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Testing The Tripartite Influence Model Among Heterosexual, Bisexual, And Lesbian Women, Vivienne M. Hazzard, Lauren M. Schaefer, Katherine Schaumberg, Anna M. Bardone-Cone, David A. Frederick, Kelly L. Klump, Drew A. Anderson, J. Kevin Thompson Jul 2019

Testing The Tripartite Influence Model Among Heterosexual, Bisexual, And Lesbian Women, Vivienne M. Hazzard, Lauren M. Schaefer, Katherine Schaumberg, Anna M. Bardone-Cone, David A. Frederick, Kelly L. Klump, Drew A. Anderson, J. Kevin Thompson

Psychology Faculty Articles and Research

This cross-sectional study explored similarities and differences between heterosexual, bisexual, and lesbian women in levels of, and relationships between, the following constructs using a Tripartite Influence Model framework: family, peer, and media appearance pressures, thin- and muscular-ideal internalization, and eating disorder (ED) pathology. Self-identified heterosexual (n = 1,528), bisexual (n = 89), and lesbian (n = 278) undergraduate women completed the Sociocultural Attitudes Towards Appearance Questionnaire-4 and the Eating Disorder Examination-Questionnaire. Sexual orientation differences in appearance pressures, appearance-ideal internalization, and ED pathology were examined via analysis of variance tests. Relationships between these variables were examined with multi-group …


Effects Of Polygyny On Child Health And Determinants Of Birth Registration : The Case Of Nigerian Children, Uchechi Shirley Anaduaka Jul 2019

Effects Of Polygyny On Child Health And Determinants Of Birth Registration : The Case Of Nigerian Children, Uchechi Shirley Anaduaka

Lingnan Theses (MPhil & PhD)

This thesis contains three empirical essays focused on the impact of parental socioeconomic characteristics on early childhood outcomes, namely health and birth registration in Nigeria. The focus is motivated by the growing body of literature showing the crucial role the former play in shaping early childhood outcomes. Nigeria is of utmost concern because of the significant differences in parental socioeconomic characteristics (e.g. polygyny is widespread) and high rates of poor child outcomes (poor health and low birth registration). Identifying the impact of parental socioeconomic characteristics can allow more effective policy interventions for achieving sustainable development goals: health (SDG target 2.2) …


Need Fulfillment And Happiness In Botswana, Carolyn Moe Jul 2019

Need Fulfillment And Happiness In Botswana, Carolyn Moe

Theses and Dissertations

Happiness has been an important aspect of people’s lives spanning centuries and continents; as such, it is a widely researched area. A current prominent theory in happiness research is Needs Theory which has the premise that there are universal human needs and having these needs met would lead to a person’s happiness. Most often, the needs referenced are those presented by Abraham Maslow including needs of physiology, safety and security, love and belonging, esteem, knowing and understanding, aesthetics, self-actualization and transcendence. However, some studies have found that there are individuals who do not fit this theory either through having their …


Using Mini-Grants To Build Multi-Sector Partnerships In Rural Tennessee, Ginny Kidwell, Kristine Bowers, Taylor M. Dula, Randolph F. Wykoff Jul 2019

Using Mini-Grants To Build Multi-Sector Partnerships In Rural Tennessee, Ginny Kidwell, Kristine Bowers, Taylor M. Dula, Randolph F. Wykoff

Journal of Appalachian Health

Rural counties in Tennessee, including those located in Appalachia, face some of the greatest health challenges in the nation. Unpublished data collated by the East Tennessee State University College of Public Health (ETSU) show that Tennessee’s 52 Appalachian counties vary dramatically from its 43 non-Appalachian counties in virtually all socioeconomic, behavioral, and health outcome metrics. Since 2011, the Tennessee Institute of Public Health (TNIPH) has actively encouraged local communities to address behavior change, enhance educational achievement, and improve economic conditions as essential components for improving health and well-being in rural Tennessee.


West Virginia’S Sugary Drink Tax: Examining Print Media Frames In Local News Sources, Lauri Andress, Ogaga Urhie, Christine Compton Jul 2019

West Virginia’S Sugary Drink Tax: Examining Print Media Frames In Local News Sources, Lauri Andress, Ogaga Urhie, Christine Compton

Journal of Appalachian Health

Introduction: Framing is an important aspect of the policy process that helps the public and decision makers sort through and resolve highly charged claims about an issue. Through slight changes in the presentation of issues, a framing effect may alter public support. The way a proposed sugary drink tax is discussed in public discourse and by the media significantly influences policy acceptance. Given the public health significance of obesity and diabetes in West Virginia (WV) the study of media frames employed to represent a sugary drink tax policy is useful.

