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Mixed-Methods Assessment Of Farmworkers’ Perceptions Of Workplace Compliance With Worker Protection Standards And Implications For Risk Perceptions And Protective Behaviors, Carly Hyland, Lisa Meierotto, Rebecca L. Som Castellano, Cynthia L. Curl Jul 2024

Mixed-Methods Assessment Of Farmworkers’ Perceptions Of Workplace Compliance With Worker Protection Standards And Implications For Risk Perceptions And Protective Behaviors, Carly Hyland, Lisa Meierotto, Rebecca L. Som Castellano, Cynthia L. Curl

Public Health and Population Science Faculty Publications and Presentations

Introduction: The Environmental Protection Agency (EPA)’s Worker Protection Standards is the primary set of legislation aimed at protecting farmworkers from occupational pesticide exposure in the United States. Previous studies suggest that worker adoption of Pesticide Protective Behaviors (PPBs) promoted by WPS is associated with lower urinary pesticide concentrations. However, adoption of PPBs is often outside of the control of individual farmworkers and dependent on workplace factors such as employer provisioning of Personal Protective Equipment (PPE) and access to trainings/resources.

Methods: We conducted a mixed-method study including urinary pesticide biomonitoring, surveys, and interviews with 62 Latinx farmworkers in southwestern Idaho from …


Early Intervention Within Orthodontics: The Sociological Aspects, Trenton Hammond May 2024

Early Intervention Within Orthodontics: The Sociological Aspects, Trenton Hammond

Honors Theses

Orthodontic treatment is one of the final phases of dental treatment. Its use is to provide aesthetics in some cases, yet the quality-of-life aspect that it can provide is greatly underestimated. Orthodontic care can provide proper function of teeth, improve facial structure, avoid tooth decay/loss, and improve gum health (AAO, 2024). Within this research the overarching goal is to understand the sociological aspects of families looking to start orthodontic care, what the reasons behind starting or not starting are, and providing information to the public about orthodontics that may be misunderstood or might push people away from searching for orthodontic …


Examination Of Urinary Pesticide Concentrations, Protective Behaviors, And Risk Perceptions Among Latino And Latina Farmworkers In Southwestern Idaho, Carly Hyland, Alejandra Hernandez, Éric Gaudreau, Jessica Larose, Jean-François Bienvenu, Lisa Meierotto, Rebecca L. Som Castellano, Cynthia L. Curl Jan 2024

Examination Of Urinary Pesticide Concentrations, Protective Behaviors, And Risk Perceptions Among Latino And Latina Farmworkers In Southwestern Idaho, Carly Hyland, Alejandra Hernandez, Éric Gaudreau, Jessica Larose, Jean-François Bienvenu, Lisa Meierotto, Rebecca L. Som Castellano, Cynthia L. Curl

Public Health and Population Science Faculty Publications and Presentations

Introduction: Studies have documented high levels of pesticide exposure among men farmworkers; however, few have examined exposures or the experiences of women farmworkers. Data gaps also exist regarding farmworkers’ perceived risk and control related to pesticides, information that is critical to develop protective interventions.

Objective: We aimed to compare urinary pesticide biomarker concentrations between Latino and Latina farmworkers and examine associations with occupational characteristics, risk perceptions, perceived control, and protective behaviors.

Methods: We enrolled a convenience sample of 62 farmworkers (30 men and 32 women) during the pesticide spray season from April–July 2022 in southwestern Idaho. Participants were asked to …


Eco-Interoception: What Plants, Fungi And Protista Have Taught My Body, Sara Riley Dotterer May 2023

Eco-Interoception: What Plants, Fungi And Protista Have Taught My Body, Sara Riley Dotterer

Art Theses and Dissertations

To me, ecology is the relational, full-body awareness that I am made up of and deeply connected to everything around me; and for better or worse, this is reciprocal. I form ecotones, an ecological transitional zone between two ecosystems, with the world around me. I use this ecotonal lens to blur binaries and dissolve boundaries between me and the world “outside my body.” During my Masters of Fine Arts at Southern Methodist University, I have continuously explored and represented the lives of various more-than-human species outside of my body, including plants, fungi and protista through an ecotonal lens. Although these …


Social Worker’S Acceptance Of Telehealth In Rhode Island And Massachusetts: Is It Transformative?, Sinead Martin Apr 2023

Social Worker’S Acceptance Of Telehealth In Rhode Island And Massachusetts: Is It Transformative?, Sinead Martin

