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Education Reform: Exploring Human Services Needed To Address Disparities In Urban, Antonio Williams May 2024

Education Reform: Exploring Human Services Needed To Address Disparities In Urban, Antonio Williams

Walden Dissertations and Doctoral Studies

This investigation sought to delve into the complex issues surrounding racial and institutional racism within urban educational frameworks, emphasizing the substantial role that systemic obstacles and prejudices play in perpetuating educational inequities. Amidst an expanding corpus of literature on this topic, the nuanced contributions of human service interventions to ameliorate these inequities have been somewhat overlooked. The objective of this research was to fill this knowledge void by examining the perspectives and experiences of a diverse range of professionals within the K-12 educational sector, from a human services standpoint. The study utilized qualitative research methodology, gathering data through interviews with …


Scoping Review On The Use And Meaning Of Sport In Prison And After Detention, Marie-Lou Libbrecht, Pascal Delheye, Rosie Meek, Rudi Roose May 2024

Scoping Review On The Use And Meaning Of Sport In Prison And After Detention, Marie-Lou Libbrecht, Pascal Delheye, Rosie Meek, Rudi Roose

Journal of Prison Education Research

The aim of this study was to provide knowledge on existing literature and research regarding the use and meaning of sports during and after incarceration. To achieve this, a scoping review was conducted, entering one hundred and seventeen combinations of search terms related to sports and incarceration into Google Scholar and Web of Science, focusing on titles and/or key terms. Ultimately, one hundred and fifty-two publications were included in the scoping review. The identified literature and research on 'the meaning of sports during and after detention' discuss the outcomes related to physical and mental health, behaviour, and the rehabilitation of …


Social Support, Caregiver Burden, And Anxiety/Depression Among Family Caregivers Of Stroke Patients, Rosalyn Moore May 2024

Social Support, Caregiver Burden, And Anxiety/Depression Among Family Caregivers Of Stroke Patients, Rosalyn Moore

Walden Dissertations and Doctoral Studies

Family caregivers encounter challenges when caring for relatives recovering from a stroke. Family caregivers often experience negative mental health outcomes including higher levels of anxiety, depression, and stress. The purpose of this study was to determine the extent to which years of caregiving experience, emotional and instrumental support, and caregiver burden predict anxiety and depression among family caregivers of stroke patients. The caregiving stress process model theoretical framework guided the research. This quantitative study used a non-experimental correlational research design. Participants were recruited using Survey Monkey and included a non-random convenience sample of 111 family caregivers of stroke patients who …


Predictors Of Spiritual Struggle: Exploring The Role Of Trauma Exposure, Resilience, And Religious Behaviors Among Religiously Affiliated University Students, Harvey O. Burnett Jr, Duane C. Mcbride May 2024

Predictors Of Spiritual Struggle: Exploring The Role Of Trauma Exposure, Resilience, And Religious Behaviors Among Religiously Affiliated University Students, Harvey O. Burnett Jr, Duane C. Mcbride

Adventist Human-Subject Researchers Association

This study examined how exposure to traumatic experiences, protective factors such as Psychological Body Armor (TM) (PBA), physical wellness behaviors, and religious practices predict spiritual struggle among students attending a religiously affiliated university. Preliminary findings revealed that PBA, non-class assigned Bible and Christian literature readings were predictive of reduced spiritual struggle.


Resilience And Advocacy: A Narrative Analysis Of Disability Campaigns In The United States, Jennifer-Lyn B. Youberg May 2024

Resilience And Advocacy: A Narrative Analysis Of Disability Campaigns In The United States, Jennifer-Lyn B. Youberg

Student Theses and Dissertations

This narrative analysis delves deeply into the REV UP, #IHelpVeterans, and Snack Zone disability campaigns, dissecting their shared themes and strategies. It underscores the pivotal role of community engagement, stressing the importance of not just raising awareness but actively involving communities in advocacy efforts. Moreover, it highlights how these campaigns leverage personal narratives to humanize disability issues, making them more relatable and compelling. Additionally, the study emphasizes the necessity of advocating for systemic change, pointing out that while individual actions matter, broader structural reforms are needed to address deeply entrenched barriers. By fostering collaboration, amplifying marginalized voices, and pushing for …


