Digital Commons Network^™

Social Determinants Of Health Predict Readmission Following Covid-19 Hospitalization: A Health Information Exchange-Based Retrospective Cohort Study, Micaela N Sandoval, Jennifer L Mikhail, Melyssa K Fink, Guillermo A Tortolero, Tru Cao, Ryan Ramphul, Junaid Husain, Eric Boerwinkle

Faculty, Staff and Student Publications

INTRODUCTION: Since February 2020, over 104 million people in the United States have been diagnosed with SARS-CoV-2 infection, or COVID-19, with over 8.5 million reported in the state of Texas. This study analyzed social determinants of health as predictors for readmission among COVID-19 patients in Southeast Texas, United States.

METHODS: A retrospective cohort study was conducted investigating demographic and clinical risk factors for 30, 60, and 90-day readmission outcomes among adult patients with a COVID-19-associated inpatient hospitalization encounter within a regional health information exchange between February 1, 2020, to December 1, 2022.

RESULTS AND DISCUSSION: In this cohort of 91,007 …

The Relationship Of Neighborhood Disadvantage, Biological Aging, And Psychosocial Risk And Resilience Factors In Heart Failure Incidence Among Black Persons: A Moderated Mediation Analysis, Ganga S Bey, James R Pike, Anthony S Zannas, Qian Xiao, Bing Yu, Amil M Shah, Priya Palta

Faculty, Staff and Student Publications

Objectives: Deprived living environments contribute to greater heart failure (HF) risk among non-Hispanic Black persons, who disproportionately occupy disadvantaged neighborhoods. The mechanisms for these effects are not fully explicated, partially attributable to an insufficient understanding of the individual factors that contribute additional risk or resilience to the impact of neighborhood disadvantage on health. The objective of this study was, therefore, to clarify the complex pathways over which such exposures act to facilitate more targeted, effective interventions. Given the evidence for a mediating role of biological age and a moderating role of individual psychosocial characteristics in the neighborhood disadvantage-HF link, we …

Self-Perception Of Mental Health, Covid-19 And Associated Sociodemographic-Contextual Factors In Latin America, Pablo Roa, Guillermo Rosas, Gloria Isabel Niño-Cruz, Sergio Mauricio Moreno-López, Juliana Mejía-Grueso, Haney Aguirre-Loaiza, Javiera Alarcón-Aguilar, Rodrigo Reis, Adriano Akira Ferreira Hino, Fernando López, Deborah Salvo, Andrea Ramírez-Varela

Faculty, Staff and Student Publications

This study aimed to estimate the prevalence of alterations in self-perceived mental health during the COVID-19 pandemic and their associated factors in four Latin American countries. This is a cross-sectional study based on data collected from adults in 2021 through the Collaborative Response COVID-19 Survey by the MacDonnell Academy at Washington University in St. Louis (United States). The sample was composed of 8,125 individuals from Brazil, Colombia, Mexico, and Chile. A generalized linear model for a binary outcome variable with a logistic link and fixed country effects was used. There were 2,336 (28.75%) individuals who considered having suffered alterations in …

Implications Of Extremity: The Digital Nexus Between Black Metal Subculture And Right-Wing Extremism, Samuel G. Crawford

Theses and Dissertations

This study seeks to examine and offer potential explanatory frameworks for the apparent phenomenon of right-wing and similar extreme ideologies in the context of the musical subgenre of black metal and its corresponding subculture. Using Robinson’s (2007) analysis of classical symbolic interactionist theorists (Goffman, Cooley, Mead) in the context of digital spaces, this study conducted digital ethnography and discourse analysis of various online forums dealing with black metal and its subculture. In addition to this qualitative work, descriptive quantitative analysis of frequencies and proportions of thematic variables coded for extremity indicate that black metal does appear to have high instances …

The Predictive Validity Of Sex Offender Treatment Progress Scale (Sotips) Using Iowa Sex Offenders, Holly Kelley-Chown

Theses and Dissertations

This study is a replication study of McGrath, Lasher, and Cumming's 2012 study. McGrath et al.'s population consisted of convicted Vermont sex offenders, while this replication study's population consisted of convicted Iowa sex offenders. Nearly 2,000 sex offenders are under the Iowa Department of Corrections community supervision (Daily Statistics-DOC Offender, 2023). Iowa uses SOTIPS, Static-99R, and the Iowa Risk Revised (IRR) to determine recidivism risk and supervision levels. The Static-99R was developed in Canada and has been validated in several jurisdictions, including Iowa (Statistical validation of the ISORA8 & Static-99 final report, 2010). The IRR was developed in Iowa using …

