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Acculturation, Inflammation, And Depression Among Hispanic Adults In The United States, Kristin Marie Marano Jan 2016

Acculturation, Inflammation, And Depression Among Hispanic Adults In The United States, Kristin Marie Marano

Walden Dissertations and Doctoral Studies

Disparities exist in the recognition and treatment of depression among Hispanics in the United States, creating a social, ethical, economic, and public health burden. This study was designed to generate an improved understanding of the causes of and/or contributors to depression within this population. It was specifically designed to 1) assess the prevalence and severity of depression among Hispanic adults in the United States relative to adults of other race/ethnicities in the United States; 2) clarify the inconsistent results in the literature concerning the relationship between acculturation and depression among Hispanic adults in the United States; and 3) fill a …

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Increasing Black Student Literacy Proficiency Using English Language Learner Instructional Strategies, Niki Tiara Newman-Brown Jan 2016

Increasing Black Student Literacy Proficiency Using English Language Learner Instructional Strategies, Niki Tiara Newman-Brown

Walden Dissertations and Doctoral Studies

Historically, identifying solutions to the achievement gap between Black and White students has plagued education. Twenty-first century challenges have emerged to include an achievement gap between Black and Hispanic students in literacy as early as 4th grade. Limited research exists on the use of English language learner (ELL) instructional strategies with Black standard English learners (SELs). This project study narrows the gap in previous research. The goal was to use a collective case study approach to investigate the professional development needs of the Northeast School District through the perspective of 5 Title I, ELL, kindergarten through sixth-grade elementary school principals. …

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Asthma Determinants, Health Care Utilization, And Control Among Women In Puerto Rico, Maria Calixta Ortiz-Rivera Jan 2016

Asthma Determinants, Health Care Utilization, And Control Among Women In Puerto Rico, Maria Calixta Ortiz-Rivera

Walden Dissertations and Doctoral Studies

Active asthma and asthma-related health care utilization are higher among adult females than they are among adult males in Puerto Rico. The purpose of this study was to examine the determinants of the risk of active asthma and associated health care utilization and asthma control among women in Puerto Rico. Guided by the Andersen behavioral model, the study included data from the Asthma Call-Back Survey (ACBS) during 2011 and 2012 in Puerto Rico. The associations between active asthma and behavioral, demographic, and environmental factors were assessed using logistic regression. The relationship between asthma-related health care utilization and predisposing, enabling, and …

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Exploring The Transition Of First-Generation Mexican American Students From Grade 8 To High School, Mary C. Curry Jan 2016

Exploring The Transition Of First-Generation Mexican American Students From Grade 8 To High School, Mary C. Curry

Walden Dissertations and Doctoral Studies

The dropout rate for first-generation Mexican Americans students in American schools has increased in the past decade. The purpose of this study, as reflected in the central research question, was to explore the factors that influenced the decision of first-generation Mexican American students to transition to high school or drop out after Grade 8. The research design was a phenomenological case study. The conceptual framework was based on current research surrounding first-generation Mexican American student dropout questions. In addition, how the concepts of family and community involvement and relationships between the home and school have an impact on the first …

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Stigma And Hiv Testing Among African American Women In New Jersey, Mirriam Limage-Pierre Jan 2016

Stigma And Hiv Testing Among African American Women In New Jersey, Mirriam Limage-Pierre

Walden Dissertations and Doctoral Studies

African American women are 18 times more likely to contract HIV than are European American women, yet they are less likely to be tested for HIV. Lack of HIV testing leads to late diagnosis and increased mortality from HIV-related illnesses. Based on the health belief model, this correlational study analyzed the extent to which HIV stigma mediated the relationship between perceived benefits or perceived severity of HIV and the uptake of HIV testing among African American women in New Jersey. A total of 93 African American women aged 18 and older who resided in New Jersey completed online questionnaires. Data …

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A Quantitative Evaluation Of Service Priorities And Satisfaction Of Online University Students, Danielle Elizabeth Valle Jan 2016

A Quantitative Evaluation Of Service Priorities And Satisfaction Of Online University Students, Danielle Elizabeth Valle

Walden Dissertations and Doctoral Studies

As online education grows, institutions must develop and evaluate student services to meet the needs of adult online students. The university at which the study was conducted had growing online enrollment, but no systematic examination of services from the students' perspective to drive service development and improvement. This represented a gap in self-evaluation, and the research confirmed gaps in student service offerings at the university compared to field standards. The purpose of this project study was to drive improvement of online student services based on analysis of student-driven data. The research questions asked how important academic and support services were …

