across the world varied, and in the United States, vaccine hesitancy was an …

Analysis Of Chinese Contemporary Young Females’ Attitudes And Experiences Toward Menstruation And Feminine Products, Du Yi

Honors Theses

Menstruation is not only a biological body practice that influences females' daily lives but also

contains cultural, economic, social, and political meanings that are related to women's gender identity and social status. While traditional Chinese culture examined menstruation as taboo and stigma, modern Chinese society absorbs western feminism and creates a more liberal, open-minded menstrual etiquette. Lived in the rapidly developing modern society, the Chinese young generation's viewpoints were influenced and shaped by traditional Chinese thoughts and the emerging feminist thought. This research draws on in-depth interviews with ten Chinese youth females to explore their knowledge, experience, and attitudes about …

Female Infertility In The United States And India: An Analysis Of Treatment Barriers And Coping Strategies, Devneet Singh

Honors Theses

This research studies barriers to accessing fertility treatment in the United States (U.S.) and India, as well as the coping strategies infertile women use. Barriers include reproductive health knowledge, cost, and politics, while coping is affected by cultural stigma, family, and religion. These two countries were chosen for their different cultural contexts, healthcare systems, and political infrastructure. Ten fertility specialists across both countries were interviewed as expert informants. Reproductive health knowledge was the most important barrier to accessing care in both countries, with similar gaps in understanding when and what type of care to utilize, though social media can educate …

The Effect Of Chronic Alcohol Consumption On Exercise-Induced Muscle Damage In Young Men, Emma Hamilton, Grant Hilliard

Honors Theses

PURPOSE: To investigate the effects of chronic alcohol consumption on exercise-induced muscle damage of the knee extensors in young men. METHODS: Twenty-one males (age 21.9 ± 1.1 yr; weight 183.4 ± 27.6 lbs; height 174.0 ± 13.1 cm) performed 100 maximal eccentric contractions at 30°/sec of the knee extensors using their non-dominant leg. The isometric and isokinetic muscle strengths (60°/sec and 180°/sec) were measured pre-exercise and immediately, 24 h, 48 h, 72 h, 96 h, and 120 h post-exercise. Muscle soreness and plasma creatine kinase (CK) activity were measured pre-exercise and 24 h, 48 h, 72 h, 96 h, and …

Measuring Food Consumption Within A Foodrx Program, Katie Howell

Honors Theses

This pilot study set out to assess food consumption measures within the Charleston FoodRx program. Assessments made through this investigation aim to improve the Charleston program as well as provide suggestions for future programs. Charleston FoodRx provides enrolled households with fruits and vegetables in a supply intended to last for two weeks. These goals combine social and pharmaceutical science, by addressing barriers in food environment and insecurity, nutritional health, and preventative treatment. Though the idea behind FoodRx has existed prior to recent pilot programs, research behind FoodRx and its possible integration within the healthcare system lack published and replicable research …

A Person-Centered Care Model’S Effectiveness For Older Adults With Dementia: A Systematic Review And Meta-Analysis, Karen Goeschel

Honors Theses

I evaluated the effectiveness of person-centered care interventions for older adults with dementia. Quality of life and agitation levels were used as primary outcomes for the effectiveness of the intervention. Electronic databases were searched for studies which satisfied the inclusion principles and did not satisfy exclusion principles. Cluster-randomized trials and non-randomized control trials which compared person-centered care approaches to usual care were included. I performed two random-effects meta-analyses. Six studies with 1,384 patients were included. For older adults with dementia, person-centered care had no significant impact on quality-of-life improvement (SMD = -0.116, p = 0.206) or agitation reduction (SMD = …

There Must Be Something In The Water: A Comparative Study Of Ground Water Contamination In The U.S.A. And Canada, Kathleen Spooner

Honors Theses

The regions of Nova Scotia and New Hampshire are naturally susceptible to arsenic water contamination due to their geological makeup. These locations are relatively rural, with many of their citizens reporting low incomes and lacking education, the majority of which are unaware of the risk of arsenic poisoning. There is also a high dependency on private wells which are not regulated in terms of water quality under federal law in both countries. Arsenic water pollution is undetectable as it is both odorless and tasteless and potentially very dangerous, and therefore water testing must be performed on wells, which is currently …

Social Consequences Of Obesity: Case Study Of Bariatric Population At Ellis Hospital, Kara Leyden

Honors Theses

Despite the fact that the majority of adults living in the United States are overweight or obese, obesity remains a highly stigmatized physical condition. Society often sees obesity as a physical manifestation of personal faults such as the lack of self-control and laziness. Obese individuals thus experience discrimination in places of employment, have lower educational attainment, are underrepresented in popular culture, and often have difficulty finding and sustaining intimate relationships. For individuals with extreme obesity (BMI greater than 40), bariatric surgery is the most effective strategy to improve health and lose weight. Individuals who have undergone bariatric surgery typically experience …