Methods: Using quantitative content analysis, this study assessed news articles—published …


An Intersectional Examination Of Criminally Involved Women Of Color With Mental Illness, Cailin Rosemary Mcdermott Jul 2019

An Intersectional Examination Of Criminally Involved Women Of Color With Mental Illness, Cailin Rosemary Mcdermott

Theses and Dissertations

Women, people of color, and people with mental illness are fast growing populations in the criminal justice system. However, research tends to overlook the women of color with mental illness who exist at the intersection of these statuses. The current thesis attempts to apply an intersectional framework to the analysis of the narratives of these multifaceted women to explore the ways that their varying positions in society interact to shape unique life experiences. I analyzed a secondary data set of semi-structured life-course interviews with 65 women on a Seriously Mentally Ill (SMI) probation caseload. Implementing a grounded-inspired approach, the interviews …


Racial And Ethnic Disparities In Stroke Outcomes: A Scoping Review Of Post-Stroke Disability Assessment Tools, Suzanne Perea Burns, Brandi M. White, Gayenell Magwood, Charles Ellis, Ayaba Logan, Joy N. Jones Buie, Robert J. Adams Jul 2019

Racial And Ethnic Disparities In Stroke Outcomes: A Scoping Review Of Post-Stroke Disability Assessment Tools, Suzanne Perea Burns, Brandi M. White, Gayenell Magwood, Charles Ellis, Ayaba Logan, Joy N. Jones Buie, Robert J. Adams

Health and Clinical Sciences Faculty Publications

Purpose: To identify how post-stroke disability outcomes are assessed in studies that examine racial/ethnic disparities and to map the identified assessment content to the International Classification of Functioning, Disability, and Health (ICF) across the time course of stroke recovery.

Methods: We conducted a scoping review of the literature. Articles published between January 2001 and July 2017 were identified through Scopus, PubMed, CINAHL, and PsycINFO according to predefined inclusion and exclusion criteria.

Results: We identified 1791 articles through database and hand-searching strategies. Of the articles, 194 met inclusion criteria for full-text review, and 41 met inclusion criteria for study inclusion. The …


Media And Parents: Socializing Factors Of Relational Aggression, Kjersti Maye Summers Jul 2019

Media And Parents: Socializing Factors Of Relational Aggression, Kjersti Maye Summers

Theses and Dissertations

Exposure to relational aggression in various contexts has been found to predict relationally aggressive behavior in adolescents. Past research has examined socializing factors of relational aggression separately. The current study expounds upon this research by looking at three important contexts for socialization of relational aggression during adolescence together: media relational aggression, parental psychological control, and couple relational aggression. Specifically, this study looked at how these different socializing factors combine to predict relational aggression. Participants consisted of 423 adolescents and their parents. A person-centered approach was used to determine different profiles. Latent profile analysis found three profiles, including "average" (78%), "high …


Prevalence And Correlates Of Diagnosed And Undiagnosed Hypertension In The Indigenous Kuna Population Of Panamá, Daniel R. Hanna, Rebekah J. Walker, Brittany L. Smalls, Jennifer A. Campbell, Aprill Z. Dawson, Leonard E. Egede Jun 2019

Prevalence And Correlates Of Diagnosed And Undiagnosed Hypertension In The Indigenous Kuna Population Of Panamá, Daniel R. Hanna, Rebekah J. Walker, Brittany L. Smalls, Jennifer A. Campbell, Aprill Z. Dawson, Leonard E. Egede

Center for Health Services Research Faculty Publications

Background: To determine the prevalence of hypertension and investigate sociodemographic correlates in an indigenous Kuna community living on the San Blas islands of Panama.

