Medicine and Health Commons^™

Correlates Of Gang Involvement And Health-Related Factors Among African American Females With A Detention History, Dexter R. Voisin

Faculty Scholarship

Background: Prior studies have assessed relationships between gang membership and health-related factors. However, the existing literature has largely failed to consider how individual and broader social contextual factors might be related to such gang involvement among African American females. Thus, the aim of the present study was to identify empirically driven correlates of gang involvement and then better understand the relationship between gang membership and health-related behaviors for African American females, after controlling for covariates of gang involvement. Methods: Data were collected from a convenience sample of detained African American adolescents females, between the ages of 13-17, currently incarcerated in …

Improv To Improve Interprofessional Communication, Team Building, Patient Safety, And Patient Satisfaction, Candace A. Campbell

Doctor of Nursing Practice (DNP) Projects

The purpose of this process improvement project was to implement a test of change within a healthcare team utilizing applied improvisational exercises (AIEs), and to lay the groundwork for more effective inter- and intra-professional communication.

Literature review: AIEs have been shown to facilitate individual participant communication strengths through a process of un-learning certain common behavioral habits, and learning new habits that assist in creating and expanding closed-loop communication. Such un-learning and learning enriches the participant’s awareness of the environment and encourages participant adaptability through positive group interactions.

Method: An all-day AIE seminar/workshop was conducted with members of two healthcare teams …

Ethics And The Use Of Coercion In The Treatment Of Psychiatric Patients, Jen Rushforth

Themis: Research Journal of Justice Studies and Forensic Science

Involuntary psychiatric treatment occurs under such conditions as the medicating or placing in treatment facilities of patients without their consent. Such involuntary treatment has been litigated in the Supreme Court; however, the Court’s rulings have been applied to incarcerated persons, with the notable exception of the 1975 ruling in O’Connor v. Donaldson, a case argued as a civil rights violation. Using O’Connor v. Donaldson as a framework, this paper argues that forcing non- violent psychiatric patients to take medication, or be otherwise treated against their will, is an unethical practice and must be discontinued. This practice of forcible treatment violates …

From Quackery To Control: Perceptions Of Complementary And Alternative Medicine From Users With Mental Health Disorders, Rachael Welsh Allen

Electronic Theses and Dissertations

This study is an investigation into why people with depression and anxiety use complementary and alternative medicines at higher rates than the general population. The study examines perceptions of mental illness and meanings assigned to depression and anxiety, others’ perceptions of mental illness, and experiences with conventional medicine. All participants were using complementary and alternative medicine at the time of the study; their reasons for CAM use as well as how CAM affected perceptions of their illness were main research questions. I conducted three focus groups with individuals diagnosed with depression who were using complementary and alternative medicine as forms …

Dynamic Social Support Networks Of Younger Black Men Who Have Sex With Men With New Hiv Infection, Dexter R. Voisin

Faculty Scholarship

Rising rates of HIV infection among younger black men who have sex with men (YBMSM) in the USA have generated a public health emergency. Living with HIV requires deep and persistent social support often available only from close confidants. Enlisting endogenous support network members into the care of HIV-infected YBMSM may help shape sustainable supportive environments, leading to long-term improvements in mental and HIV-specific health outcomes. The present study examined trends in support network change over time after new HIV diagnoses among 14 YBMSM. Participants completed a social network survey that utilized sociograms to record support confidants (SCs) preceding HIV …

Factors Influencing The Completion Of Advance Directives, Andrea B. Emmanuel

Morehead State Theses and Dissertations

A Thesis Presented to the Faculty of the Caudill College of Arts, Humanities and Social Sciences Morehead State University in Partial Fulfillment of the requirements for the Degree Master of Arts by Andrea B. Emmanuel on April 18, 2014.

