Digital Commons Network^™

Obesity Severity And Cancer Screening In Us Adults, Florina Corpodean, Michael Kachmar, Shengping Yang, Michael W. Cook, Philip R. Schauer, Vance L. Albaugh

School of Medicine Faculty Publications

No abstract provided.

No. 45: Internal Migration, Climate Adaptation, And Food System Resilience In Namibia, Lawrence N. Kazembe, Ndeyapo Nickanor

Migration and Food Security (MiFOOD) Network

As one of sub-Saharan Africa’s most arid countries, Namibia serves as a crucial example for studying the interactions between climate vulnerability, migration, and food systems. This study investigates how internal migration flows to Windhoek and northern towns (Oshakati, Ongwediva, Ondangwa) transform urban food networks while creating new patterns of risk and adaptation. Through household surveys, policy analysis, and stakeholder interviews, we uncover a paradox: despite escaping rural climate stressors, migrants often encounter new vulnerabilities such as precarious employment, inadequate housing, and unstable food access. However, they develop sophisticated adaptive strategies that span urban-rural divides: maintaining rural agricultural production through family …

Budget Tradeoffs Shape Food Insecurity Among U.S. Older Adults, Madonna Harrington Meyer, Colleen M. Heflin

Population Health Research Brief Series

For low-income older adults, it may be difficult to meet basic needs on a fixed monthly income. Stretching resources can be difficult, especially if unexpected expenses arise, leading many older adults to face difficult budget tradeoffs. Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief summarizes how budget tradeoffs between food and other essential expenses—housing, utilities, medical care, transportation, and personal and cleaning supplies—shape food insecurity among older adults.

Policy Recommendations To Reduce Old Age Food Insecurity In The United States, Colleen M. Heflin, Madonna Harrington Meyer

Center for Policy Research

In 2023, 7.4 million adults ages 60 and over in the United States were food insecure. As the number of older people at risk of food insecurity in the U.S. continues to rise, effective policy responses are critical. The current policy responses to old age food insecurity are complex, costly, and not nearly effective enough.

Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief summarizes five policy recommendations to improve food insecurity among U.S. older adults. The authors recommend measuring food security in multidimensional ways, treating food insecurity as a health issue, adopting SNAP …

How Is Food Insecurity Measured In The United States And What Share Of Older Adults Are Food Insecure?, Colleen M. Heflin, Madonna Harrington Meyer

Population Health Research Brief Series

The U.S. Department of Agriculture measures food insecurity based on whether households had problems affording food during the last twelve months. Based on the current definition, in 2023 9.2% of households with adults ages 60 and older were food insecure. But there are many problems with the existing definition for accurately capturing food insecurity among older adults.

Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief summarizes those limitations, noting that existing measures do not account for barriers that are common among older adults, such as mobility, physical distance, and transportation barriers.

Radon Environmental Health Literacy Among Health Council Participants In Northeast Tennessee, Kawther Al Ksir, Stacy Stanifer, Hadii M. Mamudu, Megan Quinn, Deborah L. Slawson

Journal of Appalachian Health

Introduction: Radon, a radioactive gas, poses significant health risks, including lung cancer, and is prevalent in indoor environments. Understanding radon testing behavior and Environmental Health Literacy (EHL) is crucial for individuals to take appropriate preventive measures.

Purpose: This study assessed radon-related EHL among Health Council participants in seven Northeast Tennessee (NETN) counties and examined associations between sociodemographic factors and EHL levels. Understanding radon knowledge and behaviors within this influential group is critical, as they often serve as trusted public health advocates.

Methods: A cross-sectional survey was conducted from September – November 2023 among Health Council participants across seven counties in …

Prevalence Of Screening Patients For Alcohol Use In West Virginia: A Cross-Sectional Observational Study, Bayan Abuhalimeh, Christopher Waters, R. Constance Wiener

Journal of Appalachian Health

Introduction: Consequences of alcohol consumption are well-established and compounded by physiological changes of aging (increased sensitivity; medication interactions; etc.). Alcohol screening for all ages is recommended, especially as most Americans believe moderate drinking is acceptable. Screening is important in high alcohol use regions, such as rural areas where isolation is more likely, especially for older adults. The Appalachian Region has a significant rural population of older adults. West Virginia (WV) is representative of Appalachia. It is a rural state, has many older adults, and all counties are Appalachian.

