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Patient Or Physician Centered Care?: Structural Implications For Clinical Interactions And The Overlooked Patient, Aaron B. Franzen 2017 franzen@hope.edu

Patient Or Physician Centered Care?: Structural Implications For Clinical Interactions And The Overlooked Patient, Aaron B. Franzen

Faculty Publications

Patient-centered care is widely supported by physicians, but this wide-spread support potentially obscures the social patterning of clinical interactions. We know that patients often want religious/spiritual conversations in the context of medical care but the provision is infrequent. As there is regional variance in religiosity, a gap in the literature exists regarding whether patient populations’ religiosity is connected to physicians’ self-reported religious/spiritual interactions. Using a national sample of U.S. physicians linked to county-level measures, the author test whether both physicians’ background and patient population characteristics are related to religious/spiritual interactions. Specifically, do physicians in more religious ...


Addressing The Racial Disparity In Birth Outcomes: Implications For Maternal Racial Identity On Birthweight, Wanda M. Burton, Maria Hernandez-Reif, Brad Lian 2017 University of Alabama - Tuscaloosa

Addressing The Racial Disparity In Birth Outcomes: Implications For Maternal Racial Identity On Birthweight, Wanda M. Burton, Maria Hernandez-Reif, Brad Lian

Journal of Health Disparities Research and Practice

Background: As a widely used marker of health, birthweight has been a persistent racialized disparity with the low birthweight rate of Blacks in Alabama nearly doubling the national average. The purpose of this study was to examine the role of racial identity and acculturation on birthweight in a sample of Black women living in Alabama.

Methods: Black women (n=72) in West Alabama were surveyed about the birthweight of their first born child. Correlation and multiple linear regression analyses were conducted.

Results: Racial identity was the only significant predictor of birthweight. Mothers with a strong racial identity reported having low ...


Risk For Cardiovascular Disease In Blacks With Hiv/Aids In America: A Systematic Review And Meta-Analysis, Calvin Odhiambo, Jessica Davis, Bernard Omolo 2017 University of South Carolina Upstate

Risk For Cardiovascular Disease In Blacks With Hiv/Aids In America: A Systematic Review And Meta-Analysis, Calvin Odhiambo, Jessica Davis, Bernard Omolo

Journal of Health Disparities Research and Practice

Cardiovascular disease (CVD) related to HIV infection is becoming a major public health concern in the United Stated. Epidemiologic studies show that prolonged use of Highly Active Antiretroviral Therapy, HIV/AIDS itself, and a combination of traditional vascular risk factors increase the risk for CVD among people with HIV/AIDS. However, little is known about any racial disparities in the risk for CVD in the HIV/AIDS population. We conducted a systematic review and meta-analysis of literature on HIV/AIDS and CVD (June 1, 2010-July 31, 2014) through MEDLINE to examine whether and how HIV-positive African Americans are disproportionately affected ...


Social Determinants Of Health Associated With Hbv Testing And Access To Care Among Foreign-Born Persons Residing In The United States: 2009 - 2012, Kevin M. Greene, Wayne A. Duffus, Jian Xing, Hope King 2017 Centers for Disease Control and Prevention

Social Determinants Of Health Associated With Hbv Testing And Access To Care Among Foreign-Born Persons Residing In The United States: 2009 - 2012, Kevin M. Greene, Wayne A. Duffus, Jian Xing, Hope King

Journal of Health Disparities Research and Practice

Objectives: To describe how select Social Determinants of Health (SDH) are associated with the burden of hepatitis B virus (HBV) infection among foreign-born persons residing in the United States.

Methods: Multivariate logistic regression was used to examine the Racial and Ethnic Approaches to Community Health (REACH) 2010 Risk Factor Survey data to investigate the independent relationship between SDH and HBV testing and access to care.

Results: HBV infected persons with insurance were more likely to see a physician than those without. Respondents worried about money to pay rent or mortgage were more likely to report HBV infection than individuals who ...


Racial Disparities In Infant Mortality, 1990 To 2004: Low Birth Weight, Maternal Complications And Other Causes, Ginny Garcia-Alexander, Hyeyoung Woo 2017 Portland State University

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

Hyeyoung Woo

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 ...


Socioeconomic Determinants Of Health Disparities By Race And Ethnicity: The Mediating Role Of Social, Psychological And Behavioral Factors, Amanuel Zimam Melekin 2017 Portland State University

Socioeconomic Determinants Of Health Disparities By Race And Ethnicity: The Mediating Role Of Social, Psychological And Behavioral Factors, Amanuel Zimam Melekin

Dissertations and Theses

Socioeconomic status (SES) is inversely related to health status. Disparities in health status among races and ethnic groups are partly attributable to differences in SES, but the indirect pathways by which SES may influence health status are not widely studied.

Using the Health and Retirement Study (HRS) data, this dissertation examined the pathways by which SES, via social, psychological, and behavioral factors predicted physical impairment and overnight hospitalization, and asked whether these indirect relationships differed by race/ethnicity. The HRS is a nationally representative multistage area probability sample administered biennially to respondents over the age of 51 and their spouses ...


