Digital Commons Network^™

Frameworks For Measuring Population Health: A Scoping Review, Sze Ling Chan, Clement Zhong Hao Ho, Nang Ei Ei Khaing, Ezra Ho, Candelyn Pong, Jia Sheng Guan, Calida Chua, Zongbin Li, Trudi Lim Wenqi, Sean Shao Wei Lam, Lian Leng Low, Choon How How

Research Collection School Of Computing and Information Systems

Introduction Many regions in the world are using the population health approach and require a means to measure the health of their population of interest. Population health frameworks provide a theoretical grounding for conceptualization of population health and therefore a logical basis for selection of indicators. The aim of this scoping review was to provide an overview and summary of the characteristics of existing population health frameworks that have been used to conceptualize the measurement of population health. Methods We used the Population, Concept and Context (PCC) framework to define eligibility criteria of frameworks. We were interested in frameworks applicable …

Más Allá De La Crisis Y La Emergencia: Aproximaciones A Los Movimientos Migratorios Contemporáneos A Través De La Traducción Y La Comedia, Fabiola Fernandez Peer

Dissertations, Theses, and Capstone Projects

Esta investigación propone una reflexión original sobre la migración más allá de los marcos de la crisis y de la emergencia en referencia a acontecimientos concretos de estos últimos diez años de “crisis/emergencias migratorias” en y entre las regiones sur y norte del continente. El análisis del ensayo visual de la escritora/artista visual Verónica Gerber; el ensayo y la escritura ficcional de la escritora Valeria Luiselli y los performances de comedia de los comediantes/influencers George Harris y Jóse Rafael Guzmán revela que estos materiales pugnan con el discurso oficial, mediático, artístico, humanitario referido a la migración. Señala el impacto …

Complicating Confidence: A Critical Analysis Of Confidence In A Girls' Empowerment Organization, Kimberly M. Belmonte

Dissertations, Theses, and Capstone Projects

In the popular imagination, confidence is thought of as a positive or healthy state. Yet there is also a pervasive belief that adolescent girls are at risk of losing their confidence or of not having enough confidence, particularly compared to boys. The larger field of youth development theorists and practitioners see confidence as a positive, normative, and measurable aspect of healthy adolescent development (e.g., Lerner et al., 2015). Conversely, critical feminist scholars assert that confidence has become hegemonic, mandated, and commodified (e.g., Banet-Weiser, 2015; Gill & Orgad, 2016)—taken up by a neoliberal, post-feminist climate as a technology of the self …

New York City’S Puerto Rican Population Experienced A Sharp Decline Between 2012 And 2022 While The Dominican Population Increased, Laird W. Bergad

Center for Latin American, Caribbean, and Latino Studies

This report reveals that the Puerto Rican population of New York City has declined sharply since 2012 while the Dominican population of the City has increased. Using data from the 2012, 2017 and 2022 American Community Survey’s one-year samples, this study shows that there was an overall decline of the Puerto Rican population of -19% between 2012 and 2022. Over the same period of time, the Dominican population rose 9.4%.

Racial/Ethnic Disparities In The Association Between Patient Care Experiences And Receipt Of Initial Surgical Breast Cancer Care: Findings From Seer-Cahps, Mariana Arevalo, Trevor A Pickering, Sally W Vernon, Kayo Fujimoto, Melissa F Peskin, Albert J Farias

Faculty, Staff and Student Publications

PURPOSE: We determined whether racial/ethnic differences in patient experiences with care influence timeliness and type of initial surgical breast cancer treatment for a sample of female Medicare cancer patients.

METHODS: We conducted a retrospective cohort study using the linked Epidemiology and End Results-Consumer Assessment of Healthcare Providers and Systems (SEER-CAHPS) dataset. The outcomes were: (1) time-to-initial surgical treatment, and (2) type of treatment [breast conserving surgery (BCS) vs. mastectomy]. The indicators were reports of four types of patient experiences with care including doctor communication, getting care quickly, getting needed care, and getting needed Rx. Interaction terms in each multivariable logistic …

An Increase In Food Insecurity Correlated With An Increase In Plasma Triglycerides Among Latinx Children, Keally Haushalter, Marissa Burgermaster, Erin Hudson, Matthew J Landry, Shreela V Sharma, Jaimie N Davis

Faculty, Staff and Student Publications

BACKGROUND: Food insecurity and metabolic diseases both disproportionately affect Hispanic children. Cross-sectional studies have linked food insecurity with adverse cardiometabolic markers, including elevated plasma triglycerides and glucose concentrations. However, the association between changes in food insecurity and changes in cardiometabolic markers in children remains to be explored. Furthermore, few studies have assessed the impact of school-based nutrition interventions on household food insecurity.