Harm-Focused Policing: A Comparison Of Citizen And Patrol Deputy Perceptions On The Severity Of Social Harms, Christina Finn

Theses and Dissertations

This study examined the perceptions of Volusia County citizens and patrol deputies regarding the severity of social harms attributed to incidents of criminal activity. Despite the widespread assessments of crime, the perceptions of associated harms remain unclear. Developing a social harm index may provide current insight into the opinions of harm as perceived by both the public and law enforcement agencies. Using a sequential explanatory mixed method design, patrol deputies from the Volusia County Sheriff’s Office and residents of Volusia County, Florida, were invited to complete a series of surveys and follow-up interviews. This study aimed to compare participant ratings …

Sharing Stories Of Hope And Transformation In U.S. Higher Education: An Ereader By Portland State University Students, Óscar Fernández, David Peterson Del Mar

PDXOpen: Open Educational Resources

This eReader showcases stories of hope and transformation written by diverse students enrolled in University Studies courses at Portland State University. The goal is to motivate first-year and transfer students to see that, in higher education, they are not alone in their personal, familial, and academic struggles—and personal, familial, and educational achievements.

Incarcerated To Educated: The On-Campus Experiences Of College Students Post Incarceration, Taylor Comer

Masters Theses

As reentry rates continue to climb in the United States, more individuals with felony convictions on their criminal records will be looking to obtain post-secondary education to make themselves more marketable in the workforce. The purpose of this narrative study was to examine the experiences of three individuals that pursued higher education after being released from prison. It was determined that the criminality of these individuals had minimal impact on their experiences in higher education, and that there are other components of their identity that have a heavier influence on their likelihood of success. The other components of their identities …

Effects Of Language Differences On Healthcare Barriers Experienced By Arab Americans, Abigail Yazdiya

Honors Undergraduate Theses

This study analyzes the effects of language differences on healthcare services for Arab Americans. The research specifically investigates the subpopulation of ESL (English Second Language)/bilingual Arab Americans, in order to learn about the effect of a lack of interpretation services and therefore the use of family translators on healthcare treatment. There has been a lack of research on this growing population in the United States. Language barriers can hinder the already difficult process of healthcare. These barriers, combined with other barriers, such as cultural factors, can negatively affect healthcare treatment and outcomes. This study uses surveys to reach people in …

Exploring Hypervigilance Among Trans+ People Navigating Cisgendered Healthcare, Emma M. Tukdarian

Graduate Thesis and Dissertation 2023-2024

This thesis uses the limited research on LGBTQ+ specific hypervigilance and queer battle fatigue to explore the prevalence of hypervigilance and fatigue in trans+ medical experiences, even when emotions aren't centered in their narratives, while also using participants' narratives and minority stress theory to suggest changes to the American medical system. Data was taken from a previous study of in-depth interviews on healthcare experiences of 60 trans+ young adults ages 18-24. Analysis of the data was done in NVivo using line-by-line coding for mentions of emotional responses linked to hypervigilance within interview transcripts. Results show that 67% of participants shared …

Reimagining Hunting Through Women's Decision Space, H. Nash Jackson

Electronic Theses and Dissertations

Approximately 14.4 million people hunt in the United States, yet only 3.1 million (22%) of these hunters are women. To enhance women’s participation, many state natural resource agencies aim to reduce barriers and create pathways for women to hunt. Previously, researchers surveyed women to understand and describe barriers to their full participation in hunting. However, this methodology often just quantifies the different barriers without describing the interconnectedness and how the complexity of barriers can impact women’s participation in hunting. This thesis instead took an inductive research approach with the goal of better understanding women’s perspectives when faced with complex barriers. …

The Potential Of Humor To Joyously Dismantle Ableism+: Considerations For Social Workers, Mia Ocean