Purpose: The purpose of this cross-sectional study is to determine the likelihood …

Addressing The Root Causes Of Population Health In Central Appalachian Virginia, David L. Driscoll, Kol Gold

Journal of Appalachian Health

Introduction: The Southwest Virginia Health Authority (SWVHA) recently commissioned a community health needs assessment (CHNA) to reduce the high rate of preventable health problems in Virginia’s (VA) Appalachian Region. The CHNA took place over a two-year period from 2023 – 2025.

Purpose: This iterative, mixed-method CHNA informed the development of a new iteration of the regional Blueprint for Health Improvement and Health-Enabled Prosperity identifying and prioritizing health issues and develop strategic planning to address them in VA’s three westernmost regional health districts.

Methods: The CHNA followed a sequential mixed methods design to assess the regional health status, the contextual factors …

Early Adult Outcomes Of 4-H Program Alumni: A Propensity-Matched Comparative Study, Steven M. Worker, Roshan K. Nayak, Anne Marie Iaccopucci, Nicole Marshall-Wheeler

Journal of Youth Development

A young person’s engagement in high-quality youth development programs should lead to stronger positive outcomes as a young adult. Theoretical literature advances broad indicators that mark success in young adulthood; however, there is a dearth of empirical publications reporting long-term outcomes to support this assumption. We conducted a cross-sectional survey study to report on three long-term outcomes (economic stability, health and well-being, and community involvement) of young adult (aged 19 to 34) alumni of the University of California 4-H Youth Development Program. We compared 4-H alumni outcomes to matched peers using secondary data sources. The 4-H alumni sample demonstrated more …

Ageism In Employment, Aaron Li, Natalie Galucia, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

The World Health Organization defines ageism as stereotypes, prejudice, and discrimination directed at individuals based on their age. As people remain in the labor force longer, they are increasingly exposed to ageist attitudes and discrimination. Ageism often manifests through negative assumptions about older workers’ abilities, adaptability, and value in the workplace. Older workers are frequently perceived as less competent, resistant to new technology, inflexible, or physically and mentally less capable.

Closing The Youth Activity Gap Through School District–Community Partnerships, Joseph Anthes

Journal of Youth Development

A growing divide in physical activity amongst youth, fueled by the privatization of youth athletic programs, most negatively impacts underrepresented students. Intramural-sports programs hold the potential to engage more of our youth in physical activity, including those from marginalized populations. Utilizing a collective impact approach, school-community partnerships can create opportunities for access and strive toward equity in youth health. This study evaluates a partnership between a school district and a regional health care provider that resulted in the creation of a youth intramural-sports program by describing the partnership’s implementation strategies and by comparing first year enrollment data. Implementation strategies include: …

Best Practices For Hybrid Positive Youth Development Programming, William Wilton, Claudia Mincemoyer, Jill Lingard, Maria Walker

Journal of Youth Development

CLOVER by 4-H is an online learning platform that creates a space for youth to explore interactive learning experiences across a range of 4-H program areas. This article provides an overview of a pilot conducted around the implementation of CLOVER by 4-H to provide positive youth-development experiences in 4-H programming. As a result of the pilot, three distinct models for hybrid program delivery and a set of seven best practices for hybrid positive youth development have been identified. This article outlines the hybrid models that were examined and discusses the best practices for hybrid PYD with examples from the pilot …

Students' Purchase Intention Of Street Food In Front Of De La Salle University - Dasmariñas Cavite, Patricia Jana J. Abeabe, Shanin S. Albios, Brent Louis C. Aure, Jimford U. Tabuyo

ICHRIE Research Reports

This study examined the factors that influence students' buying intentions for street food. A quantitative descriptive research design was employed to assess students' purchasing intentions toward street food in front of De La Salle University - Dasmariñas Gate 1. The study utilized convenience sampling, with 371 respondents consisting of undergraduate, masters, and doctoral students. Data were collected through an online survey using a Four-Point Likert Scale questionnaire. Statistical tools are weighted mean and Analysis of Variance (ANOVA) T-test. The findings revealed that perceived food quality and convenience significantly influenced students' buying intentions, while perceived food value also played a crucial …