An Examination Of Student Health Insurance And Student Health Center Policies Across The Southeastern Conference, Katrina Gateley

Honors Theses

Campus health care services are often overlooked by prospective students and families during the college search process, yet the access and affordability of these services may have a significant impact on the overall health of college students. This study sought to compare student health services and policies at the 14 member institutions of the Southeastern Conference (SEC). Additionally, this study explored student perceptions about campus health services and policies. A mixed methods approach was used to gather both quantitative and qualitative data. Institutional website reviews of all 14 SEC institutions were conducted to gather information regarding health insurance policies, health …

An Examination Of The Association Between State Medicaid Perinatal Services And Birth Outcomes, Joy Morgan Myers

Honors Theses

This thesis investigated the connection between socioeconomic status, healthcare coverage, and birth outcomes. The research question that was posed specifically looked at twenty perinatal services that states covered under Medicaid to varying degrees to see their association, if any, with premature birth rates and low birthweight rates. State-level and Mississippi county-level data were compiled regarding preterm birth rates, low birthweight rates, presumptive eligibility adoption, and coverage of twenty different perinatal services. Using these data, the correlation between state Medicaid expansion status and birth outcomes was first calculated in order to determine if variation in birth outcomes was associated with expanded …

How Relevant Is The Hippocratic Oath In Guiding Physicians' Views On Physician-Assisted Suicide, Megan Neal

Honors Theses

The Hippocratic Oath is an ancient vow that most doctors, especially within the last century in the United States, take upon their graduation from medical school. The importance of this oath, however, is up for debate as medical advances and cultural beliefs in the rights of the patient evolve. The Hippocratic Oath has been adapted many times over the past few centuries to reflect the beliefs of the period, but the original Oath still survives. One of the most recent movements in the medicine has been the legalization of physician-assisted suicide (PAS) in select states. Using a qualitative, thematic approach, …

How Race, Socioeconomic Status, And Gender Shape Feelings Of Competition Within The Pre-Med Department At A Small Liberal Arts College, Amanda B. Deming

Honors Theses

This study aims to understand how students of color navigate feelings of competition in the pre-medical (“pre-med”) track at a small liberal arts college. I argue that there are differences in navigational strategies by race, socioeconomic status (SES), and gender. Respondents in my sample (9 women and 6 men) were interviewed for 30 to 60 minutes about their relationships with fellow pre-med students, mentors, alumni, advisors, and professors. The primary findings of this project were that students who are more competitive dominate the culture among pre-med students; less competitive individuals persist through the pre-med track by forming study groups with …

Double Jeopardy: Minority Stress And The Influence Of Transgender Identity And Race/Ethnicity, Krystina Millar, Jason Eastman

Honors Theses

This study assessed gender and racial/ethnic differences in gender-related discrimination and psychological distress within a sample of transgender and gender nonconforming individuals. Prior research suggests transgender individuals with multiple minority statuses experience higher psychological stress than their singly disadvantaged counterparts, and both minority race/ethnicity and transgender minorities experience more frequent and severe forms of discrimination than white and cisgender individuals. Using data from a convenience sample of 101 self-identified transgender and gender nonconforming adults recruited through LGBTQ+ organizations from across North America, I analyzed the relationship between race/ethnicity, gender-related minority stress, and psychological distress. Gender-related discrimination and gender-related victimization did …

Escaping Death: Naloxone's Chemical Nature And Potential To Combat The Opioid Epidemic, Abigale Miller

Honors Theses

Naloxone is a life-saving drug with the ability to reverse an opioid overdose. As the opioid epidemic’s death toll rises, we can turn to Naloxone as a tool to combat the crisis. The epidemic, born of corruption, has a wide reach among the people of the United States, with especially firm grasps on middle-aged people, sufferers of chronic pain, white Americans and those living in the eastern portion of the country. Naloxone’s elegant design saves lives by effectively competing for a position on an opioid biding receptor in the brain to almost instantly end an overdose and restore normal breathing. …

The "Give And Take" Of Medical Morality, Caitlyn Tabor

Honors Theses

Doctors face situations within the medical arena in which their conscience -- as a person and as a professional -- conflicts with patient autonomy. Consider the terminally ill patient who wishes to end all treatment and elect to receive assisted suicide, and his physician who believes that aiding in death is a moral wrong. This creates a conflict of interests between physician and patient.