The Journal of Sociology & Social Welfare

Social workers are often well-positioned but not adequately equipped to disrupt, unsettle, or counteract ableism. Humor is one approach to disability justice work that can move the social work profession forward in a novel way. Within this practice brief, I use first-person narrative to illustrate the potential and limitations of humor to dismantle ableism+ in everyday interactions between social workers, clinical social work practice, and policy transformation. First, I share an example of how to use humor as a direct, call-in strategy to confront social worker-initiated ableist interactions. Second, I describe how a mixed disabled/abled couple can laugh together at …

The Challenges And Rewards Of Carrying Out Qualitative Research On The Police In The African American Community, Daniel K. Pryce, Ingrid Phillips Witaker

Sociology & Criminal Justice Faculty Publications

In this paper, we discuss the challenges and rewards of carrying out qualitative research on the police in the African American1 community. Using data drawn from interviews with seventy-seven African American adults in Durham, NC, we found that community member hostility toward research(ers) and fear of both neighbors and the police lowered African Americans’ willingness to be interviewed about their perceptions of and experiences with U.S. police. These findings were observed primarily in public housing and middle-income communities. On a positive note, we found that greater awareness of policing issues increased African Americans’ willingness to participate in research about the …

Reporting And Addressing Sexual Harassment At Four Institutions Of Higher Learning In Zambia: A Quantitative Study Of Related Attitudes And Perceptions, Earlymay Chibende

Dissertations

Problem

Sexual harassment is a social ill that exists across nations, socio-economic backgrounds, races, nationality, ethnicity, age groups, and sex. Although both male and female members of society experience sexual harassment, research shows that a greater percentage of sexual harassment victims are women (Whitley & Page, 2015; CharterJee, 2018). A comparison of the prevalence of sexual harassment at workplaces and educational institutions shows that sexual harassment is more widespread at institutions of learning than at workplaces. Research on the prevalence of attitudes and or perceptions toward sexual harassment in institutions of higher learning shows that between 10%- 68% of female …

Chieftaincy In A Lappa: Portraiture Leadership Of Black Women, Lynne E, Washington

Antioch University Dissertations & Theses

The dissertation examined African American women with chieftaincy titles in Yoruba culture and how they exercised their leadership in both Yorubaland and America. It explored their leadership, authority, and training. The presence of African American women with chieftaincy titles is increasing in the American landscape. The methodology was qualitative using narrative inquiry and portraiture from Sarah Lawrence-Lightfoot and Jessica Hoffman Davis (1997) with five African American women. My research included observations in Nigerian, pre-Osun festival, the Osun festival, and post-Osun festival. Observations also included three women Nigerian Chiefs. The research questions answered their qualifications to lead, their sense of knowing …

The Influence Of Highly Visual Social Media Engagement On The Body Image Of Cisgender Heterosexual Emerging Adult Men. A Grounded Theory Approach, Isaac Cheng

Antioch University Dissertations & Theses

The effects of highly visual social media (HVSM) on the body image of users is a widespread concern amongst consumers and popular topic of research. While numerous studies have explored the effects of HVSM on women's body image, the literature on men's body image, particularly among cisgender heterosexual men, is comparatively sparse. The present study utilized constructivist grounded theory methodology to develop an explanatory model illustrating how HVSM engagement by cisgender heterosexual emerging adult men influences their body image. Data analysis revealed how specific HVSM platform attributes, a user’s behavior on an HVSM platform, a user’s perception of an ideal …

School Copaganda In The Us South: Tinsel, Twinkle, And Police-Youth Programming, Hannah Carson Baggett, Kaitlyn Selman

Faculty Publications - Criminal Justice Sciences

Told in schools across the US for decades, Officer Friendly is a story about policing. Through the literal reading of books like Miss Frances’ 1953 Your Friend the Policeman, visits from McGruff the Crime Dog, and even the ever-expanding TikTok world of dancing SROs, the story remains the same: police keep us safe from the bad guys. In this paper, we draw on data from school and police social media accounts in a community in Alabama to expose the bad faith underpinnings of this story, and how it functions through ‘friendly’ police-youth programming in schools. This story relies on at …

Secondhand Tobacco Smoke Exposure In Homes And Vehicles In Youth: Disparities Among Racial, And Sexual And Gender Minorities, Rajesh Talluri, Sahil S Shete, Surendra S Shastri, Sanjay Shete

Faculty, Staff and Student Publications

BACKGROUND: Secondhand smoke exposure (SHSe) among youth is a serious public health concern, leading to an increased risk of conditions such as asthma and respiratory infections. However, there is little research on SHSe among vulnerable populations, such as racial and sexual minorities. Understanding the factors associated with youth SHSe in homes and vehicles is crucial to developing better protective policies.

