Digital Commons Network^™

The Rhetoric Of Responsibilization: A Rhetorical Analysis Of Pre-Exposure Prophylaxis Campaigns For Hiv Prevention, Catherine M. Pabalate

Kentucky Undergraduate Journal for the Health Humanities

Responsibilization refers to the process by which patients are made accountable for their health and wellbeing, which is determined by their habits and behaviors. Though responsibilization affords greater agency to patients, it can also result in anxiety and guilt when the patient appears "deviant" or "noncompliant." Because sexual behavior is attributed to the causality of HIV/AIDS, patients’ sexual patterns and choices are included within their medical decision-making. This rhetorical analysis focuses on pharmaceutical campaigns and commercials for pre-exposure prophylaxis (PrEP), which were released between 2012 and 2024 and are targeted towards patients at-risk for HIV/AIDS. Findings suggest that specific rhetorical …

Building A Theory-Based Understanding Of Sexual Health Provider Stigma: A Phenomenological Study, Harit Agroia, Rebecca Reno, Maytal Bach, Jenette Spezeski, Erin Starzyk

Journal of Social, Behavioral, and Health Sciences

Unraveling provider-level sexual health stigma requires building an understanding of contributing factors, such as provider knowledge, values, beliefs, medical training, and other intrapersonal or interpersonal factors that may influence its manifestation at the clinic level during patient–provider interactions. Healthcare provider stigma has not been sufficiently understood or explained using classic psychological theories, such as Cognitive Dissonance Theory (CDT) or Social Cognitive Theory (SCT). We build a theory-based understanding of sexual health-provider stigma by proposing modifications to the SCT to develop the Modified SCT (M-SCT) model, where cognitive dissonance is hypothesized to influence the personal/cognitive and behavioral factors of the M-SCT. …

Covid-19 & Healthcare (Re)Privatization? A Comparative Analysis Of High And Medium Per Capita Gdp Countries, Kristina Donders, Kaitlyn Matthews, Brittany Reyes, Frank. H. Rizzo

Working Papers Series

This paper examines whether the COVID-19 pandemic accelerated healthcare privatization in high- and medium-GDP countries. Drawing on political economy theories of path dependence and privatization, we analyze changes in public and private healthcare expenditures in eight countries: Canada, Chile, Denmark, Georgia, Luxembourg, Norway, the Philippines, and South Korea—comparing data from 2019 and 2022. Using World Bank indicators on healthcare financing, GDP, aging populations, and food insecurity, we find that although healthcare expenditures generally increased during the pandemic, this increase was primarily in public, not private, spending. Case studies of Georgia and South Korea reveal that local economic and demographic pressures, …

Creation Of An Open Access Textbook, Sue Ann Gardner

University of Nebraska-Lincoln Libraries: Presentations

Slide presented during the PRCA Research Celebration, June 3, 2025, in the University Libraries, University of Nebraska-Lincoln titled Creation of an Open Access Textbook, about the development and publication of Concepts in Animal Parasitology, co-edited by Scott L. Gardner and Sue Ann Gardner and published by Zea Books (Lincoln, Nebraska, USA) in 2024.

#Clandestini: How Italy's Center-Right Parliamentary Coalition Frames The Migrant Crisis On Social Media, Jenna Lynn Depasquale

Dissertations and Theses

This dissertation examines the intersection of Italian neo-fascism, the Mediterranean migrant crisis, and digital media. Through a qualitative content analysis of the Twitter and Instagram posts made by Italy's center-right parliamentary coalition from 2014-2018, this research outlines frameworks that facilitate both the physical and social deaths of migrants. Twitter is a platform on which bite-sized xenophobic messages characterize migrants as criminals, spoiled youth, spreaders of infectious disease, and future terrorists--sometimes in a contradictory fashion. Instagram is a medium for conveying Italian identity and history, which disregards the longstanding contributions of people of color, including Muslims, in Southern Italy. Comment sections …

Perceived Adherence-Related Barriers For Youth Living With Hiv In The Southern United States, Kate Weaver, Sarah J. Miller, Sayward Harrison

Faculty Publications

Objective: Youth are at high risk for HIV, accounting for 19% of new diagnoses in the United States (US) in 2021. Highly effective HIV treatment is available in the form of antiretroviral therapy (ART), which enables individuals with HIV to achieve viral suppression. However, youth living with HIV (YLHIV) have poorer ART adherence and lower rates of viral suppression than adults. This study aimed to explore the perspectives of YLHIV and their HIV care providers on barriers and facilitators to ART adherence for YLHIV in the southern US. Methods: Semi-structured qualitative interviews were conducted with YLHIV (n = 16) …

