Digital Commons Network^™

Heart Failure In Black Populations: Epidemiology, Pathophysiology, And Treatment Disparities, Kazi N. Islam, Rahib K. Islam, Ivan Nguyen, Yasmeen Magherahabed, Humza Pirzadah, M. Bazlur Rashid

School of Medicine Faculty Publications

Heart failure (HF) remains a significant health challenge globally, placing a heavy burden on individuals, families, and healthcare systems. The prevalence of HF continues to rise, posing substantial public health concerns. This burden is particularly pronounced among the Black Population, who face higher prevalence, earlier onset, and greater severity of HF compared to other racial and ethnic groups. This review explores the multifaceted landscape of HF in Black individuals by examining epidemiological patterns, pathophysiological mechanisms, clinical presentations, treatment disparities, and clinical outcomes. Black individuals exhibit distinct pathophysiological characteristics, such as genetic variations contributing to heightened susceptibility and severity of HF. …

Outcomes Of Double Free Flap Reconstruction For Advanced Head And Neck Tumors In A Safety-Net Hospital Population, Yossef Alsabawi, John M. Gaddis, Angela D. Haskins, Jonathan Shum, David J. Hernandez

Research Symposium

Background: Double-free flap reconstruction has emerged as a viable option for addressing more complicated defects after oncologic resection. We aim to report the feasibility of this approach at a single-institutional safety net hospital.

Methods: A retrospective chart review was performed between November 2020 and October 2023 for adult patients who underwent multiple, simultaneous free tissue transfers for head and neck defects following tumor resection. This study occurs at Ben Taub Hospital, a safety net hospital in Houston, Texas. Data collected included demographics, risk factors, oncologic and operative details, complications, and functional and disease outcomes. Socioeconomic status was assessed …

Overcoming Vaccine Hesitancy: Evidence From Italy During The Covid-19 Pandemic, Alessandro Del Ponte, Audrey De Dominicis, Paolo Canofari

Political Science Faculty Articles and Research

Objectives

Study design

Community-Driven Policy Solutions To Police Accountability, Rashawn Ray

Brookings Scholar Lecture Series

George Floyd’s death shifted public opinion as 76% of Americans agreed that incidents such as the killing of Floyd are signs of racism within law enforcement. While police reforms such as implicit bias training and body-worn cameras gained public support, they insufficiently address the structural, cultural, and organizational components of policing that can obstruct accountability and contribute to racial disparities in policing. In this lecture, Brooking Senior Fellow Rashawn Ray presents interview, survey, social media, and virtual reality data with police officers, activists, and civilians, and demonstrates state- and city-level databases on police reform legislation. Ray posits that evidence-based policy …

Younger Grandparents Provide Less Support To Their Grandchildren Now Than In The Past, But Support Among Older Grandparents Has Remained Stable, Hyeonji Cho

Population Health Research Brief Series

Grandparents in the U.S. provide extensive support to their children and grandchildren, in the form of both financial assistance and childcare. But recent demographic changes (e.g., later childbirth, population aging) have postponed and extended the duration of grandparenthood, raising questions about whether these changes affect how grandparents support their grandchildren. This data slice uses data from the 2002-2022 Health and Retirement Study to examine the changes in grandparent support to grandchildren by age group in the U.S. The author finds that while younger grandparents are providing less support now than in the past, support has remained steady or even increased …

Community Health Assessment: Chronic Disease And Demographics Among Patients At The Utrgv Som Student-Run Clinic, Fernando Cisneros, Andrea Argenal, Naya Williams, Sowmya Duddu, Yolanda Gutierrez, Kassandra Pulido, Alyssa Sepulveda, Ronald Shaju, Nathaniel Alvarez, Jessica Flores, Lucinda Hinojosa, Beatriz Tapia

Research Symposium

Background: The University of Texas Rio Grande Valley School of Medicine Student-Run Clinic (UTRGV SOM SRC) is a free clinic that provides primary care to the underserved population of Hidalgo County. The Pueblo de Palmas colonias in Peñitas, Texas is a community in this medically underserved region. Understanding the unique healthcare needs of this population is essential for guiding the delivery of care and improving access to healthcare services in the area. This study aims to identify and describe the demographics of patients receiving care at the UTRGV SOM SRC in order to tailor health initiatives and provide more targeted, …