The Notebook: An Accidental Alzheimer's Awareness Campaign, Danielle Waldron

Annual Undergraduate Conference on Health and Society

My paper examines and critiques the portrayal of Alzheimer¹s disease in the popular film, The Notebook. Based off of a Nicholas Sparks novel, The Notebook uses Alzheimer¹s disease as a vehicle to relay a love story, but in doing so, presents a distorted picture of Alzheimer¹s disease to its audience. My paper compares the responsibilities of family caregivers of Alzheimer¹s patients in today¹s world with the unrealistic family caregiver, Noah, depicted on screen. My paper also explores and exposes inconsistencies between the attractive nursing home experience presented on screen and the less than ideal treatment patients experience in long term …

Is Gaining, Losing Or Keeping A Self-Identified Fertility Problem Associated With Changes In Self-Esteem?, Elizabeth A. Richardson

Department of Sociology: Dissertations, Theses, and Student Research

Because motherhood is an expected and valued identity in the United States, becoming a mother should lead to an increase in self-esteem and perceiving a problem becoming a mother should lead to a decrease in self-esteem. Little research has examined the combined experience of both identifying with a fertility problem and becoming a mother or not over time. Guided by identity theory framework, this study uses two waves of data from the National Survey of Fertility Barriers (NSFB) to examine how change and stability in motherhood status and perceived fertility barrier status is associated with changes in self-esteem among women …

Employment And Economic Development In Southern Nevada, Jennifer Pharr, Courtney Coughenour, Shawn Gerstenberger

Nevada Journal of Public Health

Wealth influences a person’s health. People who are higher on the socioeconomic scale tend to have better health outcomes. To improve the health of a community, it is important to understand the employment opportunities of the people living in the community.

Southern Nevada’s economy was hit hard between 2008 and 2012. Unemployment rates in the region exceeded national and peer regions between during this time period. Construction; leisure and hospitality; trade, transportation and utilities; and professional and business service sectors experienced the greatest job loss during the recession. The Education and Health Services sectors did not experience a decrease in …

Healthcare Access And Health Outcomes In Southern Nevada, Jennifer Pharr, Courtney Coughenour, Shawn Gerstenberger

Nevada Journal of Public Health

In a publication from the Robert Woods Johnson Foundation, it was recognized that a person’s zip code was a more important predictor of health than their genetic code. Where we live influences not only our access to health care, but other health indicators as well. Clark County has a low primary care physician to population ratio compared to other counties in Nevada and in the US. Clark County also has highest rates of uninsured in the Mountain West and among the highest in the nation.

Southern Nevada fared worse than other Mountain West Metropolitan areas in health indicators and preventative …

Demographic Makeup And Population Projections For Southern Nevada: Understanding The Emerging Healthcare Needs In Our Community, Jennifer Pharr, Courtney Coughenour, Shawn Gerstenberger

Nevada Journal of Public Health

Even with a leveling-off of population growth from 2008 to 2011, Southern Nevada had one of the fastest growing populations in the nation over the past decade. While population growth is projected to increase for the next ten years, the rate of growth will be slower than in the past decade. The Hispanic population, as a percentage of the total population, is projected to surpass the White population somewhere near the year 2030. The Southern Nevada population is aging, as the median age in the region increased between 2000 and 2010. The 65+ age group is projected to increase as …

Communicating In Complex Situations: A Normative Approach To Hiv-Related Talk Among Parents Who Are Hiv+, Laura L. Edwards, Erin Donovan-Kicken, Janet S. Reis

University Author Recognition Bibliography: 2014

Parents with HIV/AIDS are confronted with unique challenges when discussing HIV-related information with their children. Strategies for navigating these challenges effectively have not been systematically examined. In this study, we conducted in-depth interviews with 76 parents with HIV/AIDS who had children ages 10–18 years. Guided by O'Keefe and Delia's definition of a complex communication situation and Goldsmith's normative approach to interpersonal communication, we examined parents’ goals for discussing HIV-related information, factors that made conversations challenging, and instances where these conversational purposes conflicted with one another. Our data reveal the following parent–adolescent communication predicaments: relaying safety information about HIV while minimizing …

Citizenship Documentation Requirement For Medical Eligibility: Effects On Oregon Children, Brigit A. Hatch, Jennifer E. Devoe, Jodi A. Lapidus, Matthew J. Carlson, Bill J. Wright

Sociology Faculty Publications and Presentations

BACKGROUND AND OBJECTIVES: The Deficit Reduction Act (DRA) of 2005 mandated Medicaid beneficiaries to document citizenship. Using a prospective cohort (n=104,375), we aimed to (1) determine characteristics of affected children, (2) describe effects on health insurance coverage and access to needed health care, and (3) model the causal relationship between this new policy, known determinants of health care access, and receipt of needed health care.

