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Afterschool Program Attendance And Academic Outcomesin A Vermont District, Hans W. Cabra Hernandez Jun 2026

Afterschool Program Attendance And Academic Outcomesin A Vermont District, Hans W. Cabra Hernandez

Journal of Youth Development

Afterschool programs can bridge opportunity gaps by providing children with venues for learning and cultivating socioemotional skills. This paper examines the relationship between attendance in afterschool programs in a Vermont school district and two academic outcomes (the Scholastic Reading Inventory/SRI and the EasyCMB math test) using cross-sectional data from Spring 2018. Using multivariate regression analysis, this study found a positive association between afterschool program attendance and academic achievement on these tests. Moreover, the findings indicate the persistence of socioeconomic academic disparities. While the study’s design does not permit causal claims, the results suggest that afterschool programs are a valuable resource …


Fostering Developmentally Nurturant Relationships To Promote Character And Thriving: Perspectives Of Program Practitioners In Rural South Africa, Jonathan M. Tirrell, Alexa Hasse, Margaret Mackin, Elizabeth Dowling, Kirsten Olander, Roya Abbasi-Asl, Katherine Mcconnel, Thobeka Kwela, Raah Msimango, Justine Mccarthy-Martin, Tyler Howard, Angela Larkan, Richard Lerner Jun 2026

Fostering Developmentally Nurturant Relationships To Promote Character And Thriving: Perspectives Of Program Practitioners In Rural South Africa, Jonathan M. Tirrell, Alexa Hasse, Margaret Mackin, Elizabeth Dowling, Kirsten Olander, Roya Abbasi-Asl, Katherine Mcconnel, Thobeka Kwela, Raah Msimango, Justine Mccarthy-Martin, Tyler Howard, Angela Larkan, Richard Lerner

Journal of Youth Development

Developmentally nurturant relationships are fundamental to enabling children to thrive across contexts, including homes, schools, and communities. Such relationships are also a central feature of effective positive youth development (PYD) programming. As strengths-based PYD programs are increasingly being adopted in majority-world countries, a better understanding of how to foster and promote developmentally nurturant relationships is needed. As part of the Thanda Study of Character and Health, we interviewed 15 program practitioners about their understandings of and approaches to fostering developmentally nurturant relationships with children enrolled in Thanda programs in rural KwaZulu-Natal, South Africa. Phenomenological analysis indicated that practitioners’ understanding of …


Public Acceptance Of Meat-Reduction Policies Across Cultures: Comparing Singapore And Switzerland, Bianca Wassmann, Shu Tian Ng, Mark Chong, Angela K. Y. Leung, Michael Siegrist Jun 2026

Public Acceptance Of Meat-Reduction Policies Across Cultures: Comparing Singapore And Switzerland, Bianca Wassmann, Shu Tian Ng, Mark Chong, Angela K. Y. Leung, Michael Siegrist

Research Collection Lee Kong Chian School Of Business

Purpose – As meat-reduction policies are discussed across the globe, many are met with public resistance. Cultural values may help explain this pushback, yet their role in shaping support for food policy remains poorly understood. This study is the first to apply cultural cognition theory to food policy by examining how cultural worldviews shape the acceptance of meat-reduction interventions in Singapore and Switzerland—two economically developed countries with contrasting cultural profiles. Design/methodology/approach – In an online survey, participants (Singapore: n = 357; Switzerland: n = 495) rated their acceptance of 11 meat-reduction interventions (e.g. taxes, subsidies, labelling). We then analysed to …


Empowering Lifelong Choice: Supporting Older Individuals With Idd To Thrive At Work, Transition To Retirement With Dignity, And Maintain Community Connections, Leslie Quarles May 2026

Empowering Lifelong Choice: Supporting Older Individuals With Idd To Thrive At Work, Transition To Retirement With Dignity, And Maintain Community Connections, Leslie Quarles

Critical and Creative Thinking Capstones Collection

This synthesis addresses the need to support older individuals with intellectual and developmental disabilities in their engagement in continued work. The project traces the journey from an initial focus on supporting older individuals with intellectual and developmental disabilities to work as long as they wish to an eventual shift toward a phased retirement approach. It considers issues such as a reimagined visualization of the support team structure, integration of tailored job supports and Community Life Engagement (CLE). The author's familial history sparked a sense of injustice that would not stay buried, shaping a career path in disability services and access. …