Cost Comparison Of Congregate, Motel, And Village-Type Shelters For People Experiencing Homelessness, Jacen Greene, Todd Ferry, Emily Leickly, Franklin H. Spurbeck

Homelessness Research & Action Collaborative Publications and Presentations

Village and motel shelters exemplify the expanding field of “alternative” shelters for people experiencing homelessness, largely defined in contrast to “traditional” congregate shelters. Little research compares the financial costs of alternative and traditional shelter models. The research team analyzed cost data for 13 alternative shelters (six villages and seven motel shelters) and nine traditional congregate shelters in Portland, Oregon. Costs were assessed per “unit” (i.e. shelter bed or motel room) to account for differences in shelter sizes. Village shelters had the highest per-unit set-up costs ($99,630), followed by motel shelters ($88,462), while congregate shelters had the lowest ($43,692). Congregate shelters …

Sustainable Well-Being For Young Adults: An Online Course To Build Ecological And Psychological Flourishing In A Changing Climate, Jeremy Stanley Bekker

Theses and Dissertations

Sustainable well-being is "happiness that contributes to individual, community and/or global well-being without exploiting other people, the environment or future generations" (O'Brien, 2010, p. 2). Sustainable well-being education may encourage environmentally sustainable behavior while also teaching people how to live meaningful lives. However, there is currently a lack of research-based disseminable courses for teaching sustainable well-being. We hypothesized that taking the course would result in lower eco-anxiety and higher well-being, as well as increased pro-environmental self-efficacy and pro-environmental values. We used a randomized crossover repeated measures research design to assess pre and post effects. Quantitative results indicated that participating in …

Middle Age Blues: A Heuristic Response To Patricia Leavy’S Novel Film Blue, Sandra L. Faulkner

The Qualitative Report

In this personal narrative, the author discusses how good art can be a heuristic for creative practice using Leavy’s novel, Film Blue, as an example. The author uses ekphrastic poetry and themes in Film Blue to examine negotiations of identity as someone who is solidly middle aged and winging their way through how they can be who they want and need to be outside of culturally stifling messages about middle aged womxn. The author concludes that we can turn melancholy into a state of creativity. And perhaps instead of middle age being a blue period, it can be orange …

Writing Research Into Fiction, Jessica Smartt Gullion

The Qualitative Report

Qualitative methodology has evolved to include all sorts of epistemologies that positivism excludes. We have seen an increase in the use of arts-based methods as ways of gathering, analyzing, and writing research. This includes the genre of fiction as research. In fiction as research, the researcher gathers and analyzes data, but writes the findings from them to the audience as fiction. This is often done to expand the audience of readers and include people who might not normally read (or have access to) research reports. In this article, I discuss my own use of social fiction and highlight the contributions …

Social Fiction: Leavy Pioneers A Genre, Christine Sleeter

The Qualitative Report

In this article Sleeter details how Patricia Leavy pioneered the genre of social fiction. She details the method and the publication of the landmark Social Fictions book series, the first and only series of its kind. Sleeter reviews a handful of Leavy’s acclaimed novels, her own fiction, and other titles in the series. She explains how and why social fiction is significant for the qualitative research community.

Shiny New Beginnings: Reaching For Celestial Bodies In Romance And Research, Alexandra C. H. Nowakowski

The Qualitative Report

This commentary explores a series of social fiction novels about relationships through the lens of ethnographic research. It amplifies the lessons about love and life from Dr. Patricia Leavy’s Celestial Bodies series focused around two people with complex trauma finding kinship and healing with one another after a chance meeting. In the process, it uplifts the rigor and uniqueness of Leavy’s methods in translating findings from many years of observational research with people in different kinds of relationships to the social fiction format whose name she coined herself. In journeying through a shared life with main protagonists Tess Lee and …

A Full-Fat Remix Of Low-Fat Love Stories, Tabitha Chilton, Gioia Chilton

The Qualitative Report

Low-Fat Love Stories is a book coauthored by Patricia Leavy and Victoria Scotti. The book is a collection of short stories and visual arts based directly on women’s interview transcripts. In this article, the authors respond to Low-Fat Love Stories through text and visual art. The authors show how artistic analysis inspires personal reflection.