Methods: Data was collected from adults using a paper-based survey using a cross sectional study design. Blood pressure was measured, and hypertension defined at two cut-points: 130/80 mmHg and 140/90 mmHg. Individuals with undiagnosed hypertension had a blood pressure measurement that indicated hypertension, however, the individual had not been told by a doctor they had hypertension. Whereas individuals with diagnosed hypertension had been told by a healthcare provider that they had hypertension. Univariate tests compared diagnosed …


Is Intimate Partner Violence A Risk Factor For Cardiovascular Disease In Women? A Review Of The Preponderance Of The Evidence, Rose Eva Constantino, Alona D. Angosta, Andrew Thomas Reyes, Brayden Kameg, Linden Wu, Jordan Cobb, Vivian Hui, Daisy Palompon, Reema Safadi, Mayada Daibes, Elizabeth Schlenk Jun 2019

Is Intimate Partner Violence A Risk Factor For Cardiovascular Disease In Women? A Review Of The Preponderance Of The Evidence, Rose Eva Constantino, Alona D. Angosta, Andrew Thomas Reyes, Brayden Kameg, Linden Wu, Jordan Cobb, Vivian Hui, Daisy Palompon, Reema Safadi, Mayada Daibes, Elizabeth Schlenk

Nursing Faculty Research

This paper examines the relationship between intimate partner violence (IPV) experience in women and cardiovascular disease (CVD), and determines if there is a preponderance of literature evidence. Research is reviewed dealing with the different biopsychosocial factors affecting the relationship between IPV and CVD. As a result of our review, we propose a framework on the biopsychosocial pathway of IPV as a risk factor of CVD of women. Our proposed framework portrays how IPV experiences contribute to long-term biopsychosocial changes that increase the risk of CVD among female victims of IPV. These biopsychosocial changes include chronic inflammation and hypothalamus-pituitary-adrenal axis dysfunction, …


"I Used To Be Fat": A Qualitative Analysis Of Bariatric Surgery Patients, Steven W. Fife Jun 2019

"I Used To Be Fat": A Qualitative Analysis Of Bariatric Surgery Patients, Steven W. Fife

Morehead State Theses and Dissertations

A thesis presented to the faculty of the Caudill College of Arts, Humanities, and Social Sciences at Morehead State University in Partial fulfillment of the requirements for the Degree of Master of Arts by Steven W. Fife on June 22, 2019.


Neverland: A Critical Autoethnography Of Aging With Cystic Fibrosis, Alexandra Ch Nowakowski Jun 2019

Neverland: A Critical Autoethnography Of Aging With Cystic Fibrosis, Alexandra Ch Nowakowski

The Qualitative Report

In this autoethnography, I analyze stereotypes and misconceptions about people with cystic fibrosis (CF). I examine these illness representations and their social underpinnings through critical analysis of my journey to conclusive diagnosis with CF after first being tested for the disease in early life, and the events that have followed from that turning point. Using experiential data and prior research, I explore and refute harmful misconceptions about life with CF. I challenge the notion that people with CF never grow old. I also contest the idea that people who receive conclusive diagnoses during adulthood only then transition into patient identities. …


Food Assistance May Help Families Prevent Emergency Department Visits For Child Asthma, Colleen Heflin Jun 2019

Food Assistance May Help Families Prevent Emergency Department Visits For Child Asthma, Colleen Heflin

Population Health Research Brief Series

Childhood asthma is the leading cause of emergency department visits for children under the age of 15 in the U.S. Food insecurity may increase a child’s risk for developing asthma. This research brief shows that higher SNAP benefits are associated with fewer asthma –related emergency department visits.


Amputee Perspectives Of Virtual Patient Education, Sandra L. Winkler, Michelle Schlesinger, Krueger Alice, Ann Ludwig Jun 2019

Amputee Perspectives Of Virtual Patient Education, Sandra L. Winkler, Michelle Schlesinger, Krueger Alice, Ann Ludwig

The Qualitative Report

Amputees have expressed the need for more information on the recovery path that follows amputation. Inclusion of education in the amputation rehabilitation process empowers amputees to make decisions about their options and form realistic expectations. Virtual worlds are effective as healthcare support communities because they provide both synchronous and asynchrous communication, voice enabled technology, file sharing and more, enhanced by immersion in a visually stimulating and interactive 3-D environment. The objective of this research was to discover how a virtual world could be used to address amputees’ educational needs. A focus group of three lower limb amputees ages ranging from …


Status Of Children In Care Homes In Odisha A Socio-Legal Analysis, Annapurna Pattnaik, Navaneeta Rath Dr Jun 2019