Evaluation Of Trauma Informed Care For Indigenous Victims Of Human Trafficking: A Qualitative Discussion Of Best Practice, Nina Munson May 2024

Evaluation Of Trauma Informed Care For Indigenous Victims Of Human Trafficking: A Qualitative Discussion Of Best Practice, Nina Munson

University Honors Theses

Human trafficking is a major issue that every community and nation faces. Within the United States, Indigenous communities are especially at risk of victimization in relation to a history of systemic violence and consequent neglect. Therefore, the need for culturally competent care is crucial. This study seeks to address how culturally sensitive approaches to trauma-informed care can be developed and implemented by various providers to effectively support Native American victims of human trafficking in accessing assistance services. In order to evaluate the problem, a literature review was conducted, paired with qualitative interviews from relevant stakeholders. The findings demonstrated a significant …


Beyond The Human: Crossovers For An Onto-Epistemological Bifurcation, Ester Toribio-Roura May 2024

Beyond The Human: Crossovers For An Onto-Epistemological Bifurcation, Ester Toribio-Roura

Articles

Building upon recent studies in new materialisms and feminist critical posthumanism with a focus on human and more-than-human relationships, this paper examines how the posthuman paradigm, by postulating the queering of identit(ies) via entanglement with the more-than-human (including technology), and by offering a critical examination of diverse modes of existence within a broader ecological context, can foster more inclusive and ethically sound ways of being in the world. Although posthumanism encompasses a wide range of perspectives and theories, including transhumanism, at its core, it challenges traditional notions of humanism, blurring the boundaries between what is human and what is more-than-human, …


Child Savings Accounts And Other Tax-Advantaged Accounts Benefiting American Children: Testimony Before The U.S. Senate Committee On Finance, William Elliott May 2024

Child Savings Accounts And Other Tax-Advantaged Accounts Benefiting American Children: Testimony Before The U.S. Senate Committee On Finance, William Elliott

Center for Social Development Research

This Perspective presents testimony given by Dr. William Elliott during “Child Savings Accounts and Other Tax-Advantaged Accounts Benefiting American Children,” a hearing before the U.S. Senate Committee on Finance, on May 21, 2024. Noting findings from children’s account research―including findings from the SEED for Oklahoma Kids experiment conducted by the Center for Social Development―Dr. Elliott discusses the 401Kids Savings Account Act and the American Opportunity Accounts Act, as well as proposals for Child Savings Accounts, Baby Bonds, Child Development Accounts.


Previously Incacerated Women's Emotional Experince Of Giving Birth In A U.S. Prison, Brigit Ichard-Henderson May 2024

Previously Incacerated Women's Emotional Experince Of Giving Birth In A U.S. Prison, Brigit Ichard-Henderson

Walden Dissertations and Doctoral Studies

Previously Incarcerated Women’s Emotional Experience of Giving Birth in a U.S. Prison by Brigit Ichard-Henderson MA, Walden University, 2018 MA, Texas A&M University-Central Texas, 2014 BS, Excelsior University, 2009 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human Services Walden University May 2024   Women have been giving birth while incarcerated since the advent of confinement as a punishment for crime. There is a plethora of information on incarceration rates, pathways to incarceration, access to health care and education while incarcerated, and reasons for recidivism among women. However, little is known about women’s experiences …


A Narrative Inquiry Into The Life Of A Mother For A Child With Developmental Disabilities, Ohsun Chang, Jaeyoung Hong, Byungun Jeon May 2024

A Narrative Inquiry Into The Life Of A Mother For A Child With Developmental Disabilities, Ohsun Chang, Jaeyoung Hong, Byungun Jeon

The Qualitative Report

This study explores the life story of Jane, who has an adult child with developmental disabilities and who serves as the director of a community welfare center for people with developmental disabilities in South Korea. To this end, this study used narrative inquiry methodology. The experience of a parent was described in terms of the following themes: (i) Narrative experience as a parent in a family: The irony of life—living in a place where guilt and desire coexist, Sub theme: Building up a broader window of communication; (ii) Narrative Experience as the head of an institution: Learning betrayal and making …


A Phenomenological Study Of The Perinatal Experiences Shaping A Woman’S Identity In Academia, Elizabeth Catherine Debolt May 2024

A Phenomenological Study Of The Perinatal Experiences Shaping A Woman’S Identity In Academia, Elizabeth Catherine Debolt