The Impact Of Patricia Leavy’S Sociological Fiction, J. E. Sumerau

The Qualitative Report

This article examines the impact of Patricia Leavy’s Sociological Fiction upon students, professors, and other readers. Utilizing examples from over seven years teaching and writing sociological fiction works at a private liberal arts university in the southeastern United States, I illustrate and discuss some ways Leavy’s works facilitate (1) students finding themselves and sociology as a field of study; (2) professors navigating personal and professional questions during the life course; and (3) readers, regardless of identity, navigating self-development, reflection, and sociological inquiry as a potential interest or commitment. In so doing, I suggest examples of sociological fiction by Leavy and …

Patricia Leavy’S Spark As A Novel And Metaphor For Creative Interdisciplinary Research, Ashleigh Watson

The Qualitative Report

Spark by Patricia Leavy follows Sociology Professor Peyton Wilde as she travels to remote Iceland to participate in a mysterious scholarly seminar. Set in a moody grand manor with an enigmatic host and an eclectic cast of characters, the story blends intellectual intrigue with personal discovery and highlights the strength of Leavy’s social fiction: her characterisation, her use of motifs, and her attention to questions at the heart of scholarly work. This article reflects on the research tensions, interpersonal differences and everyday materialities that animate the story and raise valuable questions for interdisciplinary collaboration. For those interested in fiction and …

Digital Inequalities And U.S. Undergraduate Outcomes Over The First Two Years Of The Covid-19 Pandemic, Vikki Katz, Amy B. Jordan, Katherine Ognyanova

Communication Faculty Articles and Research

The COVID-19 pandemic necessitated major and rapid changes to undergraduate student learning conditions, but the longer-term consequences of those changes have yet to be fully understood. We assess how digital inequality—defined as challenges in accessing or maintaining a broadband internet connection and functional digital devices—affected undergraduates’ advancement toward on-time graduation over the first two years of the pandemic (2020-2022). We utilize survey data from a representative sample of 1,106 undergraduates at Rutgers University-New Brunswick, a public, 4-year university located in New Jersey, USA. Respondents were undergraduates who had been enrolled in full-time student status throughout the first two years …

Associations Among Shopping Methods, Diet Adherence, And Nutrition Knowledge Of Employed Primary Grocery Shoppers In Households With Children, Baylee Schneider

Master's Theses

Obesity is a prominent risk factor for chronic disease, which is the leading cause of death in the United States. Obesity and chronic disease rates continue to rise, requiring a need for prevention and intervention efforts. The future role of dietetics is to provide treatment and prevention through holistic approaches, by understanding individuals’ habits that contribute to the onset of disease, specifically their food choices, grocery shopping methods, and influences that waver these selections. The purpose of this study is to evaluate the relationship between grocery shopping methods (online or in-store), Mediterranean diet adherence, nutrition knowledge, and food purchase patterns …

From Past To Present: Tracing Africa’S Path To Universal Health Coverage, Evaline Chepchirchir Langat, Paul Russell Ward, Hailay Abrha Gesesew, Lillian Mwanri

Centre of Excellence in Women and Child Health

At the 58th World Health Assembly in 2005, the international community charted a course for universal health coverage (UHC), aiming to ensure access to health care for all in need, of sufficient quality, and without causing financial hardship. At the time, barriers to accessing health care were overwhelming, particularly in low-and middle-income countries like Africa. Currently, 50 of Africa’s 54 countries are in various phases of UHC implementation. Some are developing national UHC agendas, while others have made significant progress but still face gaps in meeting UHC targets. This mini review comprehensively examines the literature to understand the temporal and …

A Review Of The Ripple Effect Of Parental Incarceration: Suggestions For System Improvement From Neonatal Development Through Adolescence, Karen Thew, April Terry

International Journal of Undergraduate Research and Creative Activities

Parental incarceration has the potential to drastically affect the social, behavioral, and physical lives of children. Such negative impacts include prenatal and chronic health conditions, behavioral and mental health issues, developmental delays, juvenile and criminal legal system involvement, and overall declines in well-being. These damaging outcomes occur for babies delivered during their mothers’ incarceration with negative lingering effects seen throughout the lifespan. Due to the stigmatization of incarceration, these children may experience bullying, engage in isolating behaviors, and struggle within the school, which may lead to the school-to-prison pipeline. While prevention and intervention services directed at these youth could not …