Learning How To Interview For Qualitative Research, Kathryn Roulston, Brigette A. Herron, Caprial Farrington

The Qualitative Report

A key component of qualitative methods coursework has been the interview assignment, which typically prepares scholars to conduct in-person, individual, and open-ended interviews. This study examined what novice researchers did and learned during an interview assignment in an introductory qualitative methods course. Interview transcripts and reflections from 12 graduate students who enrolled in an online or face-to-face section of the course were analyzed. Findings review students’ reflections on the process of conducting the interview project, beginning with the preparation phase, what they discussed concerning how the interviews transpired and their experiences of the transcription process. The article reports on how …

Mapping Food Justice: Urban Farms And The Examination Of Equitable Food Access, Aaron Avila, Mark Ayiah, Jake Stavely, Marc T. Sager, Maximilian K. Sherard, Anthony J. Petrosino

SMU Journal of Undergraduate Research

In this project, we worked alongside members from an urban farm in South Dallas to learn about issues related to food justice, urban farming, and food deserts. Using participatory design research methods, we created data visualizations showing how society can reduce inequities relating to food access produced in historically underserved neighborhoods. The research goals guiding this study are: a) to identify food deserts and urban farms in the Dallas-Fort Worth metropolitan region (DFW) and b) to determine which urban farms service the needs of these food deserts. To identify food deserts, we took two steps: First, we used open-access data …

The Impacts Of Urban And Rural Education Inequality On Individual Career Development : The Case Of Guangdong Province, Shuang Chen

Lingnan Theses (Doctoral degree)

The study focused on the disparity in educational opportunities between urban and rural areas. This has been one of the most debated topics in China, especially when related to Guangdong Province. This dissertation explored how disparities in urban-rural educational outcomes influence individual career attainment and income levels and discusses the broader socio-economic implications of such disparities. This study positioned its analysis within the structural-functionalist framework and underlined how inequities in educational resources affect career outcomes. This focuses on a household registration policy called the hukou system, which has played a crucial role in determining education's access to resources and career …

Formulation And Impact Of Wellness Tourism Policy On Household Income In Rural China, Zhuoer Zhong

Lingnan Theses (Doctoral degree)

Following the policy "Health China 2030" issued by the Chinese central government in 2016, wellness tourism has become one of the key strategic industries in China. Presently, research on wellness tourism policy in China generally focuses on market development. At the same time, there is a lack of relevant research on the extent to which policies on wellness tourism pay attention to rural revitalization and its effect on rural households. This study mainly aims to explore the Chinese government's attention to wellness tourism policy and the influence of wellness tourism policies on rural residents' income.

By using quantitative research methods, …

Authenticity And Sustainability Of Malay Heritage Food In Kuala Lumpur, Nurzawani Shahrin

Student Works (2020-2029)

Studies on heritage food have gained widespread attention, driven by concerns about its sustainability within the community and its viability as a commodity for economic development. While often associated with tourism, heritage food is fundamentally rooted in local nutritional culture, reflecting the uniqueness of tradition amidst global food variations, particularly in urban settings. This study examines the development, commodification, and consumption of Malay heritage food in Kuala Lumpur using a mixed-methods approach that integrates systematic literature research, observation, interviews, and surveys with key stakeholders, including business actors, experts, practitioners, and consumers. Findings reveal that the development of Malay heritage food …

No. 44: Tracking Translocality: Food Remittance Narratives In The Africa-Gulf Migration Corridor, Bernard Owusu, Jonathan Crush

Migration and Food Security (MiFOOD) Network

This paper explores the overlooked practice of food-related remittances in the Ghana-Qatar migration corridor, emphasizing their social, emotional, and cultural significance within translocal households. While cash remittances are widely studied, food remitting remains under-researched despite its critical role in sustaining family ties and addressing food insecurity. Drawing on a mixed-methods study involving household surveys in Ghana and interviews with migrants in Qatar, the paper employs a tripartite conceptual framework incorporating gifting, caregiving, and moral economy to analyze migrant remittance narratives. The paper shows that remitting practices are shaped by cultural norms, kinship obligations, and emotional care, often at significant personal …