METHODS: This study utilized 2020 data from the National Youth Tobacco Survey, a representative sample of middle- and high-school students in the US. The primary outcomes were youth SHSe at home and while riding in a vehicle. Multinomial regression models …

An Autoethnographic Dialogue With Motherhood Literature, Maya Autret, Brad Van Eeden-Moorefield

The Qualitative Report

This autoethnography represents the first author’s journey as a mother and doctoral student researching mothers’ experiences in contending with the demands of work and family. Reading across different pockets of empirical motherhood literature (work-family conflict, contemporary motherhood, maternal gatekeeping, and intensive motherhood) I became troubled by how women’s realities were reflected. Pushing back against traditional methods that endorse separating my researcher identity from my maternal self, I draw on autoethnographic method to dialogue with this literature. This approach empowers me to speak out as a novice scholar uncomfortable with aspects of literature, while also navigating training in the use of …

The Role Of Familial Support And Gender In Asian American Students’ Stem Career Development: A Test Of Social Cognitive Career Theory, Xiao Ting Wang

Electronic Theses & Dissertations (2024 - present)

This study, based on Social Cognitive Career Theory (SCCT; Lent et al., 1994, 2000), investigated the role of familial support in the STEM career development of Asian American college students. Participants included 446 first-year undergraduate students who identified as Asian or Asian American and had not declared an academic major. Due to multicollinearity, four initial familial support variables—instrumental assistance, career-related modeling, verbal encouragement, and emotional support—were regrouped into two: performance motivation (instrumental assistance and verbal encouragement) and career mentoring (career-related modeling and emotional support). Structural equation modeling showed acceptable fit for a modified model, and the results partially supported the …

The Impacts Of Identity On Perceptions Of Safety On A Predominately White Campus, Rebecca Delrosso

Honors Theses

This quantitative study examines the relationship between students’ marginalized identities of race, gender, and sexuality and their perceptions of safety at a predominantly white institution (PWI). Survey data collected from undergraduates at a small liberal arts university reveal associations between minority identities and feelings of discomfort, insecurity, discrimination, and vulnerability on campus. The findings highlight the need for PWIs to prioritize secure and inclusive environments through policies, practices, and support systems.

Postsurgical Pyoderma Gangrenosum After Penile Inversion Vaginoplasty: Case With Review Of Diagnostic And Management Strategies, Michael M Talanker, Jessica R Nye, David T Mitchell, Daniel J Freet

Faculty, Staff and Student Publications

BACKGROUND: Postsurgical pyoderma gangrenosum (PSPG) is a highly uncommon and unpredictable wound healing complication. Rapid progression of ulcers at incisions can cause unfettered dehiscence. Most commonly, PSPG involves breast procedures; however, in this work, we detail a case of a patient who developed PSPG 10 days postoperatively after penile inversion vaginoplasty.

METHODS: The patient in this case underwent a penile inversion vaginoplasty with orchiectomy in the standard fashion. She had no risk factors for PSPG. Following an uncomplicated hospital stay, the patient developed difficulty with pain control and increasing serous drainage on the 10th postoperative day. On readmission, the patient …

An Internal And External Contextual Autoethnography Of A Single Mother's Experience As It Intersects With Misogyny, Patriarchy, And Hegemonic Masculinity, Heidi Sampson

Antioch University Dissertations & Theses

This dissertation is a contextual autoethnography of my lived experience with stigmatization, stereotypes, and institutional obstructions as a divorced single mother who previously experienced intimate partner violence and was diagnosed with post-traumatic stress disorder. The purpose of the study is to shed light on the complexity of the single motherhood experience, both internally and externally. From 2009 to 2019, the institutions I accessed for assistance as a single mother and those I interacted with for my children, my job, my health, and even within the church were unnecessarily burdensome financially, physically, and emotionally. This dissertation takes a contextual look at …

The Lived Experience Of African American Women Leaders In Georgia Law Enforcement: Advances, Barriers, And Impact On Performance, Juantisa X. Hughes

