Digital Commons Network^™

Confronting Cultural Challenges For Migrant Healthcare In Switzerland, Rebecca Weiss

Independent Study Project (ISP) Collection

Switzerland is home to many migrants, and migration exacerbates health risks. In addition to physical health problems, migrants are more likely than Swiss nationals to face mental health challenges and cultural barriers, which complicate their experiences seeking healthcare. Similarly, clinicians encounter numerous challenges related to the special circumstances of migrant patients. As a response to the specific health needs of migrants, hospital networks and migrant support organizations promote the migrant health situation. However, these services are not ubiquitous in Switzerland, partly due to the partial freedoms of each canton to create its own health policy. This paper explores the barriers …

Together, Apart. A Review Of On (Writing) Families: Autoethnographies Of Presence And Absence, Love And Loss, Edited By Jonathan Wyatt And Tony E. Adams, Jessica Smartt Gullion

The Qualitative Report

In this essay, I offer a review of the book, On (Writing) Families: Autoethnographies of Presence and Absence, Love and Loss, edited by Jonathan Wyatt and Tony E. Adams. An important contribution to the field of authethnography, this book will appeal not only to scholars of family and of qualitative inquiry, but also to people struggling to find meaning in the crazy complexities of family relationships.

Probabilistic Records Linkage Using Historical Canadian Censuses And Vital Statistics, Stacey A. Hallman

Population Change and Lifecourse Strategic Knowledge Cluster Conferences

Poster Presentation

This poster presents the results of a records linkage project to analyze potential mortality risks for young adults in Ontario during the 1918 influenza epidemic. With a team of research assistants at Western University, McMaster University, and the Université de Montréal, death records were linked to birth records in order to determine exact date of birth for the calculation of exact age at death. This date of birth is then compared to age as listed on other historical documents, such as the 1901 and 1911 Canadian censuses. The family environment (or living situation) was transcribed for each individual …

Microdemographic Determinants Of Population Recovery Among The Northern Ache, Jack D. Baker Jr, Kim Hill, A. Magdalena Hurtado, Adelamar Alcantara, Eddie Hunsinger, Webb Sprague

Human Biology Open Access Pre-Prints

A pattern of population crash and rapid recovery is a common feature of the pacification and settlement experience of the Indigenous Peoples of tropical South America. In spite of the obvious importance of these events to the demographic and anthropological sciences as a whole, as well as their significant practical implications, little is known about the microdemographic determinants of these paired phenomena. Utilizing methods of asymptotic and stochastic demographic analysis, we reconstruct the microdemographic drivers of this history among one Indigenous population: the Northern Ache of Eastern Paraguay. We then explore the implications of these relationships for understanding the overall …

Climate Variability And Human Migration In The Netherlands, 1865-1937, Julia Jennings, Clark L. Gray

Anthropology Faculty Scholarship

Human migration is frequently cited as a potential social outcome of climate change and variability, and these effects are often assumed to be stronger in the past when economies were less developed and markets more localized. Yet, few studies have used historical data to test the relationship between climate and migration directly. In addition, the results of recent studies that link demographic and climate data are not consistent with conventional narratives of displacement responses. Using longitudinal individual-level demographic data from the Historical Sample of the Netherlands (HSN) and climate data that cover the same period, we examine the effects of …

Knowledge And Attitudes Of College Students Concerning Hiv/Aids, Anita Ihuwan

2015 Awards for Excellence in Student Research and Creative Activity - Documents

The purpose of this study was to learn more about the knowledge and attitudes of college students concerning HIV/AIDS. Further investigation of this topic sought to provide insight into the perspective of college students. This study utilized a convenience sample of 25 students at a Midwestern university. Participants were administered questionnaires featuring questions concerning their knowledge and attitudes towards HIV/AIDS. Findings indicated that although the majority of participants believed they were well educated about HIV/AIDS, their response to knowledge questions showed otherwise. Findings also indicated that students would like to see more HIV programming on their campus. The implications of …

Perceived Occupational Stressors And The Health Software Professionals In Bengaluru, India, Giridhara R. Babu, Sathyanarayana T. N., Asha Ketharam, Snehendu B. Kar, Roger Detels

The Qualitative Report

There is limited research on occupational stress and its relation to health from developing countries such as India. This study was done to evaluate work conditions of professionals in two highly productive sectors: the information technology (IT) sector, also known as software development, and Information Technology Enabled Services (ITES), also known as call centers. The study employed thirty-two in-depth interviews. The results indicate the presence of nine stress domains: job control, autonomy, time pressure, length of experience in industry, night shifts, income, appreciation of work, physical environment, work-environment and affective or emotional factors. Global drivers of demand, and local supply …

Law, Ethics, And Public Health In The Vaccination Debates: Politics Of The Measles Outbreak, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

The measles outbreak of early 2015 is symptomatic of a larger societal problem–the growing number of parents who decide against vaccinating their children. This failure is causing the resurgence of childhood diseases once eliminated from the United States.

