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Trends And Disparities In Postpartum Sterilization Following C-Section, 2000-2008, Ginny Garcia-Alexander, Dawn Richardson, Kelly Gonzales, Adolfo Gabriel Cuevas 2016 Portland State University

Trends And Disparities In Postpartum Sterilization Following C-Section, 2000-2008, Ginny Garcia-Alexander, Dawn Richardson, Kelly Gonzales, Adolfo Gabriel Cuevas

Ginny Garcia-Alexander

Objectives. We examined variations in the prevalence of postpartum tubal sterilizations following cesarean sections (C-sections) from 2000 to 2008. Methods. We used data from the National Hospital Discharge Survey (NHDS) to estimate odds ratios for patient- (race, marital status, age) and system-level factors (hospital size, type, region) on the likelihood of receiving tubal sterilization after C-section. Results. A disproportionate share of postpartum tubal sterilizations following C-section was covered by Medicaid. The likelihood of undergoing sterilization was increased for Black women, women of older age, and non-single women. Additionally, they were increased in proprietary and government hospitals, smaller hospital settings, and ...


Racial Disparities In Infant Mortality, 1990 To 2004: Low Birth Weight, Maternal Complications And Other Causes, Ginny Garcia-Alexander, Hyeyoung Woo 2016 Portland State University

Racial Disparities In Infant Mortality, 1990 To 2004: Low Birth Weight, Maternal Complications And Other Causes, Ginny Garcia-Alexander, Hyeyoung Woo

Ginny Garcia-Alexander

Demographers have long studied the unacceptably high rates of infant mortality in the U.S., relative to other advanced countries. These higher rates are largely attributable to persistent racial gaps in infant health outcomes and are likely a reflection of social inequalities, which manifest as poorer infant health outcomes in certain groups. We extend on previous research in this area by utilizing the restricted 1990 and 2000 cohort linked birth-death files to examine the risk of infant death due to several main causes including: maternal complications, low birth weight, and other causes, and how it has changed over time. We ...


Religion And Infant Mortality In The United States: A Community-Level Investigation Of Denominational Variations, Ginny Garcia-Alexander, John P. Bartkowski, Xiaohe Xu 2016 Portland State University

Religion And Infant Mortality In The United States: A Community-Level Investigation Of Denominational Variations, Ginny Garcia-Alexander, John P. Bartkowski, Xiaohe Xu

Ginny Garcia-Alexander

A burgeoning body of scholarship has explored the influence of community-level religiosity (religious ecology) on various health outcomes. In this study, we enlist data from the Glenmary Census of Churches, county-level infant mortality rates from the NCHS, and select Census data to investigate the relationship between infant mortality and religion. Our study employs both aggregate analyses of major faith traditions (conservative Protestant, mainline Protestant, Catholic, and other religions) as well as decomposition analyses that subdivide conservative Protestants into four variants: fundamentalist, evangelical, Pentecostal, and other conservative Protestant. Our preliminary findings suggest that counties with a high prevalence of Catholic and ...


Impacts Of Early Sexual Experience And Associated Risk Of Sexually Transmitted Infection (Sti) Among Teens And Adults In The United States, Ginny Garcia-Alexander 2016 Portland State University

Impacts Of Early Sexual Experience And Associated Risk Of Sexually Transmitted Infection (Sti) Among Teens And Adults In The United States, Ginny Garcia-Alexander

Ginny Garcia-Alexander

This analysis explores incidence rates of sexually transmitted infections (STIs) among minority group teenagers (aged 15-19) and adults aged 20-34 in the United States. The primary research question is aimed at whether or not the early onset of sexual activity is directly related to the incidence of STI transmission among Americans. Discussion is given to the current literature with respect to the most recent trends in STIs as well as some historical background on classifications. Also examined are the differing impacts observed for those who are affected by bacterial infections (young minorities) and those who are affected by viral infections ...