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Immigration's Impact On Emerging Mental Health Issues Among Kenyans In The Northeast United States, Jane Itumbi Kabuiku Jan 2016

Immigration's Impact On Emerging Mental Health Issues Among Kenyans In The Northeast United States, Jane Itumbi Kabuiku

Walden Dissertations and Doctoral Studies

Immigrants lose their unique psychosocial context when their experiences are subsumed under pan ethnic labels such as Hispanics, Latina/o, Asians or Africans. The stress from navigating different cultural contexts becomes problematic when immigrants operate within mainstream cultural norms that are in conflict with their traditional values. The number of Kenyan immigrants to the United States has steadily increased since the 1980s. The purpose of this descriptive phenomenological study was to study the lived experience of Kenyan immigrants by focusing on their integration experience and how the integration processes may have affected their mental health. Very few studies center on the …

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Investing In Least Developed Countries: The Aynak Mine Project, Roosevelt Barfield Jan 2016

Investing In Least Developed Countries: The Aynak Mine Project, Roosevelt Barfield

Walden Dissertations and Doctoral Studies

The rise of market globalization creates challenges for business executives seeking to pursue foreign direct investment (FDI) in least developed countries (LDC), such as Afghanistan. Multinational corporate (MNC) executives need strategies that will improve the timely delivery of minerals for mining projects in LDCs. Guided by the force field analysis theory, the purpose of this holistic, single-case study was to explore the strategies that 5 MNC executives in Beijing, China, used to improve the timely delivery of minerals associated with the Aynak copper mine project in Afghanistan. Semistructured interviews were used to elicit detailed narratives from MNC executives about their …

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Effect Of Healthy Food Demonstration On Minority Women's Dietary Habits In San Antonio, Texas, Staria Hudson Black Jan 2016

Effect Of Healthy Food Demonstration On Minority Women's Dietary Habits In San Antonio, Texas, Staria Hudson Black

Walden Dissertations and Doctoral Studies

Obesity has become a global epidemic. Healthcare cost continues to increase due to co-morbidities such as diabetes, hypertension, and coronary artery disease associated with obesity. The purpose of this project was to examine whether teaching nutritious food choices to obese African American and Hispanic females in healthy cooking demonstrations would have an effect on their dietary behavior. The holistic self-care model was used to develop healthy strategies for weight loss. The model guided the development of nutritional support, exercise, and spiritual strategies for weight reduction. African American and Hispanic females between the ages of 25 to 64 were solicited from …

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The Indian Pharmaceutical Industry's Supply Chain Management Strategies, Prasad Bolineni Jan 2016

The Indian Pharmaceutical Industry's Supply Chain Management Strategies, Prasad Bolineni

Walden Dissertations and Doctoral Studies

Indian pharmaceutical companies spend one-third of their revenue from supply chain management (SCM) activities due to inherently poor transportation infrastructure. SCM is a vital function for many companies, as it is usually employed to lower expenses and increase sales for the company. SCM costs are higher in India than they are in other areas of the world, amounting to 13% of India's GDP. The purpose of this study was to explore SCM strategies Indian business leaders in the pharmaceutical industry have used to reduce the high costs associated with SCM. This study used a single case study research design and …

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Nigerian Policy On Child Labor: An Evaluation Of The Education Sector Preparedness For Effective Policy Implementation, Samuel Effiong Ekong Jan 2016

Nigerian Policy On Child Labor: An Evaluation Of The Education Sector Preparedness For Effective Policy Implementation, Samuel Effiong Ekong

Walden Dissertations and Doctoral Studies

A number of studies have been conducted about policy failures in Nigeria; however, little is known about the state of stakeholders' readiness to implement any government policy. Using the functionalist theory of Durkheim and the infrastructure theory of Frischmann, the purpose of this exploratory case study was to evaluate the level of preparedness of the education sector to implement the Nigerian policy on child labor, which was adopted on September 11, 2013, by the federal executive council of Nigeria. Preparedness in this study was conceptualized as the ability of the education sector to absorb children of school-going-age who quit all …

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Adherence To Self-Care Management Of Sickle Cell Disease Among Caregivers, Muinah Adenike Fowora Jan 2016

Adherence To Self-Care Management Of Sickle Cell Disease Among Caregivers, Muinah Adenike Fowora

Walden Dissertations and Doctoral Studies

The self-care management of sickle cell disease (SCD) improves mortality rate; however, compliance with SCD self-care management remains a problem. The purpose of this study was to examine the knowledge and factors that influence compliance with SCD self-care management recommendations among caregivers of children with SCD. The health belief model was used as the theoretical foundation of this study, theorizing that caregivers' perceived susceptibility, severity, and benefits of SCD self-care management will influence compliance. The study used a quantitative research design. A cross-sectional survey was administered to 100 caregivers of children with SCD attending sickle cell clinics in Lagos, Nigeria …