Social Work Student Scholarship

Sinead Martin ’23
Major: Social Work>Faculty Mentor: Dr. Katherine Kranz, Social Work


An Exploration Of The Social And Economic Factors That Influence The Mental Health Of Lgbtq College Students, Alexandria Mh Fossum Apr 2023

An Exploration Of The Social And Economic Factors That Influence The Mental Health Of Lgbtq College Students, Alexandria Mh Fossum

Senior Theses

LGBTQ individuals face a much higher prevalence of psychiatric disorders and mental health issues than their heterosexual, cisgender counterparts. The added academic pressures of college introduce a unique set of challenges that LGBTQ students face. This thesis includes a review of academic literature and data examining the intersections between social isolation, institutional discrimination, and financial insecurity and the effects they have on the mental health outcomes of LGBTQ college students. The paper is accompanied by a documentary consisting of a set of interviews of LGBTQ college students, giving a more personal insight into the multitude of factors that affect their …


Quantifying Physical Resilience In Ageing Using Measurement Instruments: A Scoping Review, Sue Peters, Theodore D Cosco, Dawn C Mackey, Gurkaran S Sarohia, Jeffrey Leong, Andrew Wister Nov 2022

Quantifying Physical Resilience In Ageing Using Measurement Instruments: A Scoping Review, Sue Peters, Theodore D Cosco, Dawn C Mackey, Gurkaran S Sarohia, Jeffrey Leong, Andrew Wister

Physical Therapy Publications

Purpose: The capacity to recover motor function with pathology or age-related decline is termed physical resilience. It is unknown what outcome domains are captured with existing measurement instruments. Thus, this scoping review aimed to identify measurement instruments for physical resilience, identify research gaps, and make recommendations for future research. Methods: Articles were included from the search when their subject matter included the term resilience in relation to the physical health of older adults. Data on physical resilience measurement instruments were extracted using the outcome domains: body function or structure, activity and participation, and societal impact. Results: The majority of the …


Break The Chains Of Generational Trauma, Jessica Calalay Aug 2022

Break The Chains Of Generational Trauma, Jessica Calalay

Sociology Student Work Collection

Generational trauma is complex. When you can identify the trauma, you can heal the trauma. You are not alone.


The Communicative Capacities Of The Medical Discourse In Authoritarian Societies : The Case Of Aids In Iran, Elham Pourtaher May 2022

The Communicative Capacities Of The Medical Discourse In Authoritarian Societies : The Case Of Aids In Iran, Elham Pourtaher

Legacy Theses & Dissertations (2009 - 2024)

This study explores the role of medical discourse in the Iranian formal public sphere. It examines how an epidemiological wave of HIV/AIDS—known as "the third wave"—highlighted nontraditional sexual behaviors in public and enabled a shift in policy and discourse by the Islamic Republic State. Through analyzing published content on HIV/AIDS from five major Iranian newspapers between 2009 and 2013, this study identified four competing narratives of the third wave which coexist and have a dynamic relationship with one another. First, the medical narrative warns of an unfolding public health crisis and provides a technical perspective to make sense of the …


How Autism Spectrum Disorder And Food Security Are Correlated With Childhood Affection And Mental Health In The United States: Results From The 2019 National Survey Of Children’S Health, Nicola Calabrese Apr 2022

How Autism Spectrum Disorder And Food Security Are Correlated With Childhood Affection And Mental Health In The United States: Results From The 2019 National Survey Of Children’S Health, Nicola Calabrese

Sociology Student Scholarship

Nicola Calabrese ’22
Major: Elementary and Special Education
Minor: Sociology
Faculty Mentor: Dr. Brandon Martinez, Sociology

This study examines the relationship between autism and mental health as well as affection rates amongst children. I analyze data from the 2019 National Survey of Children’s Health, a nationally representative sample of children aged 0 to 17, which was collected by the US Census Bureau. Multivariate binary logistic models reveal that children with autism are significantly less likely to be affectionate toward others. I also find that children diagnosed with autism are significantly more likely to be diagnosed with anxiety and depression, even …


The Impact Of Socioeconomic Status, Race, And Food Security On Mental And Physical Health, Andrea Delgado Apr 2022

The Impact Of Socioeconomic Status, Race, And Food Security On Mental And Physical Health, Andrea Delgado

Sociology Student Scholarship

Andrea Delgado ’22
Major: Sociology
Faculty Mentor: Dr. Brandon Martinez, Sociology

The purpose of this study is to examine how an individual‚ race, socioeconomic status, and their household food security are correlated with physical and mental health outcomes. We propose that those with lower socioeconomic status and food security, as well as Non-Whites, are negatively correlated with better physical and mental health outcomes.


