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A Flower Blooms In The Desert: Managing For Collaboration, Josphine Gatti Schafer

UNLV Theses, Dissertations, Professional Papers, and Capstones

This is a dissertation about local, regional and federal agencies charged with the development of parks, trails and natural areas in Southern Nevada. The context for the delivery of this service is a network. Networks are an increasingly common context for service delivery in the United States; however, their value for constituents has been questioned. Some suggest that the advantages of capacity building and social capital that are expected when organizations work across their typical boundaries are not as significant as expected. This dissertation provides knowledge to add to this debate.

The dissertation is an in-depth case study that evaluates …

About A Yellow Ball, Shannon Alice Salter

UNLV Theses, Dissertations, Professional Papers, and Capstones

These are poems made from many things: color, eggs, oranges, many kinds of seeds, leaves, wind, California, the desert, birds. They are things alive in the world and alive in my heart. I cannot take them out of the world, but from my heart I can have whatever appears on its surface. The language of steam.

They are poems that like to be at home.

California is my home and so is the Mojave (and so is every desert). I live in a valley about four hundred miles from the Pacific Ocean, in the city of Las Vegas. What better …

Measuring Spillover Effects Of Residential Amenity Improvements Using Spatial Hedonic Approach, Shruti Bishan Tandon

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this dissertation is to develop a methodology for the estimation of the appropriate welfare benefits in the presence of spillover externalities. The ability to capture influences of the not so easily observed variables allow spatial lag models to measure the direct and indirect spillover effects. The direct effect measures the value of the property in question and the indirect captures the influences of neighboring properties, through a spatial multiplier effect.

Kim et al. (2003) through a path breaking approach estimated welfare benefits of air quality improvement. Their methodology captured spillover effects of amenity changes that lump both …

Perceptions Of Barriers That Inhibit African American Women And Adolescent Girls From Participation In Physical Activity, Sonya Daniels Walker

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study examined the barriers to leisure time physical activity for African American women and their adolescent daughters. Six mother-daughter dyads were interviewed who have access to physical activity opportunity. Three of the dyads participated in a follow-up focus group. A qualitative research design that utilized a grounded theory approach identified two themes for the women and two themes for the girls. Themes for the women include influence of culture and low physical activity IQ. Sub-themes of influence of culture are (a) hair and (b) body image. Sub-themes of low physical activity IQ are (a) mommy guilt, (b) perception of …

Take Pride In America Phase Iii: Quarterly Progress Report, Period Covering January 25, 2012-April 24, 2012, Margaret N. Rees

Anti-littering Programs

• The GIS database continued to be populated with data.
• Hector’s Helpers participants completed multiple projects.
• Social Media training was delivered.
• The pilot testing of the litter monitoring program continued.

The University of Nevada Las Vegas Public Lands Institute (PLI) has designed the Take Pride in America (TPIA) Phase III work plan based on the strategic plan developed by the Southern Nevada Agency Partnership (SNAP) anti-litter and desert dumping team during Phase II of the program.

Building A Dream, Jenny Nestelberger

Graduate Research Symposium (2010 - 2017)

The August 28, 1963 March on Washington is often remembered primarily for Martin Luther King, Jr.’s “I Have a Dream” speech, which serves as the pinnacle of civil rights movement oratory. This thesis, in contrast, examines speeches of the leaders of the “Big Six” organizations that preceded King’s well-known words in order to shed light on the complexities of the movement and the outcomes that can result from meaningful dissent. Occurring at a time of division, the March emerged as a symbol of hope for change in the nation. The addresses of the day reflected this hope and helped build …

Cyber-Systemic Themes In Mft Literature, Justin M. Smith, Katherine M. Hertlein, Markie L.C. Blumer, Harrison Allen

Graduate Research Symposium (2010 - 2017)

Abstract: In the fifteen years since the explosion of the Internet, using cyber technology for work & social functions has exponentially increased. Yet the questions around how to manage such changes remain elusive in family therapy literature. In this investigation, we conducted a content analysis to determine to what extent marriage & family therapy (MFT) journals have responded to the integration of the Internet in couple & family life. We found 79 of 13,274 articles across seventeen journals focused on the Internet in some capacity supporting the contention that cyber issues are largely ignored within the MFT field.