Addressing Psychosocial Barriers To Participation In People Experiencing Homelessness: An Occupational Therapy Workshop, Preston E. Bender

Student Capstone Papers

This capstone project addressed the critical gap in occupational therapy education and practice regarding the psychosocial needs of people experiencing homelessness. Despite the occupational therapy profession’s emphasis on holistic, person-centered care, many occupational therapy practitioners and occupational therapy students report feeling a lack of self-efficacy and preparedness to navigate the complex psychological, social, and systemic barriers that hinder occupational participation among this population. This capstone project aimed to address the perceived unpreparedness among clinicians through the creation of an 8-hour interactive educational workshop. The workshop is grounded in the Model of Human Occupation and informed by the Bridging the Transition …

Content Analysis Of Farm Population Mental Health Online Information Resources In The Ces Southern Region, Juliene Porciuncula, Michael Schulman, Andrew R. Smolski

Journal of Extension

Contemporary institutional emphasis on farm stress has led the Extension System to develop a variety of online information resources directed at the mental health of farm populations. We conducted a web-based search and content analysis of online materials on mental health and farm stress from Extension websites from thirteen Southern states and two territories. The content analysis showed that most online farm stress Extension resources emphasized self-help strategies and were directed at the general farming population. In conclusion, we provide recommendations for the development of online farm stress and mental health information resources.

Stress Management Is ‘In The Cards’ For Farmers And Ranchers: The Mental Wellness Conversation Curriculum, Alison L. Brennan, Katharine Sutphen, Parker T. Webb, Michelle U. Grocke-Dewey

Journal of Extension

Farmers, ranchers, and other agricultural workers need practical, culturally appropriate stress management resources. The Mental Wellness Conversation Curriculum (MWCC) is a novel approach to health promotion that relies on community facilitators to share stress management information using a customized deck of playing cards organized around specific wellness themes. We implemented and evaluated two facilitator trainings in 2023. Training participants reported increases in relevant knowledge, as well as improved confidence about leading mental wellness events. The MWCC is currently being adapted for use with additional, diverse audiences. Future research should explore the implementation and impact of this innovative health promotion modality.

Teaching Inside: Pedagogical Strategies And Innovations Within Carceral Settings, Tennille Nicole Allen, Michelle Clifton, Scott Moore, Alex Negrón, Michael Simmons, Devon Terrell

Sociology Department Faculty Conferences

Under the recently expanded Second Chance Pell Initiative, an increasing number of individuals under carceral control in the United States can enroll in higher education programs with Pell grant funding. In 2022, Lewis University, a mid-sized teaching institution in suburban Chicago, became the second ‘Second Chance Pell Experimental Site' in Illinois and began offering undergraduate degrees to people incarcerated in the Illinois Department of Corrections system. Lewis’ program is especially innovative in that faculty members partner with incarcerated teaching fellows, all of whom earned Master of Arts degrees while incarcerated. This partnership entails deeply intentionally and fully collaborative course development …

Gender Role Conflict In Women, Candyletta Lewis

All-Inclusive List of Electronic Theses and Dissertations

This study examines gender role conflict (GRC) in women within the context of feminine norms, with a focus on developing a scale designed to measure GRC derived from feminine ideology that may contribute to gender related stress. The primary research questions address the factor structure, reliability, and validity of the Gender Role Conflict Scale for Women (GRCS-W). Additional research questions examine the relationship between feminine gender role conflict and psychological well-being, and whether any racial differences exist in self-reported GRC. Participants include 132 women aged 18–70 from diverse educational backgrounds. Findings revealed a three-component solution for the GRCS-W. The internal …

The Effects Of Hunger, Starvation, And Famine On Certain Eating Habits: A Cross-Cultural Study, Robert Dirks