The Views Of Women Practising Artistic Gymnastics, Rhythmic Gymnastics And Acrobatics Gymnastics On Their Disciplines, Anna Perzynska-Biskup, Leon Biskup, Stanislaw Sawczyn Mar 2022

The Views Of Women Practising Artistic Gymnastics, Rhythmic Gymnastics And Acrobatics Gymnastics On Their Disciplines, Anna Perzynska-Biskup, Leon Biskup, Stanislaw Sawczyn

Baltic Journal of Health and Physical Activity

Background: Physical culture covers a number of forms of physical activity, with sport being the most specialized form of participation. Rapid development of sport in recent years has contributed not only to the rise in the level of competitive sport but it also made the processes of social transitions to be reflected on a wider scale. The goal of this study is to demonstrate the views on professional sports from two generations of women who have practiced gymnastics. The main focus was on the presentation of gymnastics in the perspective of other disciplines and its place in everyday life of …


The Value Of Education And Work In The Representatives Of Gymnasts’ Opinion, Anna Perzynska-Biskup, Stanislaw Sawczyn Mar 2022

The Value Of Education And Work In The Representatives Of Gymnasts’ Opinion, Anna Perzynska-Biskup, Stanislaw Sawczyn

Baltic Journal of Health and Physical Activity

Background: Sports professional activity has been an unusually absorbing domain of human life. This is particularly noticeable in so-called sports of early specialization, including gymnastics. The specialization in gymnastics occurs at the moment of girls’ acquisition of knowledge and preparation for future professional careers. Therefore, the authors decided to look further into the process of combining school and sports duties and to reveal possible conflicts. Material/Methods: Research material was a group of 482 athletes who are professionally involved in three gymnastics disciplines: artistic gymnastics, rhythmic gymnastics and acrobatic gymnastics in Polish clubs. Results: An analysis of the results revealed that …


Pets And Problems: Exploring Community Patterns In Calls For Animal Services, Paige Dejarnett Dec 2021

Pets And Problems: Exploring Community Patterns In Calls For Animal Services, Paige Dejarnett

Sociology and Criminology Undergraduate Honors Theses

Pets have historically been viewed as family members, children, property, or economic resources. However, research surrounding animal maltreatment has expressed this issue as an individually-based problem, rather than a community-based phenomenon. Correlations have been found between animal cruelty, antisocial behaviors, and future interpersonal violence, whether this correlation be a predictive relationship, or a resultant relationship. Past research has also found correlations between animal treatment practices and the rural/urban differences of this behavior. However, there are many community-based indicators that have not been explored to understand the distribution of animal maltreatment. This study aims to explore these ideas by analyzing the …


The Right To Repair: (Re)Building A Better Future, Jumana Labib Aug 2021

The Right To Repair: (Re)Building A Better Future, Jumana Labib

Undergraduate Student Research Internships Conference

The goal of this research project was to take a multi-faceted, interdisciplinary approach to research and examine the Right to Repair movement’s progress, current repair practices, impediments, and imperatives, and the various large-scale implications (environmental, economic, social, etc.) stemming from diminished consumer freedom as a result of increased corporate greed and lack of governmental regulations with regards to repair and the environment. This poster exhibits the highlights of my general research project on the Right to Repair movement over the course of this four month internship, and aims to disseminate information about the movement to the wider public in an …


The Case Of The Dream Maker: Perec, Pontalis, And Dream Writing, Aubrey Gabel May 2021

The Case Of The Dream Maker: Perec, Pontalis, And Dream Writing, Aubrey Gabel

Studies in 20th & 21st Century Literature

This article considers Georges Perec’s La Boutique obscure as a literary experiment in dream writing, by putting it in dialogue with French Freudianism, notably the clinical papers of J.-B. Pontalis, Perec’s long-time psychoanalyst. Pontalis describes a patient type, the "dream maker,” who provokes an extreme case of counter-transference and requires new methods in dream therapy. Pontalis, like many of Perec’s literary critics, was suspicious of the authenticity of Perec's dream journal and denied it both therapeutic and literary status. This article reinserts La Boutique obscure into Perec’s literary program. Through a discussion of the text's formal attributes and its sociological …