Individual, Social, And Environmental Factors Associated With Patterns Of Parasitic Infection In Capuchin Monkeys (Cebus Imitator), Megan C. Henriquez

Dissertations, Theses, and Capstone Projects

Parasites, and the infectious diseases they carry, are thought to have significantly impacted our evolutionary trajectory for millennia. Exploring how parasites are acquired and transmitted by their hosts in wild, natural populations is integral to understanding how similar processes may have shaped host-parasite co-evolutionary relationships over time. However, parasitological studies in humans and in non-human primates have produced inconsistent results, highlighting the dynamic, nuanced, and unique relationships individual parasites have with their hosts. These relationships are largely regulated by variation in factors at host, social, and environmental levels. Characteristics unique to the host (e.g., age and sex), factors pertaining to …

Unpacking The Orders, Leonard J. Santos

Dissertations, Theses, and Capstone Projects

At the end of the first week of his presidency this year in 2025, Donald Trump signed a total of thirty-six executive orders. After only one month, that number had gone up to seventy-six. He is currently on track to sign the highest number of executive orders in his first year in office of any president in the last 50 years, and potentially even the last 100 years if he keeps moving at this rate. In the first 90 days of his term, Donald Trump has signed 159 executive orders, more than any other president in the history of the …

How Do Health Insurer Practices Affect Health Equity For Gay And Bisexual Men And Transmasculine Individuals? A Qualitative And Health Policy Assessment, Alexa D'Angelo

Dissertations and Theses

In the U.S. there continue to be stark disparities in health that affect LGBTQ+ communities. These disparities include those related to mental health, sexually transmitted infections, along with chronic illnesses and some cancers. Higher health needs across diagnostic categories mean that LGBTQ+ individuals require access to the healthcare system both to prevent conditions disproportionately affecting the community, and to treat conditions as they arise. In the U.S., access to healthcare often requires either reliable insurance coverage or another payer to cover costs associated with care. Thus, health insurance status and coverage of care, along with coverage regulations and health policies …

Representations Of Residential Child Care In The Irish Times Newspaper From 1870 To 2022, Niamh Caldwell

Masters

Guided by Social Representations Theory, this study explores how representation of residential childcare in The Irish Times have changed over time. A newspaper was chosen as the data source as mass media is proposed to have power over creating and communicating representations to the public. The representations explored include those of children, the construction of childhood and children’s needs, and the role of other people/parties in the lives of children in care. Grounded in the pragmatic paradigm, quantitative and qualitative content analyses were conducted. Data was collected from ten time periods between 1870 to 2022 from The Irish Times Digital …

Down Syndrome In Africa: Challenges, Opportunities, And Future Directions, Eimear Mcglinchey, Salina Tewolde, Amanda He, Juan Fortea, Lingani Mbakile-Mahlanza, Ayda Tefera, Emmanuel Epenge, Jason Hassenstab, Rachel Maina, Zul Merali

Brain and Mind Institute

INTRODUCTION: As life expectancy improves for people with Down syndrome (DS) in Africa, the risk of developing DS-associated Alzheimer’s disease (DSAD) will rise. There is a pressing need to plan for this emerging challenge, particularly in the context of existing health and social disparities.

METHODS: This work emerged from a pan-African collaboration, including discussions at the Brain Ageing and Dementia in Low- and Middle-Income Countries conference held in Nairobi in 2024, where stakeholders identified regional priorities for DS and dementia care.

RESULTS: Limited epidemiological, cognitive, biomarker data, delayed diagnoses, and gaps in specialized services may impact access …

Tobacco, Alcohol, And Poverty In Lao Pdr Based On National Survey Analysis, Robert M. Semakula

Loma Linda University Electronic Theses, Dissertations & Projects

Tobacco and alcohol use are among the most prevalent and harmful addictive behaviors globally, including in the Lao People’s Democratic Republic (Lao PDR). In Southeast Asia and the Western Pacific, substance use patterns are shaped by cultural, social, economic, policyrelated, and environmental factors. This study aimed to: (1) explore associations between different patterns of alcohol and tobacco use among men and women in Lao PDR, and (2) investigate the effect of poverty on the relationship between alcohol and tobacco use. We conducted a secondary analysis of the 2013 Lao National Adult Tobacco Survey (N = 9,706), a nationally representative sample …

Protecting The Future Of Medical Innovation: Balancing Fiscal Responsibility With The Need For National Institutes Of Health And Federal Health Funding, Irina Petrache, Raed A. Dweik, Michelle Ng Gong, Jesse Roman, M. Patricia Rivera, Karen J. Collishaw

Division of Pulmonary, Allergy, and Critical Care Medicine Faculty Papers

No abstract provided.