Women Self-Help Groups As Drivers Of Community Development In Rural Kenya, James Kariuki, Bhoke Chacha May 2026

Women Self-Help Groups As Drivers Of Community Development In Rural Kenya, James Kariuki, Bhoke Chacha

Journal of Global Awareness

Self-Help Groups (SHGs) are informal grassroots associations of people who have similar objectives and concerns working cooperatively and collectively to meet their needs and improve their living conditions. SHGs are known to contribute towards the development and welfare of their members. This paper examines the role of SHGs in community development in Kenya with a focus on selected women groups in Migori and Makueni Counties. The study adopted a mixed research approach that provided both qualitative and quantitative data, and it was anchored on two interrelated theories of community development: empowerment theory and social capital theory. The researchers interviewed 80 …


Adapting And Promoting Tourism For Children In Venice And The Lagoon Islands: A Comparative Analysis Of Food-Related Discourse Strategies In English And In Italian, Daniela Cesiri Prof. May 2026

Adapting And Promoting Tourism For Children In Venice And The Lagoon Islands: A Comparative Analysis Of Food-Related Discourse Strategies In English And In Italian, Daniela Cesiri Prof.

International Journal of Islands Research

According to the latest available version of the Annual Tourism Survey drafted by the City of Venice, in 2023, 12,628,079 tourists visited Venice and the Lagoon Islands (Bettiol & Marini, 2025). This survey does not provide data on the age groups of these visitors, but they are available in the previous version of the same Survey (Bianchetto & Marini, 2022), which reports that 29% of tourists were in the 46-71 age group. Therefore, we can presume that, excluding the older age groups, quite a large proportion of visitors is likely composed of young tourists and families with children. This study …


Community-Based Participatory Research In Developing Online Nutrition Tools: A Pathway To Relevance And Engagement, Laura Justice, Stacy Phillips May 2026

Community-Based Participatory Research In Developing Online Nutrition Tools: A Pathway To Relevance And Engagement, Laura Justice, Stacy Phillips

EFNEP

This article explains how Community-Based Participatory Research (CBPR) can strengthen the design of digital nutrition tools by ensuring they are culturally relevant, accessible, and grounded in community needs. By engaging participants as equal partners, CBPR enhances trust, usability, and long-term impact. The approach aligns with EFNEP’s mission to deliver inclusive, community-driven nutrition education and provides a framework for developing sustainable, adaptable tools that reflect the lived experiences of the families Extension serves.


Baseline Moderators Of A Transdiagnostic Adolescent Sleep And Circadian Health Intervention's Effectiveness At Improving Circadian Sleep Health: A Pilot Investigation, Jamon M. Jex May 2026

Baseline Moderators Of A Transdiagnostic Adolescent Sleep And Circadian Health Intervention's Effectiveness At Improving Circadian Sleep Health: A Pilot Investigation, Jamon M. Jex

Theses and Dissertations

The current study examined whether baseline demographic and clinical characteristics moderate the effectiveness of the Transdiagnostic Sleep and Circadian (TSC) intervention in improving adolescent circadian sleep health. Using an integrative data analysis approach, data from three independent adolescent samples (N = 134; ages 10-18) were pooled to evaluate changes across multidimensional sleep outcomes defined by the RU-SATED model of sleep, including regularity, satisfaction, alertness, timing, efficiency, and duration. Linear mixed-effects models were used to assess pre-to-post intervention changes and test moderation by age, sex, family income, and clinical status. Results indicated significant improvements in sleep satisfaction following TSC, with greater …


The Impact Of Covid-19 On Longevity Trends And Disparities Among Native Americans And Whites In The Four Corners States, Ashley M. Lenarz, Hyojun Park, Max T. Roberts, Anwesha Pan, Erin Trouth Hofmann, Eric N. Reither May 2026

The Impact Of Covid-19 On Longevity Trends And Disparities Among Native Americans And Whites In The Four Corners States, Ashley M. Lenarz, Hyojun Park, Max T. Roberts, Anwesha Pan, Erin Trouth Hofmann, Eric N. Reither

Sociology and Anthropology Student Research

Prior research has shown suboptimal health and longevity among Native Americans in the Four Corners region of the United States, which encompasses Arizona, New Mexico, Colorado, and Utah. Our study (1) investigates how life expectancy trends and disparities changed among non-Hispanic Native Americans and Whites in the Four Corners States (FCS) during the COVID-19 pandemic and (2) examines the extent to which longevity changes are directly attributable to COVID-19, relative to other causes of death. Data sources include mortality data from the National Center for Health Statistics and population data from the U.S. Census Bureau. Life expectancy at birth for …