Measurement Of Urinary Pesticide Biomarkers Among Latina Farmworkers In Southwestern Idaho, Cynthia L. Curl, Lisa Meierotto, Rebecca L. Som Castellano, Meredith R. Spivak, Kurunthachalam Kannan May 2021

Measurement Of Urinary Pesticide Biomarkers Among Latina Farmworkers In Southwestern Idaho, Cynthia L. Curl, Lisa Meierotto, Rebecca L. Som Castellano, Meredith R. Spivak, Kurunthachalam Kannan

Public Health and Population Science Faculty Publications and Presentations

Background Women who work in agriculture may have greater risk of pesticide exposure than men who share this occupation. Despite an increase in the fraction of the agricultural workforce comprised by women, few studies have characterized pesticide exposure in the USA with a focus on among these workers.

Objective This pilot study aimed to describe pesticide exposure in a cohort of Latina farmworkers in farming communities in southwestern Idaho.

Methods We collected urine samples from 29 Latina farmworkers, which were analyzed for 11 pesticide biomarkers. We evaluated the effect of pesticide spray season on urinary biomarker levels, and explored the …


Therapeutic Relationships In Aphasia Rehabilitation: Using Sociological Theories To Promote Critical Reflexivity, Felicity Bright, Stacie Attrill, Deborah Hersh Jan 2021

Therapeutic Relationships In Aphasia Rehabilitation: Using Sociological Theories To Promote Critical Reflexivity, Felicity Bright, Stacie Attrill, Deborah Hersh

Research outputs 2014 to 2021

© 2020 The Authors. International Journal of Language & Communication Disorders published by John Wiley & Sons Ltd on behalf of Royal College of Speech and Language Therapists Background: Therapeutic relationships are fundamental in aphasia rehabilitation, influencing patient experience and outcomes. While we have good understandings of the components of therapeutic relationships, there has been little exploration of how and why therapists construct and enact relationships as they do. Sociological theories may help develop nuanced understanding of the values, assumptions and structures that influence practice, and may facilitate critical reflexivity on practice. Aims: To explore the potential for theoretical approaches …


Understanding Challenges To Well-Being Among Latina Farmworkers In Rural Idaho Using In An Interdisciplinary, Mixed-Methods Approach, Cynthia L. Curl, Lisa Meierotto, Rebecca L. Som Castellano Jan 2021

Understanding Challenges To Well-Being Among Latina Farmworkers In Rural Idaho Using In An Interdisciplinary, Mixed-Methods Approach, Cynthia L. Curl, Lisa Meierotto, Rebecca L. Som Castellano

Public Health and Population Science Faculty Publications and Presentations

The aim of this study was to identify social, cultural and workplace-related risk factors affecting well-being among Latina farmworkers in rural Idaho. We recruited 70 Latina farmworkers from southwestern Idaho in 2019. We employed an inter-disciplinary, mixed-methods approach—including surveys, focus groups, interviews, and pesticide biomonitoring—to characterize multiple domains that influence well-being, including food security and access, housing conditions, social supports, access to medical care, and workplace safety. Six major themes emerged as primary challenges to Latina farmworkers’ well-being. In the public sphere, study participants identified these challenges as long working hours, concerns regarding pesticide exposure, and lack of enforcement of …


Looking Beyond A Rare Presentation Of Betel Nut Use In A North American Patient- An Opportunity For Lessons And Intervention In Global Health And Gender Equity, Muhammad O. Zaman, Thomas M. Park, Vikas Patel, Riley G. Jones Sep 2020

Looking Beyond A Rare Presentation Of Betel Nut Use In A North American Patient- An Opportunity For Lessons And Intervention In Global Health And Gender Equity, Muhammad O. Zaman, Thomas M. Park, Vikas Patel, Riley G. Jones

Journal of Refugee & Global Health

Betel nut is estimated to be the fourth most common psychoactive substance used globally behind caffeine, alcohol, and nicotine with 600 million global users. Betel nut use has a strong association with oral cancer and many other systemic effects including oral submucosal fibrosis. Although North American use is rare, its enduring effects may surface long after use posing a diagnostic challenge to practitioners caring for an increasingly global diaspora. Herein, we present a patient with severe trismus due to advanced oral submucosal fibrosis who was unexpectedly found to be importing and using Betel nut for over thirty years after immigrating. …