Antioch University Dissertations & Theses

Law enforcement is a male-dominated field that has been slow to accept and promote African American women to positions of authority. As of 2016, there were only 3.1% Lieutenants and Sergeants, along with 1.6% Captains or higher that were African American women in the United States (Gomez, 2016). More recently, there has not been much change, as women are reportedly only 12% of the sworn officers and 3% of law enforcement leadership in the United States (Tumulty, 2023). Of that number, only 1% of African American women hold the position of Lieutenant or higher (Bureau of Alcohol, Tobacco, Firearms and …

Inclusive Theory Of Change Development For A Social Enterprise, Megan A. Bolton

Antioch University Dissertations & Theses

This research aimed to study what occurs when a theory of change (ToC) is co-created in a social enterprise serving individuals facing barriers to employment. The study included the following three objectives: identifying the barriers and facilitators experienced by those implementing the ToC, gathering the perspectives of program end users on the ToC, and exploring how the ToC would facilitate impact measurement. A central feature of this AR study was the engagement of returning citizens in the discussion and development of the ToC, which added to the process and outcomes of this research in important ways. The lived experience of …

True Culture At War With Colonizer Culture: The Underrepresentation Of Pacific Islander Students In Higher Education., Loriann A. Leota

Antioch University Dissertations & Theses

This dissertation is an examination of the limited number of Pacific Islander students that advance from high school to higher education. It also examines the percentage of Pacific Islander students that attend higher education, but do not acquire their degree. Pacific Islander students informally recognize the dominant United States culture and curriculum as not culturally relevant and colonizing in nature. Thus, they struggle to adhere to colonizer culture and rely heavily on their culture (true culture), which has a set of norms that do not align with American cultural values. Pacific Islander culture is collectivist, which is in opposition to …

Ideals Of Benevolence, Acts Of Dysconsciousness: White Women's Pursuit Of Diversity In Nonprofits, Tessa A. Fulmer

Antioch University Dissertations & Theses

Recent political movements such as the Black Lives Matter and #MeToo movements have brought renewed attention to the social roles of White women and their unique position of intersectional privilege and oppression. White women experience the benefits of whiteness while simultaneously experiencing the gendered oppression of womanhood. However, there is a lack of research exploring how White women conceptualize and respond to their own positionality as both White individuals and as women. This study utilizes constructivist grounded theory to examine how White women navigate their social location within the context of working in the nonprofit sector, a space wherein White …

Homeplace: An Afterschool Club For Adolescent Black Girls At A Predominantly White Middle School, Jana L. Johnson-Davis

Antioch University Dissertations & Theses

Adolescent Black girls often experience marginalization in schools due to zero-tolerance policies, oppressive classroom curricula, and teachers who lack cultural competency. The literature on adolescent Black girls in school revealed that there are spaces within schools that can serve as homeplaces for Black girls. This study explored how adolescent Black girls experienced homeplace in an afterschool club at a predominantly White middle school in Decatur, Georgia. This research also expands bell hooks’s (2001) theory of homeplace from the home environment to school buildings. Narrative inquiry was the methodology used for the study, and interview data was analyzed through thematic analysis. …

A Critical Incident Analysis Of Humanizing Interactions Between Correctional Officers And People Who Are Incarcerated, Aimee Califano

Antioch University Dissertations & Theses

The correctional officer (CO) has one of the most critical roles in the correctional setting and is one of the least studied topics amongst criminal justice professionals (Butler et al., 2018). In the United States, a CO’s primary responsibility is to ensure the safety and well-being of an incarcerated individual and the staff that work in the prison setting (Cheek, 1984). Paradoxically, in the United States, the CO works in an organizational system based on deprivation and punishment toward incarcerated people. The United States Prison system’s current structure does not support rehabilitation efforts of incarcerated people and ultimately impacts any …

An Organic Inquiry Into Teacher Experiences Of Self-Healing, Alison Davis

Antioch University Dissertations & Theses

This dissertation engages the spiritually-inspired methodology of organic inquiry to investigate how teachers practice self-healing in order to become available to students. Self-healing is a vital part of freeing up the teacher’s perceptive capacities to more deeply and fully attend to the needs of students. Self-healing work includes a variety of practices and modalities, including spiritual ones, in order to work through trauma, adversity, dis-ease, stress, and one-sidedness. Research shows that self-healing, especially in regards to mindfulness and meditation, equips teachers to confront compassion fatigue, secondary trauma, burnout, illness, and more. There is also ample evidence that training one’s attention …