Europe–Africa Collaboration: Working Together To Strengthen Health Research, Implementation, And Equitable Systems, Lara Pandya, Irene Norstedt, Martin Seychell, Emer Cooke, Isabel De La Mata Barranco, Niklas Blomberg, Marleen Temmerman, Michael Makanga

Centre of Excellence in Women and Child Health

In September 2024, key representatives from European Union (EU) directorates and agencies convened to enhance collaboration with Africa in strengthening health research, innovation, and implementation. The meeting focused on bolstering joint efforts to improve health outcomes and support wellbeing across all ages in Africa. Despite progress in addressing infectious diseases, the continent faces a dual burden with the rise of non-communicable diseases and emerging threats such as antimicrobial resistance, climate change, falsified medicines, and pandemic risks. These challenges are exacerbated by fragile health systems, rapid population growth, urbanisation, and limited access to affordable medical interventions.

To address these issues, the …

Ecological Responsibility In The City: The Surfaces And Volumes Of Urban Mosquito Management, Orlando Woods, Sayd Randle

Research Collection College of Integrative Studies

This paper explores how ecological responsibility becomes distributed across the surfaces and volumes of the city. Our focus is urban mosquito management – specifically, the management of the Aedes aegypti mosquito, the vector by which dengue and several other diseases are transmitted to humans – and the governance strategies deployed in Singapore to manage breeding sites and mosquito outbreaks. Whilst the governance of nature in Singapore is usually undertaken by the state, the effective management of mosquitoes requires responsibility for ecological management to become distributed throughout the city. Residents are expected to assume responsibility for surficial cleanliness and the removal …

The Impact Of Nicu Death On Bereaved Mothers, Jennie Terranova

University Honors Theses

Infant loss in the United States occurs 5.6 per 1,000 live births. This paper examines risk factors that contribute to neonatal death. Prematurity is a risk factor for NICU admission. A portion of premature babies receiving care in the NICU will die. The stressful nature of the NICU has been studied widely in journals. The impact of NICU death on hospital staff and bereaved parents has been studied less. Mortality studies suggest that bereaved mothers are at a high risk of dying within the first 5 years after their child has died. Despite the frequency of maternal death post-child loss, …

Job Satisfaction Among Health Workers At Primary Health Care In Palembang City, Indonesia, Asmaripa Ainy, Merri Nurmala Sarri, Poppy Fujiyanti, Hartati Inaku, Tannia Tembo

Kesmas

Health workers at primary health care are the frontline providers of community health services. This study aimed to investigate the level of job satisfaction of health workers at primary health care in Palembang City, South Sumatra Province, Indonesia, and its influencing factors. Using a questionnaire developed by the authors' team, the study involved 257 samples. A total of 66.15% of respondents indicated high satisfaction, 21.79% reported moderate satisfaction, and 12.06% expressed dissatisfaction. A statistically significant correlation was found between knowledge, skills, income, promotion opportunities, work supervision, and relationships with colleagues and job satisfaction (p-value <0.001). The correlations were strong, with Spearman's rho of 0.822, 0.869, 0.912, 0.895, and 0.821, respectively. Statistical analysis of the Wilcoxon rank-sum and Kruskal-Wallis tests showed no significant differences in median satisfaction scores between sociodemographic groups (p-value 0.072 to 0.552>0.05). These findings showed that job …

An Antidote To Populist Ill-Rule? Polycentricity, And Excess Mortality In The Covid-19 Pandemic, Michael Lee

Publications and Research

It has often proven difficult for scholars of populist governance to untangle the policy results produced by populist governments from the conditions that might lead voters to elect populist leaders. The COVID-19 pandemic – an exogenous event occurring amidst the rise of populist governments to power in many of the world’s democracies – offers a unique window into populist crisis management. Are populists less effective crisis managers when the stakes are high? And if so, what factors might mitigate populist ill-rule? In this paper I present evidence that populist-led governments experienced greater levels of excess mortality in the COVID-19 pandemic …

Seeing Resilience Through Experience: Teachers' Resilience Experiences Post Covid-19 Pandemic, Yashica Dudley

