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“Breastfeeding Perceptions And Practices” A Comparative Study Of Two Opposing Socio-Economic Level Quarters Within Yaoundé, Cameroon, Alexandria J. Ross

Independent Study Project (ISP) Collection

This research project aims to identify and analyze the conditions that influence breastfeeding perceptions and practices within two opposing socioeconomic level quarters of Yaoundé, Cameroon: Bastos and Madagascar. According to the World Health Organization recommendations for optimal infant and young child nutrition, mothers are advised to exclusively breastfeed for the first six months of life after birth before introducing complimentary feeding. Cameroon since 2005 has adhered to the International Code of Marketing of Breastmilk Substitutes. It is classified as a Category 1 as a country which discourages commercial pressures to feed alternative forms of nutrition known as breastmilk substitutes.

This …

Patient Perceptions Of Physicians And Medication Adherence Among Medicare Part D Beneficiaries, Lori Marquinne Ward

Open Access Dissertations

Ward, Lori Marquinne. Ph.D., Purdue University, December, 2013. Patient Perceptions of Physicians and Medication Adherence Among Medicare Part D Beneficiaries. Major Professor: Joseph Thomas III.

An observational database analysis using Medicare Current Beneficiary Survey data was conducted to examine patient perceptions of physicians and associations with adherence to antihypertensive medication among Medicare beneficiaries enrolled in Medicare Part D. The study sample included beneficiaries if they were 65 years or older, dwelling in the community, had a diagnosis of hypertension in 2007, were enrolled in Medicare Part D all 12 months in 2008, and had Medicare Part D claims for antihypertensive …

Livelihood Security Among Refugees In Uganda: Opportunities, Obstacles, And Physical Security Implications, Karen J. Norris

Student Publications

This research project was designed to investigate the challenges refugees face in securing a livelihood, to understand the extent to which the United Nations, the government of Uganda, and various aid groups are able to assist refugees in achieving self-reliance, and the capacity that refugees have to empower themselves. It also endeavors to expose any disparities between nationality groups, and the impact of these differences. Furthermore, this project aims to explore the impact of refugee livelihood security on regional physical security and community stability.

The study found that despite international and national policies, and efforts by both non-governmental organizations and …

Prevention Of Type 2 Diabetes In Urban American Indian/Alaskan Native Communities: The Life In Balance Pilot Study, Daniel C. Benyshek, Michelle Chino, Carolee Dodge-Francis, Toricellas O. Begay, Hongbin Jin, Celeste Giordano

Environmental & Global Health Faculty Research

Objective: The Life in BALANCE (LIB) study is a pilot translational study modeling the Diabetes Prevention Program (DPP) intensive lifestyle coaching intervention among an underserved, high-risk population: American Indians/Alaska Natives (AI/ANs) living in a large urban setting (Las Vegas, Nevada). Research Design and Methods: A total of 22 overweight/obese AI/ANs (age, 39.6 ± 10.4 years; BMI, 34.1 ± 6.3 kg/m2) at increased risk for developing type 2 diabetes (HbA1c > 5.4 (36 mmol/mol) < 6.4 percent (46 mmol/mol) participated in the program between April and December, 2011. Study participants completed a 16 week intensive lifestyle coaching intervention. In addition to obtaining qualitative data regarding opportunities and challenges of applying the lifestyle intervention for AI/AN participants in an urban setting, clinical data, including BMI, waist circumference, blood pres- sure, fasting blood glucose, and blood lipids (HDL, LDL and Triglycerides), were collected. Results: Only 12 of the 22 participants remained in the LIB program at the final post-program follow-up. Participants demonstrated significant decreased waist circumference and elevated HDL cholesterol. Triglycerides manifested the highest percentage change without statistical significance. No significant change was ob- served in blood pressure or fasting blood glucose. Conclusions: LIB participants’ improvements in BMI, waist circumference, HDL cholesterol and triglycerides suggests type 2 diabetes prevention programs aimed at urban AI/ANs show significant potential for reducing the risk of developing type 2 diabetes among this underserved and high risk community. Qualitative data suggest the main challenge for type 2 diabetes prevention specific to this population is a need for improved community outreach strategies.