Beyond The Psyche And Into The Social: How Educational Leaders Embrace Sociological Resilience To Disrupt Systems And Advance Equity, Jason Le-Reselosa, Anindya Kundu

Journal of Educational Leadership in Action

Oftentimes, educational leaders and stakeholders are encouraged to be “resilient” in an unfair and inequitable education system that is entrenched within our social contexts and spaces. This meaning of resilience is manifested by “pushing” oneself through adversity and the status quo by employing adaptive coping strategies and measures to sustain mental health capacities, even if one could be on the brink of losing control of their sense of self. In this article, we reimagine resilience on how educational leaders from different socioeconomic backgrounds adopt a revolutionary approach to resilience that works in tandem with disrupting systemic issues, rather than remaining …

Risk Factors And Public Health Interventions Associated With Adolescent Pregnancy Prevention Among Females Aged 10–19 Years In Kenya: A Scoping Review Protocol, Kimbley Asaso Omwodo, Abdu Mohiddin, Danielle Denwood, Augustine N. Gitonga

Centre of Excellence in Women and Child Health

Background ; Adolescent pregnancy is associated with multifaceted challenges that impact countries’ health, education and economic stability. Despite ongoing interventions, in developing countries such as Kenya, adolescent pregnancy rates continue to be high. There is a need for more synthesised evidence on regional-specific risk factors to support tailored prevention strategies.

Objective; This scoping review aims to explore what is known about the risk factors and intervention strategies focused on adolescent pregnancy prevention in Kenya.

Methods and analysis; Using the Arksey and O’Malley framework combined with a three-step search strategy as recommended by the Joanna Briggs Institute, relevant articles will be …

Violence Against Healthcare Workers In Kenya: A Cross-Sectional Sub-Analysis Of The Global Vishwas Study, Reena Shah, Jasmit Shah, Rakhtan K. Qasba, Ruman K. Qasba, Annastacia Mbithi, Eric Njenga, Akshat Banga, Rahul Kashyap, Salim Surani

Institute for Educational Development, East Africa

Background: Global concern exists for workplace violence against healthcare workers (HCWs), especially in low and middle-income nations. This violence includes physical, verbal, or sexual abuse and has a significant impact despite initiatives like Occupational Safety and Health Administration (OSHA) guidelines. We conducted a study in Kenya to address this issue.

Methods: We did a cross-sectional survey that collected responses during June 6th to August 9th, 2022, focused on healthcare professionals in Kenya within the global ViSHWaS study. Violence against healthcare professionals in multiple Kenyan counties was analysed, The study reached participants through social media, emails, and other channels using a …

Digital Inclusion And Systemic Barriers: The Role Of Technology In Shaping The Participation Of Women Of Color In Hybrid Workspaces, Sanket Patole, Rob E. Carpenter, Rochell Mcwhorter

Human Resource Development Faculty Publications and Presentations

The rise of hybrid and remote work models, facilitated by digital technologies, has been widely regarded as a means of enhancing workforce diversity and inclusion. However, this study critically examines how these digital workplaces simultaneously reinforce systemic inequalities, particularly for women of color. Drawing on digital divide theory and intersectionality theory, this research explores the ways in which women of color navigate technological barriers, algorithmic bias, and workplace surveillance while developing adaptive strategies to assert their authority in digital spaces. Through a qualitative, interpretivist approach, the study conducted semi-structured interviews with 13 women of color working in hybrid and remote …

The Swahili Version Of The Cd-Risc 10 Resilience Scale: Psychometric Properties And Factors Associated With Resilience Among Healthcare Workers In Tanzania, Kevinson Mwangi, Sabina Odero, Gideon Mbithi, Rachel Odhiambo, Rosemary Stephen, Tumbwene Mwansisya, Eunice Pallangyo, Eunice Ndirangu, Amina Abubakar

Institute for Human Development, East Africa

Background: Despite the central role of resilience in promoting mental well-being, little is known about the resilience process among healthcare workers in East Africa, partly due to the lack of adequately standardised and psychometrically sound assessment tools for our context. This study provides the first psychometric evaluation of the Swahili version of the Connor-Davidson Resilience Scale 10 (CD-RISC 10) among nurses/midwives and community health volunteers (CHVs) in Tanzania, potentially informing the accuracy of measuring resilience in this setting. Additionally, we examine factors associated with self-reported resilience as measured by the CD-RISC 10 scale.

