Digital Commons Network^™

Economic Security Of Older Women In Maine, Kimberly I. Snow Mhsa, Elizabeth Gattine Jd, Sammy-Ellie Mackinnon Msw

Disability & Aging

The Economic Security of Older Women in Maine: Data Report provides a snapshot of how women compare to men on measures such as wages and income, caregiving status, living arrangements, and rates of disability—factors that can impact Maine women's ability to meet their needs with the resources they have. The report, compiled by staff at the University of Southern Maine's Cutler Institute, informs an initiative led by the Maine Women's Lobby Education Fund and the Maine Council on Aging to identify gaps and pathways to support the health and economic security of older Maine women and all Mainers, now and …

An Exploratory Study Of Future Plans And Preferences For Long-Term Services And Support For Older Kenyan Immigrants, Lenah Chepngetich Langat

All Graduate Theses, Dissertations, and Other Capstone Projects

Quality of life and client’s satisfaction with Long-term Services and Support (LTSS) in later life are influenced by care preference and timely plans. Ethnic, and racial disparities in the use of both informal formal and formal LTSS are reported. Consequently, the diversity in LTSS decision-making has gained attention in research and policy with a predominant focus on migration background, acculturation, and ethnicity. However, LTSS preference data for older Kenyan immigrants are homogenized into the African Americans block without the acknowledgment of their inherent cultural and ethnic diversity. The development of culturally competent, effective, and responsive policies across the LTSS continuum …

Experiences Of African American Female Offenders On Parole And Under Community Supervision, Shirley Lawson

Walden Dissertations and Doctoral Studies

African American female offenders on parole under community supervision reenter communities as convicted felons and face the challenges of intersectionality and collateral consequences. The purpose of this descriptive phenomenological qualitative study was to explore the experiences of African American female offenders active on parole and under community supervision. General strain theory was used to explore the experiences of African American female offenders on parole and under community supervision. Data were collected through semi-structured telephone interviews with a purposive sample of 10 African American female offenders, ages 18 and above who were on parole and under community supervision. Colaizzi’s seven-step method …

Factors Associated With Receiving Supplemental Nutrition Assistance Program (Snap) Among Newly Resettled Refugees In The United States, Edson Chipalo, Zainab Suntai, Simon Mwima

The Journal of Sociology & Social Welfare

In the United States, SNAP was made available to refugees in 1977, and most refugees rely heavily on SNAP to sustain themselves before becoming self-reliant. Knowledge of sociodemographic factors and chronic debilitating conditions related to receiving SNAP benefits among refugees is limited. This study aimed to examine sociodemographic factors and chronic debilitating conditions associated with receiving SNAP benefits among refugees resettled in the United States. This study used a cross-sectional, nationally representative sample (n=6,100) of the refugees who entered the U.S. between 2013 and 2017. The data were obtained from the 2018 Annual Survey of Refugees (ASR) from participants aged …

Sense Of Support: The Impact Of Healthcare Encounters On The Breastfeeding Experiences Of African American Mothers, Olivia M. Rauls

Honors Undergraduate Theses

Although many studies have found a substantial racial disparity in infant feeding habits, the factors contributing to this unique disparity and potential solutions remain unknown. The general importance of social interactions and medical interventions in successful breastfeeding has been studied, but little research addresses the specific experiences of breastfeeding Black mothers interacting with their medical providers. This paper examines the perspectives of Black women with breastfed infants on their encounters with healthcare providers during prenatal, perinatal, and postnatal periods. Using qualitative data from 22 in-depth interviews addressing infant feeding decisions and experiences, this paper analyzes the link between healthcare interactions …

Regenerating Agroecosystems By Overcoming Human Exceptionalism In Designing For Increased Equity Of Benefits From Ecoservices, Ali Loker, Charles A. Francis

Department of Agronomy and Horticulture: Faculty Publications

Our commentary explores three critical issues related to ecosystem services. First is how ecoservices are currently designed and implemented primarily for human benefit without concern for how these impact other species. We conclude that awareness of this imbalance is the first step toward meaningful change. Second we observe that human exceptionalism guides most decisions, and ask whether we can overcome this mind-set to embrace ecoregeneration and design of resilient and mutually beneficial agroecosystems. Our attitude toward the challenge and moving toward greater humility about human roles that guide management decisions in the ecosystem is a requisite for change. Third we …

The Architecture Of The Universe: A Look Into Extraterrestrial Civilizations, Andrew Targowski