The Role Of Random Allocation In Randomized Controlled Trials: Distinguishing Selection Bias From Baseline Imbalance, Allyn Fives, Daniel W. Rusell, Noreen Kearns, Rena Lyons, Patricia Eaton, John Canavan, Carmel Devaney, Aoife O'Brien 2017 National University of Ireland, Galway

The Role Of Random Allocation In Randomized Controlled Trials: Distinguishing Selection Bias From Baseline Imbalance, Allyn Fives, Daniel W. Rusell, Noreen Kearns, Rena Lyons, Patricia Eaton, John Canavan, Carmel Devaney, Aoife O'Brien

Daniel W. Russell

Background: This paper addresses one threat to the internal validity of a randomized controlled trial (RCT), selection bias. Many authors argue that random allocation is used to ensure baseline equality between study conditions in a given study and that statistically significant differences at pretest mean that randomisation has failed. Purpose: The purpose of this study was to clarify the role of random allocation in an RCT study. Is the role of random allocation to protect against selection bias? And does it have a further role, namely to ensure baseline equality and the absence of statistically significant differences between study conditions ...


Ethical Theories And Perspectives On End-Of-Life Decisions, Lauren Skelton 2017 Abilene Christian University

Ethical Theories And Perspectives On End-Of-Life Decisions, Lauren Skelton

Dialogue & Nexus

This paper approaches several different ethical theories to see how they interact with the issue of withdrawing and withholding life-sustaining care. After the theories of Utilitarianism, Kantian and Prima Facie Deontology, Virtue Ethics, and Evolutionary Ethics are explored at length, Deontological theories are proven to be the best decision-making guide from the perspective of both patients and those in policy-making positions. When used together, Kantian and Prima Facie Deontology offer the overall best combination of ethical instruction and personal freedom.


The Ethical Considerations Of Physician-Assisted Suicide, Madeline Jordan 2017 Abilene Christian University

The Ethical Considerations Of Physician-Assisted Suicide, Madeline Jordan

Dialogue & Nexus

With respect to physician-assisted suicide, several approaches to adjudicate an ethical position can be processed from the theories of utilitarianism, Kantian deontology, and virtue ethics. This paper will explore these three positions with respect to physician-assisted suicide and the pros and cons of each. In conclusion, based on my research and Christian beliefs, I will define why I reside with virtue ethics and why it leads me to a position that is against physician-assisted suicide at this particular point in my life.


Christian And Islamic Perspectives On The Ethical Dilemma Of In Vitro Fertilization (Ivf), Stephanie Sariles 2017 Abilene Christian University

Christian And Islamic Perspectives On The Ethical Dilemma Of In Vitro Fertilization (Ivf), Stephanie Sariles

Dialogue & Nexus

After defining IVF procedures and the associated biomedical ethics with each, I will compare and contrast Christian and Islamic perspectives on IVF. Christianity in general does not accept IVF, because it is an unnatural method of reproduction that can affect Christian traditions such as parenthood and marriage. Despite this view, Protestants, in particular, have opened up to IVF as a method for treating infertility. Islam fully accepts IVF provided the married couple follows Islamic law. Sunni Muslims do not accept gamete donation, but Shi’ite Muslims are more flexible with gamete donation and surrogacy.


Gadgets And Grieving: A Chronological Analysis On The Ways In Which Advancements In Medical Technologies Have Altered The Grieving Process, Grace McNair 2017 Abilene Christian University

Gadgets And Grieving: A Chronological Analysis On The Ways In Which Advancements In Medical Technologies Have Altered The Grieving Process, Grace Mcnair

Dialogue & Nexus

Since the 1940s, both end-of-life care and advancements in medical technologies have expanded exponentially. This article explores the advancements in medical technologies and how these have altered the way that Western society grieves death. With the capabilities to prolong life, the family, the patient, and the medical team, all grieve the end of life in different ways. This article provides a chronological analysis of palliative care, hospice care, and various medical advancements. These changes in medicine are then paralleled with alterations in the bereavement process. This article explores historical narratives of Western society’s transformation of grief through the lens ...


An Ethical Evaluation Of The Modern Pharmaceutical Industry, Kaitlyn Drennan 2017 Abilene Christian University

An Ethical Evaluation Of The Modern Pharmaceutical Industry, Kaitlyn Drennan

Dialogue & Nexus

Lack of transparency, wrongdoings, and unlawful promotion characterize the healthcare industry; these are especially prevalent within the pharmaceutical industry. Consequently, an investigation into the evidence of the corruption and the ethical infringement is needed. In this paper, I will evaluate the pharmaceutical industry’s adherence to the three major branches of ethics. The ever-increasing prices of pharmaceutical products, especially medications used for the combating of anaphylaxis and cancer, coupled with the compensatory-based medication promotion and research points to a major crisis in the realm of social justice. These examples, among many other current issues, lead to difficulties in individuals receiving ...


