Digital Commons Network^™

Homelessness In Brattleboro: An Examination If A Poor Community In Brattleboro, Vt, What Services Are Available, And How The Community Could Benefit From Sustainable Development Practices., Emily Clever

Capstone Collection

Decades ago the Federal Government created a system of systems to assist in eradicating extreme poverty, however in 2011 the poverty rate was at its highest rate in almost two decades leaving millions of families and individuals searching for assistance. Given today’s statistics it should not come as a shock that more and more families and individuals have accessed the system and government spending has significantly increased. The deterioration of the safety net has left many lost, looking for answers and for change to happen.

This research study focused on a small community in Brattleboro, Vermont and asked: What are …

Freedom, Immigration, And Adequate Options, Javier S. Hidalgo

Jepson School of Leadership Studies articles, book chapters and other publications

According to the freedom argument for open borders, immigration restrictions are generally unjust because these restrictions infringe on important freedoms, such as freedom of association and the economic liberties. Some authors have objected to the freedom argument by claiming that potential immigrants only have rights to sufficient options to live decent or autonomous lives and, consequently, states can permissibly prevent people from immigrating when potential immigrants have adequate options. This paper shows that this objection to the freedom argument for open borders is unsound and that restrictions on international freedom of movement can be morally impermissible even when potential immigrants …

Selective Screening Of Type 2 Diabetes For Washoe County’S Hispanic Population, Linda M. Dunn

Nevada Journal of Public Health

Hispanic Americans with unrecognized, asymptomatic diabetes are more likely to experience poor quality of life and diabetic complications such as heart, eye and kidney disease than non-Hispanic whites of similar age. Multiple factors, such as cultural beliefs, lack of knowledge and limited access to health care, contribute to the fact that one-third of total diabetes among Hispanic Americans is undiagnosed. For Washoe County, Nevada, the actual percentage of adult Hispanics with diabetes may be almost 12%. In 2003, the Defeat Diabetes Screening Project provided three screenings targeting the Hispanic population in Reno and Sparks. Seventy-one percent of 348 screened were …

Findings From The Nutrition Challenge Program, Rayleen Earney, Nicole Bungum, Timothy J. Bungum

Nevada Journal of Public Health

Obesity is an epidemic in the United States. Over 61% of U.S. adults and 58% of Nevada adults have Body Mass Index’s (BMI) that classify them as either overweight or obese (Behavioral Risk Factor Surveillance System [BRFSS], 2005). According to a recent article published in the Journal of the American Medical Association, obesity was the second leading cause of preventable death in the United States behind tobacco use (Mokdad, Marks, Stroup & Gerberding, 2004).

While obesity and overweight are complex, multi-factorial health conditions, an important contributor to the overweight and obesity epidemic is poor dietary habits. One of the major …

Adverse Maternal Outcomes For Women With Different Health Insurance Statuses In Nevada, Jay J. Shen, Hong Wei

Nevada Journal of Public Health

Objective. Nevada women with unfavorable health insurance status may face greater barriers than women in the rest of the nation, since the development of healthcare infrastructure in Nevada is running behind population growth. This study examines the relationship between health insurance status and adverse maternal outcomes in Nevada.

Methods. Hospital discharge information of 33,149 women aged 13 or older who delivered in 2004 was abstracted from the 2004 State Inpatient Data for Nevada. A total of 13 measures of complications associated with pregnancy were identified, including preterm labor, hypertensive disorders of pregnancy, gestational diabetes, ante-partum hemorrhage, membrane disorders, cesarean section, …

A Study To Determine If University Athletic Teams In Desert Environments Experience Risky Diet-Related Behaviours, Susan Meacham, Christine Bergman, Marcia M. Ditmyer, Kyle Wilson, Connie Mobley

