Inequality and Stratification Commons^™

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 …

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 …

Hepatitis C Diagnoses In An American Indian Primary Care Population, Hillary E. Norton, John T. Redd, Ralph T. Bryan

Journal of Health Disparities Research and Practice

BACKGROUND: Despite large disparities in the burden of chronic liver disease, data on hepatitis C virus (HCV) infection among American Indians (AIs) are lacking. We reviewed hepatitis C diagnoses in 35,712 AI/AN primary care patients.

MAIN FINDINGS: At least one HCV-associated ICD-9 code was recorded in 251 (1%) patients between October 1, 2001 and September 30, 2003. An HCV enzyme-linked immunoassay (HCVEIA) was sent in 209 (83.0%); 206/209 (99%) were positive. Confirmatory testing was performed in 144/206 (70%) HCV-EIA positive patients; HCV infection was confirmed in 144 (100%). In the 90/144 (63%) charts with risk factor documentation, injection drug use …

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 …

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 …

A Human Capital Approach To Reduce Health Disparities, Saundra Glover, Sudha Xirasagar, Yunho Jeon, Keith Elder, Crystal N. Piper, Harris Pastides

Journal of Health Disparities Research and Practice

Objective: To introduce a human capital approach to reduce health disparities in South Carolina by increasing the number and quality of trained minority professionals in public health practice and research.

Methods: The conceptual basis and elements of Project EXPORT in South Carolina are described. Project EXPORT is a community based participatory research (CBPR) translational project designed to build human capital in public health practice and research. This project involves Claflin University (CU), a Historically Black College University (HBCU) and the African American community of Orangeburg, South Carolina to reduce health disparities, utilizing resources from the University of South Carolina (USC), …

Seeds For Change: Examining The Association Between Race, Food Security, And Urban Agriculture, Komal Razvi

Honors College Theses

Access to healthy, nutritious food is one of the most basic human needs. Unfortunately, a large portion of the global population, including that of the United States, has limited access to such food, hence putting families in a state of food insecurity. Food insecurity occurs when households are unable to (or struggle to) provide adequate food to all household members due to lack of funds or food resources. This phenomenon is considered to be a major concern in many urban settings such as Detroit, as it is a characteristic of societal distress. Interestingly, research has shown that while food insecurity …

Environmental Justice & Sociology, Brenna E. Regan

Honors Scholar Theses

This thesis compared the patterns influencing the creation of Native American reservations and the prison industrial complex in the United States. I argue that the country is controlled by people who create a physical and socio-political environment that caters to their certain positionality, adversely effecting and pushing marginalized groups into confined, controlled spaces in their own home. Ultimately, environmental justice, or equal control of people over their environment, is a vital factor in ending structural and physical violence against marginalized groups in the United States.

Overcoming Educational Stratification: Effect Of Athletic Status And Race On Odds Of Graduating At Western Kentucky University, Justin Schilke

Masters Theses & Specialist Projects

This study examines the effect of stratification on graduation at Western Kentucky University, a master’s level regional Division I Football Bowl Subdivision university in the South. The study begins by examining the historical basis of stratification in sport and higher education, and hypothesizes that becoming an intercollegiate athlete can eliminate the effect of being African American on graduation, which is generally negative and can be seen in lower graduation rates for African Americans compared to other populations. Using a data set that included 18,966 students, logistic regression was used to assess: 1) the effect of race on sport profile and …

Torch (May/June 2012), Brandon Baldwin, Civil Rights Team Project

Torch: The Civil Rights Team Project Newsletter

No abstract provided.

The Cupboard Is Full: Public Finances For Public Services In The Global South, Sarah T. Romano, Ronnie Lipschutz

All Faculty Work

No abstract provided.

Waiting In “The House Of Life”: Experiences Of Seeking Asylum In The United States While Living In Buffalo, New York, Meagan Nicole Salisbury

Honors Capstone Projects - All

I am interested in the experiences of individuals in Upstate New York throughout the process of seeking asylum. I want to know asylum law influences the daily lives of individuals in relation to their cases and other emotions and activities. To address this, I traveled to Vive, Inc. in Buffalo, a shelter for individuals seeking asylum in either the U.S. or Canada, and conducted nine interviews. I interviewed people seeking asylum, one woman who already obtained asylum in the United States, and the two staff members.

Based on my interviews, I argue that seeking asylum in the United States is …

Do Good Fences Make Good Neighbors? An Investigation And Analysis Of The Nature Of The Trinity College And Surrounding Neighborhoods Relationship As Seen Through Gates, Ariel Schuster

Senior Theses and Projects

No abstract provided.

Nuestras Experiencias: A Phenomenological Study Of Latina First Generation Higher Education Graduates, Diana Elizabeth Cruz

UNLV Theses, Dissertations, Professional Papers, and Capstones

A review of the literature indicates that Latinos lag behind White and

African American students in higher education degree attainment. This educational gap is of concern because Latinos are the largest minority group in the United States, and the Latino population is expected to increase in the future. Higher education degree attainment for Latinos is vital because statistics show an undeniable relationship between degree attainment and income level. In order to ensure the economic well being of Latinos, it is important that Latinos persist through university degree programs. The purpose of this qualitative study was to explore the experiences of …

江戸時代女性の噂話 第一部: 都会の庶民の女性 (町の女1), Cecilia (淑子） S. Seigle (瀬川） Ph.D.

Cecilia S Seigle Ph.D.

No abstract provided.

Πολιτική Ένταξης Των Μεταναστών Στην Κύπρο, Nicos Trimikliniotis

Nicos Trimikliniotis

Το ζήτημα της ένταξης των μεταναστών προβάλλει ως μείζον διακύβευμα εφόσον χωρίς την ένταξη τους απειλείται ο δημοκρατικός ιστός της Κυπριακής κοινωνίας, εφόσον το πολυπολιτισμικό στοιχείο αποτελεί βασικό συστατικό του πυρήνα της κυπριακής κοινωνίας και οικονομίας εδώ και μια εικοσαετία. Το ζήτημα τούτο αποκτά μεγαλύτερη σημασία σε συνθήκες οικονομικής κρίσης, εφόσον οι μετανάστες είναι κατά κανόνα εύκολος στόχος και κατεξοχήν αποδιοπομπαίος τράγος για τα κακώς έχοντα στη κοινωνία

江戸時代女性の噂話:第一部: 都会の庶民の女性 : 町の女 2, Cecilia (淑子） S. Seigle (瀬川）江戸時代女性の噂話:第一部: 都会の庶民の女性 : 町の女 2 江戸時代女性の噂話:第一部: 都会の庶民の女性 : 町の女 2 Ph.D.

Cecilia S Seigle Ph.D.

No abstract provided.

Examining The Role Of Life Satisfaction And Negative Emotionality In A Social Disorganization Framework, Jeremy Waller, Timothy C. Hart

Graduate Research Symposium (GCUA) (2010 - 2017)

At the core of the social disorganization perspective is the notion that neighborhood structural factors (i.e., socio-economic status, residential mobility, racial heterogeneity, family disruption, and urbanization) disrupt a community’s ability to self-regulate, which in turn leads to crime and delinquency.

Exogenous neighborhood characteristics believed to be causally linked to crime and delinquency are consistently derived from official Census data and endogenous community characteristics are typically measured from self-reported surveys.

The body of literature supporting the social disorganization explanation of criminogenic places is growing and supports the idea that neighborhood structural determinants of crime influence residents’ feelings of social capital and …

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 …