Doctoral Dissertations and Projects

The purpose of this qualitative hermeneutic phenomenological study was to understand the meaning women faculty in academia in the United States ascribe to their perinatal experiences and how these experiences affect the integration of their academic and maternal identities and outlook on continuing in the academy. The theories guiding this study were Mercer's theory on becoming a mother and Bronfenbrenner's bioecological model. The study was comprised of 10 women who became a mother with their first child within the last seven years of the study's initiation while holding a faculty position in academia that included teaching, scholarship, and service responsibilities …


Assessing Health Needs In A Dominican Republic Community During An Interprofessional Service-Learning Trip, Gabriela Andonie, Hanna Rotundo, Ashanti Jones, Logan Dugas, Shylon Francis May 2024

Assessing Health Needs In A Dominican Republic Community During An Interprofessional Service-Learning Trip, Gabriela Andonie, Hanna Rotundo, Ashanti Jones, Logan Dugas, Shylon Francis

Journal of Interprofessional Practice and Collaboration

Purpose: International medical missions may increase access to medicines and care, but international teams must understand local needs to implement appropriate services. In 2023, a multidisciplinary team from our institution partnered with a nonprofit organization in the barrio of Cienfuegos, Dominican Republic with the goal of strengthening local health services. The primary objective of this study was to identify health-related needs in Cienfuegos from the perspective of community members and local health care workers.

Methods: A qualitative study was conducted as part of a service-learning initiative. After obtaining informed consent, the investigators conducted individual semi-structured interviews facilitated by multi-lingual interpreters. …


Some Kind Of Unfolding: A Micro- To Macrosystemic Exploration Of The Emic Experiences Of Formerly Incarcerated Mothers, Mary Anne Gunter Phd Lpc Lmft May 2024

Some Kind Of Unfolding: A Micro- To Macrosystemic Exploration Of The Emic Experiences Of Formerly Incarcerated Mothers, Mary Anne Gunter Phd Lpc Lmft

Journal of Interprofessional Practice and Collaboration

Problem

The incarceration of women has increased exponentially in the past 40 years. Over 80% of incarcerated women are mothers separated from their children. A mother’s incarceration can impose a destabilizing influence upon an already fragile family system.

Significance

Incarcerated mothers have been inconsistently provided supportive rehabilitative programs, which have demonstrated a correlation to decreased recidivism.

This qualitative study conducted semi-structured interviews that explored the phenomenological experiences of eight disenfranchised incarcerated mothers who were separated from their children, as well as of their experiences of a carceral setting and involvement with prison programs.

Implications

Thematic analysis of the data revealed …


Return On Investment (Roi) For Undergraduate Degrees At The University Of Nevada, Las Vegas (Unlv) And The University Of Nevada, Reno (Unr), Riley Ruff, Miguel Soriano Ralston, Caitlin J. Saladino, William E. Brown Jr. May 2024

Return On Investment (Roi) For Undergraduate Degrees At The University Of Nevada, Las Vegas (Unlv) And The University Of Nevada, Reno (Unr), Riley Ruff, Miguel Soriano Ralston, Caitlin J. Saladino, William E. Brown Jr.

Higher Education

This fact sheet examines return on investment (ROI) data for undergraduate degrees at the University of Nevada, Las Vegas (UNLV) and the University of Nevada, Reno (UNR). The original report from the Foundation for Research on Equal Opportunity (FREOPP) includes data on the ROI for various undergraduate degree programs across the United States.


Investigating Nutrient Biomarkers Of Healthy Brain Aging: A Multimodal Brain Imaging Study, Christopher E. Zwilling, Jisheng Wu, Aron K. Barbey May 2024

Investigating Nutrient Biomarkers Of Healthy Brain Aging: A Multimodal Brain Imaging Study, Christopher E. Zwilling, Jisheng Wu, Aron K. Barbey

Department of Psychology: Faculty Publications

The emerging field of Nutritional Cognitive Neuroscience aims to uncover specific foods and nutrients that promote healthy brain aging. Central to this effort is the discovery of nutrient profiles that can be targeted in nutritional interventions designed to promote brain health with respect to multimodal neuroimaging measures of brain structure, function, and metabolism. The present study therefore conducted one of the largest and most comprehensive nutrient biomarker studies examining multimodal neuroimaging measures of brain health within a sample of 100 older adults. To assess brain health, a comprehensive battery of well-established cognitive and brain imaging measures was administered, along with …