Intersection Of Food Insecurity And Housing Among Veterans And Disabled Adults, Julie Anne Stepp May 2026

Intersection Of Food Insecurity And Housing Among Veterans And Disabled Adults, Julie Anne Stepp

Theses and Dissertations

This study examines how housing tenure is associated with food insecurity (FI) among veterans and adults with disabilities, utilizing the housing-food insecurity nexus framework. Previous research documents elevated FI among veterans and individuals with disabilities, yet few studies assess housing tenure as a mechanism connecting these statuses to food hardship. Using data from the 2024 National Health Interview Survey Adult Sample (n=32,629), logistic regression models estimate the independent and interactive effects of renting, veteran status, and disability status on FI. Results suggest renters have significantly higher odds of FI than homeowners, even after adjusting for poverty status, SNAP participation, and …


"I Just Wanted To Help": Certified Recovery Peer Advocates And Disconnected Labor, Rosie Benser May 2026

"I Just Wanted To Help": Certified Recovery Peer Advocates And Disconnected Labor, Rosie Benser

Dissertations - ALL

This dissertation examines the remaking of the recovery industry via the rise of Certified Recovery Peer Advocates (CRPA), or recovery peers, and the conditions that enable and constrain their labor. Peer Based Support Services (PBSS) was professionally recognized in the substance use disorder (SUD) treatment field starting in the early twenty-first century through federal grants for the underinsured and the ability to submit services for Medicaid/Medicare insurance repayments. As a result, CRPAs are especially present in low-income communities, dispatched to serve people seeking recovery from SUD with a mandate to “have conversations about change.” Drawing from in-depth interviews, participant observation …


Strategies For Improving Preventive Health Outcomes In Long-Term Care Case Management At Molina Healthcare Of Wisconsin, William W. Feilbach Jr. May 2026

Strategies For Improving Preventive Health Outcomes In Long-Term Care Case Management At Molina Healthcare Of Wisconsin, William W. Feilbach Jr.

M.S. in Human Services Administration

This research evaluates strategies to improve preventive health outcomes in long-term care case management at Molina Healthcare of Wisconsin, with a specific focus on improving participation in annual wellness visits.  Increasing health care costs and gaps in preventive care engagement among Medicare and Medicaid populations underscore the need for effective interventions. A systematic literature review of recent peer-reviewed and governmental sources was conducted to examine the relationship between preventive care, health outcomes, and cost containment. Findings show that greater engagement in preventive services, including annual wellness visits and screenings, supports early detection, reduces high-cost service utilization, and improves overall health …


Analyzing Sun Bucks Program Experience Among Southwestern Pennsylvania Families With Just Harvest, Olivia Mae Gifford May 2026

Analyzing Sun Bucks Program Experience Among Southwestern Pennsylvania Families With Just Harvest, Olivia Mae Gifford

Public Health Capstone Projects

  1. Objectives: This project primarily seeks to identify the common barriers preventing vulnerable families from accessing the SUN Bucks Program. The SUN Bucks program is an optional program through the United States Department of Agriculture that works in conjunction with the state of Pennsylvania in order to provide school-aged children families with supplemental funds to supply greater nutrition during the summer months. This research supports the work of a local non-profit, Just Harvest, in order to better inform their advocacy and outreach efforts as they fight against food insecurity in Western Pennsylvania.
  2. Methods: All data was collected electronically via a …


Using Geospatial Analysis To Compare Metropolitan Greenspace And Adolescent Obesity, Rachel Schild, Denyelle Kenyon, Zachary Schild May 2026

Using Geospatial Analysis To Compare Metropolitan Greenspace And Adolescent Obesity, Rachel Schild, Denyelle Kenyon, Zachary Schild

Scholarship Pathways Program

Using Geospatial Analysis and Machine Learning to Compare Metropolitan Greenspace and Rates of Adolescents with Obesity

 Rachel Schild MD | DenYelle Kenyon PhD

 Introduction: Insufficient outdoor activity, influenced by limited access to exercise-friendly greenspaces, may contribute to increasing childhood obesity rates. However, rigorous evaluation of greenspace quality on a citywide scale is lacking. This study aims to characterize greenspace vegetation types and correlate them with adolescent obesity outcomes, identifying optimal characteristics for promoting health. This data could aid city planners in optimizing greenspace allocation and improving vegetation choices.