Risk Factors For Non-Initiation Of The Human Papillomavirus (Hpv) Vaccine Among Adolescent Survivors Of Childhood Cancer, James L. Klosky, Kathryn M. Russell, Kristin E. Canavera, Heather L. Gammel, Jason R. Hodges, Rebecca H. Foster, Gilbert R. Parra, Jessica L. Simmons, Daniel M. Green, Melissa M. Hudson

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

Effective vaccination is now available to prevent human papillomavirus (HPV), the most common sexually transmitted infection and cause of cervical cancer. This study aimed to estimate the prevalence of HPV vaccination among childhood cancer survivors and identify factors associated with HPV vaccine initiation and completion. Mothers of daughters aged 9–17 years with/without a history of childhood cancer (n = 235, M_age= 13.2 years, SD= 2.69; n = 70, M_age= 13.3 years, SD=2.47, respectively) completed surveys querying HPV vaccination initiation and completion along with socio-demographic, medical, HPV knowledge and communication, and health belief factors, …

Health Disparities Among Lesbian, Gay, And Bisexual Older Adults: Results From A Population-Based Study, Anna M. Muraco, Karen I. Fredriksen-Goldsen, Hyun-Jun Kim, Susan E. Barkan, Charles P. Hoy-Ellis

Sociology Faculty Works

Objectives. We investigated health disparities among lesbian, gay, and bisexual (LGB) adults aged 50 years and older.

Methods. We analyzed data from the 2003-2010 Washington State Behavioral Risk Factor Surveillance System (n = 96 992) on health outcomes, chronic conditions, access to care, behaviors, and screening by gender and sexual orientation with adjusted logistic regressions.

Results. LGB older adults had higher risk of disability, poor mental health, smoking, and excessive drinking than did heterosexuals. Lesbians and bisexual women had higher risk of cardiovascular disease and obesity, and gay and bisexual men had higher risk of poor physical health and living …

Movimento Dos Trabalhadores Rurais Sem Terra: Constructing Humanity, Phoebe Rosenheim

Independent Study Project (ISP) Collection

Neo-Marxist theory suggests that capitalist structures are dehumanizing and that alternative structures should be constructed to re-humanize the people. Movimento dos Trabalhadores Rurais Sem Terra (MST) constructs settlements of small, self-governing family farms as an alternative to the large agricultural estates that dominate Brazil. The settlements have transformed the way workers see themselves. They have successfully developed a humanizing alternative; MST members see themselves as subjects. It is important for Social Justice movements to understand how MST has achieved such powerful differences from Capitalist societies in order to replicate humanizing social structures. My study sought to understand how MST’s agricultural …

Livelihood Security Among Refugees In Uganda: Opportunities, Obstacles, And Physical Security Implications, Karen J. Norris

Independent Study Project (ISP) Collection

This research project was designed to investigate the challenges refugees face in securing a livelihood, and to understand the extent to which the United Nations, the government of Uganda, and various aid groups are able to assist refugees in achieving self-reliance, and the capacity that refugees have to empower themselves. It also endeavors to expose any disparities between nationality groups, and the impact of these differences. Furthermore, this project aims to explore the impact of refugee livelihood security on regional physical security and community stability.

Research for this study was conducted in Kyangwali and Nakivale Refugee Settlements in Uganda, as …

A Comparison Of Malnutrition Causes And Treatments: A Case Of Mwanamugimu Nutrition Unit, Mulago National Referral Hospital, Kampala District And Nakifuma Government Health Unit, Mukono District, Berkley Singer

Independent Study Project (ISP) Collection

In beginning of the investigation process, the researcher set out to study malnutrition in Uganda. She wanted to study an urban region in comparison to a rural region and so based her research out of both Kampala and the Mukono region. The researcher set out to learn more about the causes of the condition and why children become malnourished. She also was interested in the differences that exist between the two different locations and why they exist. Finally, the researcher was eager to learn what malnutrition meant to each community and how health care professionals go about treating the condition …

Jordanian University Student’S Attitudes And Perceptions On Mental Health, Amira Khablein

Independent Study Project (ISP) Collection

The present study examines the attitudes and perceptions of students at a private, Jordanian University to examine, through surveys, interviews and a focus group whether the stigma commonly associated with mental health in the Middle East and North African region persists for students and the reasons behind this stigma. It was also investigated what kind of disorders came to mind when asked to name specifics to see if students focused on the illness of psychological disorders when weighing mental health. It was found that the stigma does not necessarily exist for students, though it is perpetuated throughout the community and …

A Village National: The Transformative Potential Of Fortifying The Preexisting Structures Of An Organic Nepal, Alexandra Sarazen

Independent Study Project (ISP) Collection

Nepal is in the midst of a severe food deficit as well as in the process of recovering from a 10 year civil war. Today, nearly 80 percent of the population works in the agricultural sector which accounts for 38 percent of the Gross Domestic Product. Recent declines in agricultural production have depressed rural economies, increased widespread hunger and catalyzed an influx of urban migration from outside of Kathmandu. Within its total population of 29 million people, 55% earn less than $1.25 a day, 29% of children under 5 years of age are underweight, and 41% of the same demographic …