Multicultural Education Policies And State Legislatures: Analyzing The Factors Affecting Policy Adoption, Leander D. Kellogg

Graduate Research Symposium (2010 - 2017)

Introduction: This study looks at the factors that contribute to the adoption of multicultural education policies in the fifty US state legislatures plus the District of Columbia. The demographics of the US are changing significantly. According to Frey (2011), “The 2010 census showed that among infants, almost half—49.8 percent—are minorities, and a quarter of these are Latinos.” Furthermore, it is now projected that by 2023 Whites will become a minority in the student populations nationwide and by 2042 Whites will be a minority within the general US population. In fact, according to the 2010 census there are already 11 states …

We Can Do It! (But Should We?), Lindsey Odom

Graduate Research Symposium (2010 - 2017)

First dates represent an important early event in the development of dating relationships. Commonly, date initiation is a behavior in which men take control. In the past few decades, however, more women attempted this task. Women initiating dates is a deviation from cultural norms or what society views as appropriate behavior. The deviation in behavior could have negative repercussions for women. For this study, perceptions of women who initiate dates are investigated. By examining the expectedness and violation valence of the behavior through Expectancy Violations Theory, insight is provided into the perceptions of this dating trend.

“Counseling The Unemployed”: Reflections On A Pilot Clinical Program, Rebecca Nemecek, Markie L.C. Blumer, Colleen Peterson, Stephen Fife, Katherine M. Hertlein, Gerald Weeks

Graduate Research Symposium (2010 - 2017)

•Unemployment and economic hardships are issues in the lives of clients serviced by marriage and family therapists (MFTs).

• “Counseling the Unemployed” program was created within a university-based clinical setting to help meet such needs.

•Student MFTs were educated on effects of unemployment, coping strategies, and then shared what was helpful in addressing such issues via an online qualitative survey.

•Anxiety, depression, low self-esteem, and relational problems were reported to be common symptoms of clients who presented with unemployment issues.

•A degree of hopelessness and helplessness in the clients when compared to clients who did not present with issues related …

The Perceived Level Of Enjoyment In Sports Violence: An Experiment Examining How Sports Commentary, Fanship, And Gender Affect Viewer Emotions, Sarah Vineyard

Graduate Research Symposium (2010 - 2017)

This poster presents the purpose, methods, and expected results of a current on-going study. The experiment’s main focus is to test the perceived level of enjoyment of viewers through an experiment that will examine how sports commentary, fanship, and gender affect their emotions while they watch various violent sports clips. These clips will feature both televised National Football League and National Hockey League videos. Through manipulation tests and a main study, videos, surveys, and detailed data collection will be implored. References regarding the current study are available upon request.

Exploring The In-Race Adoption Of Asian Children, Kathleen J. Bergquist, Salina Offergeld

Graduate Research Symposium (2010 - 2017)

A growing body of literature exists which explores the transracial adoption of Asian children into White/Caucasian families while there are no studies to date which capture the experiences of Asian/Asian American families who adopt Asian children. It is the researchers' intent to build knowledge in the area as well as illuminate the need for further research.

Broken Windows, Police, &Traffic Safety, Carol Servino

Graduate Research Symposium (2010 - 2017)

Abstract This research explores application of the “broken windows” theory of public disorder and urban decline to the pattern and problem of police officer fatalities in motor vehicle crashes. It contextualizes the influential theory into a 45-year timeline of significant events related to legislative efforts and traffic safety behavioral safety programs in the United States. It finds one police agency that reported fewer crimes and fewer crashes after implementing a community-wide Safe Streets program designed around “broken windows” theory in 1997. It pays particular attention to states with the highest percentages of law enforcement officer fatalities in motor vehicle crashes, …

Examining The Role Of Life Satisfaction And Negative Emotionality In A Social Disorganization Framework, Jeremy Waller, Timothy C. Hart

Graduate Research Symposium (2010 - 2017)

At the core of the social disorganization perspective is the notion that neighborhood structural factors (i.e., socio-economic status, residential mobility, racial heterogeneity, family disruption, and urbanization) disrupt a community’s ability to self-regulate, which in turn leads to crime and delinquency.