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Association Between Diabetes/Chronic Disease Incidence And Lifestyle Factors Among African-Born Populations, James Walakerwon Gbala Jan 2016

Association Between Diabetes/Chronic Disease Incidence And Lifestyle Factors Among African-Born Populations, James Walakerwon Gbala

Walden Dissertations and Doctoral Studies

Numerous studies have revealed that immigrants' health and well-being is challenged by an increased susceptibility to diabetes/chronic disease as they settle in the United States. This study investigated a potential association between the incidence of diabetes/chronic disease and various lifestyles factors among Sub-Saharan African immigrants and refugees. The lifestyle factors studied were sociodemographics, food practices and dietary habits, access to healthcare and insurance, acculturation, and the length of stay in the United States among these immigrants and refugees residing in Minnesota. The health belief and the socioecological models guided this study to improve understanding of Sub-Saharan African's health behavior and …

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Maternal And Child Health Access Disparities Among Recent African Immigrants In The United States, Bakali Mukasa Jan 2016

Maternal And Child Health Access Disparities Among Recent African Immigrants In The United States, Bakali Mukasa

Walden Dissertations and Doctoral Studies

Health care disparities are U.S. national public health concerns that disproportionately affect minority populations. The focus of published studies on the health of larger immigrant populations from Europe, Asia, South America, and the Caribbean has revealed a knowledge gap on the health of African and other minority immigrants. The purpose of this phenomenological study was to explore disparities in access to maternal and child health (MCH) care as well as the causes and effects of such disparities to care-seeking experiences of recent African immigrants. Andersen's behavioral model of health services use provided the theoretical lenses to interpret study findings. Eleven …

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Sustainability Of Small Businesses In Zimbabwe During The First 5 Years, Barbra Sibanda Jan 2016

Sustainability Of Small Businesses In Zimbabwe During The First 5 Years, Barbra Sibanda

Walden Dissertations and Doctoral Studies

Small businesses in Zimbabwe make up 94% of the country's business population but only contribute 15% to the country's economy due to a high failure rate during the first 5 years. The purpose of this descriptive multiple case study was to explore strategies and skills that may contribute to the sustainability of small businesses during the first 5 years. The study population consisted of 5 small business owners in Ntepe village in Zimbabwe who had sustained their businesses for the first 5 years of operations. The conceptual framework that grounded this study was management theory. The data collection process involved …

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The Associated Risk Factors That Lead To The Onset Of Sarcoidosis In Black American Women, Tiffany Mcintyre Simmons Jan 2016

The Associated Risk Factors That Lead To The Onset Of Sarcoidosis In Black American Women, Tiffany Mcintyre Simmons

Walden Dissertations and Doctoral Studies

Sarcoidosis is a disease characterized as noncaseation granulomas. Granulomas are clusters of cells that form a discrete nodule. This research was important because Black American women develop saroidosis at a higher rate than any other race. The purpose of this phenomenological qualitative study was to examine the impact of sarcoidosis in the lives of Black American women diagnosed with the disease and to consider how occupational experiences may have contributed to participants' development of sarcoidosis. Research states that domestic work such as cleaning, when performed on a daily basis or as an occupation, can contribute to adverse health effects. The …

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Compassion Fatigue And Crisis Workers' Attitude To Work, Maria Adneza Loolo Jan 2016

Compassion Fatigue And Crisis Workers' Attitude To Work, Maria Adneza Loolo

Walden Dissertations and Doctoral Studies

Past research has revealed that mental health practitioners experience challenging reactions in the course of their professional interactions with traumatized clients in the clinical work setting. The demands of caring, without commensurate replenishment, deplete the practitioners' empathy and produces forms of apathy and indifference towards the suffering of others, known as compassion fatigue. This quantitative, exploratory, cross sectional study examined the predictive relationships between compassion fatigue and work attitudes in primary care physicians located in West Africa. The etiological model of compassion fatigue and constructivist self-development theory (CSDT) formed the conceptual framework for examining clinician responses to trauma-related experiences in …

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Novanet's Effect On The Reading Achievement Of At-Risk Middle School Students, Alice Harris Jackson Jan 2016

Novanet's Effect On The Reading Achievement Of At-Risk Middle School Students, Alice Harris Jackson