This article explores the legal and ethical landscape of vaccine exemptions. While all states require childhood vaccinations, they differ significantly in the types of religious and/or philosophical exemptions permitted, the rigor of the application process, and available review mechanisms. States with relaxed exemption policies disproportionately experience more outbreaks of vaccine-preventable disease.

Vaccine exemptions are an illustration of the “tragedy of the commons,” …

Consuming Poverty: The Unexpected Politics Of Food Aid In An Era Of Austerity, Maggie Dickinson

Dissertations, Theses, and Capstone Projects

This dissertation tracks the remarkable growth of food assistance in the U.S. over the past fifteen years and asks what this expansion of food aid means for poor people living in New York City. Much of the scholarly literature on welfare policy in the U.S argues that social programs have become more stingy and punitive, particularly since the passage of welfare reform in 1996. On the surface, this does not seem to be the case for the food stamp program or for emergency food providers like soup kitchens and food pantries. Since 2001 food stamp rolls have risen 120% in …

Ethics In The Field: Contemporary Challenges, Lisa C. Depaoli

Journal of Ecological Anthropology

No abstract provided.

Media Narratives And Drug Prohibition: A Content Analysis Of Themes And Strategies Promoted In Network News Coverage, 2000-2013, Maria M. Orsini

Theses, Dissertations and Capstones

Illicit drugs and drug users have been criminalized and stigmatized in social life and in mass media for more than a century in the United States. Researchers have reasoned that media accounts have contributed to the social construction of drug use as deviant behavior. Depictions of drugs and drug users which utilize alarmist rhetoric have been prevalent in media discourse and have targeted allegedly disreputable populations. The ideology which underpins drug prohibition, punitive public attitudes, and media sensationalism has contributed to the tendency of American society to disallow alternative approaches. This study examines the contribution of televised news broadcasts in …

Guardian Engagement, Morgan Ames, Sandy Fulkerson Schaeffer, Lindsey Hammergren, Alex Hahn, Nico Francone, Priyanka Joshi, Miranda Kuwahara, Nathalie Thom

ISCOPES Posters and Presentations

No abstract provided.

Right To Play And Right To Health: The Role Of Sub-Saharan Sport For Development Programs In The Hiv/Aids Pandemic, Rebecca B. Dunn

VA Engage Journal

Using the foundation of a child’s right of health and right to play, programs in sub-Saharan Africa are making unique and powerful contributions to combatting and educating youth regarding HIV/AIDS. Through critical analysis of the programs’ successes and failures, I draw conclusions on the reach of sport programs in mitigating the disease and thus combatting global poverty and draw inferences regarding the direction sport for health development programs should be taking to lessen HIV/AIDS infection rates. Subsequently, I identify two areas for growth for sport for development programs: greater outreach to young women and working in partnerships with other key …

Do Clinical Decision-Support Reminders For Medical Providers Improve Isoniazid Prescription Rates Among Hiv-Positive Adults?, Eric P. Green, Caricia Catalani, Aggrey Keny, Lameck Diero, Charity Ndwiga, Dennis Israelski, Paul Biondich

HIV and AIDS

People living with HIV (PLHIV) are at increased risk of developing active tuberculosis (TB) and dying from TB. Isoniazid preventive therapy (IPT) can prevent this, but only a small fraction of HIV-positive individuals are on IPT. Previous research suggests that clinical decision support systems (CDSS)—electronic systems that use existing patient data and established algorithms to generate alerts, reminders, or recommendations intended to aid clinical decision-making—have the potential to improve provider adherence to diagnostic and treatment guidelines. Researchers conducted a cluster randomized controlled trial of a new CDSS intervention for TB screening, prevention, and treatment in a high HIV and TB …

Arv-Based Hiv Prevention For Women: State Of The Science And Considerations For Implementation In Zimbabwe. Report From A Provider Workshop, Population Council

HIV and AIDS

This report provides an overview of the presentations and discussions emerging from a Provider Workshop on ARV-Based HIV Prevention for Women: State of the Science and Considerations for Implementation in Zimbabwe convened by the Ministry of Health and Child Care and the Population Council in Harare in May 2014. The workshop in Zimbabwe is part of a broader global process to begin paving the path for microbicides introduction while awaiting the results of the ongoing confirmatory trial (FACTS 001) of tenofovir gel in South Africa. USAID is spearheading a global effort toward a “Shared Vision and Strategic Plan for Microbicide …

Introducing Antiretroviral (Arv)-Based Prevention Products For Women: A Guide To Strategic Decisionmaking And Planning, Population Council