Nevada Journal of Public Health

Training and competing in desert environments may exacerbate concerns related to disordered eating, supplement use, and hydration in some student athlete populations. A survey administered equitably to both genders solicited self-reported responses from members of 18 different teams over four years from a southwestern United States university athletic program. More than 1,700 athletes responded to 42 items on the questionnaire. Teams, not individual student athletes, were the units of measure for statistical analyses. Initial analysis of results indicated that there were no overt concerns regarding dietary behaviors due to training and competing in the desert environment. Further analysis subjected the …

The Effects Of Television Food Advertising On Childhood Obesity, Aleathia Cezar

Nevada Journal of Public Health

Children’s food choices are influenced by the media, television advertising, focusing directly at infants and toddlers. This literature review presents multiple studies that explain how TV advertising of fast food, sugary cereals and other foods high in calories, fat, sugar, sodium and low in nutrients are contributing to the increase rates of childhood obesity. It is concluded that children are exposed to high amounts of food advertisements which affect young children’s food choices and poor food consumption. Due to the growing numbers of hours that children sit in front of the television, less physical activity and the epidemic of childhood …

State Sponsored Famine: Conceptualizing Politically Induced Famine As A Crime Against Humanity, Jlateh Vincent Jappah Md, Msc, Danielle Taana Smith

Journal of International and Global Studies

This paper argues for the codification of politically induced famine as a crime against humanity. We use the term “state sponsored famine” to reflect the conceptualization of famine as not merely nature-induced but also as a willfully orchestrated state policy. The specification of faminogenic practices as criminal would subject perpetrators to international jurisdiction and provide deterrence to future offenders. We review traditional conceptualizations of famine as a geophysical event. We explore Amartya Sen’s concept of famine as caused by the collapse of individual entitlement and market exchange dynamics; we also discuss commentary on Sen’s approach. Further, we analyze the limits …

Lower Nutritional Status And Higher Food Insufficiency In Frail Older Us Adults, Ellen Smit, Kerri M. Winters-Stone, Paul D. Loprinzi, Alice M. Tang, Carlos J. Crespo

Community Health Faculty Publications and Presentations

Frailty is a state of decreased physical functioning and a significant complication of ageing. We examined frailty, energy and macronutrient intake, biomarkers of nutritional status and food insufficiency in US older adult (age ≥ 60 years) participants of the Third National Health and Nutrition Examination Survey (4731). Frailty was defined as meeting ≥ 2 and pre-frailty as meeting one of the following four-item criteria: (1) slow walking; (2) muscular weakness; (3) exhaustion and (4) low physical activity. Intake was assessed by 24 h dietary recall. Food insufficiency was self-reported as ‘sometimes’ or ‘often’ not having enough food to eat. Analyses …

Multigenerational Families And Food Insecurity, James P. Ziliak, Craig Gundersen

University of Kentucky Center for Poverty Research Discussion Paper Series

The prevalence of multigenerational families is on the rise in the United States, as is food insecurity. We estimate the effect of resident grandchildren on the risk of and transitions in food insecurity using repeated cross sections and longitudinally linked two-year panels of the Current Population Survey from 2001-2010. We find that rates of food insecurity in families with a grandchild present are at least twice as high in a typical year compared to families without a resident grandchild, and the extent of very low food security increased substantially faster among these households over the past decade. The rise in …

Information On Small Populations With Significant Health Disparities: A Report On Data Collected On The Health Of Asian Americans In Massachusetts, Carolyn Wong, Hannah Hosotani, John Her

Institute for Asian American Studies Publications

An analysis of publicly available sources of data on Asian Americans in Massachusetts with recommendations on ways to improve this collection of data.