Exogenous neighborhood characteristics believed to be causally linked to crime and delinquency are consistently derived from official Census data and endogenous community characteristics are typically measured from self-reported surveys.

The body of literature supporting the social disorganization explanation of criminogenic places is growing and supports the idea that neighborhood structural determinants of crime influence residents’ feelings of social capital and …

Research Brief: Technology And Health Education: An Exploratory Study Of Older Chinese Immigrants, Jenny H. Tsai, Vicky Taylor, Shin-Ping Tu

Journal of Health Disparities Research and Practice

Technology advances, especially in the Internet, provide new tools to deliver health education to limited English proficient immigrants. This paper presents the findings of a qualitative descriptive study of older limited English proficient Chinese immigrants’ perspectives regarding computer-based health education. The sample consisted of 33 foreign-born Chinese recruited in Seattle, Washington. Data were generated through six focus groups and an 18-item demographic questionnaire. The analyses revealed that the majority was not skillful in computer use and Internet browsing, and the Internet was not a common health information source. Nevertheless, participants were supportive of having computer-based health information designed for Chinese …

Preliminary Evaluation Of The Incharge Program Among Older African Americans In Rural Alabama, Cynthia Owsley, Gerald Mcgwin Jr., June Weston, Beth T. Stalvey, Karen Searcey, Christopher A. Girkin

Journal of Health Disparities Research and Practice

Objective: Blindness rates among older African Americans are two times higher than for older whites. Our purpose was to understand attitudes about eye care and perceived barriers to care among older African Americans living in rural Alabama and to determine whether an educational program reduced perceived barriers to care. InCHARGE, an eye health education program for older African Americans, promotes eye disease prevention by conveying the personal benefits of annual dilated comprehensive eye care and by teaching strategies to minimize barriers to eye care.

Design and Participants: InCHARGE was presented in five senior centers to 111 individuals. Using a questionnaire …

Obesity Prevalence, Weight-Related Beliefs And Behaviors Among Low-Income Ethnically Diverse National Job Corps Students, Jamie S. Bodenlos, Milagros C. Rosal, Diane Blake, Celeste Lemay, Diane Elfenbein

Journal of Health Disparities Research and Practice

The obesity rates of Job Corps students, a predominantly ethnic minority and low income group of youth, are unknown. The purpose of this project was to examine obesity rates among these youth as well as their weight-related perceptions and behavior. First, medical charts (N=641) of all Job Corps students (ages 16-25) who were enrolled in the program in the past year were examined for height and weight. In the second phase of the study, 344 Job Corp students were recruited and information on weight perceptions, knowledge of obesity consequences, and weight loss behavior were examined. Almost half of the participants …

The Significance Of A K-12 Diabetes-Based Science Education Program For Tribal Populations: Evaluating Cognitive Learning, Cultural Context, And Attitudinal Components, Carolee D. Francis, Doug Coulson, Bonnie Kalberer, Lemyra Debruyn, William Freeman, Janet Belcourt

Journal of Health Disparities Research and Practice

Preventing and reducing the onset of type 2 diabetes among American Indian/Alaska Native youth requires ground-breaking strategies to affect knowledge, attitudes, and cognitive decision-making skills. In an unparalleled endeavor to address the growing epidemic of type 2 diabetes in tribal communities, a K-12 Diabetes Education in Tribal Schools (DETS) curriculum was created by eight tribal colleges and three federal agencies. This article highlights the results of the implementation phase, the final evaluation step in acquiring and measuring student knowledge and attitude gains through pre-post standardized assessment.