Impact Of The Department Of Defense Maternity Leave Policy Change On Retention And Postpartum Depression And The Air Force Postpartum Physical Fitness Policy Change On Physical Readiness Outcomes, Minette S. R. Herrick May 2024

Impact Of The Department Of Defense Maternity Leave Policy Change On Retention And Postpartum Depression And The Air Force Postpartum Physical Fitness Policy Change On Physical Readiness Outcomes, Minette S. R. Herrick

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Understanding the implications of health policy is paramount to support continued execution and further wide-spread distribution. The Department of Defense has made many recent family friendly policy changes in effort to improve the health and morale of the force. Two such policies were analyzed in this study. The first was the change in maternity leave, in 2016, from allotting women six weeks time off to twelve weeks time off in the postpartum period. The second was executed by the Air Force to permit postpartum women a longer duration for their required physical fitness assessment (an increase from six months to …


Pregnant Black Bodies In Peril: A Multi-Method Analysis Of Obstetric Outcomes And Gestational Experiences, Courtney E. Williams May 2024

Pregnant Black Bodies In Peril: A Multi-Method Analysis Of Obstetric Outcomes And Gestational Experiences, Courtney E. Williams

LSU Doctoral Dissertations

My multi-method three-paper dissertation provides a better understanding of the relationship between maternal racial identity, obstetric outcomes, and gestational experiences. Using birth certificate data from the 2016 U.S. National Vital Statistics System and binary logistic regression models, in the first paper I explore heterogeneity in severe maternal morbidity (SMM) by maternal race, maternal education, and maternal age. To complement the first paper, in the second paper I allow 35 Black and White women/birthing people to describe pregnancy, birth, and early motherhood in their own words. I situate the Covid-19 pandemic as a unique cultural backdrop in this qualitative paper to …


Characteristics Influencing Enrollment Choices: A Mixed Methods Analysis Of Factors That Influence Black Students' Decision To Enroll In College Of Agriculture Programs, Jennifer L. Brown May 2024

Characteristics Influencing Enrollment Choices: A Mixed Methods Analysis Of Factors That Influence Black Students' Decision To Enroll In College Of Agriculture Programs, Jennifer L. Brown

LSU Doctoral Dissertations

This study aims to identify the barriers that affect Minority enrollment in agriculture, particularly focusing on increasing the enrollment of Black students. There is a significant concern regarding the gap between Black individuals and agriculture enrollment in post-secondary agriculture programs at land-grant institutions. The purpose of this mixed method phenomenology was to (1) identify factors that influence the decision of Black students to enroll in the College of Agriculture and (2) uncover the societal and economic influences that continue to serve as barriers to Black students’ enrolling in agriculture. The quantitative portion of the investigation utilized a web-based instrument structured …


Bikeability Disparities In Orange County, California: Intersection Of Place And Demographics, Jeanette Gritton, Maria Cristina Martinez, Georgiana Bostean, Megan Thiele Strong May 2024

Bikeability Disparities In Orange County, California: Intersection Of Place And Demographics, Jeanette Gritton, Maria Cristina Martinez, Georgiana Bostean, Megan Thiele Strong

Sociology Faculty Articles and Research

Active transportation modes such as walking and biking are gaining popularity for their extensive health and environmental benefits, yet scholars know little about how place-based accessibility varies by area sociodemographic composition. This study is among the first to examine sociodemographic disparities (by both race and socioeconomic status) in bikeability while allowing for heterogeneity in disparities. Consideration of bikeability disparities is particularly critical within the framework of urban planning concepts that promote equitable accessibility and reduced dependency on automobiles, such as the 15-minute city. Geographically Weighted Regressions examined associations between census tract-level bikeability (using an index that combines five components), socioeconomic …


Analysis Of Research And Development Trends Of New Drugs, Ping Xu, Li Xu, Ruo-Nan Yang, Wei Li, Kaixian Chen May 2024

Analysis Of Research And Development Trends Of New Drugs, Ping Xu, Li Xu, Ruo-Nan Yang, Wei Li, Kaixian Chen