HIV and AIDS

As evidence mounts that antiretrovirals (ARVs) are effective for HIV prevention, policymakers and program managers will need to determine whether and how best to introduce specific products into health care systems. Determining the most appropriate users within a particular country will depend on the overall context, the nature of the HIV epidemic within the country, and the opportunities available to reach and serve HIV-negative women with ARV-based prevention products and services. This toolkit was developed by the Population Council for use by governments, organizations, and donors who are in a position to support or add new HIV-prevention products into programs. …

Negotiating Diabetes: Professional Diabetes Care Work In The U.S., Melissa Marie Gesbeck

Dissertations

The rising incidence of diabetes mellitus (types 1 and 2) transcends national borders, creating a global pandemic. The U.S. leads the world in diabetes prevalence, despite its wealth and access to sophisticated medical technologies. Within health care, there is an increasing focus on lifestyle and behavioral interventions that research suggests may be the key to reversing this trend, but thus far their effectiveness in practice is uneven at best. In order to gain a better understanding of the other factors involved in professional diabetes care work that might support or inhibit effective diabetes management, this research treats diabetes as a …

Evidence Of Son Preference And Resulting Demographic And Health Outcomes In Pakistan, Zeba Sathar, Gul Rashida, Sabahat Hussain, Anushe Hassan

Poverty, Gender, and Youth

Pakistan has a highly patriarchal society. Consequently, the desire for sons is a dominant and widely prevalent cultural value that is reinforced by feudal kinship systems that permeate many parts of the country. While reliance on sons is stronger in rural areas because of agricultural work and the tying of land ownership with male inheritance, even in other areas boys are seen to be important in carrying on the family name and taking care of parents in old age. On the other hand, daughters are seen as an expense and an economic burden in both rural and urban areas. A …

Health Facility Guidelines And Management Benchmarks: Improving Workplace Health Services And Health Management In Factories, Farms And Other Workplaces In Low- And Middle-Income Countries, David Wofford, Marat Yu, Lauren Shields, Maria Pontes

Reproductive Health

This document contains a set of voluntary health and management guidelines for corporations and their supply chains to promote continual improvement and application of good practices, better access to men’s and women’s health services, and more effective use of health resources at workplaces in the developing world. It is focused on both quality of health services provided at the workplace and adequacy of company policies and management systems to ensure that workers have access to health services. The main goals of the guidelines are to: 1) help enterprises—multinational companies and their supplier or subsidiary companies in developing countries—improve the management …

Building Assets Toolkit: Developing Positive Benchmarks For Adolescent Girls—Asset Cards, Judith Bruce, Sarah Engebretsen, Kimberly Glazer

Poverty, Gender, and Youth

This document contains the Building Assets Toolkit’s Asset Cards (110), set of Age Cards (age 6 to 20), and Program Planning Worksheet (sample provided). The Age Cards are to be printed out and placed according to the instructions. The Asset Cards are to be printed out and cut in half. Blank Asset Cards are provided to create customized assets. The Building Assets Toolkit is an approach for developing programs for specific segments of girls that will prepare them to better face the challenges of growing up. It will help program managers understand the needs of the girls in their community, …

Building Assets Toolkit: Developing Positive Benchmarks For Adolescent Girls—Resource Manual, Judith Bruce, Sarah Engebretsen, Kimberly Glazer

Poverty, Gender, and Youth

This document contains the Building Assets Toolkit’s Resource Manual, which includes valuable information about building meaningful program content as well as detailed notes on each asset for use in the toolkit’s “Asset Building Exercise.” This exercise is designed to involve multiple stakeholders in determining what assets girls need in order to survive and thrive. The Building Assets Toolkit is an approach for developing programs for specific segments of girls that will prepare them to better face the challenges of growing up. It will help program managers understand the needs of the girls in their community, engage stakeholders at different levels …

Gender Considerations Along The Hiv Treatment Cascade: An Evidence Review With Priority Actions, Melanie Croce-Galis, Jill Gay, Karen Hardee, What Works Association, Population Council

Reproductive Health

This treatment brief provides policymakers and program implementers with evidence about the impact of gender dynamics on treatment access and adherence and the gender-related gaps in treatment research and programming. It also includes priority actions that can be taken to better address gender within treatment programming and raises questions for implementation science in order to achieve the global 90-90-90 goal. This brief draws from What Works for Women and Girls: Evidence for HIV Interventions and uses the WHO treatment cascade framework to identify and analyze major gender considerations in providing antiretroviral therapy to those living with HIV in low- and …

Attitudes And Behaviors Of South African Women And Psychosocial Determinants Of Gonorrhea, Takiyah White Ndwanya