The Effect Of Snap On Poverty, Laura Tiehen, Dean Jolliffe, Timothy Smeeding

University of Kentucky Center for Poverty Research Discussion Paper Series

On signing the Food Stamp Act of 1964, President Johnson noted that “as a permanent program, the food stamp plan will be one of our most valuable weapons for the war on poverty” (Johnson, 1964). From a humble beginning of 2.9 million recipients per month and $228 million in benefits in 1969 (earliest national figures), the program has grown to serve 47 million persons with benefits of over $74.6 Billion in 2012 (USDA, 2013a). In the late 60’s and early 70’s, when the average monthly benefit was under $20 per month per month, we did not record the effects of …

Strategies For Data Gathering And Reporting Voices From The Field: A Review Of Applied Ethnography: Guidelines For Field Research, Loum S.L. Constantine

The Qualitative Report

The importance of applied research cannot be underestimated in this era of evidence - based implementation of intervention programs in health, community development, education, agriculture and other applied disciplines. Research reports of many qualitative studies have turned out short on quality due to poor data gathering techniques, analysis and write - up of findings. “Applied ethnography: guidelines for field research” is an authoritative narrative answering to this serious methodological flaws in applied research within ethnographic context. It presents rich and deep practical field experiences applicable in all qualitative research undertakings that demonstrate skills in planning field research ; from gaining …

2012 National Child Poverty Rate Stagnates At 22.6 Percent, Marybeth J. Mattingly, Jess Carson, Andrew P. Schaefer

Carsey Publications

No abstract provided.

Poverty Alleviation Strategies On The Indigenous In Mexico, Claire Sharp, Dr. Tim B. Heaton

Journal of Undergraduate Research

Mexico’s national poverty initiatives are intended to provide assistance for those living in poverty. It is a development targeting concern that people who could most benefit from such poverty alleviation development programs are excluded, such as the indigenous populations and other minority groups. I will be assessing how indigenous populations are included in development initiatives of Mexico and providing a detailed case study of how these national development initiatives affect the Raramuri Indians of Chihuahua, Mexico. Determining the efficacy of development programs entails assessing whether the development projects address the local-level concerns of various groups in society, including the indigenous …

Feeling The Heat? Substantial Variation In Temperatures Does Not Affect The Proportion Of Males Born In Australia, Barnaby J. Dixson, John Haywood, Philip J. Lester, Diane K. Ormsby

Human Biology Open Access Pre-Prints

The global proportion of male births has been shown to vary with climate, with a higher proportion of male births documented in colder climates. Here we examined the hypothesis that ambient temperature predicts fluctuations in the proportion of male births in Australia and within seven Australian states using historical annual data spanning 1910-2009. We predicted that within states with tropical ambient temperatures the proportion of male births would decrease when ambient temperatures are higher. Considering the national composite births for the whole of Australia first, the proportion of males born ranged only from 0.510 to 0.517. We observed no relationship …

Why Are So Many Americans On Food Stamps? The Role Of The Economy, Policy, And Demographics, James P. Ziliak

University of Kentucky Center for Poverty Research Discussion Paper Series

1 in 7 Americans received assistance from SNAP in FY2012, which is a rate 141 percent higher than in FY2000, but only 59 percent higher than in FY1980. In this chapter I describe the socioeconomic and policy climate in recent decades that had bearing on SNAP participation, along with a formal empirical analysis of those determinants and detailed simulations of the relative contributions of the economy, policy, and demographics to changes in SNAP participation over time. The results suggest that SNAP is operating effectively as an automatic fiscal stabilizer—nearly 50 percent of the increase in participation from 2007-2011 is due …

Integral Review Vol 9. No 3, September 2013 Full Issue, Bahman Shirazi

Founders Symposium

The articles included in this special issue of Integral Review represent a wide range of integral scholarship at the California Institute of Integral Studies (CIIS), founded in 1968 in San Francisco by Dr. Haridas and Bina Chaudhuri. Haridas Chaudhuri arrived in the United States in 1951 upon an invitation by professor Frederick Spiegelberg of Stanford University who was charged with directing a newly founded independent graduate school (American Academy of Asian Studies) devoted to introducing Asian studies to American higher education. Spiegelberg had traveled to India in the late 1940s to research the contemporary practices of the ancientspiritual traditions of …

The Influence Of Parental Aspirations, Attitudes, And Engagement On Children's Very Low Food Security, Elizabeth T. Powers