Walden Dissertations and Doctoral Studies

At-risk and special education students in the 7th and 8th grades in a rural middle school in western Alabama, in the years following the introduction of the No Child Left Behind federal legislation in 2002, failed to achieve adequate yearly progress in reading. School districts are increasingly implementing flexible computer-based intervention programs to improve their students' reading achievement. Using a between-group design, the purpose of this study was to determine whether NovaNET, a newly adopted reading intervention program, enhanced the reading attainment of at-risk and special education students. Guided by constructivist theory, archived reading achievement data from the 2009-2013 Alabama …

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Workplace Violence Prevention Program To Improve Nurses' Perception Of Safety In The Emergency Department, April Hough Brown Jan 2016

Workplace Violence Prevention Program To Improve Nurses' Perception Of Safety In The Emergency Department, April Hough Brown

Walden Dissertations and Doctoral Studies

The literature claims that workplace violence (WPV) in the health care setting is among the highest, with the majority of that violence taking place in the Emergency Department (ED). The significance of WPV in reference to nursing is that it leads to burnout, absenteeism, and the risk of nurses leaving their job all together. Leaving the nursing profession intensifies the present critical shortage. With the success of an evidence-based WPV prevention program (WPVPP), hospitals could improve the quality of work for nurses, which consequently will improve retention rates, as well as provide an environment that will be more conducive to …

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Predictors Of Likeliness To Engage In Radical Animal Rights And Environmental Activism, Patsy Mckenzie Jan 2016

Predictors Of Likeliness To Engage In Radical Animal Rights And Environmental Activism, Patsy Mckenzie

Walden Dissertations and Doctoral Studies

Radical animal rights and environmental activism is considered domestic terrorism under the Animal Enterprise Terrorism Act. Traditional models of terrorism purport that there is a path to radicalization that is influenced by an individual's sense of identity and ideological beliefs. Using collective identity theory and cognitive experiential self-theory as the framework, the purpose of this quantitative study was to examine whether social identity, cognitive processing mode, and ideological beliefs were predictors for engagement in radical animal rights and environmental activism. The Three Factor Model of Social Identity Scale, the Rational Experiential Inventory, and the Activism Orientation Scale were used to …

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The Impact Of Free Healthcare On Hospital Deliveries In Sierra Leone, Salifu Salito Samura Jan 2016

The Impact Of Free Healthcare On Hospital Deliveries In Sierra Leone, Salifu Salito Samura

Walden Dissertations and Doctoral Studies

Improving maternal health has been a challenge for developing nations with very high rates of maternal mortality. Sub-Saharan Africa, particularly Sierra Leone, has some of the highest maternal mortality rates in the world. In an attempt to improve on this, the Sierra Leonean government enacted free maternal healthcare services in 2010. The Sierra Leone Free Healthcare Initiative (SLFHCI) provides free healthcare for pregnant women, lactating mothers, and children under 5 years old. This research explored the impact of the free healthcare on hospital deliveries. The determinant of health model was used to evaluate the effectiveness of the SLFHCI program, and …

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Investing In Least Developed Countries: The Aynak Copper Mine Project, Roosevelt Barfield Jan 2016

Investing In Least Developed Countries: The Aynak Copper Mine Project, Roosevelt Barfield

Walden Dissertations and Doctoral Studies

The rise of market globalization creates challenges for business executives seeking to pursue foreign direct investment (FDI) in least developed countries (LDC), such as Afghanistan. Multinational corporate (MNC) executives need strategies that will improve the timely delivery of minerals for mining projects in LDCs. Guided by the force field analysis theory, the purpose of this holistic, single-case study was to explore the strategy that 5 MNC executives in Beijing, China, used to improve the timely delivery of minerals associated with the Aynak copper mine project in Afghanistan. Semistructured interviews were used to elicit detailed narratives from MNC executives about their …

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Perception Of Job Satisfaction And Over Qualification Among African Immigrants In Alberta, Canada, Benard Chi Njeundam Chuba Jan 2016

Perception Of Job Satisfaction And Over Qualification Among African Immigrants In Alberta, Canada, Benard Chi Njeundam Chuba

Walden Dissertations and Doctoral Studies

African-trained landed immigrants in the Alberta labor market are faced with employment over qualification and professional devaluation. Researchers have documented the precarious labor market position of this cohort and efforts undertaken by federal and provincial Canadian governments to address it. Little is known, however, about how these African immigrants perceive job satisfaction and over qualification. Guided by human capital theory, this phenomenological study focused on the perceptions of job satisfaction and over qualification among 11 landed immigrants of African origin in Alberta, Canada. Data were collected using semi structured interviews. Hatch's 9-step technique was used to analyze data, resulting in …