Comparative Civilizations Review

The article advances a synthesized view of the world based on an intelligently communicated undivided Universe. It presents a fundamental component-based architecture and characterizes the controlling role of info-communication processes in the interplanetary system. The Fermi Paradox is then considered, which leads to a discussion about the concept of God as it pertains to Albert Einstein’s and Stephen Hawking’s theories. The article next introduces the author’s own understanding of God. The approach adopted in this study situates Earth’s civilization within the broader context of extraterrestrial civilizations, and it considers what this means for modern humans. Further research is also suggested …

The Impacts Of A Food Pantry On College Students, Courtney Howell

Electronic Theses and Dissertations, 2020-2023

The issue of food insecurity on college campuses has been explored in great depth in the last decade; however, there is much less research on the impacts of interventions such as food pantries. Some scholars suggest that food pantries alone are not enough to make an impact on food insecurity, asserting that, "not a single study has examined the effectiveness of food pantries at decreasing food insecurity on postsecondary education institutions" (Bruening, Argo, Payne-Sturges, and Laska 2017: 1788). This study aimed to gain insight into the student experience of using a food pantry and the impact that it has on …

Exploring The Response To Covid-19 In Puerto Rico, Richard Colon

Electronic Theses and Dissertations, 2020-2023

In recent years Puerto Rico has faced a series of unfavorable events including financial turmoil, massive population loss, earthquakes, and droughts. These events had significantly impacted its resources and capacity to confront a major public health crisis. As such, Puerto Rico was expected to poorly manage the ongoing pandemic. Despite this, nearly all data surrounding the COVID-19 pandemic in Puerto Rico has indicated the contrary. The purpose of this study was to explore and understand the COVID-19 response in Puerto Rico. The Conservation of Resources theory guided the analysis of resource consumption and management of the Puerto Rican government and …

Agroecology Curriculum Proposal, Emily Kuhn

Pitzer Senior Theses

The purpose of this research is to establish the viability of an Agroecology major at Pitzer College. I begin by problematizing Industrial Agriculture and making a case for Pitzer College to become a higher education leader in the global paradigm shift towards socially and ecologically just food systems. The proposed curriculum compiles pre-existing classes, objectives expanded from the EA field group, and an internship component embedded at five local land-based learning partner sites. I conducted a SWOT (strengths, weaknesses, opportunities, and threats) analysis of the Environmental Analysis field group as a potential host for the agroecology track, including study abroad …

Community Interventions To The Food Insecurity Crisis Inuit Currently Face In Nunangat, Alyssia R. Getschow

Honors Theses

Inuit living in Nunangat, a northern territory in Canada, are facing unprecedented rates of food insecurity. The increasing impacts of anthropogenic climate change are rapidly changing the Arctic landscape in Nunangat, posing challenges to Inuit hunters who hunt and live completely self-sufficient off of the land. This lack of access to country foods and the impacts these conditions are having on Inuit communities are forcing Inuit to consider aid propositions from the Canadian government. Due to a long history of conflict with white settlers during the colonization of Canada, there is a feeling of distrust and cultural distaste between Canada …

Relationships Between Stress Self-Management, Social Support, And Health In Hispanic Informal Caregiver Burnout Prevention, Nicole Alexandra Mas Román

Walden Dissertations and Doctoral Studies

Burnout syndrome is a psychological disorder characterized by physical, emotional, and mental distress and exhaustion resulting in feelings of depression, anxiety, irritability, and negative attitudes. If left unattended, burnout syndrome can lead to new or worsening health outcomes. The purpose of this nonexperimental quantitative study was to examine the relationship between stress self-management, perceived social support, health status, and burden among Puerto Rican informal caregivers. The theoretical foundations for this research were the informal caregiving integrative model and the individual and family self-management theory. Survey data were collected from 415 participants. Multiple regression analyses were performed to determine the relationship …

The Past And Future Of Migration, Poverty, And Small-Scale Agriculture In Mexico, Kimberly Zamora Delgado

CMC Senior Theses

The conflated pattern between poverty, rurality, and indigeneity in Mexico signifies drastic inequality between populations. Poor, rural communities often do not receive as much public services, infrastructure improvements, and employment opportunities as urban areas, which causes out-migration into the cities. Some of the few jobs available in rural areas are in the agriculture sector, either through small-scale subsistence farming or seasonal employment on a large-scale farm. Historically, certain wealthy states such as Sinaloa, Michoacán, and Sonora received greater support to up-scale into modernized agriculture, which made them into the largest agro-exporters. On the other hand, poor states with greater indigenous …

Project Spraoi: The Implementation And Outcomes Of A Process Evaluation Of A School-Based Health Promotion Intervention, Yvonne Larrissa O’Byrne