Our report begins with a discussion of the important issues of data collection and reporting and then discusses the particular challenges of collecting and reporting on data in Massachusetts. Profiles of major datasets based on records for administrative entities are presented such as the Massachusetts Cancer Registry, hospital discharges, MassHealth, and Medicare, and mortality and natality records. This is followed by a description of major datasets based on population surveys such as the Behavioral Risk Factor Surveillance …

Women Empowerment And Community Development Through Ecotourism, Katherine S. Barry

Capstone Collection

Eco-tourism is generically and broadly considered to be a trendy topic for the privileged traveler to obtain an “authentic cultural experience”. This paper aims to disprove common misperceptions and present failures the system has created. Eco-tourism is an over-exploited and under-utilized tool in the field of sustainable development. Many resorts and “cultural” tours dominant, while local people suffer economically, social and environmentally. However, in the far-reaches of the Kakamega rainforest, there is group that is filling the environmental, social and economic gap in the field of sustainable tourism. They are the Isecheno Women’s Conservation Group, empowering and educating women to …

Obtaining Consumer Perceptions Of External Costs Of “Cheap” Food Products And Analyzing Quality Food Markets That Minimize External Costs In Bloomington-Normal, Illinois, Jennifer Long '13

Outstanding Senior Seminar Papers

Today, the United States’ food system is primarily a large industrial operation with smaller-scale community-based food systems. Although the industrial food system has benefitted society by increasing the amount of food available for every person, some of these products are “cheap” food products that generate external costs, such as poor health, potential wealth loss to farmers and environmental degradation. With over 1 billion individuals on earth undernourished and 15.8% of all U.S. households as of 2010 food insecure [Patel, 2012], this system has not completely solved food issues. Community-based food systems, on the other hand, minimize external costs …

Gender Equality And Social Cohesion : Reflection On The Experiences Of Strengthening Teacher Education In Pakistan, Dilshad Ashraf, Kausar Waqar

Institute for Educational Development, Karachi

No abstract provided.

Health Behaviour Changes After Diagnosis Of Chronic Illness Among Canadians Aged 50 Or Older, Jason T. Newsom, Nathalie Huguet, Pamela L. Ramage-Morin, Michael Joseph Mccarthy, Julie Bernier, Mark S. Kaplan, Bentson H. Mcfarland

Community Health Faculty Publications and Presentations

Changes in health behaviors (smoking, physical activity, alcohol consumption, and fruit and vegetable consumption) after diagnosis of chronic health conditions (heart disease, cancer, stroke, respiratory disease, and diabetes) were examined among Canadians aged 50 or older. Results from 12 years of longitudinal data from the Canadian National Population Health Survey indicated relatively modest changes in behavior. Although significant decreases in smoking were observed among all groups except those with respiratory disease, at least 75% of smokers did not quit. No significant changes emerged in the percentage meeting physical activity recommendations, except those with diabetes, or in excessive alcohol consumption, except …

Village Literacy: Adult Education In Northeastern Kenya, Jodi Heidorn

Senior Honors Theses

The underdevelopment of effective adult literacy programs in Northern Kenya is a problem that must be addressed to meet the needs of a changing generation of nomadic pastoralists. Existing programs must be reevaluated in order to increase their efficiency and incorporate the unique aspects of local cultures into their design. This paper explores the broadening definition of literacy and discusses how there are in fact multiple literacies in any given culture. Next, it examines the history of education in Kenya and the barriers that may be unique to adult literacy programs in Northern Kenya. Also, it examines how changes in …

Carbohydrate Consumption And Fatigue: A Review, Jennifer R. Pharr

Nevada Journal of Public Health

Fatigue is a condition that negatively impacts quality of life and occurs in about twenty four percent of adults worldwide. Many factors may contribute to fatigue. One factor is the macronutrient composition of a person’s diet, particularly, the amount of simple carbohydrates. This paper is a review of the current literature and examines the relationship of carbohydrate consumption and fatigue to determine if a diet low in simple carbohydrates results in an improvement in fatigue ratings. Results of studies regarding carbohydrate consumption and fatigue vary, the preponderance demonstrate a positive relationship between simple carbohydrate consumption and fatigue. Additionally, diets low …

The Long-Term Coercive Effect Of State Community Benefit Laws On Hospital Community Health Orientation, Charles B. Moseley, Jay J. Shen, Gregory O. Ginn