Trends And Disparities In Postpartum Sterilization Following C-Section, 2000-2008, Ginny Garcia-Alexander, Dawn Richardson, Kelly Gonzales, Adolfo Gabriel Cuevas 2016 Portland State University

Trends And Disparities In Postpartum Sterilization Following C-Section, 2000-2008, Ginny Garcia-Alexander, Dawn Richardson, Kelly Gonzales, Adolfo Gabriel Cuevas

Ginny Garcia-Alexander

Objectives. We examined variations in the prevalence of postpartum tubal sterilizations following cesarean sections (C-sections) from 2000 to 2008. Methods. We used data from the National Hospital Discharge Survey (NHDS) to estimate odds ratios for patient- (race, marital status, age) and system-level factors (hospital size, type, region) on the likelihood of receiving tubal sterilization after C-section. Results. A disproportionate share of postpartum tubal sterilizations following C-section was covered by Medicaid. The likelihood of undergoing sterilization was increased for Black women, women of older age, and non-single women. Additionally, they were increased in proprietary and government hospitals, smaller hospital settings, and ...


Religion And Infant Mortality In The U.S.: A Preliminary Study Of Denominational Variations, John P. Bartkowski, Xiaohe Xu, Ginny Garcia-Alexander 2016 University of Texas at San Antonio

Religion And Infant Mortality In The U.S.: A Preliminary Study Of Denominational Variations, John P. Bartkowski, Xiaohe Xu, Ginny Garcia-Alexander

Ginny Garcia-Alexander

Prior research has identified a number of antecedents to infant mortality, but has been focused on either structural (demographic) forces or medical (public health) factors, both of which ignore potential cultural influences. Our study introduces a cultural model for explaining variations in infant mortality, one focused on the role of community-level religious factors. A key impetus for our study is well-established religious variations in adult mortality at the community level. Seeking to extend the growing body of research on contextual-level effects of religion, this study examines the impact of religious ecology (i.e., the institutional market share of particular denominational ...


Racial Disparities In Infant Mortality, 1990 To 2004: Low Birth Weight, Maternal Complications And Other Causes, Ginny Garcia-Alexander, Hyeyoung Woo 2016 Portland State University

Racial Disparities In Infant Mortality, 1990 To 2004: Low Birth Weight, Maternal Complications And Other Causes, Ginny Garcia-Alexander, Hyeyoung Woo

Ginny Garcia-Alexander

Demographers have long studied the unacceptably high rates of infant mortality in the U.S., relative to other advanced countries. These higher rates are largely attributable to persistent racial gaps in infant health outcomes and are likely a reflection of social inequalities, which manifest as poorer infant health outcomes in certain groups. We extend on previous research in this area by utilizing the restricted 1990 and 2000 cohort linked birth-death files to examine the risk of infant death due to several main causes including: maternal complications, low birth weight, and other causes, and how it has changed over time. We ...


Racial Disparities In Infant Mortality, 1990 To 2004: Low Birth Weight, Maternal Complications And Other Causes, Ginny Garcia-Alexander, Hyeyoung Woo 2016 Portland State University

Racial Disparities In Infant Mortality, 1990 To 2004: Low Birth Weight, Maternal Complications And Other Causes, Ginny Garcia-Alexander, Hyeyoung Woo

Ginny Garcia-Alexander

Demographers have long studied the unacceptably high rates of infant mortality in the U.S., relative to other advanced countries. These higher rates are largely attributable to persistent racial gaps in infant health outcomes and are likely a reflection of social inequalities, which manifest as poorer infant health outcomes in certain groups. We extend on previous research in this area by utilizing the restricted 1990 and 2000 cohort linked birth-death files to examine the risk of infant death due to several main causes including: maternal complications, low birth weight, and other causes, and how it has changed over time. We ...


Trends And Disparities In Postpartum Sterilization Following C-Section, 2000-2008, Ginny Garcia-Alexander, Dawn Richardson, Kelly Gonzales, Adolfo Gabriel Cuevas 2016 Portland State University

Trends And Disparities In Postpartum Sterilization Following C-Section, 2000-2008, Ginny Garcia-Alexander, Dawn Richardson, Kelly Gonzales, Adolfo Gabriel Cuevas

Ginny Garcia-Alexander

Objectives. We examined variations in the prevalence of postpartum tubal sterilizations following cesarean sections (C-sections) from 2000 to 2008. Methods. We used data from the National Hospital Discharge Survey (NHDS) to estimate odds ratios for patient- (race, marital status, age) and system-level factors (hospital size, type, region) on the likelihood of receiving tubal sterilization after C-section. Results. A disproportionate share of postpartum tubal sterilizations following C-section was covered by Medicaid. The likelihood of undergoing sterilization was increased for Black women, women of older age, and non-single women. Additionally, they were increased in proprietary and government hospitals, smaller hospital settings, and ...