Status Of Children In Care Homes In Odisha A Socio-Legal Analysis, Annapurna Pattnaik, Navaneeta Rath Dr

Library Philosophy and Practice (e-journal)

Children are the future of every country. They are presumed to be the backbone of every country. They have to enjoy their rights and should not be neglected and should not be suffered from the cruel and heartless society. Children happen to be the potential human resource of a country.so, providing an enabling environment to the children is the priority area in all national agenda. Children constitute the supreme assets of all the countries. The main motto of the country is to develop the national human resources. The population of children in India are more in number than the world. …


Engaged Communication Scholarship For Environmental Justice: A Research Agenda, Chad Raphael Jun 2019

Engaged Communication Scholarship For Environmental Justice: A Research Agenda, Chad Raphael

Communication

As a discipline of crisis and care, environmental communication needs to address questions of environmental justice. This article argues that the most appropriate approach to studying environmental justice communication is engaged scholarship, in which academics collaborate with community partners, advocates, and others to conduct research. The article reviews prior engaged communication scholarship on environmental justice, and proposes four streams of future research, focused on news and information, deliberation and participation, campaigns and movements, and education and literacy.


Reexamining The Impact Of Medicaid Expansion In A Post-Affordable Care Act Environment From A Critical Race Perspective, Ty Price Dooley Jun 2019

Reexamining The Impact Of Medicaid Expansion In A Post-Affordable Care Act Environment From A Critical Race Perspective, Ty Price Dooley

Journal of Public Management & Social Policy

The passage of the Patient Protection and Affordable Care Act (ACA) in 2010 drastically transformed the health care system in the United States. This paper examines the factors influencing state decisions relative to Medicaid expansion in a post-ACA environment through the lens of Critical Race Theory. This study incorporates economic, geographic and health variables into a model of post-ACA-Medicaid decision-making by using logistic regression to examine State Medicaid expansion from 2010 to 2014. The size of the minority population in state, tobacco use and southern distinctiveness are significant predictors of decision making relative to Medicaid expansion. Findings support that racialized …


The Roles Of Parents In Shaping Fathering Across Generations In Cebu, Philippines, Lee T. Gettler, Patty X. Kuo, Abet Bas, Judith B. Borja Jun 2019

The Roles Of Parents In Shaping Fathering Across Generations In Cebu, Philippines, Lee T. Gettler, Patty X. Kuo, Abet Bas, Judith B. Borja

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

Objective: This study examined how parental caregiving and parent–child closeness are associated with future fathering among 335 Filipino men who are participants in a long-running birth cohort study.

Background Few studies have multidecade longitudinal data to test the pathways through which parenting is transmitted across generations, with most relevant research conducted in the United States, Europe, and other similar settings. The roles of mothers and fathers in shaping their sons’ future parenting is particularly understudied despite fathers having the potential to positively influence child health and development.

Method: Participants’ mothers (Generation 1 [G1]) reported on caregiving during Generation 2 (G2) …


Food Insecurity Among South Asian Immigrant Communities In The Inland Empire Of Southern California, Farhan Danish Jun 2019

Food Insecurity Among South Asian Immigrant Communities In The Inland Empire Of Southern California, Farhan Danish

Electronic Theses, Projects, and Dissertations

Background: Food insecurity amongst South Asian Americans is a major public health issue. The South Asian American (SAA) community is the third largest Asian community in the United States. Despite this fact, very few specific studies have been conducted to investigate the food needs and barriers that exist within the SAA community so as to successfully help them improve dietary habits.

Methods: This study utilized a mixed methods convergent parallel design, where both qualitative and quantitative methods were conducted and analyzed separately and compared and contrasted at the end.

Results: The results of this study demonstrate that ethnic grocery stores …


What Advantage Does Difference Make? Leveling The Imperial Playing Field, Daniel Heinz May 2019

What Advantage Does Difference Make? Leveling The Imperial Playing Field, Daniel Heinz

sprinkle: an undergraduate journal of feminist and queer studies

In this article, I revisit the last ten years of international sport policies on gender testing in order to revise normative constructions of the athletes’ bodies. Specifically, I focus on the International Association of Athletics Federation’s (IAAF) new regulation from 2018 governing the eligibility of certain female athletes with differences of sexual development accompanied by elevated levels of natural testosterone. I argue that the IAAF testosterone regulation is based on a colonial continuity of upholding gender norms and racial hierarchies.