Walden Dissertations and Doctoral Studies

The incidence of gonorrhea had declined since the HIV epidemic in the late 1980s, but is now increasing globally due to the emergence of antibiotic-resistant forms of this disease. In South Africa, the incidence of gonorrhea is highest among Black women due to their high co-infection rates with HIV and other sexually transmitted infections (STIs). This study examined the psychosocial determinants of gonorrhea among Black women aged 18 - 35 in the Langa township in Cape Town, South Africa. All participants had reported at least one sexual experience and at least one positive test for gonorrhea in the past two …

The Impact Of Supply Chain Logistics Performance Index On The Control Of Neglected Tropical Diseases In Low- And Middle-Income Countries, Farouk Adams Umaru

Walden Dissertations and Doctoral Studies

Neglected tropical diseases (NTD) in low- and middle-income countries are still not on target per the World Health Organization's (WHO) elimination goal of 2020. Mass drug administration (MDA) is one of the effective strategies supported by the WHO for the control and subsequent elimination of NTD. This quantitative study explored how supply chain logistic capacity may be hampering MDA coverage in countries in which the diseases are endemic. The study examined secondary data from WHO data bank for MDA coverage, to quantify the relationship between supply chain logistics capacity, as measured by the World Bank's logistics performance index (LPIs), and …

Rural Year-Round Growing To Ameliorate A Possible Negative Effect From Climate Change, Kimberlie A. Brussa

Walden Dissertations and Doctoral Studies

The Intergovernmental Panel on Climate Change (IPCC) suggested that, as the world population grows, food and water shortages will become even more serious issues (IPPC's 2014 predictions about the future effects of climate change (CC), Year-round growing (YRG) may provide a way for communities to extend growing seasons, expand local farm systems, and provide food year round. This case study included a detailed analysis of responses from representatives of all sectors of rural Mesa County, Colorado, regarding YRG and a local food and farm plan due to CC. The case was bounded by time (6 months of data collection) which …

Hiv Infrastructure Study Jackson, Mississippi, Susan S. Reif, Elena Wilson, Carolyn Mcallaster, Miriam Berger

Faculty Scholarship

No abstract provided.

An O'Neill Institute Briefing Paper: Ebola, The World Health Organization, And Beyond: Toward A Framework For Global Health Security, Lawrence O. Gostin, Eric A. Friedman, Daniel Hougendobler

Georgetown Law Faculty Publications and Other Works

The West African Ebola epidemic has demonstrated that the world remains ill-prepared to respond to infectious disease outbreaks. A host of institutions are now reviewing what went wrong, and new institutions are being considered, including an African Centers for Disease Control and Prevention and World Bank-initiated Pandemic Emergency Facility. The World Health Organization itself failed in one of its core functions by allowing a preventable infectious disease to spiral out of control in the world’s poorest region. The 68th World Health Assembly (WHA), held in May 2015, provided an opportunity for the Organization to reflect on what went wrong and …

Associative Factors Of Acculturative Stress In Latino Immigrants, Sam Kedem

Walden Dissertations and Doctoral Studies

For the past 200 years, Latinos have comprised the largest, consistent category of immigrants in the United States. This influx has created a need for culturally competent psychological treatment of a population that suffers from acculturative stress, defined as the stress a minority member experiences while trying to adjust to the culture of the majority. Researchers have studied Latino immigrants' enduring trials as they adjust to life in the United States. Nevertheless, there is limited research on the quantification of factors contributing to acculturative stress. Based on the conceptual framework of bidimensional acculturation and Latina/o critical race theory, predictors of …

Paradoxes In Physical Health, Robert Crosnoe, Aida Ramos-Wada, Claude Bonazzo

Faculty Publications - Department of Sociology

This chapter reviews the evidence from social science and medical research that sheds light on this potential immigrant paradox in health -- when, where, and for whom it holds or does not apply. In doing so, two important points need to be kept in mind. First, the existence of the paradox does not necessarily mean that immigrants are doing than everyone else. Rather, it means that they are doing better than social and economic positions suggest that they should be. Second, paradox may apply in general but not hold in specific domains of health for certain subgroups or at certain …

Museum Monsters And Victorious Viruses: Improving Public Understanding Of Emerging Biomedical Research, Judy Diamond, Benjamin Jee, Camilla Matuk, Julia Mcquillan, Amy N. Spiegel, David Uttal

Department of Sociology: Faculty Publications

Although microbes directly impact everyone's health, most people have limited knowledge about them. In this article, we describe a museum and media public education campaign aimed at helping diverse audiences better understand emerging knowledge about microbes and infectious disease. Funded primarily by the Science Education Partnership (SEPA) program of the National Institutes of Health, this campaign involved crosscutting programs designed to extend impacts throughout a broad public audience.