OBJECTIVE: The objectives of this study are to assess the effect of the TX Sprouts intervention on household food insecurity and to examine the association between changes in household food insecurity and changes in cardiometabolic markers over 1 …

Educational Assortative Mating And Motherhood Penalty In China, Cheng Cheng, Yang Zhou

Research Collection School of Social Sciences

Mothers earn less than comparable childless women, and such motherhood penalty differs in magnitude by women’s socioeconomic and demographic characteristics. Prior research, however, has rarely considered how the effect of parenthood on women’s income may also depend on the characteristics of their partners. Using data from the China Family Panel Studies 2010–2018, we examine how the effects of motherhood on women’s earnings and within-couple income inequality vary by couples’ educational pairings in China. A large educational gap between spouses–hypergamy or hypogamy–exacerbates the motherhood penalty on a woman’s individual income and her share of the couple’s combined income. However, when the …

Social Engagement, Social Networks, And Well-Being Of Older Adults By Gender And Marital Status, Rachel Wen Yi Ngu, Yi Wen Tan, Yan Er Tan, Wei Tin Hiah

ROSA Research Briefs

In this research brief, we explore the differences in well-being, social engagement, and social networks amongst groups of married and unmarried male and female older adults and discuss potential policy implications. Our study found that single older adult men fared significantly worse than their married counterparts and single older adult women across different aspects of social well-being, such as social engagement and social support. While this emphasizes the need for increased community efforts to engage men, especially single men, in social activities, specific outreach efforts may be required to better understand their needs and how community programmes can address them.

Safety And Academic Outcomes Of College Campus-Based Advocacy Services, Rachel J Voth Schrag, Elizabeth Baumler, Dixie Hairston, Cynthia Jones, Leila Wood

Faculty, Staff and Student Publications

Intimate partner violence (IPV), sexual assault, and stalking are consequential public health and safety issues with wide reaching impacts on emerging adults, including those on college campuses in the United States. In response to high rates of violence among college student populations, universities are developing campus-based advocacy (CBA) programs, which aim to support survivors of interpersonal violence through supportive connections, resource acquisition, and safety planning. However, little data exists related to their impact on key student-survivor outcomes. Thus, this study aims to understand (a) the approach CBA programs use to address safety and academic concerns of student-survivors, and (b) the …

Racial Discrimination And Interpersonal Violence In Asian American Adolescents During The Covid-19 Pandemic, Yu Lu, Elizabeth Baumler, Leila Wood, Vi D Le, Shannon P Guillot-Wright, Jeff R Temple

Faculty, Staff and Student Publications

PURPOSE: Racial discrimination targeting Asians in the United States has increased sharply since the COVID-19 pandemic. Despite a well-established link with mental/physical health outcomes, little is known about how racial discrimination relates to interpersonal violence, particularly in adolescents. To address this gap in knowledge, we examined cross-sectional and longitudinal (1-year follow-up) associations between racial discrimination and interpersonal violence perpetration and victimization in Asian American adolescents in a large US city.

METHODS: Data from Waves 3 (2020) and 4 (2021) of a randomized clinical trial of a school-based violence prevention program were examined. We limited our sample to participants who identified …

Risk Factors For Post-Discharge Adverse Outcomes Following Hospitalization Among Older Adults Diagnosed With Elder Mistreatment, Monique R Pappadis, Leila Wood, Allen Haas, Jordan Westra, Yong-Fang Kuo, Charles P Mouton

Faculty, Staff and Student Publications

Using 100% Medicare data files, this study explored whether primary elder mistreatment (EM) diagnosis, EM type, and facility type were associated with 3-year mortality and 1-year unplanned hospital readmission among older patients diagnosed with EM with hospital discharge from 10/01/2015 through 12/31/2018 (n = 11,023). We also examined outcome differences between older patients diagnosed with EM and matched non-EM patient controls. Neglect by others was the most common EM diagnosis. Three-year mortality was 56.7% and one-year readmission rate was 53.8%. Compared to matched non-EM patient controls, older EM patients were at an increased risk of mortality and readmission. Among …

Safety And Academic Outcomes Of College Campus-Based Advocacy Services, Rachel J Voth Schrag, Elizabeth Baumler, Dixie Hairston, Cynthia Jones, Leila Wood