Methods: Satellite imagery and municipal data were used to map ten cities, …


Exploring Child Trafficking Survivors' Experiences: Support, Revictimization, And Justice Institutions, Max Lubin May 2026

Exploring Child Trafficking Survivors' Experiences: Support, Revictimization, And Justice Institutions, Max Lubin

Walden Dissertations and Doctoral Studies

No abstract provided.


National Center For Children In Poverty Releases 2025/2026 Tanf Cash Assistance Policy Series, Karen Chatfield, Sydney Elltringham May 2026

National Center For Children In Poverty Releases 2025/2026 Tanf Cash Assistance Policy Series, Karen Chatfield, Sydney Elltringham

All Faculty and Staff Papers and Presentations

The National Center for Children in Poverty (NCCP) at Bank Street Graduate School of Education has released its 2025/2026 TANF Cash Assistance Policy Series to help support policymakers and advocates in strengthening these vital supports.


Performative Racial Allyship And Ally Ambivalence: A Qualitative Study, Peter D. Goldie May 2026

Performative Racial Allyship And Ally Ambivalence: A Qualitative Study, Peter D. Goldie

Theses, Dissertations and Culminating Projects

Racism is rampant in and outside of higher education institutions (HEIs). Preliminary research has found that white allyship--or white people's efforts to dismantle racism by partnering with People of Color--can be beneficial to Black communities when done authentically and in ways that center Black voices, perspectives, and liberatory goals. However, a growing body of scholarship has found that white people seldom show up as allies in meaningful ways. Instead, they frequently resort to performative racial allyship (PRA), or behaviors that are meant to signal solidarity with a marginalized racial group yet are superficial and self-serving. To support effective antiracism efforts, …


Understanding Roma Oppression In Europe Through Humantarian Forensic Analysis, Christal L. Quinn May 2026

Understanding Roma Oppression In Europe Through Humantarian Forensic Analysis, Christal L. Quinn

Department of Anthropology: Theses and Student Research

This thesis examines the marginalization of Roma people in Europe, and how humanitarian forensic practices may help Roma communities in their quest for justice and recognition. The study draws exclusively on secondary information to examine the social, political, and legal issues affecting the Roma communities, who have endured centuries of institutional discrimination, marginalization, and violence. This thesis identifies ways in which systematic oppression continues to limit Roma communities’ access to education, housing, healthcare, and legal protection through a review of relevant literature and applicable theoretical frameworks. The study also examines the relevance of forensic science, particularly its humanitarian applications, in …


Rehumanizing Anatomized Individuals: Using Osteobiographies As A Step Towards Reparative Justice, Lillie C. Turpin May 2026

Rehumanizing Anatomized Individuals: Using Osteobiographies As A Step Towards Reparative Justice, Lillie C. Turpin

Department of Anthropology: Theses and Student Research

In 1985, India banned the export of human remains. This ended the major trade route for primarily US and European anatomical supply companies. Until this point, companies like Carolina Biological Supply exploited and erased vulnerable people's identities, molding them into anonymous anatomical specimens. This study investigates the life and postmortem history of twenty-five individuals, previously used as anatomical specimens, housed at the University of Nebraska–Lincoln. Using an osteobiographical approach, this research reconstructs aspects of these individuals' lived experiences and examines how anatomical preparation practices reflect structural violence and apathy.

Skeletal analysis of twenty-five individuals revealed a range of biological profiles, …


Fascism Usa: Class And Identity Politics In The Age Of Trump, Marc Edelman May 2026

Fascism Usa: Class And Identity Politics In The Age Of Trump, Marc Edelman

Publications and Research

This essay argues that Trump’s triumph in the 2024 presidential contest represents the consolidation of an oligarchical authoritarian project, backed by a multi-class and (surprisingly, for some) multi-racial electorate. It brought intensified state and freelance attacks on immigrants, labor unions, women, LGBTQ+ people, journalists, civil servants, assorted “political enemies,” and other groups that the MAGA movement targets. It is institutionalizing authoritarian governance structures in ways that will be exceedingly difficult to undo. The paper first addresses the experience of growing up in the shadow of fascism. It analyzes various sectors that supported Trump and the impacts of inflation, incumbency, economic …


2nd Place Research Paper: Shaping The Ape: Storytelling, Cultural Reflection, And Boundary Negotiation In Human-Ape Zoo Encounters, Abigail Bond Halling May 2026