Bulletin of Chinese Academy of Sciences (Chinese Version)

As an important component in the pharmaceutical innovation, research and development (R&D) of new drugs stands at the forefront of a new round of life science and technology revolution and bioeconomic reform, which is of strategic significance to leading scientific and technological innovation, driving economic development, and improving people’s health and well-being. At present, continuous innovation in cutting-edge technologies, cross-domain integration of disciplines, and digital depth enablement drive active innovation in the field of new drug R&D. Both domestically and internationally, innovative small molecule drugs, antibody drugs, immune cell therapy, gene therapy and nucleic acid drugs are receiving intensive market …


Synthetic Biology Enablement: From Academic Development To Industrial Transformation, Yan Xiong, Xueqing Ma, Daming Chen, Xiao Liu, Guoping Zhao May 2024

Synthetic Biology Enablement: From Academic Development To Industrial Transformation, Yan Xiong, Xueqing Ma, Daming Chen, Xiao Liu, Guoping Zhao

Bulletin of Chinese Academy of Sciences (Chinese Version)

Synthetic biology revolutionizes the comprehension of life systems from an engineering perspective, employing a “bottomup” approach in life science research. It adopts an iterative research paradigm of “design-build-test-learn” in life science research and creates engineered new life systems grounded in genomics and systems biology. This provides a new pathway of “from creation to understanding” for life sciences, departing from the traditional reductionist research strategy of “study the whole to understand the parts” and opening up a new culture of “building to understand” the essence of life. Additionally, synthetic biology elevates existing biotechnologies previously based on “simulating natural processes” and “genetic …


Past Experiences And Current Attitudes: Is Everything Connected?, Miranda Oddy May 2024

Past Experiences And Current Attitudes: Is Everything Connected?, Miranda Oddy

Honors Projects

The purpose of this study was to explore the ways past experiences with mental health issues affect current stigma and outlook on life. I investigated whether a personal experience or the experience of someone close (e.g., family, friend) with mental health issues impacted stigma and outlook more than other. The sample included 242 participants who were 18 to 86 years old (Mage = 27.44, SDage = 16.58), 51.7% white, and 77.3% female. Surveys were advertised on a small liberal arts university offering class credit for students and online. The survey included questions on life satisfaction, optimism, stigma, and …


Nourishing Movement: The Role Of Food In A Dance/Movement Therapist’S Practice: A Literature Review, Gabriele Dunkley May 2024

Nourishing Movement: The Role Of Food In A Dance/Movement Therapist’S Practice: A Literature Review, Gabriele Dunkley

Expressive Therapies Capstone Theses

This literature review is an inquiry into the role of food in dance/movement therapy (DMT). It aims to deepen the understanding of how essential nutritional requirements, nourishment, and an individual's relationship with food can integrate into the practice of a dance/movement therapist. The review explores the impact of nutrition on physical energy and brain function, underscoring its significance. It also examines factors influencing food choices and delves into the historical relationship between dancers and food and DMT's connection with eating disorders. Ultimately, the review proposes practical methods for DMT practitioners to integrate this knowledge into their work by introducing a …


Art Therapy As A Tool To Enhance Social Skills In Children With Autism Spectrum Disorder: A Literature Review, Alejandra Deleon May 2024

Art Therapy As A Tool To Enhance Social Skills In Children With Autism Spectrum Disorder: A Literature Review, Alejandra Deleon

Expressive Therapies Capstone Theses

This literature review delves into the advantages of using art-making as a means to help children with Autism Spectrum Disorder acquire necessary social and communication skills. The review hones in on the challenges that children with ASD face in regards to their self-perception, social behaviors, emotional regulation, and environmental triggers. Specifically, it poses the question: how does art therapy benefit children who have been diagnosed with ASD? The review covers various literary categories, including Autism Spectrum Disorder, Social Skills, Emotional Regulation, Attachment, Art Therapy Groups, and Art Mediums. Ultimately, the paper provides evidence that art therapy can be a beneficial …


Revitalizing Learning Environments: The Impact Of Incorporating Movement Breaks In Classroom Curriculum, Jimmy Bonilla May 2024

Revitalizing Learning Environments: The Impact Of Incorporating Movement Breaks In Classroom Curriculum, Jimmy Bonilla