Faculty, Staff and Student Publications

Intimate partner violence (IPV), sexual assault, and stalking are consequential public health and safety issues with wide reaching impacts on emerging adults, including those on college campuses in the United States. In response to high rates of violence among college student populations, universities are developing campus-based advocacy (CBA) programs, which aim to support survivors of interpersonal violence through supportive connections, resource acquisition, and safety planning. However, little data exists related to their impact on key student-survivor outcomes. Thus, this study aims to understand (a) the approach CBA programs use to address safety and academic concerns of student-survivors, and (b) the …

A Surgical Desirability Of Outcome Ranking (Door) Reveals Complex Relationships Between Race/Ethnicity, Insurance Type, And Neighborhood Deprivation, Michael A Jacobs, Susanne Schmidt, Daniel E Hall, Karyn B Stitzenberg, Lillian S Kao, Bradley B Brimhall, Chen-Pin Wang, Laura S Manuel, Hoah-Der Su, Jonathan C Silverstein, Paula K Shireman

Faculty, Staff and Student Publications

Objective: Develop an ordinal Desirability of Outcome Ranking (DOOR) for surgical outcomes to examine complex associations of Social Determinants of Health.

Background: Studies focused on single or binary composite outcomes may not detect health disparities.

Methods: Three health care system cohort study using NSQIP (2013-2019) linked with EHR and risk-adjusted for frailty, preoperative acute serious conditions (PASC), case status and operative stress assessing associations of multilevel Social Determinants of Health of race/ethnicity, insurance type (Private 13,957; Medicare 15,198; Medicaid 2835; Uninsured 2963) and Area Deprivation Index (ADI) on DOOR and the binary Textbook Outcomes (TO).

Results: Patients living in highly …

Facilitators To Cervical Cancer Screening In A Minority, Urban, Underserved Population, Noel Higgason, Linh Nguyen, Yen-Chi Le, Ogochukwu Juliet Ezeigwe, Tong Han Chung, Natalia Williams, Xochitl K Olguin, Abigail S Zamorano

Faculty, Staff and Student Publications

OBJECTIVES: Cervical cancer has markedly declined due to widespread use of screening, but Hispanic women continue to bear a disproportionate amount of the cervical cancer burden due to under-screening. Previous studies have explored barriers to screening but have failed to identify targetable facilitators in this group. We aimed to assess facilitators to cervical cancer screening among a predominantly urban, Hispanic population who presented to a no-cost, community-based clinic.

METHODS: Patients completed demographic and health information, a validated social determinants of health (SDOH) screen, and a self-reported facilitators survey on factors which enabled them to present to clinic. Descriptive statistics were …

Profiles Of Activity Engagement And Depression Trajectories As Covid-19 Restrictions Were Relaxed, Jonathan L. Chia, Andree Hartanto, William Tov

Research Collection School of Social Sciences

Given elevated depression rates since the onset of the pandemic and potential downstream implications, this research examined the association between activity engagement and depression among middle-aged and older adults postlockdown. This study aimed to (a) identify activity engagement profiles among middle-aged and older adults, (b) understand factors associated with profile memberships, and (c) compare depression trajectories across profiles as COVID-19 restrictions eased over 16 months in Singapore. This longitudinal study involved 6,568 middle-aged and older adults. Latent growth analysis was first conducted to obtain estimates of depression trajectories for each individual. Latent profile analysis was then conducted to identify different …

Enhancing Sell-Type Home Reversion Products For Retirement Financing, Koon Shing Kwong, Jing Rong Goh, Ting Lin Collin Chua

Research Collection School Of Economics

Loan-type reverse mortgage plans and sell-type home reversion plans for retirement financing are two well-known equity release plans that entitle homeowners not only to release cash from their properties but also to allow them to age in place. Recently, a new hybrid equity release plan was proposed to incorporate the home reversion plan’s features with an option of staying in the property for a fixed period without being subject to survival. This additional option provides flexibility to homeowners to better meet their retirement financial and personal needs by reducing the financial uncertainty of home reversion products. In this article, we …

Promoting Ethnic Diversity In Public Housing: Singapore And England Compared, Edward Ti, Alvin W. L. See

Research Collection Yong Pung How School Of Law

Purpose: Although the Singapore model of ethnic integration through its public housing programme is well known, the formula for replicating its success elsewhere remains underexplored. This study aims to identify the criteria for successful transplantation, specifically by identifying the housing tenure types that are most amenable to the implementation of the Singapore model. Design/methodology/approach: Through a comparative study of two common law jurisdictions – Singapore and England – this article highlights the differences in their housing landscapes and how such differences impact upon the adoption of ethnic integration policies through housing. The article also unpacks, through a cross-disciplinary lens, the …