Historically, a paternalistic model of physician-patient interaction was employed to deal with dilemmas, contributing to infringement of patient’s rights and a lack of understanding of ethics on the part of the physician. This manifests as the …

Constructing Illness: How Society Effects Physical And Mental Illness, Madeline Marks

Honors Theses

The social construction of illness has become one of the central themes in medical sociology over the last fifty years. This field of research focuses on how society and an individual’s knowledge and experiences shape the way they understand and view certain physical and mental illnesses. Prior research has found that many people hold stigmatized views towards individuals who suffer from mental illnesses and tend to feel more sympathetic and supportive towards those who have physical illnesses. These previous studies have found that gender, age, race, education and socioeconomic status are factors that influence how a person perceives physical and …

Exploring Occupational Therapists' Approach To Treating Children With Autism In The School Setting, Melissa Brauner

Honors Theses

Autism spectrum disorder is one of the fastest growing developmental disabilities, affecting more than 3.5 million Americans. In order to ensure that the autism population receives the highest quality of care, it is extremely important that health professionals be equipped with the knowledge to care for individuals with the disorder in an effective manner. Occupational therapists play an important role in assisting people on the autism spectrum. For many children with autism, occupational therapy services are primarily received in the school setting. This study explores occupational therapists’ approach to managing the treatment of children on the autism spectrum in the …

Addicts Speak: An Exploratory Ethnographic Study Of Opioid Addiction, James A. Hamm

Honors Theses

This thesis explores the experiences of people in recovery from opioid addiction in order to better understand the many process of recovery. Employing both participant observation and focused life history interview, and utilizing a grounded theory approach to data analysis, this research emphasizes data-driven conclusions. The research provides numerous insights into the process of recovery from opioid addiction, as well as factors that help to facilitate and sustain the process, the role that services play, and how services can be developed to better meet the needs of those in recovery.

An Assessment Of The Effects Of Medical Marijuana On The Quality Of Patient Life, Kori L. Bullard

Honors Theses

America is known as the land of opportunity. People attempting to better their lives tend to see America as an opportunity to do so. This statement remains true for the American medical field. Americans are known as advanced in treatment options for various diseases. With this being said, there are few diseases that still bring forth complete fear in the minds of the people of America. In spite of this, "You have been diagnosed with cancer" is a statement that generates this fear. Cancer is one of the leading causes of death worldwide. Current treatments for cancer are invasive, expensive, …

View Of Death And Dying, And Other Medical Issues Through The Eyes Of People In Different Religions, Kaylie Roberts

Honors Theses

The process of dying, and death itself, is viewed quite differently among different religions. Other medical issues, including abortion and suicide, are also topics of debate and interest among the major religions of the world. In this thesis, five major religions are discussed: Christianity, Judaism, Islam, Hinduism, and Buddhism. For the purpose ofthis thesis, Christianity was divided into two categories: Southern Baptist Convention and Roman Catholicism. Each religion has a vast amount of denominations or subgroups. However, for the information covered here, there is not a huge amount of variation among the subgroups of each religion. That is not to …

Health Care Delivery For The U.S. Hispanic Minority Can Be Improved, Samantha Pascoe

Honors Theses

America was born as a melting pot of peoples. From the very beginning this culture has been mixed with others. Diversity is a huge part of the American experience, and over the past 30 years, the Hispanic and Latino population has been increasing. With this population increase, the experience in the medical field that latino and Hispanic patients receive needs to be improved due to the cultural differences concerning individualism, values, and medical care: especially when concerning Latino patients. As a whole, the Hispanic community in the United States have a lower mortality rate then that of non-Hispanics living in …

Evaluating The Effectiveness Of Care Choices A Home-Based Palliative Care Program, Katherine Pouliot

Honors Theses

Background: There is a growing need for home-based palliative care services, especially for seriously ill individuals who want to avoid unnecessary hospitalizations and remain with their regular outside care providers. Objective: To evaluate the effectiveness of Care Choices, a new in-home palliative care program provided by the Visiting Nurse Services of Northeastern New York and Ellis Medicine, a community healthcare system serving New York’s Capital District. Design: A prospective cohort study tracking patient outcomes over the course of one year. Subjects and setting: One hundred twenty-three patients (49 men, 74 women) with serious illnesses who were new enrollees in Care …

Evaluation Of An In-Home Palliative Care Program's Management Of Pain, Mackenzie Laporte

Honors Theses

With the growing population of chronically ill patients wishing to receive care at home, care providers face unique challenges managing the pain of patients with quickly changing illness trajectories. Treating patients outside of institutionalized settings, where regular monitoring is standard, requires careful symptom management. This project was a retrospective review examining nurses’ documentation of pain for patients enrolled in Care Choices, a new home-based palliative care program coordinated through a visiting nurse service and community hospital. The extent to which nurses documented patients' pain score, site, type and pain goal as well as nursing interventions and plan of care in …

Negotiating Order In State-Funded Care: Examining The Salience Of Sponsoring Agencies In Maine's School-Based Health Centers, Susan M. Fleurant

Honors Theses

The rising costs of healthcare and increasing awareness about poor health outcomes in the United States has brought the issue of access to primary and preventative care to the forefront of the national public health agenda in recent years. While still a relatively small part of the U.S. health care delivery system, the integral place of school-based health centers is becoming increasingly apparent, particularly in low-income, medically underserved communities. Previous scholarship that using quantitative measures demonstrates that school-based health centers are effective and address the stark racial and socioeconomic health disparities that persist. Yet, this work neglects many of the …