Expressive Therapies Capstone Theses

This thesis examines the benefits of integrating movement breaks within high school classrooms to enhance student engagement, focus, and overall well-being. The aim is to highlight the negative effects that a traditional classroom structure can have when looking at the evolving needs of the high school population. Drawing on personal experiences, observations, and existing research, this study highlights the disconnect between traditional teaching methods and the developmental needs of today's students. Using comparisons from previous teaching methods to the standards of an academic class today, the study identifies movement breaks as a useful tool to address issues such as student …


The Sustainability Of Housing Security In Lynchburg, Virginia, Kelsey Spickler May 2024

The Sustainability Of Housing Security In Lynchburg, Virginia, Kelsey Spickler

Undergraduate Theses and Capstone Projects

To understand the current challenges of housing security, both nationally and locally, it is imperative to recognize what has been done by human services professionals and community organizations in the past.


The Cost Of Prosperity In China, Comparison Of Early Development Differences Between Left-Behind Children And Non-Left-Behind Children In Rural China, Yuchen Zhu May 2024

The Cost Of Prosperity In China, Comparison Of Early Development Differences Between Left-Behind Children And Non-Left-Behind Children In Rural China, Yuchen Zhu

Master's Theses

This study aims to explore the cognitive development differences between left-behind and non-left-behind children in rural China, specifically in the rural villages of Ya'an City, Sichuan Province. Utilizing cross-sectional data from 570 children aged 0-3 years, the children were categorized based on parental presence into four groups: non-left-behind children (both parents present), left-behind children (both parents absent), left-behind children (mother present), and left-behind children (father present). The cognitive development of these children was assessed using the Bayley Scales of Infant Development's cognitive subscale. Regression analyses were conducted, adjusting for village-level clustering, and controlling for demographic variables such as age in …


Impact Of Temperature On Children’S Nutrition: A Comparative Study Of Three Ecological Regions Of Nepal, Prakriti Shakya May 2024

Impact Of Temperature On Children’S Nutrition: A Comparative Study Of Three Ecological Regions Of Nepal, Prakriti Shakya

Master's Theses

Nutrition obtained during the growth period of childhood significantly influences long-term well-being and overall productivity, ultimately contributing to the economy of a society. However, weather shocks can wreak havoc by damaging crops, changing yields of important crops and disrupting market access, which directly impacts the food intake of both adults and children. When these adverse events occur during childhood, short term and long term inadequacy in nutrition as well as disease incidence can cause malnutrition leading to stunted growth and cognitive impairment that may persist into adulthood, affecting the labor market and increasing health expenditure. To address this issue, we …


Human Trafficking: Foreign National Adolescent Survivors In The United States, A Call To Expand Otip Eligibility Letters, Ailleene L. Maldonado May 2024

Human Trafficking: Foreign National Adolescent Survivors In The United States, A Call To Expand Otip Eligibility Letters, Ailleene L. Maldonado

Master's Theses

The Office of Trafficking in Persons grants child eligibility letters to foreign national minors who have been confirmed victims of trafficking. These OTIP Eligibility Letters provide recipients with public benefits to the same extent as a refugee but do not grant protection from removal or pathways towards legal permanent residence. Additionally, many OTIP recipients have unaccompanied minor status in the United States. In order to capture the experience of OTIP recipients, this research explores existing literature on trafficking trauma and migration stressors/ trauma. Additionally, this research identifies international and national legal frameworks to define trafficking and acknowledge the responsibility that …


Dose Higher Socioeconomic Status Associate With Better Mental Health Outcomes Among Primary Caregivers In Rural China?, Wenwen Zhang May 2024

Dose Higher Socioeconomic Status Associate With Better Mental Health Outcomes Among Primary Caregivers In Rural China?, Wenwen Zhang

Master's Theses

This study explores the intricate relationship between socioeconomic status (SES) and the mental health outcomes of primary caregivers in rural China, focusing on the Early Childhood Development (ECD) context in Ya'an. Anchored in a major intervention project launched in 2023, the study critically examines the hypothesis that higher socioeconomic status correlates with lower levels of negative emotions among caregivers.

Utilizing cross-sectional data, the research investigates how educational attainment and household income influence caregivers' mental health, measured through the DASS-21 score in three dimensions: stress, anxiety, and depression. The findings reveal that higher household income and educational levels are significantly associated …