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Strategic Community Healthcare Management, Stephanie Penrod 2016 University of San Francisco

Strategic Community Healthcare Management, Stephanie Penrod

Master's Projects and Capstones

Federally Qualified Health Centers(FQHC) and Community Health Centers are growing with the Affordable Care Act. This paper introduces literature that supports the need for Community Health Centers and management of low income patients with chronic illnesses. This paper also reviews the fieldwork experience at a FQHC. It reviews the goals, project, methods and findings of the fieldwork. This paper also elaborates on the scope of the project and a quality improvement report for the FQHC in observation. It discusses the future potential implementation of the recommendations and the benefits for both employees and patients. This paper concludes with follow ...


Gender Differences In Social Support, Self-Salience, And Mental Health, Ee Shin (Emily) Hum, Christina Falci 2016 University of Nebraska - Lincoln

Gender Differences In Social Support, Self-Salience, And Mental Health, Ee Shin (Emily) Hum, Christina Falci

UCARE Research Products

Men and women tend to manifest distinct mental health outcomes. Specifically, women report higher levels of internalizing symptoms, such as depression and anxiety, whereas men report higher levels externalizing symptoms, such as alcohol abuse (Rosenfield, S., Lennon, M. C., & White, H. R., 2005; Rosenfield, S., & Smith, D., 2010). However, it is unclear what mechanisms shape the gender differences in mental health outcomes. This research will explore two key possible mechanisms: social support and self-salience. Our aims in this study are to examine how and why mental health outcomes vary by gender? And also to what extent do social support and self-salience explain the gender ...


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 ...


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 ...


The Fast Food And Obesity Link: An Investigation Of Consumption Patterns And Severity Of Obesity In Pre-Bariatric Surgery Patients, Ginny Garcia-Alexander, Thankam S. Sunil, Pedro Hinojosa 2016 Portland State University

The Fast Food And Obesity Link: An Investigation Of Consumption Patterns And Severity Of Obesity In Pre-Bariatric Surgery Patients, Ginny Garcia-Alexander, Thankam S. Sunil, Pedro Hinojosa

Ginny Garcia-Alexander

We examined selected behavioral factors associated with severity of obesity among pre-operative bariatric surgery patients in the San Antonio area; focusing specifically on the effects of fast food consumption. We used ordered logistic regression to model the effects of behavioral and attitudinal variables on obesity outcomes. Our results indicated that among the behavioral factors, fast food consumption exerted the largest influence on higher levels of obesity. After controlling for several social and demographic characteristics, the effects of fast food consumption remained significant in the model. In fact, for each increase in fast food consumption there was a 26% increase in ...


The Fast Food And Obesity Link: An Investigation Of Consumption Patterns And Severity Of Obesity In Pre-Bariatric Surgery Patients, Ginny Garcia-Alexander, Thankam S. Sunil, Pedro Hinojosa 2016 Portland State University

The Fast Food And Obesity Link: An Investigation Of Consumption Patterns And Severity Of Obesity In Pre-Bariatric Surgery Patients, Ginny Garcia-Alexander, Thankam S. Sunil, Pedro Hinojosa

Ginny Garcia-Alexander

We examined selected behavioral factors associated with severity of obesity among pre-operative bariatric surgery patients in the San Antonio area; focusing specifically on the effects of fast food consumption. We used ordered logistic regression to model the effects of behavioral and attitudinal variables on obesity outcomes. Our results indicated that among the behavioral factors, fast food consumption exerted the largest influence on higher levels of obesity. After controlling for several social and demographic characteristics, the effects of fast food consumption remained significant in the model. In fact, for each increase in fast food consumption there was a 26% increase in ...


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 ...


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 ...


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 ...


The Fast Food And Obesity Link: An Investigation Of Consumption Patterns And Severity Of Obesity In Pre-Bariatric Surgery Patients, Ginny Garcia-Alexander, Thankam S. Sunil, Pedro Hinojosa 2016 Portland State University

The Fast Food And Obesity Link: An Investigation Of Consumption Patterns And Severity Of Obesity In Pre-Bariatric Surgery Patients, Ginny Garcia-Alexander, Thankam S. Sunil, Pedro Hinojosa

Ginny Garcia-Alexander

We examined selected behavioral factors associated with severity of obesity among pre-operative bariatric surgery patients in the San Antonio area; focusing specifically on the effects of fast food consumption. We used ordered logistic regression to model the effects of behavioral and attitudinal variables on obesity outcomes. Our results indicated that among the behavioral factors, fast food consumption exerted the largest influence on higher levels of obesity. After controlling for several social and demographic characteristics, the effects of fast food consumption remained significant in the model. In fact, for each increase in fast food consumption there was a 26% increase in ...


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 ...


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 ...


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 ...


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 ...


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 ...


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 ...


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