College Of Natural Sciences, Forestry, And Agriculture_Covid-19 Related Work Email, Michael Haedicke, Steven Barkan, Timothy M. Cole Jun 2020

College Of Natural Sciences, Forestry, And Agriculture_Covid-19 Related Work Email, Michael Haedicke, Steven Barkan, Timothy M. Cole

College of Natural Sciences, Forestry, and Agriculture

Email thread featuring messages from Michael Haedicke to Steven Barkan, Professor and chairperson, Sociology Department, University of Maine and Steven Barkan to Timothy M. Cole Associate Dean for Academics, College of Liberal Arts and Sciences Associate Professor of Political Science University of Maine regarding articles Professor Haedicke authored on subjects related to the COVID-19 pandemic.


Speaking Volumes: The Failure Of American Courts To Address The Underlying Themes Of Silence And Patriarchy Within The Civil Order Of Protection Process In Davenport, Iowa, Catherine Priebe Jun 2020

Speaking Volumes: The Failure Of American Courts To Address The Underlying Themes Of Silence And Patriarchy Within The Civil Order Of Protection Process In Davenport, Iowa, Catherine Priebe

Sociology: Student Scholarship & Creative Works

Domestic abuse is a pervasive issue within the United States. Approximately three women will be murdered by an intimate partner every day and around half of all women will experience psychological abuse by an intimate partner in their lifetime. As such, it is important to have legal avenues that survivors can pursue in order to ensure safety for themselves and their children. There are many obstacles to obtaining a civil order of protection despite it being the most common legal option survivors choose to pursue. Survivors must take on the burden of proof and hire their own attorney if they …


College Of Liberal Arts And Sciences_Publication Of Texbook Featuring Material Related To The Pandemic, Steven E. Barkan, Timothy M. Cole Jun 2020

College Of Liberal Arts And Sciences_Publication Of Texbook Featuring Material Related To The Pandemic, Steven E. Barkan, Timothy M. Cole

College of Liberal Arts and Sciences

Email thread featuring messages from Steven Barkan, Professor and chairperson, Sociology Department, University of Maine to Timothy M. Cole Associate Dean for Academics, College of Liberal Arts and Sciences Associate Professor of Political Science University of Maine and Jonathon Jue-Wong, Administrative Coordinator, The Office of the Executive Vice President for Academic Affairs & Provost, regarding the second edition of Professor Barkan's textbook, Social Problems: Continuity and Change, that features material related to the COVID-19 pandemic.


College Of Natural Sciences, Forestry, And Agriculture_To Understand The Danger Of Covid-19 Outbreaks In Meatpacking Plants, Look At The Industry’S History, Michael Haedicke May 2020

College Of Natural Sciences, Forestry, And Agriculture_To Understand The Danger Of Covid-19 Outbreaks In Meatpacking Plants, Look At The Industry’S History, Michael Haedicke

College of Natural Sciences, Forestry, and Agriculture

Article "To understand the danger of COVID-19 outbreaks in meatpacking plants, look at the industry’s history" by Michael Haedicke, Associate Professor of Sociology, Drake University, who planned to join the UMaine Sociology Department in Fall 2020. The article was published online in the The Conversation.


College Of Natural Sciences, Forestry, And Agriculture_How Coronavirus Threatens The Seasonal Farmworkers At The Heart Of The American Food Supply, Michael Haedicke Apr 2020

College Of Natural Sciences, Forestry, And Agriculture_How Coronavirus Threatens The Seasonal Farmworkers At The Heart Of The American Food Supply, Michael Haedicke

College of Natural Sciences, Forestry, and Agriculture

Article "How coronavirus threatens the seasonal farmworkers at the heart of the American food supply" by Michael Haedicke, Associate Professor of Sociology, Drake University, who planned to join the UMaine Sociology Department in Fall 2020. The article was published online in the The Conversation.