Implementing Behavior Analysis And Intervention For Individuals With Cognitive Impairments In Skilled Nursing Facilities: Summary Of Results, Janet S. Hahn, Jonathan C. Baker, Sandra Wagner, Andrea Perez, Minyoung Kim, Sydney Bulock May 2019

Implementing Behavior Analysis And Intervention For Individuals With Cognitive Impairments In Skilled Nursing Facilities: Summary Of Results, Janet S. Hahn, Jonathan C. Baker, Sandra Wagner, Andrea Perez, Minyoung Kim, Sydney Bulock

Center for Gerontology Reports and Publications

Summary of Purpose

The purpose of the project was to provide behavioral consultation and services to aging persons with cognitive impairment at skilled nursing facilities in Michigan. The goal was to use empirically supported non-pharmacological approaches to reduce behavioral and psychological symptoms of dementia (BPSD; wandering, agitation, disruptive vocalizations, etc.) and help slow down or remediate lost skills, reduce the use of medication to manage BPSD, to improve staff knowledge and abilities, and to develop modules that can be adopted and used by other skilled nursing facilities.The project was led by Dr. Janet Hahn, a social gerontologist with extensive experience …


“Do I Need Exercise?” A Qualitative Study On Factors Affecting Leisure-Time Physical Activity In India, Shalini Garg, V Raman Kutty May 2019

“Do I Need Exercise?” A Qualitative Study On Factors Affecting Leisure-Time Physical Activity In India, Shalini Garg, V Raman Kutty

The Qualitative Report

Physical activity can reduce the risk of premature mortality from various chronic diseases. Previous research in Kerala, India indicates several barriers which can impact physical activity levels. Perceptions about the importance of health-promoting physical activity were examined among adults in Kerala and various facilitators, motivators and barriers to physical activity were identified using focus group discussions and interviews with key informants. At present, the attitude of people and health professionals is that physical activity has to be taken up when diagnosed with a disease (obesity, diabetes) and advised by a health professional. Men were more likely to start exercising after …


Multilevel Analysis Of Socio-Demographic Disparities In Adulthood Obesity Across The United States Geographic Regions, Baksun Sung, Amin Etemadifar May 2019

Multilevel Analysis Of Socio-Demographic Disparities In Adulthood Obesity Across The United States Geographic Regions, Baksun Sung, Amin Etemadifar

Sociology, Social Work and Anthropology Student Research

Objectives

The objective of this study was to examine the socio-demographic disparities in obesity among US adults across 130 metropolitan and micropolitan statistical areas.

Methods

This study used data from the 2015 Behavioral Risk Factor Surveillance System and Selected Metropolitan/Micropolitan Area Risk Trend of 159,827 US adults aged 18 years and older. Data were analyzed using the multilevel linear regression models.

Results

According to individual level analyses, socio-demographic disparities in obesity exist in the United States. Individuals with low socioeconomic status were associated with a higher body mass index. The participants from the Midwest United States tend to have higher …


2020 Census Trusted Messengers: Community Based Organizations Challenged To Make The Marginalized Matter, Stephanie Mcnally May 2019

2020 Census Trusted Messengers: Community Based Organizations Challenged To Make The Marginalized Matter, Stephanie Mcnally

Master's Projects and Capstones

The decennial census is the cornerstone of the United States democracy. Its purpose is to determine representation in Congress and the Electoral College as well as provide the basis for drawing districts for federal, state, and local offices. California’s voice in public policy decision-making would diminish if votes were lost in a census undercount. Additionally, federal funding is allocated based on each state’s population as determined by the census. If California’s residents are not accurately counted, the state stands to lose almost $2,000 per person per year for the next 10 years. Currently, trust in the federal government is low …


The Pursuit Of Salvation, Krystal Joy Ragasa May 2019

The Pursuit Of Salvation, Krystal Joy Ragasa

Service-Learning | Student Scholarship

“Never waste your food,” my parents recited again at the dinner table. They continued, “If we had this much food growing up in the Philippines, we’d be so blessed. Please don’t take it for granted.” Throughout my childhood, nearly every family meal consisted of this conversation. My parents seized every opportunity to remind me of their early impoverished life in the Philippines. Their stories increasingly strengthened my gratitude for the life my brother and I were born into. Having back aches from stiff bamboo beds, depending on conveniently-priced junk food as nutrition, and rationing small portions among large families—these circumstances …