METHODS: We identified a stratified random sample of children shortly after the DRA was implemented and used state records and surveys to compare three groups: children denied Medicaid for inability to document citizenship, children denied …

Adolescent Perceptions Of Health Through Photovoice In Cato Manor, South Africa, Renee Lamoreau

Independent Study Project (ISP) Collection

This study will investigate how youth in Cato Manor perceive health in their community using photovoice as the primary methodology. Photovoice is a participatory action research method that gives participants the power to answer research questions through imagery. Participants take pictures in response to a question or prompt, and then describe a self-­‐selected number of pictures using the SHOWED process. This study will employ this methodology to answer the following questions: What objects, people, and events do youth associate with health? How do youth in Cato Manor define health and sickness? The following report will summarize the social and physical …

Impersonal Trust In Versus Dependence On Fda, Amanda C. Meyer

Masters Theses

This study emerged following an examination of the work by Susan Shapiro (1987) delineating the construct of impersonal trust, and Shapiro's analysis of trust was applied to an understanding of the impersonal trust relationship which Americans have with Food and Drug Administration (FDA). Few fields outside of organizational studies have undertaken efforts to operationalize impersonal trust and to distinguish it from other related constructs, so this exploratory study assessed whether variables associated with interpersonal trust as outlined by Meyer and Ward (2009) were also associated with impersonal trust in FDA. This study further examined whether measures of impersonal trust could …

The College Student Identity And Time Use As Determinants Of Student Drinking Behavior, Katherine Novak

Katherine B. Novak

Paper presented at the Annual Meeting of the Midwest Sociological Society, Omaha, NE, April 3-6, 2014.

An Evaluation Of Mercury Concentrations In Three Brands Of Canned Tuna, Shawn Gerstenberger, Adam Martinson, Joanna Kramer

Shawn Gerstenberger

There is widespread concern over the presence of Hg in fish consumed by humans. While studies have been focused on determining the Hg concentration in sport fish and some commercial fish, little attention has been directed to canned tuna; it is widely held that concentrations are low. In the present study, the amount of Hg present in canned tuna purchased in Las Vegas, Nevada, USA, was examined, and the brand, temporal variation, type, and packaging medium impacts on Hg concentrations in tuna were explored. A significant (p < 0.001) brand difference was noted: Brand 3 contained higher Hg concentrations ($\bar x$ …

A Five-Step Process For Interactive Parent–Adolescent Communication About Hiv Prevention: Advice From Parents Living With Hiv/Aids, Laura L. Edwards, Janet S. Reis

Janet Reis

The authors investigated how parents living with HIV/AIDS communicate about HIV prevention with their 10- to 18-year-old children. Semistructured interviews with 76 mothers and fathers were analyzed for (a) their experiences discussing HIV prevention with adolescents and (b) advice for other parents about how to best broach HIV-related topics. Interactive conversations were regarded as particularly effective. A five-step process for interactive communication emerged as a result of these discussions. Parents emphasized that adolescents should have a “voice” and a “choice” in HIV-related talks. Health care professionals can facilitate adolescent sexual health by encouraging parents to actively involve their children in …

Mainecare Stage A Health Homes Year 1 Report: Implementation Findings And Baseline Analysis, Kimberley S. Fox Mpa, Carolyn E. Gray Mph, Katherine Rosingana, Deborah A. Thayer Mba

Population Health & Health Policy

In January 2013, Maine established Health Homes under federal authority pursuant to Section 2703 of the Affordable Care Act to improve care coordination for MaineCare members with chronic conditions. Stage A of the Health Homes initiative focuses on members with complex medical chronic conditions. Stage B, planned for early 2014, will focus on persons with severe and persistent mental health conditions and children with serious emotional disturbances. The Stage A demonstration builds off the State’s existing Maine multi-payer Patient Centered Medical Home (PCMH) Pilot project and Maine’s Medicare Advanced Primary Care Practice (MAPCP) Demonstration by providing add-on payments to primary …

Research Brief: "Melanoma Incidence Rates Among Whites In The U.S. Military", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about a comparison of melanoma incidence rates between white active-duty military members and the general population in the U.S. In policy and practice, health practitioners should promote skin cancer screenings for active duty service members, older personnel, and veterans; the DoD should look to prevent exposure to melanoma risk factors, such as retiring equipment containing harmful PCBs and providing protective clothing and sunscreen for military personnel who are at risk for developing melanoma. Suggestions for future research include analyzing the increase in melanoma incidence rates among younger male military personnel, analyzing the varying risk factors among the …