Up, Down And Reciprocal: The Dynamics Of Intergenerational Transfers, Family Structure And Health In A Low-Income Context, Collin F. Payne, Luca Maria Pesando, Hans-Peter Kohler 2017 Harvard University

Up, Down And Reciprocal: The Dynamics Of Intergenerational Transfers, Family Structure And Health In A Low-Income Context, Collin F. Payne, Luca Maria Pesando, Hans-Peter Kohler

Population Center Working Papers (PSC/PARC)

In the absence of well-functioning public transfer systems and safety nets, the family acts as the key provider of income and support through the intergenerational redistribution of resources. In this paper we use micro-level longitudinal data and a mix of methodologies to document the lifecycle patterns of financial transfers in a rural, sub-Saharan African population. Underneath a well-established age-pattern of intergenerational transfers in which transfer patterns change according to broad stages of the economic life cycle, our analyses document significant heterogeneity and fluidity: Intergenerational transfers are variable and reverse their direction, with individuals moving between the provider and recipient states ...


Strategies And Substance Treatment: Perceptions Of Older Adults 60 And Over, Kim Malveo Jones 2017 California State University - San Bernardino

Strategies And Substance Treatment: Perceptions Of Older Adults 60 And Over, Kim Malveo Jones

Electronic Theses, Projects, and Dissertations

The purpose of this study was to gather the perceive strategies and substance treatment needs of adults 60 and over. To examine what recovery treatment models and strategies could be most effective for the age-related complex needs of the 60 and over population who are at risk for substance misuse, use or abuse. In the coming years, there will be a substantial increase in the numbers of older adults with substance misuse and abuse problems. Even though one in five individuals who experience substance abuse are older adults many clinicians remain ill equipped to serve older clientele, and particularly those ...


A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot 2017 California State University - San Bernardino

A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot

Electronic Theses, Projects, and Dissertations

As gerontologists may know, there are a great deal of studies and a variety of academic literature on the misuse of alcohol and prescription medication amongst the elderly population. While there is a plethora of information on alcohol and prescription misuse, there is little reported data about the prevalence of other substance misuse experienced by this population. This study aims to help to fill that gap in the data by using quantitative methods to describe the scope of substance abuse of individuals 55-years or older. This study utilizes data from the Treatment Data Set Admission (TEDS-A). The TEDS-A is a ...


Flesh And Blood, Clayton Petras 2017 Washington University in St. Louis

Flesh And Blood, Clayton Petras

Graduate School of Art Theses

In my work, I look for ways to visualize and document the degenerative mental disease of Parkinson’s and transform it into portrayals of the disease itself, its effects, and those it afflicts. Being a physical breakdown of the body, both popular culture and my own corporal understanding influence my interpretation and representation. This document outlines those influences and their buildup towards a shared understanding of the interests behind the work, as well as implies what the work does through these contexts.

How do we give identity to a disease that is difficult to diagnose or view on medical technology ...


The Problem Of Suffering: Universal Health Coverage As A Partial Solution, Christen Scaggs 2017 Abilene Christian University

The Problem Of Suffering: Universal Health Coverage As A Partial Solution, Christen Scaggs

Dialogue & Nexus

Universal Health Coverage is evaluated from a Christian Biblical perspective and found that it meets an appropriate standard of service to the poor. Christians should consider its benefits and drawbacks compared to doing nothing. The issue of diminished access to healthcare, burdensome medical costs, reduced coverage, and discrimination against impoverished individuals with specific regards to healthcare are all conquerable challenges.


Volume 3 Editorial, Daniel Brannan 2017 Abilene Christian University

Volume 3 Editorial, Daniel Brannan

Dialogue & Nexus

No abstract provided.


Strain, Depression, And Reentry: Effects Of Incarceration On Depression And Reentry, Danielle Creech 2017 University of Wyoming

Strain, Depression, And Reentry: Effects Of Incarceration On Depression And Reentry, Danielle Creech

Honors Theses AY 16/17

Thousands of people face release from incarceration in America each day, which is a process termed reentry. The reentry process is accompanied by a multitude of complex challenges, which are compounded by the presence of a mental disorder. Research has explored the relationship between mental health and incarceration, as well as mental health and reentry. However, little has been done to determine how incarceration effects depressive disorders or how changes in mental health alter coping mechanisms for reentry-induced stress. Using strain theory as the central theoretical perspective, this research seeks to determine how incarceration effects those with depression and how ...


Waiting For The Wisdom To Drop: A Photovoice Exploration Of Menopause, Delinda L. Free 2017 Portland State University

Waiting For The Wisdom To Drop: A Photovoice Exploration Of Menopause, Delinda L. Free

Student Research Symposium

The purpose of this study was to create a women’s menopause discussion group based on the Photo Voice method, to use a narrative approach to learn what is currently relevant in the experience of menopausal women, to reveal insights about menopause as a phase of psychological development, and to bring a visual representation together with narratives to tell a story about the collective psychological themes. Participants were asked to meet and reflect on what has changed in their values, attitudes, aspirations, goals, and outlook on life. Then participants were asked to take pictures over the course of a week ...


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