Theses

Large multi-site school-based interventions are challenging to implement and difficult to evaluate due to the complex adaptive nature of schools as a research setting. This study focused on implementing a comprehensive process evaluation of a multicomponent primary school-based health promotion called Project Spraoi (PS), alongside intervention delivery, to aid the translation of outcomes and understand the moderating role of contextual factors on intervention delivery. PS is led by a physical activity (PA) specialist known as an Energizer and aims to improve children’s PA levels and reduce sedentary time by delivering 20 minutes extra daily moderate to vigorous PA (MVPA) during …

Settler Colonial Origins Of Intimate Partner Violence In Indigenous Communities, Maia C. Behrendt

Department of Sociology: Dissertations, Theses, and Student Research

Indigenous women in the United States experience disproportionately higher rates of intimate partner violence (IPV) compared to their non-Indigenous counterparts. Through a framework of settler colonialism, this article examines how settler colonial gender practices disrupted and eroded generational patterns of gender roles and power relationships within Indigenous communities, contributing over time to today's higher levels of IPV perpetrated against Indigenous women. I argue that future research on IPV must attend to the historical, contemporary, and legal impacts of settler colonial policies and laws that contribute to increased rates of violence within marginalized and racialized communities. In this article, I first …

The Beliefs And Practices Of Black Single Mothers Who Promoted College Completion Among Their Offspring, Michelle Arlene Akere-Azeez

Walden Dissertations and Doctoral Studies

In the United States, the number of single mothers among Blacks has steadily increased over time, with single motherhood being associated with a higher level of poverty and other social problems. Unfortunately, these adverse effects have led to a low rate of college completion among children of low-income Black single mothers, which has resulted in a cycle of generational poverty. The purpose of this generic qualitative study was to identify the beliefs and practices of low-income Black single mothers who influenced successful college completion among their offspring. Data were collected using semi structured interviews of eight low-income Black single mothers …

‘Doing’ Hypertension: Experiential Knowledge And Practice In The Self-Management Of ‘High Blood’ In The Philippines, Gideon Lasco, Alicia Renedo, Jhaki A. Mendoza, Maureen L. Seguin, Benjamin Palafox, Lia M. Palileo-Villanueva, Dina Balabanova, Martin Mckee

Development Studies Faculty Publications

Patients’ embodied experiences do not always correspond to the biomedical concepts of particular diseases. Drawing from year-long fieldwork in the Philippines that involved semi-structured interviews, focus group discussions and digital diaries, we examine how individuals ‘do’ hypertension through their embodied experiences and the knowledge and practice that emerge from them. Drawing inspiration from Annemarie Mol’s work on the notion of ‘multiplicity’ of disease, our analysis was informed by a commitment to privileging patients’ embodied experiences and the multiple ontologies of hypertension. We find that for patients diagnosed with hypertension in the Philippines, symptoms enact illness; patients rely on their …

Relationships Between Proximity To Grocery Stores And Oklahoma Early Care And Education Classroom Nutrition Practices, Bethany D. Williams, Susan B. Sisson, Bryce Lowery, Dipti Dev, Diane M. Horm, Janis E. Campbell, Denise Finneran, Jennifer Graef-Downard

Department of Child, Youth, and Family Studies: Faculty Publications

The study purpose was to determine associations between proximity to grocery stores and Early Care and Education programs’ (i.e., ECEs) classroom nutrition practices and barriers, by ECE context (Head Start, community-based childcare [CBC], and family child care homes [FCCHs]). A statewide cross-sectional survey was implemented in Oklahoma ECEs. Directors reported classroom nutrition practices with the Nutrition and Physical Activity Self-Assessment tool, and barriers to implementation. Locations of 457 grocery stores statewide were determined by in-person audit. Geocoded ECEs were considered within a “low proximity” area if no grocery stores were available within a 0.25-mile radius for urban, or 10-mile radius …

Implementation Of Federal Waivers For Feeding Children In Early Care And Education During The Covid-19 Pandemic, Dipti Dev, Carly Hillburn, Jordan Luxa, Laura Lessard, Katherine W. Bauer, Caree Cotwright, Alison Tovar

Department of Child, Youth, and Family Studies: Faculty Publications

Objective: To capture Child and Adult Care Food Program (CACFP) state directors’ experiences implementing federal waivers for feeding children in early care and education (ECE) settings during coronavirus disease 2019.

Design: Qualitative semistructured interviews.

Setting: Virtual interviews with state CACFP directors.