Doctoral Dissertations and Projects

The purpose of this phenomenological was to describe the post-COVID-19 resilience experiences of 6th to 12th grade schoolteachers at Hope County Public School (HCPS). The theory that guided this study is the differing pathways to resiliency theory, as it was used to describe teachers’ resilience experiences regarding the outlook on work, self-efficacy, and coping responses. The central research question was, “What are the post-COVID-19 resilience experiences of 6th to 12th grade schoolteachers at the HCPS in the classroom?” Participants included 10-15 6th to 12th grade schoolteachers who taught before, during, and post the COVID-19 pandemic. The data was collected through …

Exploring The Lived Experiences Of Sub-Sahara African Catholic Priests On Their Transition Through The Covid-19 Global Pandemic In The United States: A Phenomenological Study, Cornelius Kelechi Anyanwu

Doctoral Dissertations and Projects

The Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2, COVID-19) has disrupted significant aspects of societal life worldwide, forcing individuals, communities, health organizations, educational institutions, consumer industries, and governments all over the world into unprecedented challenges. Likewise, religious organizations like the Catholic Church were not spared. African Catholic priests in the United States provide pastoral ministries in US dioceses and parishes, fulfilling the roles of shepherding their congregations and offering spiritual, moral, social, and emotional support in times of great adversity, such as the COVID-19 global pandemic. This transcendental phenomenological qualitative study was conducted to explore how sub-Saharan African Catholic priests …

Big Data As Potential Tool For Success In Developing Countries, Jean-Claude Pedjeu, Aurore J. Kamssu, Jeffrey S. Siepke-Sambo

Journal of African Policy Studies

Big data and the computer technology to analyze it are said to be one of the top 10 revolutions in the coming decade. While the developed world is making strides in the use of big data for decision making purposes, the Low-income countries (LIC) or poor countries and some medium-income countries (MIC) or developing countries are lacking behind in their collection and use of digital data to aid decision making. This is especially the case with many businesses and government agencies that have the potential to benefit in their policy designs and implementations from big data. The purpose of this …

Burnout, Life Satisfaction, And Meaning-Focused Coping In Correctional Mental Health Providers, Danielle Janet Tsamouris

Walden Dissertations and Doctoral Studies

Studies have found that burnout among correctional mental health providers is related to unique stressors that impact their physical, psychological, and emotional health, including the perceived and actual threat of violence. Using the transactional theory of stress and coping, the purpose of this quantitative study was to examine the influence of burnout and meaning-focused coping strategies on life satisfaction in correctional mental health providers. Online survey data from 102 master’s-holding correctional mental health professionals were recruited by SurveyMonkey who also administered the survey. Results from a standard multiple regression analysis suggested that meaning-focused coping strategies significantly and positively influenced life …

Planetary Health And Indigenous Sovereignty: Exploring The Theory Of Change Of The Healthy Environments And Lives (Heal) Network In Western Australia, Lucie O'Sullivan, Theoni Whyman, Mara West, Noel Nannup, Jaime Yallup Farrant, Naomi Joy Godden, Emma Leigh Synnott, Raewyn Mutch, Anita J. Campbell, Kylie Wrigley, Brad Farrant

Research outputs 2022 to 2026

This paper outlines the theory of change which underpins the Western Australian (WA) hub of the Healthy Environments and Lives (HEAL) network. HEAL is an Australian national research initiative that aims to address the health impacts of climate and environmental change. The WA hub's theory of change is focused on improving the health and well-being of the planet and people, including children, through centring Indigenous sovereignty, voices and ways of knowing and being in research, policy development and service provision. The WA hub also recognises it is essential for place-based, community-led solutions, which strengthens responses to climate and environmental change, …

Leading Through Crisis: San Diego County Schools' Response To The Social Emotional Needs Of All Students, Johana Bielma

Dissertations

The COVID-19 pandemic led to unprecedented school closures, forcing administrators to take decisive action to radically change the educational system. The imperative to switch to remote learning transformed the dynamics of teaching and learning, leading to both immediate and long-term academic and social emotional consequences for all stakeholders. When schools reopened, administrators faced the challenge of reintegrating students into in-person learning while addressing the pandemic’s lasting effects on academics, mental health, and school safety. While academic regression was evident, the extent of students’ emotional struggles was less anticipated. Many students exhibited increased irritability and mental health issues such as depression …

How Mass Incarceration Has Destroyed African American Communities, Angeliki Karvounis