Faculty Publications – Sociology and Anthropology

This paper examines the impact of starvation and famine on certain eating habits. These include commensal relations within households, dispositions towards eating with strangers and modes of appetite expression. It tests the proposition that much of the variation seen in these aspects of eating behavior worldwide can be explained by societal experiences with hunger. The study analyzes data from 124 societies and finds significant associations between episodes of food insufficiency and non-inclusive, uncongenial eating practices. This research contributes to the understanding of how food supply and nutritional circumstances shape cultural arrangements and offers insights into the broader implications of food …

An Examination Of The Lived Experiences Of Community College Students Of Color Who Utilize On-Campus Food Pantries, Maria Luisa Marte

Theses, Dissertations and Culminating Projects

In this dissertation, I present the findings of a descriptive phenomenological study I conducted focused on examining the experiences of community college students of color who utilize on-campus food pantries, aiming to understand how these resources impact their well-being. Through in-depth interviews, two central themes emerged. The first theme, Introduction to the On-Campus Food Pantry, highlights the accessibility of the service, with participants emphasizing the simplicity and efficiency of the registration process as a key factor in their initial engagement. The second theme, Experiences Using the Pantry, reveals that students found the pantry environment to be welcoming and non-stigmatizing, fostering …

The Connection Between Workplace Wellness Activities And Job Satisfaction In Manufacturing, Lori Scott Dreiling

Graduate Theses and Dissertations

Employers in all industries are concerned with creating and maintaining a workplace where their employees are engaged in their work. Job dissatisfaction is shown to lead to higher levels of turnover, absenteeism, and presenteeism. The purpose of this quantitative study will be to examine the connection between workplace wellness activity participation and job satisfaction, specifically for manufacturers in Southwest Missouri, Southeast Kansas, and Northeast Oklahoma. Manufacturers have experienced increased global competition in the last three decades, not just for their products or services but for quality talent. The value of this study is to show manufacturing employers that by providing …

A Cultural Mapping Of Local Knowledge For Flood And Landslide Mitigation In The Sendi Community, Mojokerto, East Java, Ahmad Mujahid Arrozy Arz, Abyoso Romadhoni Wicaksono Arw, Kusuma Sabrina Wardhani Skw, Lora Septrianda Putri

Masyarakat: Jurnal Sosiologi

This article investigated the irrigation sustainability and landslide prevention in the Sendi community, Mojokerto, East Java, by applying a cultural mapping approach to examine everyday practices through which local knowledge was enacted and produced, while linking the analysis to broader structural formations. The approach informed a participatory data collection process, that is also designed to protect the intangible cultural heritage of the community. The findings demonstrated how everyday practices function as an integral component of flood and landslide mitigation. This knowledge has been passed down through community archives since 1915 and included practices, such as planting local crops (bamboos and …

Women’S Empowerment And Household Decision-Making: The Role Of Socioeconomic Status In Indonesia, Irvel Christa Fabian, Rafa Fayza Afrizal

Jurnal Ekonomi Kependudukan dan Keluarga

Understanding how women's economic, educational, and social positions influence their roles and choices within households is crucial for promoting gender equality and sustainable development. Despite significant advancements in women's rights and gender equality globally, women in Indonesia continue to face substantial barriers in achieving true empowerment. These barriers are particularly evident in domestic settings, where traditional gender roles often persist, limiting women's influence in household decisions. This research aims to investigate the relationship between women's socioeconomic status and their empowerment in domestic decision-making, examining how various factors such as income, education, and employment status contribute to or hinder their ability …

Determinan Kesejahteraan Anak Usia Dini Dalam Keluarga Dengan Kepala Rumah Tangga Perempuan Di Indonesia, Axellina M. Setyanti, Wildan Syafitri

Jurnal Ekonomi Kependudukan dan Keluarga

This study analyzes the determinants of early childhood well-being in female-headed households in Indonesia using data from the 2022 National Socioeconomic Survey (SUSENAS), covering 85,074 households with children aged 0–5 years. Using binary logistic regression, the analysis focuses on four key indicators: complete immunization, food adequacy, access to improved sanitation, and access to safe drinking water. The results show that children in female-headed households are significantly less likely to receive adequate and diverse food as well as complete immunization, compared to those in male-headed households. However, these households are more likely to provide access to improved sanitation and safe drinking …