Selam Medirashachin (Safe Arrival) Project: Addressing The Risk Of Trafficking, Violence, And Sexual Abuse Among Newly Arriving Migrant Girls In Addis Ababa, Ethiopia, Annabel Erulkar, Eyasu Hailu

Adolescents and Young People

Rates of urbanization in Ethiopia are significant and, increasingly, young females are among those who migrate from rural to urban areas. Previous research in Addis Ababa showed that, compared to boys and young men, young female migrants are more likely to migrate to cities without the accompaniment of immediate family members. and often move in with people with whom they have only loose affiliation or live on their own. Previous Population Council research on the experience of adolescent girls and young women (AGYW) revealed that girls’ migration from rural to urban areas of the country may be perilous. This is …

Soft Skills Training For Rohingya And Host Community Youth In Cox’S Bazar, Bangladesh, Md. Noorunnabi Talukder, Abdullah Al Mahmud Shohag, Ishtiak Morshed, Sigma Ainul, Md. Irfan Hossain, Mohammad Muktadir Hossain, Sharif M.I. Hossain, Ubaidur Rob

Adolescents and Young People

The Population Council, in collaboration with Research, Training and Management International (RTMI) and Underprivileged Children’s Education Program (UCEP), pilot tested a soft skills training intervention in two Rohingya camps and a vocational training center in the host community in Cox’s Bazar, Bangladesh in 2022. As a follow-up to the pilot program, the Council along with its partners rolled out soft skills training in four Rohingya camps and a vocational training center in the host community in 2023. The purpose of this training was to improve the personal, social, and financial management skills of Rohingya youth, which would be of use …

The Use Of And Attitude Towards Cantonese Among Chinese Malaysians In Kuala Lumpur, Voon Khong Lew

Student Works (2020-2029)

This study aims to investigate the use of and attitude towards Cantonese among Chinese Malaysians in Kuala Lumpur. Understanding the use of Cantonese and attitude is essential in evaluating and maintaining the vitality of Cantonese and to design strategies to revitalise the language. However, very few studies have investigated Cantonese in Malaysia. The methodology used was questionnaire and semi-structured interview. Findings show that roughly one-third of the participants used Cantonese regularly at home. Overall, the use of Cantonese in the public domain is above average except at government departments and schools. For instrumental orientation, the participants did not see Cantonese …

What Does One Billion Dollars Look Like?: Visualizing Extreme Wealth, William Mahoney Luckman

Dissertations, Theses, and Capstone Projects

The word “billion” is a mathematical abstraction related to “big,” but it is difficult to understand the vast difference in value between one million and one billion; even harder to understand the vast difference in purchasing power between one billion dollars, and the average U.S. yearly income. Perhaps most difficult to conceive of is what that purchasing power and huge mass of capital translates to in terms of power. This project blends design, text, facts, and figures into an interactive narrative website that helps the user better understand their position in relation to extreme wealth: https://whatdoesonebilliondollarslooklike.website/

The site incorporates …

Making And Unmaking Multiethnic Black Neighborhoods: Immigration, Race, And Gentrification In New York And Paris, Maura Mcgee

Dissertations, Theses, and Capstone Projects

This dissertation is a transatlantic comparative study of gentrification in multiethnic Black neighborhoods in New York and Paris. It draws on neighborhood case studies conducted in Crown Heights in Brooklyn and la Goutte d’Or in Paris, home respectively to African ancestry immigrant communities from the Caribbean and Sub-Saharan Africa. It looks specifically at the causes and consequences of changes in neighborhood social spaces—the commercial landscape and social institutions—rather than at shifts in residential patterns.

Three main questions guide this research. First, what roles do race and immigration play in the process of gentrification, which has historically been most prevalent in …

Interracial Instagram: Depictions Of Interracial Couples On Instagram, Christie Sillo

Dissertations, Theses, and Capstone Projects

This dissertation examines depictions of interracial romantic relationships on Instagram, a popular photo- and video-sharing social networking site. Social networking sites like Instagram, whereby users connect with each other by creating, sharing, and consuming content, are prime sites for sociological study because ideas are constantly being (re)made on them. On Instagram, meaning-making is mainly done through the construction of a profile and the posting of images and/or videos. Using a mixed-methods research design of hashtag analysis, digital ethnography, discourse and image analysis, I critically analyze Instagram profiles that depict interracial romantic relationships. In doing so, I develop a contemporary, social …

From The Outside Looking In: Transmasculine Narrative Identity, Experiences, And Larger Narratives On Social Media, Micah Roldan