Themis: Research Journal of Justice Studies and Forensic Science

Beginning with the “Tough on Crime” movement of the 1970s, policies such as mandatory minimums, the War on Drugs, and the Three Strikes law have reinforced racial disparities in the criminal justice system. Multiple historical and systemic factors have contributed to the disproportionate imprisonment of African American individuals. This paper explores the long-term consequences of incarceration, including the erosion of family structures, the economic marginalization of affected communities, and the perpetuation of poverty and crime. The repercussions of parental incarceration on children and the challenges faced by formerly incarcerated individuals seeking reintegration into society are examples of the long-term consequences …

Human Trafficking: An Examination Of Policies And The Impact Of Trafficking On Victims, Hannah Lyons

Themis: Research Journal of Justice Studies and Forensic Science

Human trafficking is a pervasive and complex global issue that involves the exploitation of individuals. While there is also the trafficking of objects, this study solely focuses on sexual exploitation and forced labor of humans. This paper defines trafficking and examines the impact that trafficking has on victims’ physical and mental health. This paper also examines the intersection of human trafficking and policies designed to combat it, focusing on the effectiveness of legal frameworks and enforcement mechanisms. By analyzing the strengths and weaknesses of current anti-trafficking laws and initiatives, the paper explores how policies can be improved to better address …

Physiological Regulation And Paths To Social Status In Chimpanzees, Megan F. Cole

Anthropology ETDs

In this dissertation, I leverage longitudinal comparative data from naturalistic chimpanzee populations to examine the evolutionary context for healthy aging and cooperative leadership. First, I use health data from semi-free-ranging chimpanzees living at African sanctuaries (2012-2023) to demonstrate that the effects of diet and exercise that promote healthy aging in humans are shared with chimpanzees. Semi-free-ranging chimpanzees exhibit a slower pace of biological aging compared to sedentary laboratory chimpanzees (Chapter 2). Sanctuary chimpanzees also have healthier inflammatory profiles, with no evidence of chronic inflammaging (Chapter 3). Second, I use hormonal and behavioral data from wild chimpanzees at Kanyawara (2005-2019) to …

Addressing Socioeconomic Disparities In The Treatment Of Antimicrobial-Resistant Infections: The Role Of Pharmacists In Mitigating Barriers, Arin Wade, Danielle Egbujor, Anna Spalvieri, Owen Fox, Marisa Petrunich, Joshua Honaker, Samantha Mccord, Kasie Landin

Pharmacy and Wellness Review

Antimicrobial resistance is an escalating global threat driven by inappropriate antibiotic use and shaped by socioeconomic disparities. Social determinants of health, including limited healthcare access, poverty, low health literacy, and environmental conditions, contribute to higher rates of resistant infections and poorer treatment outcomes in underserved populations. Barriers such as pharmacy deserts, self-medication, and inadequate stewardship infrastructure amplify these risks. Pharmacists, as accessible and highly trained healthcare professionals, play a critical role in combating antimicrobial resistance by optimizing antibiotic use, delivering culturally competent education, and leading antimicrobial stewardship programs across settings. Community and clinical pharmacists are especially well positioned to bridge …

Negotiating Migration In The Mediterranean: A Comparative Study Of Morocco And Italy’S Border Policies And Their Humanitarian Impact On Irregular Migrants, Shennel Ep Henries

Master's Theses

Serving as both a barrier and a bridge that connects Africa and Europe, the Mediterranean is today the focal point of global controversies around migration, where humanitarian interests balance against border policing and meet securitization policies. This thesis examines the questions: How do irregular migrants adapt, interpret, and maneuver around securitized Moroccan and Italian migration policies, and what do their strategies tell us about the relationship between humanitarianism and securitization in Mediterranean bordering processes? Drawing on qualitative evidence, including expert interviews with organization employees and volunteers in Morocco and Italy (Fondazione Solidarietà Caritas, Nosotras Onlus, and Caritas Maroc), field observation, …

Integrating Addiction Counseling Competencies Into Cacrep’S Foundational Curriculum: Addressing Gaps In Pedagogy, Stephanie Robinson, Whitney P. Akers, Jeffrey M. Warren

Journal of Counselor Preparation and Supervision

Professional counselors frequently provide direct and indirect addiction counseling services with relatively little addiction-specific education and training. This lack of training results in counselors delivering services for which they are not adequately prepared. This article explores the current state of training and credentialing of addiction counselors, the addiction-specific gaps that currently exist in CACREP’s foundational curriculum, and the duty accredited programs have to ensure counseling students are trained to provide care to all who seek treatment. A conceptual model for integrating culturally responsive addiction-specific education into CACREP’s foundational curriculum and a hypothetical timeline for implementation are provided. We discuss the …