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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 ...


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 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 ...


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 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 ...


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 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 ...


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 ...


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 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 ...


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 ...


“Great Job Cleaning Your Plate Today!” Determinants Of Child-Care Providers’ Use Of Controlling Feeding Practices: An Exploratory Examination, Dipti Dev, Brent A. McBride, Katherine E. Speirs, Kimberly A. Blitch, Natalie A. Williams 2016 University of Nebraska-Lincoln

“Great Job Cleaning Your Plate Today!” Determinants Of Child-Care Providers’ Use Of Controlling Feeding Practices: An Exploratory Examination, Dipti Dev, Brent A. Mcbride, Katherine E. Speirs, Kimberly A. Blitch, Natalie A. Williams

Faculty Publications, Department of Child, Youth, and Family Studies

Background National early childhood obesity prevention policies recommend that child-care providers avoid controlling feeding practices (CFP) (e.g., pressure-to-eat, food as reward, and praising children for cleaning their plates) with children to prevent unhealthy child eating behaviors and childhood obesity. However, evidence suggests that providers frequently use CFP during mealtimes.

Objective Using the Academy of Nutrition and Dietetics (2011) benchmarks for nutrition in child care as a framework, researchers assessed child-care providers’ perspectives regarding their use of mealtime CFP with young children (aged 2 to 5 years).

Design Using a qualitative design, individual, face-to-face, semi-structured interviews were conducted with providers ...


Visualizing And Interacting With Social Determinants Of Health, Moutasem Zakkar 2016 The University of Western Ontario

Visualizing And Interacting With Social Determinants Of Health, Moutasem Zakkar

Electronic Thesis and Dissertation Repository

Purpose: The purpose of this study is to examine the use of information visualization to represent specific social determinants of health, and to examine the benefits of such representation for health policymaking. Methods: The study developed a prototype for a visualization tool (www.healthvisualization.ca), which represents the conceptual framework for the social determinants of health (CSDH) and new ways to represent related health equity indicators. This tool was used by study participants. The experience of these participants and the usability of the tool were evaluated using qualitative semi-structured interviews. Results: Visualizing the CSDH framework helps to present the social ...


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 ...


Health Information Brokers In The General Population: An Analysis Of The Health Information National Trends Survey 2013-2014, Sarah L. Cutrona, Kathleen M. Mazor, Amenah A. Agunwamba, Sruthi Valluri, Patrick M. Wilson, Rajani S. Sadasivam, Lila J. Finney Rutten 2016 University of Massachusetts Medical School

Health Information Brokers In The General Population: An Analysis Of The Health Information National Trends Survey 2013-2014, Sarah L. Cutrona, Kathleen M. Mazor, Amenah A. Agunwamba, Sruthi Valluri, Patrick M. Wilson, Rajani S. Sadasivam, Lila J. Finney Rutten

Open Access Articles

BACKGROUND: Health information exchanged between friends or family members can influence decision making, both for routine health questions and for serious health issues. A health information broker is a person to whom friends and family turn for advice or information on health-related topics. Characteristics and online behaviors of health information brokers have not previously been studied in a national population.

OBJECTIVE: The objective of this study was to examine sociodemographic characteristics, health information seeking behaviors, and other online behaviors among health information brokers.

METHODS: Data from the Health Information National Trends Survey (2013-2014; n=3142) were used to compare brokers ...


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