Implementation Of An Advance Care Planning Protocol To Increase Advance Directive Completion Rates, Christine Engle May 2019

Implementation Of An Advance Care Planning Protocol To Increase Advance Directive Completion Rates, Christine Engle

Evidence-Based Practice Project Reports

Advanced directives (AD) allow an individual to retain autonomy in end-of-life decisions and can prevent unnecessary costs and treatments associated with aggressive life-prolonging measures. As of 2017, only an estimated 36.7% of the United States adult population had a form of advance directive documented (Yadav et al., 2017). The purpose of this evidence-based project was to determine if implementation of an advanced care planning (ACP) protocol would increase ACP discussions, AD completion, and result in a modification in stage of change or behavior. The Transtheoretical Model (TTM) and Stetler Model of evidence-based practice were used as the framework to guide …


Precision Medicine And It's Ethical And Social Implications: Public Health And Gobal Persepctives, Evangel Sarwar May 2019

Precision Medicine And It's Ethical And Social Implications: Public Health And Gobal Persepctives, Evangel Sarwar

Electronic Theses and Dissertations

Ever since President Obama's launch of the Precision Medicine Initiative (PMI) in 2015, precision medicine (PM) has been anticipated as the new paradigm for healthcare with the capacity to “empower patients, researchers, and providers to work together toward the development of individualized care,” through research, technologies, and policies (President Obama, 2015). Precision Medicine (PM), in the form of genomics, offers unprecedented promise of providing new tools for improving health and reducing the burden of diseases, not just for the U.S. - but also globally. According to World Health Organization, genomics research and precision medicine will play a major part in …


The Unrecognized Role Of Parental Incarceration On In-School Suspension Rates, Meg Hinson May 2019

The Unrecognized Role Of Parental Incarceration On In-School Suspension Rates, Meg Hinson

Sociology Honors Projects

Due to the rise of mass incarceration in the United States, a large number of children now have incarcerated parents. While research shows an array of compounding disadvantages of parental incarceration that reverberate through children’s lives, little discussion has gone into how the incarceration of a parent might feedback to how students experience school discipline. My research addresses this gap by analyzing a statewide Minnesota student survey to examine possible explanations for why students who experience parental incarceration also experience higher rates of in-school suspension. High in-school suspension rates persist through expected controls and intervention techniques, showing a unique effect …


A Study On The Reflections Of Women And Men On A Women’S Empowerment Project: A Case Study Of Sindhuli, Nepal, Shreyasha Khadka May 2019

A Study On The Reflections Of Women And Men On A Women’S Empowerment Project: A Case Study Of Sindhuli, Nepal, Shreyasha Khadka

Sustainability and Social Justice

Women empowerment and gender equality are considered key aspects of achieving sustainable development goals. At the same time, the empowerment of women is also a process of change that enables women to build capacity in order to make life choices and act on them. Central to women empowerment is incorporating men into the process. Men should be included to deliver effective empowerment through collaboration and interdependence and to understand how women empowerment works in a patriarchal setting. Women’s economic empowerment such as Rural Economic Empowerment Project (RWEE) strives to empower and improve the status of rural women in Nepal. This …


The Effect Of Foreign Direct Investment On Food Security: A Case Study From Rural Mozambique, Kali Fleming May 2019

The Effect Of Foreign Direct Investment On Food Security: A Case Study From Rural Mozambique, Kali Fleming

Agricultural Economics and Agribusiness Undergraduate Honors Theses

Poverty and food insecurity in the sub-Saharan African region have been exacerbated by the worst drought in 23 years, which impacted 25 countries in Southern and Eastern Africa from 2015-2016. In Mozambique alone it was estimated that the 2015-2016 drought resulted in over 1.5 million people becoming food insecure (FAO, 2016). To mitigate the increasing problem of household food insecurity in sub-Saharan Africa, the World Food Program recommends job creation to target the most vulnerable populations. Job creation is often the result of Foreign Direct Investment (FDI). However, critics of FDI often cite concerns of human rights abuses, inadequate working …