Methods We used cross-sectional data on nurses/midwives …

Enhancing Transportation Options For Older Adults: Served By Councils On Aging With Support From The Montachusett Area Regional Transit Authority (Mart): A Program Validation Study, Caitlin E. Coyle, Nina M. Silverstein, Taylor Jansen, Shayna Gleason

Center for Social and Demographic Research on Aging Publications

This study follows a 2022 evaluation report UMass Boston researchers conducted for MART of a pilot program whose measurable aims were to demonstrate (pre/post) an increase in ridership, destinations, trips provided, and shared rides coordinated across the participating COAs. The pilot with four participating COAs was ambitious and while the results indicated some early successes (rider satisfaction), more areas for improvement were noted (software and transition to the use of digital technology). (Silverstein et. al., 2022) Since then, MART has adopted a new software program and collaboration with My Senior Center, a senior 4 center management and reporting system. MART …

Assessing The Need For Supportive Day Programming In Andover, Adriana Hernandez, Setarreh Massihzadegan, Caitlin E. Coyle

Center for Social and Demographic Research on Aging Publications

Supportive and social day programs (SSDPs) provide opportunities for socialization and engagement in physical activity, cognitive exercises and emotional support in small group settings, These programs are beneficial for older adults who may experience physical or cognitive heath changes that make it difficult to participate independently. As well, those who do not drive or who are socially isolated may also benefit from participation in an SSDP. These programs also help families who may need breaks from caregiving tasks and to connect families to vital resources and support networks. An SSDP is designed to promote and enhance the social, physical, and …

Beyond The Shadow Of Large Cities: Small And Mid-Sized Cities As Hidden Epicenters Of Eviction, Evicted In Oregon, Alex Farrington, Colleen Carroll, Azad Amir-Ghassemi, Safia Goldsmith, Lisa K. Bates

Urban Studies and Planning Faculty Publications and Presentations

Most eviction research focuses on large cities, leaving us with limited knowledge of evictions in smaller cities. Our analysis of evictions in three small and mid-sized cities in Oregon reveals that these cities can also experience severe eviction crises. By collecting and hand-coding data from justice courts, we provide a comprehensive view of evictions in these cities–including the role different types of courts play–for the first time.

Cv: Tennille Allen (Sociology), Tennille Allen

Sociology Department Faculty Curricula Vitae

No abstract provided.

Profiles And Well-Being Of Older Adult Caregivers In Singapore, Yi Wen Tan, Rachel Wen Yi Ngu, Kenneth Choo, Lydia Ng, Wensi Lim

ROSA Research Briefs

In Singapore, the government espouses a “many helping hands” philosophy towards caregiving, where care for older adults is borne by three pillars: the family, the community, and the state (Mehta & Vasoo, 2000). Of these, the family is regarded as the “first line of support”, rendering family caregivers essential to the care of older adults (Ng et al., 2016). Many of these caregivers are themselves older adults, where the average age of caregivers was found to be 62 years (Tan, 2023). As Singapore’s population continues to age, alongside demographic trends of extended longevity and a shrinking population, many more will …

Substance Use Among Healthcare Professionals: A Cross-Sectional Study In Kenya, Jasmit Shah, Cynthia Smith, Cyprian Mostert, Linda Khakali, Zul Merali, Sayed Karar

Brain and Mind Institute

Substance use among healthcare professionals, including alcohol, tobacco, marijuana, benzodiazepines etc., is a rising concern. The immensity of substance use is not yet clear, though recently, studies conducted on medical students and physician trainees show that 10% to 15% of all healthcare professionals misuse drugs at some point in their career, and that 6% to 8% of physicians have a substance use disorder. Substance use has a direct impact on relationships, physical health, and job performance, and is associated with depression, burnout, and decreased career satisfaction. The aim of this study was to shed light on the prevalence of substance …