University of Kentucky Center for Poverty Research Discussion Paper Series

Survey of Income and Program Participation data are used to investigate the relationship between parenting and children’s very low food security. Parenting is characterized along five domains (emotional outlook, support, education desires, activities with the child excluding meals, and television viewing rules). Food security definitions are obtained from questions in a special SIPP module that are based on the USDA’s core food security module. Graphical evidence indicates that parenting patterns differ distinctly for households experiencing various levels of food insecurity. Descriptive regression evidence suggests that some of the parenting attributes are significantly associated with children’s food insecurity, even controlling for …

Risk And Protective Factors Associated With Prevalence Of Vlfs In Children Among Children Of Foreign-Born Mothers, John Cook

University of Kentucky Center for Poverty Research Discussion Paper Series

This research examined VLFS in children among households with foreign-born (FB) mothers compared to US-born mothers through three research questions: Is mother’s foreign-born status (FBS) associated with VLFS in children, and can association be explained by mothers’ socio-demographic characteristics? Are FB mothers more or less likely to receive nutrition or non-nutrition assistance benefits, or work for pay than US-born mothers? Do mothers’ FBS, or protective/risk factors associated with FBS, modify associations of negative economic shocks and hardships with VLFS in children? Data are on approximately 44,000 mother-child (ages<48 Mos.) dyads collected from household surveys administered under a "sentinel surveillance" system over 1998-2012 at teaching hospitals and clinics in seven US cities. Bivariate and multivariate logistic regression models tested study hypotheses. Mothers' FBS is strongly positively associated with VLFS in children after controlling for available risk and protective factors. FB mothers are less likely to receive SNAP and non-nutrition assistance (TANF, LIHEAP or housing subsidies), but more likely to receive WIC and to be employed than US-born mothers. FB mothers are no more likely to report negative reasons for not receiving SNAP or TANF, or losing jobs or decreasing work hours than US-born, and reported "immigration concerns" rarely. No need/chose not to participate are most frequently reported reasons for not receiving SNAP and TANF; pregnancy/maternity leave and "market conditions" for lost jobs and decreased work hours. Economic shocks and hardships are positively associated with VLFS in children, but Mothers' FBS does not interact with shocks and hardships to modify those associations.

Food Insecurity During Childhood: Understanding Persistence And Change Using Linked Current Population Survey Data, Sheela Kennedy, Catherine A. Fitch, John Robert Warren, Julia A. Rivera Drew

University of Kentucky Center for Poverty Research Discussion Paper Series

Our paper examines the prevalence and determinants of children’s transitions into and out of food insecurity since 2001. We use longitudinally linked data from the Food Security Supplements to the Current Population Surveys to estimate one-year transition probabilities of entry and exit from food insecurity. Our results indicate that child hunger is typically short-lived, but children experiencing very low food security frequently experience multiple consecutive years of food insecurity. We demonstrate large demographic and socioeconomic differences in rates of entry into very low food security and persistence in children's food insecurity. Income and employment shocks are important predictors of child …

Use Of Alternative Financial Services And Childhood Food Insecurity, Katie Fitzpatrick

University of Kentucky Center for Poverty Research Discussion Paper Series

Low- and moderate-income (LMI) households with children often face considerable difficulties in ensuring enough financial resources for an adequate diet. This project investigates the use of financial services and other financial decisions parents make that may affect the risk of very low food security and food insecurity of children. With households in both the December 2008 Current Population Survey (CPS) Food Security Supplement and the January 2009 CPS Unbanked and Underbanked Supplement, the project studies the relationship between bank account ownership, use of alternative financial service (AFS) providers, the organization of household finances, and the food security of children. Both …

Separate Spheres Or Common Domestic Ground: Gender Ideology In Parenting Manuals From 1820 - 1860, Jacqueline Henke

Student Theses and Dissertations

A number of historians have described 1820-1860 as a period of rigid gender ideology, a period of two "spheres". During this time, American men were active in the capitalist marketplace of the public sphere, while American women were confined to the domestic cares of the private sphere. Since childcare is a duty of private sphere, this gender-bifurcated narrative alleged that childrearing was a responsibility which inherently devolved upon the 1820-1860 mother. While research has demonstrated support for this model, so, too, has research provided support for a conflicting model. An alternative narrative portrays nineteenth-century childrearing as common domestic ground, a …

Factors That Influence A Woman’S Choice To Breast-Feed, Emily Lippincott, Dr. Renata Forste