Nevada Journal of Public Health

This study is an examination of the long-term coercive effect of state community benefit laws (CB Laws) on the provision of community health activities in U.S. acute care hospitals. The sample included all the not-for-profit and investor owned acute care hospitals for which 1994 and 2006 AHA Annual Survey data were available. A panel design was used to longitudinally examine the effect that state CB Laws had on hospital community health orientation activities and the provision of health promotion services, after controlling for the influence of other organizational and environmental variables that might affect these activities and services. The authors …

Nutrition Education In Clark County, Nevada, Matt Bittle, Mildred Mcclain, Jeanne A. Hibler, Marcia M. Ditmyer

Nevada Journal of Public Health

Over 51 million school hours are missed annually by school-aged children due to a dental problem or visit, with 117 hours missed per 100 children (NIDCR, 2002). Approximately half a million of California's 7.2 million school-age children missed at least one day of school in 2007 because of dental issues such as toothaches (Pourat, & Nicholson, 2009). Independent research regarding various educational and intervention programs have been conducted in elementary schools across the country that focus on nutrition and/or physical activity, some of which have found that the programs positively impacted students’ dietary behaviors (Edwards, Mauch, & Winkelman, 2011; Muth, …

Food Insecurity Across The First Five Years: Triggers Of Onset And Exit, Alison Jacknowitz, Taryn W. Morrissey

University of Kentucky Center for Poverty Research Discussion Paper Series

Very low food security among young children is associated with developmental deficiencies. However, little is known about the factors that predict entry into or exit from very low food security during early childhood. This study seeks to: (1) Understand the triggers that explain movements into or out of very low food security among children from birth to age five; (2) Examine the first aim using different definitions of food insecurity. The analysis relies on the Early Childhood Longitudinal Study-Birth Cohort (ECLS-B), a longitudinal, nationally representative dataset of approximately 10,700 children, to estimate linear probability models. Results suggest that residential moves …

A Preliminary Qualitative Evaluation Of The Virginia Gold Quality Improvement Program, Gerald A. Craver, Amy K. Burkett

The Qualitative Report

Certified nursing assistants (CNAs) perform an important role in the long-term care system because they provide the majority of paid care to nursing facility residents. Unfortunately, annual CNA turnover often exceeds 100 percent nationally. Many factors account for this, including stressful working conditions, low pay, and limited benefits. The end result of high turnover is compromised continuity of care for residents, which often leads to poor quality and substandard care. In an effort to improve quality of care and staffing, the Virginia Department of Medical Assistance Services in 2009 implemented a pilot program, known as the Virginia Gold Quality Improvement …

Mass Incarceration: Triple Jeopardy For Women In A "Color-Blind" And Gender-Neutral Justice System, Sandra Enos

Journal of Interdisciplinary Feminist Thought

This article will explore the growth in the incarceration of women over the past three decades. Recent scholarship has examined the impact of the war on crime on men, the poor and persons of color and characterized this movement as the New Jim Crow. This strain of research has focused on men. In this article, I will explore the impact of the war on crime on women, their families and their children. I will also explore the so-called gender neutral sentencing reforms and demonstrate the impact of these protocols on women. Finally, I will map the array of social control …

The Impact Of Incarceration On Food Insecurity Among Households With Children, Sally Wallace, Robynn Cox

University of Kentucky Center for Poverty Research Discussion Paper Series

This study seeks to determine the role that parental incarceration plays on the probability of food insecurity among families with children and very low food security of children using micro-level data from the Fragile Families and Child Well Being Study (FFCWS). The data set contains the 18-question food security module which allows us to explore the link between incarceration and food insecurity and very low food security among children, families, and adults. The incidence of very low food security in our data is somewhat higher than the national average, but the incidence of other levels of food security is similar …

The Effect Of Safety Net Programs On Food Insecurity, Lucie Schmidt, Lara Shore-Sheppard, Tara Watson