2nd Place Research Paper: Shaping The Ape: Storytelling, Cultural Reflection, And Boundary Negotiation In Human-Ape Zoo Encounters, Abigail Bond Halling

Kevin and Tam Ross Undergraduate Research Prize

The typical Western zoo functions as a unique environment in which animals are frequently positioned as subjects of education and entertainment through the medium of storytelling. In this sense, the zoological institution can also be read as an extension of popular Western constructions surrounding nonhuman animals, particularly those who are symbolically charged characters in our collective imaginary– the great apes. Given the morphological, behavioral, and psychological similarities between humans and other great apes (chimpanzees, gorillas, and orangutans), nonhuman great ape enclosures at the Western zoo become spaces where humans are most radically confronted with navigating the boundaries of the “human-animal …


Service-Informed Pathways Proposal, Joshua Works May 2026

Service-Informed Pathways Proposal, Joshua Works

UNLV Transfer Student Seminar Poster (COE 303)

This project explores how food insecurity affects UNLV students’ nutrition and proposes practical ways to strengthen the UNLV Food Pantry. Through six hours of volunteer service and a review of research, I identified key barriers, including stigma, limited access to fresh food, and low awareness. The proposal recommends three actionable improvements: simple nutrition handouts, peer-led outreach to reduce stigma, and stronger partnerships to ensure consistent access to fresh produce. These steps aim to improve daily nutrition, increase pantry usage, and support better academic outcomes. This work combines hands-on service experience with research to offer realistic, low-cost solutions that can help …


Exploring The Biocultural Profile Of The Undocumented Populations Of The Sonoran Corridor: A Skeletal Assessment Of The Prevention Through Deterrence Strategy, Mary A. Vaughn May 2026

Exploring The Biocultural Profile Of The Undocumented Populations Of The Sonoran Corridor: A Skeletal Assessment Of The Prevention Through Deterrence Strategy, Mary A. Vaughn

Department of Anthropology: Theses and Student Research

Over the last thirty years the mortality rate of the undocumented population at the US-Mexico border has risen, requiring methods distinguishing US-born individuals from immigrants to improve the likelihood of identification and repatriation through foreign consulates. Forensic anthropologists with the Pima County Office of the Medical Examiner (PCOME) have advocated for the use of the biocultural profile, combining the biological profile with factors including oral health, osteological stress, and personal effects. The biocultural profile serves two purposes, functioning both as a tool for identification and with which to document structural inequality within communities of origin.

This study examines changes in …


Utilizing Supervised Practice In School Settings As An Opportunity To Increase Student Awareness Of Food Waste Reduction Strategies, Maria Givler Apr 2026

Utilizing Supervised Practice In School Settings As An Opportunity To Increase Student Awareness Of Food Waste Reduction Strategies, Maria Givler

Journal of Nonprofit Innovation

Registered Dietitian Nutritionists (RDNs) play a vital role in facilitating nutritional health across a wide range of settings, from clinical care to community-based environments. As the profession continues to evolve, dietetics training programs are emphasizing experiential learning opportunities that address real-world public health challenges (Wegener, 2018). One such challenge is food waste, an issue with significant nutritional, environmental, and economic implications (Seberini, 2020). Within school food service systems, where millions of meals are served daily (Toossi et al.,2024), reducing waste while maintaining student satisfaction presents both a challenge and an opportunity. This article will discuss four ways supervised practice rotations …


Food Insecurity On College Campus, Erika Islao, Izzy Green, Rachel Stone, Ariana Messer Apr 2026

Food Insecurity On College Campus, Erika Islao, Izzy Green, Rachel Stone, Ariana Messer

Celebrating Scholarship and Creativity Day (2018-)

Food Insecurity can affect certain groups more than others. At the College of Saint Benedict and Saint John's University we've observed it in international students, student-athletes, and those without transportation. Although CSBSJU offers several dining options, it can still be difficult for students to access meals due to limited availability during breaks, limited dining hours for student-athletes, and transportation barriers. This paper examines how food insecurity and nutrition insecurity impact students’ overall well-being while also exploring how these challenges appear within the CSBSJU community. Research shows that students experiencing food insecurity often report higher stress levels, and lower academic engagement. …


Monastic Botanical Gardens: Medicinal Plants, Cultural Heritage, And Tourist Routes, Polyxeni G. Moira Dr, Dimitrios Mylonopoulos Apr 2026