Barriers, Control And Identity In Health Information Seeking Among African American Women, Jennifer R. Warren, Lynette Kvasny, Michael L. Hecht, Diana Burgess, Jasjit S. Ahluwalia, Kolawole S. Okuyemi

Journal of Health Disparities Research and Practice

Qualitative research methods were used to examine the role of racial, cultural, and socio-economic group (i.e., communal) identities on perceptions of barriers and control related to traditional and internet resources for seeking health information. Eighteen lower income, African American women participated in training workshops on using the internet for health, followed by two focus groups. Transcripts were analyzed using standardized coding methods. Results demonstrated that participants perceived the internet as a tool for seeking health information, which they believed would empower them within formal healthcare settings. Participants invoked racial, cultural, and socio-economic identities when discussing barriers to seeking health information …

Health Care Disparities For Persons With Limited English Proficiency: Relationships From The 2006 Medical Expenditure Panel Survey (Meps), Diane L. Smith

Journal of Health Disparities Research and Practice

Inadequate communication between patients with limited English proficiency (LEP) and providers can be associated with lower access to health care. The purpose of this research was to determine if there is a significant difference among those persons whose primary language is English and those with LEP in ability to access care and preventative screenings and perception of interaction with their physician. Chi square analysis was performed to determine if there was a significant relationship between primary language spoken and access to health care and patient-provider interaction. Data were obtained from the 2006 Medical Expenditure Panel Study. Results show that there …

Colorectal Cancer Brochure Development For African Americans, Kim L. Freeman, Lina Jandorf, Hayley Thompson, Katherine N. Duhamel

Journal of Health Disparities Research and Practice

Introduction: African Americans are more likely to die from colorectal cancer (CRC) than any other racial/ethnic group in the United States. Unfortunately, African Americans are also less likely to undergo screening for CRC than their White counterparts. Focus groups methodology was used to refine educational brochures designed to increase CRC screening among African Americans.

Methods: Two series of focus groups were completed, with a total of seven groups and 39 participants. Six different brochures (stage-matched and culturally sensitive) designed to promote CRC screening among African Americans were evaluated.

Results: All participants thought that the brochures motivated them …

Modeling Health Inequities Research In Context And The Minority Researcher’S Role, Ari Mwachofi, Ngure Wamwachofi

Journal of Health Disparities Research and Practice

Current health inequities research templates are flawed and self-defeating because they do not include historical inequalities as the central context that points to the root causes of health inequities. The context includes structural malformations which are products of the history of colonization and slavery that created racial separation and hierarchies which established Whites as the dominant group and non-Whites (minorities) as the subordinate group. Consequently it is difficult for mainstream researchers to capture the minorities’ core knowledge necessary for the creation of relevant and effective interventions for fundamental and sustainable improvement of their health. This paper proposes a health inequities …

Family Home Visitors: Increasing Minority Women’S Access To Health Services, Mechthild Meyer, Alma R. Estable, Lynne Maclean, Wendy E. Peterson

Journal of Health Disparities Research and Practice

The article describes how service access barriers (language, trust) were addressed at different levels (organization, service provider, community) by involving Family Home Visitors to support Nurse Practitioners in providing pre- and postnatal services to linguis­tic minority women in Ontario. The investigators undertook a secondary analysis of 18 semi-structured interviews with health unit informants, Nurse Practitioners, program us­ers, and community leaders, including Family Home Visitors. Health units facilitated col­laboration between two programs aimed at serving mothers with young children, result­ing in both programs using Family Home Visitors. They enhanced minority women’s trust in Nurse Practitioner services by providing interpretation, outreach and …

Hiv/Sti Risk Factors Among African-American Students Attending Predominantly White Universities, Marya L. Shegog, Lisa Lindley, Melva Thompson-Robinson, David Simmons, Donna Richter

Journal of Health Disparities Research and Practice

Introduction: The majority of African American college students in the U.S. attend predominantly white institutions (PWIs). However, there is minimal research examining this population’s HIV/STI risk behaviors. The purpose of this investigation was to assess HIV/STI behavioral risk factors among African American college students (aged 18 – 24years) attending PWIs. (n = 2,568)

Methods: Backwards step-wise logistic regression analyses were conducted to determine factors associated with a positive HIV/STI diagnosis (past year) among sexually active African American college students who participated in the Spring, 2006 National College Health Assessment.