Using The Theory Of Fundamental Causes To Show The Potential Effects Of Socioeconomic Status On Surgical Outcomes, Mehwish Qasim, A.B.D. 2016 University of Iowa

Using The Theory Of Fundamental Causes To Show The Potential Effects Of Socioeconomic Status On Surgical Outcomes, Mehwish Qasim, A.B.D.

Journal of Health Disparities Research and Practice

Surgical procedures are both costly and common. There are large differences in surgical outcomes both within and between hospitals based on patient characteristics such as measures of income. In both 2000 and 2009, patients residing in low-income communities had worse morbidity and mortality rates, across a wide range of quality indicators. In this review, the author will explicate the Theory of Fundamental Causes as it relates to surgical care, review key empirical findings and address potential limitations of the theory. This review will provide a platform for researchers to discuss current research in surgical disparities using the Theory of Fundamental ...


Facing Our Demons: Psychiatric Perspectives On Exorcism Rituals, Joel R. Sanford 2016 Western Michigan University

Facing Our Demons: Psychiatric Perspectives On Exorcism Rituals, Joel R. Sanford

The Hilltop Review

Belief in possession by malevolent spirits exists in many cultures and religions throughout the world, and such beliefs often serve as explanations for a variety of psychological and emotional afflictions. Traditional remedies in these cases often involve exorcism rituals, which are believed to expel spirits from a person's mind and/or body. Some of the cases commonly attributed to involuntary spirit possession are diagnosed within the psychiatric community as schizophrenia or some sort of dissociative disorder and treated with psychotherapy and/or medicine. For some in the psychiatric community, exorcisms and their use by patients are viewed as problematic ...


Ramadan & Pregnancy, Omar Rizvi 2016 Augustana College, Rock Island Illinois

Ramadan & Pregnancy, Omar Rizvi

Celebration of Learning

Fasting during Ramadan, the ninth month of the Muslim calendar, is one of the five pillars of Islam and is fard (obligatory) for all Muslims physically and mentally capable of doing so. In the Qur’an, it is made abundantly clear that religion and its acts of worship are not meant to pose undue difficulty or hardship (Qur’an 22:78, 5:6, 2:185). My paper explores the Islamic definitions for “unnecessary difficulty” and “physically capable” specifically in regards to pregnant women. At what point does fasting incur significant, if any, damage to the fetus that it should prevent ...


Ethnicity Matters: Implications For Understanding And Acting Upon Disparities In Health Affecting Black Men In The United States, Helen V. S. Cole 2016 Graduate Center, City University of New York

Ethnicity Matters: Implications For Understanding And Acting Upon Disparities In Health Affecting Black Men In The United States, Helen V. S. Cole

All Graduate Works by Year: Dissertations, Theses, and Capstone Projects

Compared to non-Hispanic whites, non-Hispanic blacks have higher rates of mortality from heart disease, cancer, cardiovascular disease, and HIV/AIDS. Black men have a life expectancy approximately 4.7 years than the life expectancy of non-Hispanic white men, due in part to higher prevalence of chronic disease among black men. Many factors are hypothesized to contribute to disparities in health between races, including differences in socioeconomic status; culturally-linked behaviors such as diet, substance use, and physical activity; access to quality healthcare and other resources; and experiences of racism, both institutional and interpersonal. However, in public health research, race is usually ...


Health Applications Of Social Network Analysis And Computational Social Science, James Kitts 2016 University of Massachusetts Amherst

Health Applications Of Social Network Analysis And Computational Social Science, James Kitts

UMass Center for Clinical and Translational Science Research Retreat

Social network analysis has proliferated across the social and behavioral sciences, shifting our analytical focus from individuals to the patterns of social ties that connect them. This perspective has enriched our understanding of a great variety of health-related phenomena, including the spread of STDs on contact networks, the spread of health care practices on physicians’ professional networks, the dynamics of patient transfers on networks of clinics, and the spread of weight-related behaviors among adolescents at risk for obesity. The advent of the era of computational social science has augmented the contributions of this perspective, by moving beyond expensive and laborious ...