Participants: Child and Adult Care Food Program directors from 21 states from December 2020 to May 2021.

Phenomenon of Interest: Implementation of state-level waivers.

Analysis: Qualitative thematic analysis.

Results: State directors reported that the coronavirus disease 2019 waivers allowed ECE programs to continue feeding children despite being closed or having limited enrollment. The meal pattern, noncongregate feeding, parent/guardian meal …

Feeling Fat: Theorizing Intergenerational Body Narratives Through Affect, Katie Cook

Theses and Dissertations (Comprehensive)

This study set out to understand the intergenerational movement and impact of obesity epidemic and anti-fat narratives that emerged after the 1950s in North America. Embedded in an Anglo-Western, neoliberal context, the current study sought to understand the impact of weight-based messaging on the embodied experiences of parents and their now-adult children. Working within a critical-transformative paradigm and drawing on post-humanism and new materialism, I conducted 19 narrative interviews with individuals born between 1955 and 1990, six of whom were mother-daughter dyads, as well as a body mapping workshop with five self-selecting participants over the course of three sessions. I …

Rising Cost Of Medicare And Its Effect On Recipients 65 And Older, Williesa Toomer

Walden Dissertations and Doctoral Studies

The rising cost of Medicare is a growing concern for recipients. Beneficiaries are often forced to implement a host of strategies to meet rising out-of-pocket expenses. This qualitative study was conducted to address a research gap in methods used by senior citizens to manage rising Medicare coverage costs. Garmezy’s resilience theory was used to contextualize the rising costs of Medicare premiums and copays and strategies used to manage healthcare needs. The purposive sample of 12 socioeconomically diverse respondents included eight women and four men ranging in age between 65 and 77, for an average age of 70.2 years. Participants completed …

Racial/Ethnic Variations In Alcohol And Cigarette Use By Pregnancy Status Among 20- To 44-Year-Old Women, Nhanes 2001–2018, Jacqueline M Hirth, Catherine Valadez, Sandra Gonzalez, Alicia Kowalchuk, Judith A Gutierrez, Roger Zoorob

Faculty, Staff and Students Publications

OBJECTIVES: This study examines alcohol consumption and smoking behaviors by pregnancy status and race/ethnicity in order to inform improved interventions designed to assist women of all races to avoid alcohol and tobacco use during pregnancy for their health and to prevent potential fetal exposure.

METHODS: This retrospective secondary data analysis utilized nationally representative National Health and Nutrition Examination Survey data between 2001 and 2018. Smoking and alcohol use were evaluated by race/ethnicity and pregnancy risk. Sexual behavior, reproductive health, and prescription drug use determined pregnancy risk, categorized as low pregnancy risk, at risk of becoming pregnant, and pregnant. Binary and …

A Qualitative Comparison Of Parent And Childcare Provider Perceptions Of Communication And Family Engagement In Children's Healthy Eating And Physical Activity, Danae Dinkel, Maggie Rasmussen, John P. Rech, Kailey Snyder, Dipti Dev

Department of Child, Youth, and Family Studies: Faculty Publications

Background: Parents and childcare providers play a substantial role in the development of health behaviors among the children they care for. In order to ensure the optimal growth and development of children, communication and family engagement in childcare is critical. Previous studies examining parent or provider perceptions about healthy eating or physical activity have explored these concepts individually and/or have only included only parents or providers. Therefore, the purpose of this study was to compare childcare provider and parent perceptions of communication regarding healthy eating and physical activity as well as use of best practice strategies on family engagement for …

Social And Biological Determinants Of Pregnancy-Related Mortality And Morbidity In A Rural, Underserved Population, Anna Hansen

Theses and Dissertations--Sociology

Cases of severe maternal morbidity (SMM) and pregnancy-related mortality (PRM) are increasing in the US. Research concerning SMM and PRM has neglected women in Central Appalachia; a largely rural, health-disparate population. The aims of this study are two-fold: (1) Examine patient-level and place-based predictors of SMM/PRM via hierarchical logistic regression modeling, and (2) Elucidate Appalachian healthcare patients’ and providers’ experiences with SMM/PRM, perceptions of contributing factors, and insights on points of intervention.