Findings: Nine factors were significantly associated with an HIV/STI diagnosis among …

Using Concepts From Freire’S Pedagogy Of The Oppressed To Promote Colorectal Cancer Screening In An Urban Minority Population, Corey H. Brouse, Charles E. Basch, Randi L. Wolf

Journal of Health Disparities Research and Practice

This paper briefly introduces Freire’s philosophy of education, as well as examples of how this philosophy can be used in health education. Concepts from Freire’s work are highlighted along with how they are applicable to educating adults about colorectal cancer (CRC) screening, a health behavior that is less prevalent among poor and minority populations. Concepts highlighted in Freire’s writing can be directly applied to reducing disparities in health.

Prioritizing Interventions And Research To Address The Cancer Disparities Of Arizona’S American Indian Population, Norman J. Petersen, Sujata Joshi, Tim Flood, Kathryn Coe

Journal of Health Disparities Research and Practice

The aim of the Southwest American Indian Collaborative Network (SAICN) is to reduce cancer disparities by closing the gap between community needs and the promise of cancer prevention and cure through participatory education, training and research programs. In an effort to provide evidence-based recommendations and promote the use of relevant data in tribal communities, the SAICN Data and Evaluation Core developed two comparison matrices that present scientifically sound practices for use by community health decision makers in prioritizing activities likely to reduce the irrespective community’s burden of cancer. In their current configurations, Matrix A considers those cancers for which prevention …

A Communication Strategy To Address Health Inequities In Municipal Settings, Christine Unson, Ben Tyson, Angela Funaiole, Comfort Agaba

Journal of Health Disparities Research and Practice

This study assessed knowledge of health inequities, importance and benefits/barriers of addressing inequities, and ways of communicating information about inequities among municipal officials. Five focus groups (N=47) were conducted with officials from economic development, land use and housing, public safety, education, and environment departments. Discussions were recorded, transcribed and analyzed for key themes. Findings show that participants had an uneven understanding of the symptoms and causes of health inequities and identified limitations to participating in health equity initiatives and collaborating with local health departments. Recommendations are that a communication strategy to reduce health inequities should aim to increase awareness of …

Pap Test Follow-Up Pattern Among American Indian Women In Arizona, Merrill Eisenberg, Kathryn Coe, Charlton Wilson, Kathleen Evans, Elizabeth Brewer

Journal of Health Disparities Research and Practice

Objective: To quantify the loss to follow-up rate after abnormal Pap test results at the Phoenix Indian Medical Center, an Indian Health Service regional facility, and identify barriers to follow-up from the patients’ point of view.

Materials and Methods: Patient records were used to identify women who had abnormal Pap tests in 2002 and to document the status of their follow-up care. Women who had no clinical record of follow-up were contacted by telephone to arrange a follow-up appointment and to request participation in a structured qualitative interview to identify barriers to follow-up at the individual, family, community, and health …

Application Of The Pen-3 Model In A Diabetes Prevention Intervention, Joan E. Cowdery, Shandowyn Parker, Amy Thompson

Journal of Health Disparities Research and Practice

More effective strategies for addressing health issues in African American communities are needed. As part of a three year NIH funded Project Export grant, this community campus partnership used community-based participatory research principles and thePEN-3 Cultural Framework to develop a culturally specific, locally relevant intervention to prevent Diabetes among African-Americans. A comprehensive needs assessment which included 13 elicitation interviews, 3 focus groups, and 217 surveys resulted in identifying major themes including overall lack of knowledge regarding Diabetes,issues of denial and stigma, sense of inevitability, influence of family on perceptionsand behaviors, communication issues with health care providers, and lack of culturally …

Racial Differences In The Use Of Most Commonly Performed Medical Procedures In The United States, Syed S. Haque, Mohammad A. Faysel, Hafiz M. R. Khan

Journal of Health Disparities Research and Practice

Objective: This study investigates racial disparities in the use of commonly performed medical procedures in U.S. hospitals. Methods: To examine racial disparities, we calculated age-adjusted rate of procedures used by all Whites, Blacks, Hispanics, Asians or Pacific Islanders and Native Americans and calculated corresponding Relative Risks(RRs) of White vs. all other races based on procedure utilizations and insurance types using 20% random sample of Nationwide Inpatient Sample (NIS) data between 2001 and2003. Results: Whites were significantly more likely to receive 3 of the study procedures than Blacks, 3 of the procedures than Hispanics, 2 of the procedures than Asians or …