Science, Symptoms, And Support Groups:Adhd In The American Cultural Context, Kealy D. Fallon 2016 CUNY Hunter College

Science, Symptoms, And Support Groups:Adhd In The American Cultural Context, Kealy D. Fallon

School of Arts & Sciences Theses

This thesis is a cultural analysis of the behaviorally- and psychiatrically-defined disorder ADHD, socio-historically contextualizing it in the United States and exploring ethnographically how people affected by it talk about and organize their experience of its symptoms.


The Social Implications Of Wellness, Mary G. Fisher 2016 Butler University

The Social Implications Of Wellness, Mary G. Fisher

BU Well

This paper presents the existing health disparities between populations of varying socio-economic statuses in the US as part of a broader discussion of the modern wellness industry. The discussion highlights the threat modern wellness poses to the individual and society and the implications these threats have on the health and future of the US if the wellness industry is left unchecked.


Gender And Health Over The Life Course: Temporal, Contextual, And Intersectional Considerations, Nicole Etherington 2016 The University of Western Ontario

Gender And Health Over The Life Course: Temporal, Contextual, And Intersectional Considerations, Nicole Etherington

Electronic Thesis and Dissertation Repository

Research has continuously demonstrated differences in health between men and women and emphasized a “gender paradox” whereby women live longer than men, but have higher rates of morbidity. Still, relatively little attention has been given to the underlying mechanisms and processes involved within groups of women and men that may provide greater insight into the patterns of health experienced among each group rather than simply between them. Specifically, there has been an over-reliance on cross-sectional and retrospective data; inattention to multiple resources and health conditions; limited consideration of various age ranges and time spans; and an over-emphasis on comparing women ...


Women And Healthcare In Appalachia: Impeding Circumstance And The Role Of Technology, Ashley Cano 2016 East Tennessee State Universtiy

Women And Healthcare In Appalachia: Impeding Circumstance And The Role Of Technology, Ashley Cano

Electronic Theses and Dissertations

For decades, healthcare access and quality in central and southern Appalachia have trailed the rest of the country. Entrenched poverty and low educational attainment compound healthcare problems. This study examines the healthcare obstacles women encounter in southern and central Appalachia and analyzes how technology use, such as Internet searching and social media affect women’s healthcare decisions. Data were analyzed from four focus groups conducted with women from the region. Results indicate that seeing a physician or not did not influence women’s propensity to search the Internet for health-related information or to seek support through social media sites. Additionally ...


Factors Associated With African American Women’S Sexual Health And Risk Behavior: A Mixed Methods Study, Melody N. Waller 2016 University of Tennessee Health Science Center

Factors Associated With African American Women’S Sexual Health And Risk Behavior: A Mixed Methods Study, Melody N. Waller

Theses and Dissertations (ETD)

Introduction: When looking at the health status of our nation, an examination of sexual and reproductive health reveals that there are multiple conditions related to sexual behavior posing a burden on the health of African American women (AAW). Disproportionate rates of sexually transmitted infections, unintended/teen pregnancy, and sexual violence in this group reveal the need to integrate a broader construct to address the multiple factors known to contribute to disparities in sexual and reproductive health affecting AAW. Current health promotion efforts including the encouragement of abstinence and condom use fail to address the multiple components involved in sexual health ...


Predictors Of Quality Of Life For African American Women Who Assist Persons Who Receive Dialysis, Shaquita A. Starks 2016 University of Tennessee Health Science Center

Predictors Of Quality Of Life For African American Women Who Assist Persons Who Receive Dialysis, Shaquita A. Starks

Theses and Dissertations (ETD)

The purpose of this predictive correlational study was to describe predictors of quality of life (QoL) for African American women who were caregivers of persons with end stage renal disease (ESRD). Five purposes, derived from a review of literature and conceptual model, guided this study. First, the study described the association between demographic factors (i.e., education, employment, age, marital status), and QoL. Second, the study explored the relationship between stress and QoL. Third, the study described the association between depressive symptoms and QoL. Fourth, the study described the association between family health/happiness and QoL. Fifth, the study described ...


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