Monastic Botanical Gardens: Medicinal Plants, Cultural Heritage, And Tourist Routes, Polyxeni G. Moira Dr, Dimitrios Mylonopoulos

International Journal of Religious Tourism and Pilgrimage

in the natural environment. The natural environment, of which humans are an integral part, served as the first laboratory for the production of medicines. Medicinal botany can be traced back to ancient Greece, continued through ancient Rome, was closely linked to Islamic tradition, and persisted through the rise of Christianity in monasteries, enduring to the present day. Monastic botanical gardens serve as living proof of the relationship between humans, nature, healing, and spirituality. These gardens, which for centuries cultivated plants for medicinal, nutritional, and functional uses, can now be leveraged to promote tourism, cultural heritage, and environmental awareness.

This study …


Evaluating The Feasibility And Preliminary Effectiveness Of A Tailored Diabetes Education Program For Rural Residents, Brittany L. Smalls, Oluwatosin Leshi, Suraksha Khanal, Grejika E. Abram-Erby Apr 2026

Evaluating The Feasibility And Preliminary Effectiveness Of A Tailored Diabetes Education Program For Rural Residents, Brittany L. Smalls, Oluwatosin Leshi, Suraksha Khanal, Grejika E. Abram-Erby

Journal of Appalachian Health

Introduction: Diabetes is a top ten Rural Healthy People 2030 priority for health improvement among rural Americans. Socioeconomic, environmental, geographic and political barriers contribute to the type 2 diabetes (T2D) prevalence and its disparate impact in rural communities. However, promoting proper self-care behaviors via self-management education can help people with diabetes better manage their condition.

Purpose: To account for the social environmental factors that affect rural residents, a tailored diabetes education program was developed, and the program’s effectiveness in improving diabetes knowledge and T2D-related health outcomes was assessed.

Methods: Using data collected from Appalachian Kentucky residents enrolled in a six-week, …


Nature Nearby: Use Of Green Spaces Mediating The Relationship Between Access To Green Spaces And Health, Sydney P. Goodson Apr 2026

Nature Nearby: Use Of Green Spaces Mediating The Relationship Between Access To Green Spaces And Health, Sydney P. Goodson

FHSS Mentored Research Conference

Access to green spaces has been consistently linked to improved physical and mental health, yet the mechanisms driving this relationship remain underexplored, particularly in the United States. Using data from the 2018 General Social Survey (N = 1,045), this study examines whether time spent in natural environments mediates the relationship between access to green spaces and self‑rated physical and mental health. Linear regression models with robust standard errors reveal that time spent in natural environments mediates the relationship between access to green spaces and both health outcomes. These findings suggest that proximity to green spaces alone is insufficient to produce …


Community Cultivation: Building Community Health, Growth, And Sustainability Through A Community Garden, Lauren J. Franks Apr 2026

Community Cultivation: Building Community Health, Growth, And Sustainability Through A Community Garden, Lauren J. Franks

SACAD: Scholarly Activities

The Community Cultivation program is a grant proposal project that explores how a community garden can improve access to healthy food in rural areas, with a focus on Hays, Kansas. Guided by the question of how community-based food initiatives can reduce nutrition-related disparities, this project responds to the HaysMed Community Health Needs Assessment, which identifies nutrition and access to fresh produce as critical concerns for Ellis County. The program offers a sustainable, community-centered approach that increases the availability of fresh produce while building individual gardening and cooking skills. With an emphasis on food-insecure and low-income individuals, the Community Cultivation Garden …


Evaluating The Impact Of Social Determinants Of Health On Outcomes Of Type Ii Diabetes In South Carolina, Alexander G. Downs Apr 2026

Evaluating The Impact Of Social Determinants Of Health On Outcomes Of Type Ii Diabetes In South Carolina, Alexander G. Downs

Senior Theses

Type II diabetes mellitus (T2DM) represents a significant public health burden in South Carolina, where 13.5% of adults are affected, surpassing the national rate of 12%. This integrative literature review examines the social determinants of health most strongly associated with T2DM morbidity and mortality in South Carolina, including race and ethnicity, socioeconomic status, rural or urban residence, educational attainment, healthcare access, and food insecurity. Evidence drawn from peer-reviewed studies, epidemiological reports, and state health data reveals that African American, rural, and low-income populations bear a disproportionate share of the diabetes burden in the state. These disparities arise through multilevel mechanisms …