Dissertations, Theses, and Capstone Projects

Narrative identity development is an essential process in how individuals perceive themselves and the world around them. Often, narrative identity is studied in cisgender heterosexual individuals and applied to others without the acknowledgment of individuals that fall outside of these categories. Drawing upon existing literature and autoethnography, this thesis aims to meaningfully bridge this gap by studying the narrative identity development of transmasculine individuals through the lens of social media. This thesis proposes that the use of social media to share gender transition journeys has created a new digital trans and queer narrative for users and viewers. This narrative is …

The Black Map Project: A Black People’S Epistemology Of Healing, Britton Williams

Dissertations, Theses, and Capstone Projects

This work is a love letter to Mary Turner and her descendants, by which I mean all Black people, that lifts recipes and roadmaps of Black creative healing and liberatory praxes. It is a freedom dream (Kelley, 2002) that dares to (re)imagine mental health care by holding Black healing and liberation centrally in mind. I do not seek to prove through this work but rather to provoke [thought|action|repair]. In this work, I unsettle prescribed notions of therapy that have long dismissed/erased/ignored the needs and [therapeutic] practices of Black people. The Black MAP Project resists epistemologies of ignorance (Mills, 2022)—born in …

A Pearl Ravaged: The Paradox Of Haiti And Its Socioeconomic Origins, Isabel Ishibe Exel

Dissertations, Theses, and Capstone Projects

Saint-Domingue was once the most profitable colony of the Caribbean, the so-called pearl of the Antilles. Nowadays, Haiti is known for being the poorest country in the Western Hemisphere, a dramatic shift that raises the question of the factors contributing to Haiti's current state, marked by persistent violence, natural disasters, and political instability. Various discourses have framed Haiti as a country doomed for failure. However, relying on binary concepts such as success and failure is counterproductive to a refined analysis. How, then, should we structure this conversation? My ultimate goal for this work is to provide a nuanced analysis of …

Interviews And Perspectives Among Community Members Working With Undocumented Female Border Crossers In The States Along The United States-Mexico Border, Melissa M. Frasco

Dissertations, Theses, and Capstone Projects

In order to discuss immigration in the context of the United States, we must dispel the myth that immigration is monolithic. Therefore, when we discuss national identity, gender equality, policy, employment rates, and countless other ordinary topics, we are discussing immigration, as it is embedded in our history and our future. The goal of my research is to delineate the experiences of violence that female border crossers undergo in the process of crossing into the United States via the southernmost border. The data collection process involved four semi-structured interviews to collect oral histories from workers at community-based organizations. These organizations …

Containerization Of Seafarers In The International Shipping Industry: Contemporary Seamanship, Maritime Social Infrastructures, And Mobility Politics Of Global Logistics, Liang Wu

Dissertations, Theses, and Capstone Projects

This dissertation discusses the mobility politics of container shipping and argues that technological development, political-economic order, and social infrastructure co-produce one another. Containerization, the use of standardized containers to carry cargo across modes of transportation that is said to have revolutionized and globalized international trade since the late 1950s, has served to expand and extend the power of international coalitions of states and corporations to control the movements of commodities (shipments) and labor (seafarers). The advent and development of containerization was driven by a sociotechnical imaginary and international social contract of seamless shipping and cargo flows. In practice, this liberal, …

Algorithmic Love: Twenty-First Century Organizations Of The Romantic, Sandra Moyano Ariza

Dissertations, Theses, and Capstone Projects

This dissertation investigates the highly computed and accelerated experiences of digital love as well as their cultural and artistic representations in order to shed light on the human and more-than-human entanglements producing the algorithmic love experience. The recent turn to love in critical theory and cultural studies examines how love circulates in neoliberal societies and in the subjective processes of the users, foregrounding the control of populations and the very much lamented “end of love” (Illouz 2019). My study of love supplements the neoliberalist critique of algorithmic love with a posthuman and media theory approach that attends to the material …

Critical-Race Elementary Schooling: Critical-Race Teacher Change Agents Are Challenging Whiteness In Elementary Schools, David R. Rosas

Dissertations, Theses, and Capstone Projects

Children in elementary schools think, talk, and reason in big ways that reflect how they live and experience race, racism, and racialization. Some elementary school teachers -- or critical-race teacher change agents -- intentionally include this work in their classrooms. My aim is to find out what motivates critical-race teacher change agents to challenge Whiteness in their classrooms and understand what they say they do to challenge Whiteness with young children.

An emphasis on racial-justice work in elementary schools has often been overlooked by teacher education and has been further pushed back by the recent backlash on critical race theory …