Journal of Undergraduate Research

Breast-feeding is the healthiest way for a mother to ensure that her newborn child gets the best nutrition possible; in addition, breast milk provides maternal antibodies to the child that are highly effective in preventing disease (2). Hence the slogan “Breast is Best” was created to encourage mothers to breastfeed their children; unfortunately, there are still a larger number of women who have resisted this message and continue to choose other methods of feeding. For instance, white women are two times more likely to breast-feed than their black counterparts, and college educated women are three times more likely to breast-feed …

Dose- And Time-Dependent Neuroprotective Effects Of Pycnogenol® Following Traumatic Brain Injury, Mubeen A. Ansari, Kelly N. Roberts, Stephen W. Scheff

Sanders-Brown Center on Aging Faculty Publications

After traumatic brain injury (TBI), both primary and secondary injury cascades are initiated, leading to neuronal death and cognitive dysfunction. We have previously shown that the combinational bioflavonoid, Pycnogenol® (PYC), alters some secondary injury cascades and protects synaptic proteins when administered immediately following trauma. The purpose of the present study was to explore further the beneficial effects of PYC and to test whether it can be used in a more clinically relevant fashion. Young adult male Sprague-Dawley rats were subjected to a unilateral moderate/severe cortical contusion. Subjects received a single intravenous (i.v.) injection of PYC (1, 5, or 10 mg/kg) …

Friends In The Desert Foundation, Inc. Program Evaluation, Gina Brooksbank, Jessica Wilde, Holly Williams

UNLV Theses, Dissertations, Professional Papers, and Capstones

This report presents an evaluation of the Friends in the Desert, Foundation Incorporated (FID), a sit-down feeding program in downtown Henderson, Nevada. The evaluation identified both strengths of the program and opportunities for growth. Major components of this report are presented in the following order: scope of work, research design, findings, recommendations, conclusions and limitations. The report recommendations provide the agency’s members and principal stakeholder groups with proposals designed to improve the program’s financial position and long-term viability. These recommendations focus on opportunities for restructure, growth, and uninterrupted success.

FID is a sit-down feeding program located at St. Timothy’s Episcopal …

Maternal Education And Child Nutritional Status In Africa: Mediating Mechanisms, Kiira Fox, Dr. Renata Forste

Journal of Undergraduate Research

While previous research indicates child stunting rates have decreased in the aggregate over the last few decades, malnutrition continues to account for over half of annual child deaths and the stunting of 226 million (Neumann et al.). As national inequality persists, even increasing in certain areas, higher rates of stunting have become concentrated within already disadvantaged populations (Minujin and Delamonica, 2004). Africa, for instance, has particularly low educational attainment, high rates of poverty, a lack of infrastructure and experiences stunting rates as high as 60% in certain areas (Neumann et al.). Although earlier studies have identified many dimensions of disadvantage …

The Effect Of Household Financial, Time And Environmental Constraints On Very Low Food Security Among Children, Helen H. Jensen, Oleksandr Zhylyevskyy

University of Kentucky Center for Poverty Research Discussion Paper Series

Food insecurity is detrimental to children’s well-being. A better understanding of factors contributing to low and very low food security among children in the United States can guide the design of food assistance programs. We analyze the effects of household characteristics and local food environment attributes, including food prices and availability of food stores and eating places, on children’s food insecurity. We also investigate the effects of these characteristics and attributes on food preparation time. Using Becker’s household production approach, we propose an economic model that formalizes the use of constrained financial and time resources in the household. The model …

Overcoming Barriers To Local Food Access: A Case Study, Brittany Ryan

Masters Theses & Specialist Projects

This thesis focuses on the idea that food insecurity and access are real issues in the lives of many Americans. Simply stated, food insecurity is when a person does not have enough food to eat or does now know where his/her next meal is coming from. More importantly when looking at food insecurity is the realization that healthy, local food access is even more prevalent an issue – with increasingly more under-resourced individuals and families being food insecure and unhealthy at the same time. This thesis includes a literature review on diet and nutrition in the United States, a chapter …

Coping With Pediatric Cancer: Conversational Methods Utilized By Parents And Children When Dealing With Pediatric Cancer, Chelsi Morgan Walls

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study analyzed how people perceived parents should communicate with their child regarding pediatric cancer treatments. When dealing with pediatric cancer, it is vital that parents and their child communicate about the illness in order to effectively cope with the cancer. Using Uncertainty Management Theory, appraisals, inferences, and illusions, are examined in this study to discover how much affect-management and buffering would be used to manage the illness. Under UMT, the coping mechanisms of affect-management (i.e., religious coping and behavioral disengagement), and buffering (avoidance and child distraction) depend upon how individuals appraise the uncertain situation (positive vs. negative), the inferences …