University of Kentucky Center for Poverty Research Discussion Paper Series

Does the safety net reduce food insecurity in families? In this paper we investigate how the structure of benefits for five major safety net programs – TANF, SSI, EITC, SNAP, and Medicaid – affects low food security in families and very low food security among children. We build a calculator for the years 2001-2009 to impute eligibility and benefits for these programs in each state, taking into account cross-program eligibility rules. To identify a causal effect of the safety net, we instrument for imputed eligibility and benefits using simulated eligibility and benefits for a nationally representative sample. Focusing on non-immigrant, …

Family Structure, Work Patterns And Time Allocations: Potential Mechanisms Of Food Insecurity Among Children, Kelly Balistreri

University of Kentucky Center for Poverty Research Discussion Paper Series

Over 469 thousand households in the U.S. experienced very low food security among children, a severe condition characterized by reductions in food intake due to an inability to afford enough food. But food insecurity is not simply about economic resources. There exists a paradox in which some poor households with children are food secure while some non-poor households with children are food insecure. This study moves beyond a singular focus on income and considers how the family context may protect or generate risk of food insecurity for children. The goals of the proposed project were to: 1) to provide a …

Developing A Space For Children: An Internship With The Mullumbimby Community Garden, Eden Olsen

Independent Study Project (ISP) Collection

This paper aims to demonstrate my independent study project internship at the Mullumbimby Community Garden (MCG), an interactive learning site for the citizens of Byron Shire. As an intern I spent 152.5 hours from October 29^th to November 23^rd planting, planning projects, attending meetings, and helping to educate about the importance of sustainable food production. More specifically, I focused on the development of the Children’s Garden, building vertical garden beds, planting the sensory garden, attending meetings, and helping to design and analyze costs for new structures to be implemented in the near future.

This study reaches further than …

Engendering The Classroom: A Look At Constructions Of ‘Gender’ And Empowerment Within Teachers’ Trainings In Northern India, Martha Snow

Independent Study Project (ISP) Collection

Education for girls in India has been a crucial area of study for the past 20 years; however, the main focus of attention has been on issues of girls’ access to school only. This study moves beyond this, seeking to gain critical insight into how ‘gender’ is being understood within the classroom via teachers. Teachers’ trainings conducted by the government and by Non-Governmental Organizations (NGOs) were examined through interviews with teachers and coordinators of teachers’ trainings, along with experts on gender and feminism in Delhi and Jaipur, Rajasthan. These interviews focused on the content and quality of teachers’ trainings, and …

Perceptions Of Wealth And Poverty In Samoa, William Glass

Independent Study Project (ISP) Collection

The current literature on perceptions of wealth and poverty is lacking. There is a growing need to understand the current state of wealth and poverty in Samoa. Globalization has brought foreign values that are in stark contrast to those of traditional Samoan culture and issues surrounding wealth and poverty which are creating new challenges. This research is looking at the traditional concepts of wealth and poverty in Samoa from traditional and contemporary perspectives, while also providing new insights to the current state of wealth and poverty in Samoa. Research was conducted using interviews with ten informants from various backgrounds. Along …

“A Place For The Grassroots”: Examining The Role Of Community Participation And Local Governance In Providing Mid-Day Meals In Lucknow District, Uttar Pradesh, Anderson Tuggle

Independent Study Project (ISP) Collection

The Mid-Day Meal Scheme (MDMS)—the world’s largest school lunch program—was launched by India’s central government in August 1995 with the lofty goals of “enhancing enrollment, retention, and attendance while simultaneously improving nutritional levels among children.”[1] 17 years later, particularly following prominent Supreme Court orders in November 2001 and April 2004, MDMS has become a key program for the government, now serving about 105 million primary and upper-primary schoolchildren in 1.2 million schools.[2] When implemented properly, MDMS has had a noticeable positive impact on student attendance and enrollment, alongside a reduction in teacher absenteeism. Yet grave disparities in application …

Ua23 Progression Through Partnerships, Aurelia Spaulding, Western Kentucky University Alive Center For Community Partnerships

ALIVE Center Publications

No abstract provided.