This study uses a mixed methods approach guided by the WHO’s conceptual framework for action on social determinants of health to identify determinants of SMM and PRM among …

Mediation And Moderation Analyses Investigating Marijuana Use Among Lgb Adults, Traccy Martins

Electronic Theses and Dissertations, 2020-2023

With marijuana use being at an all-time high, it is important to further analyze the factors associated with use. Utilizing the 2015-2019 National Survey on Drug Use and Health (N=205,083), the current study assesses marijuana use among LGB adults, as well as possible mediating (health-related measures) and moderating (criminal legal system exposure) factors. Findings using a chi-square analysis showed that overall, bisexual and lesbian/gay adults were more likely to use marijuana, while those who reported "not sure" were less likely to use. For the mediation analysis, when health measures were introduced to the logistic regression model, the outcome remained the …

Maternal Feeding Styles And Child Appetitive Traits: Direction Of Effects In Hispanic Families With Low Incomes, Maria A Papaioannou, Nilda Micheli, Thomas G Power, Teresia M O'Connor, Jennifer Orlet Fisher, Sheryl O Hughes

Children’s Nutrition Research Center Staff Publications

Feeding styles of parents have been associated with dietary quality/intake and weight outcomes; however, much of the research to date has been cross sectional and the direction of influence unclear. This prospective longitudinal study evaluated the direction of effects between feeding styles and child appetitive traits over time in a sample of 129 Hispanic parent/child dyads that participated in a larger study. Data analyzed for the current study were collected when the children were 4-5 years old and again at ages 7-9 years. Parents (all mothers) reported on their feeding styles and children's appetitive traits using well-established questionnaires. Cross-lagged panel …

Old Minds, New Marketplaces: How Evolved Psychological Mechanisms Trigger Mismatched Food Preferences, Michal Folwarczny, Tobias Otterbring, Valdimar Sigurdsson, Lynn K. L. Tan, Norman P. Li

Research Collection School of Social Sciences

Principally due to unhealthy food choices, almost half of adults worldwide are overweight or obese. Current food retail practices bear some responsibility for such public health issues. We argue that numerous attempts to promote healthy eating have been unsuccessful due to the failure to account for our outdated evolved food selection mechanisms. Building on the evolutionary mismatch hypothesis and contrasting ancestral versus present-day foraging environments, we discuss how marketing activities exploit evolutionarily old food preferences and elicit unhealthy food choices for profit maximization at the expense of public health in terms of food consumption. We conclude by explaining how to …

Shifting Strategies: The Politics Of Radical Change In Provincial Development Policy In China, John A. Donaldson, Xiaotao Yang

Research Collection School of Social Sciences

Why do provincial governments change policy, even when those policies have proven successful? This paper explores a debate regarding the determinants of provincial policy choice and the degree of discretion provinces are permitted in this area. It does so by scrutinizing the shift in Guizhou's development policy from a poverty reduction orientation to a wholehearted pursuit of economic growth, urbanization and industrialization. In contrast to those who argue that central experience, prospects for promotion or local conditions are key factors explaining policy choice, the paper concludes that Guizhou's shift in policy had more to do with the backgrounds and experiences …

Desired Resources For Changing Diet Among Persons With Multiple Sclerosis: Qualitative Inquiry Informing Future Dietary Interventions, Stephanie L Silveira, Emma V Richardson, Robert W Motl

Faculty, Staff and Student Publications

BACKGROUND: There are approximately 1 million adults in the United States with multiple sclerosis (MS). Persons with MS are interested in diet as a second-line therapy for improving MS symptoms and disease progression. Examination of desired resources regarding diet among persons with MS is necessary for supporting behavior change.

METHODS: Twenty-five adults with MS completed 1-on-1, online semistructured interviews. An inductive, 6-phase, semantic thematic analysis was applied to identify themes associated with participant preferences for dietary behavior change.

RESULTS: The research team crafted 4 key themes from the data that encompassed participants' desired resources for dietary behavior change. Theme 1, …

The Neighborhood Environment And Hispanic/Latino Health, Natalia I Heredia, Tianlin Xu, Minjae Lee, Lorna H Mcneill, Belinda M Reininger

Faculty, Staff and Student Publications

PURPOSE: Hispanic/Latino adults on the Texas-Mexico border have high rates of chronic disease. Neighborhoods can influence health, though there is a limited research on neighborhood environment and health in Hispanics/Latinos. The purpose of this study was to assess the relation of neighborhood environment with health variables in Hispanic/Latino adults, including physical activity [PA], depression, anxiety, and lab-assessed conditions (type 2 diabetes, metabolic syndrome, and chronic inflammation).

METHODS: Participants were randomly-selected from a Hispanic/Latino cohort on the Texas-Mexico border. Neighborhood environment, self-reported PA, anxiety, and depression were assessed through questionnaires. Laboratory values determined Type 2 diabetes, metabolic syndrome, and C-reactive protein …