Navigating The Social Determinants Of Health: First Steps Toward Assessing And Addressing Socioeconomic Needs, Jocelyn Daubendiek Apr 2020

Navigating The Social Determinants Of Health: First Steps Toward Assessing And Addressing Socioeconomic Needs, Jocelyn Daubendiek

Honors Theses

The Social Determinants of Health (SDOH) are the socioeconomic conditions that shape a person’s life and can include an individual’s housing situation, economic opportunities, ability to obtain food, access to transportation and healthcare, level of education, and exposure to discrimination and violence. When people struggle with these socioeconomic aspects of their lives, their health will be negatively impacted as a consequence. In this study, the SDOH of patients were evaluated at the University of Nebraska Medical Center and Nebraska Medicine through the use of a survey about socioeconomic needs, and the Electronic Medical Record (EMR) of each participating patient was …


La Comunicación Intercultural Entre Pacientes Bolivianos Y Trabajadores De Salud En Buenos Aires, Argentina / Intercultural Communication Between Bolivian Patients And Health-Care Workers In Buenos Aires, Argentina, Lilly Snellman Oct 2019

La Comunicación Intercultural Entre Pacientes Bolivianos Y Trabajadores De Salud En Buenos Aires, Argentina / Intercultural Communication Between Bolivian Patients And Health-Care Workers In Buenos Aires, Argentina, Lilly Snellman

Independent Study Project (ISP) Collection

Según la Ley de Migraciones 25.871 de 2004, los inmigrantes en Argentina tienen el mismo derecho a la atención médica que los argentinos nativos. El sistema de salud argentina es uno de los más inclusivos en el mundo, pero todavía hay barreras al acceso para comunidades e individuos marginados. Muchas veces los migrantes bolivianos son discriminados en la sociedad argentina por sus rasgos raciales, bajo nivel socioeconómico y diferencias culturales. Tres clases importantes de barreras para el acceso a la atención médica para los migrantes son las económicas, estructurales y comunicativas. En este estudio, decidí enfocarme en las brechas de …


“Are You Accepting New Patients?” A Pilot Field Experiment On Telephone-Based Gatekeeping And Black Patients’ Access To Pediatric Care, Tamara Leech, Amy Irby-Shasanmi, Anne L. Mitchell Dec 2018

“Are You Accepting New Patients?” A Pilot Field Experiment On Telephone-Based Gatekeeping And Black Patients’ Access To Pediatric Care, Tamara Leech, Amy Irby-Shasanmi, Anne L. Mitchell

Department of Public Health Scholarship and Creative Works

Study Objectives

To determine whether the name and accent cues that the caller is Black shape physician offices’ responses to telephone‐based requests for well‐child visits.

Method and Data

In this pilot study, we employed a quasi‐experimental audit design and examined a stratified national sample of pediatric and family practice offices. Our final data include information from 205 audits (410 completed phone calls). Qualitative data were blind‐coded into binary variables. Our case‐control comparisons using McNemar's tests focused on acceptance of patients, withholding information, shaping conversations, and misattributions.

Findings

Compared to the control group, “Black” auditors were less likely to be told …


Health As An Individualized Project: Gender Bio-Authenticity And Responsibilization Governance In Functional Medicine, Emma E. Radich Jan 2018

Health As An Individualized Project: Gender Bio-Authenticity And Responsibilization Governance In Functional Medicine, Emma E. Radich

Senior Projects Spring 2018

Senior Project submitted to The Division of Social Studies of Bard College.


Ethics In Community-Based Research With Vulnerable Children: Perspectives From Rwanda, Theresa Betancourt, Mary C. Smith Fawzi, Anne Stevenson, Fredrick Kanyanganzi, Catherine Kirk, Lauren Ng, Christina Mushashi, Justin I. Bizimana, William Beardslee, Guiseppe Raviola, Stephanie Smith, Yvonne Kayiteshonga, Agnes Binagwaho Jun 2016

Ethics In Community-Based Research With Vulnerable Children: Perspectives From Rwanda, Theresa Betancourt, Mary C. Smith Fawzi, Anne Stevenson, Fredrick Kanyanganzi, Catherine Kirk, Lauren Ng, Christina Mushashi, Justin I. Bizimana, William Beardslee, Guiseppe Raviola, Stephanie Smith, Yvonne Kayiteshonga, Agnes Binagwaho

Dartmouth Scholarship

A “risk of harm” protocol to identify youth in need of immediate emergency assistance in a study on mental health and HIV in Rwanda among 680 youth ages 10–17 is described. Cases are presented that describe the experience in using this protocol to ensure safety of participants, with ethical and logistical challenges considered. Among the population of the study, 3.2% were deemed "risk of harm.” The most prevalent presenting problem was non-fatal suicidal behavior (91% of risk of harm cases), with 36% having a history of a reported previous attempt. Challenges included: acute food insecurity/significant poverty; lack of support/adequate supervision …