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Providing Optimal Nutrition In Critical Care, Jo Anne Foley Jan 2016

Providing Optimal Nutrition In Critical Care, Jo Anne Foley

Walden Dissertations and Doctoral Studies

Malnutrition among hospitalized patients is prevalent and associated with adverse outcomes. At the health care facility for which this quality improvement (QI) initiative was developed, patients were not consistently fed within the nationally recommended 48 hours. The purpose of this project was to facilitate the early initiation of enteral feedings to prevent malnutrition in a vulnerable patient group by development of an evidence-based enteral feeding policy, algorithm, and nursing education module. The find, organize, clarify, understand, select, plan, do, check, and act model provided a systematic approach for development of the project. Validation of the QI initiative was through the …

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Nurses' Occupational Trauma Exposure, Resilience, And Coping Education, Sherry Lynn Jones Jan 2016

Nurses' Occupational Trauma Exposure, Resilience, And Coping Education, Sherry Lynn Jones

Walden Dissertations and Doctoral Studies

Nursing education courses and professional development (PD) do not include coping and resilience training for registered nurses (RNs) who work in emergency departments (EDs). Exposure to traumatic events, death, and dying may lead to health issues, substance abuse, stress symptoms, nursing staff turnover, and compassion fatigue among ED RNs. Without training, the pattern of adverse outcomes may continue. The purpose of this study was to explore ED RNs' experiences with occupational traumatic stress (OTS), and their recommendations for change to nursing PD programs, using a qualitative bounded intrinsic case study. The conceptual framework for this study included social learning and …

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Prevalence And Predictors Of Complementary And Alternative Medicine Use Among Lebanese College Students, Lama Jizi Jan 2016

Prevalence And Predictors Of Complementary And Alternative Medicine Use Among Lebanese College Students, Lama Jizi

Walden Dissertations and Doctoral Studies

In Lebanon, estimates of Complementary and Alternative Medicine (CAM) use among college students are not available. CAM practices are not well regulated and some products contain unsafe substances. The purpose of this study was to estimate the prevalence and predictors of CAM use among Lebanese college students using the health belief model. A quantitative cross sectional research design was used. An online survey was administered to 126 Lebanese college students with the aim of determining the most important predictors of CAM use. A majority (89%) of surveyed students reported the use of CAM in the last 12 months. Based on …

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Relationship Between Meaning In Life And Dispositional Forgiveness, Shirley Karseboom Jan 2016

Relationship Between Meaning In Life And Dispositional Forgiveness, Shirley Karseboom

Walden Dissertations and Doctoral Studies

Both meaning in life and forgiveness have been shown to separately contribute to better mental health. However, no prior research examined the linkage between meaning in life and forgiveness. This quantitative study was therefore to identify if there was a relationship between meaning in life, as measured by the Meaning in Life Questionnaire (MLQ), and overall dispositional forgiveness, dispositional forgiveness of self, dispositional forgiveness of others, and dispositional forgiveness of situations, as measured by the Heartland Forgiveness Scale (HFS). Survey data were gathered from 250 college students in Western Canada, and multiple linear regression controlling for sociodemographic factors was used. …

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Strategies For Small And Medium-Sized Enterprises To Engage Third-Party Logistics Providers, Masoud Malakoti-Negad Jan 2016

Strategies For Small And Medium-Sized Enterprises To Engage Third-Party Logistics Providers, Masoud Malakoti-Negad

Walden Dissertations and Doctoral Studies

Small and medium-sized enterprise (SME) managers struggle to stay competitive. The purpose of this multiple case study was to explore the strategies SME managers located in Canada use to engage third-party logistics (3PL) providers to improve their supply chains. Porter's value chain theory formed the conceptual framework for this study. Data collection included semistructured interviews with 3 managers from 3 different SMEs in the province of Ontario and a review of the documents related to the use of 3PL providers. Member checking was conducted to enhance credibility of interpretation of the data collected. Data analysis was used to identify key …

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Short Term Memory Of Magnetic Resonance Imaging Technologists, Samuel Maldonado Jan 2016

Short Term Memory Of Magnetic Resonance Imaging Technologists, Samuel Maldonado

Walden Dissertations and Doctoral Studies

This study examined the short term memory (STM) difference of magnetic resonance imaging (MRI) technologists versus non-MRI technologists. Human and animal studies have indicated that residual magnetic fields have caused changes within the cerebral structure. Research on residual magnetic fields and their effect on STM is still at its infancy. A quasi-experimental design was used to determine if any significant difference existed between the STM of MRI technologists (n = x) and a control population sample (n = x). The STM of both groups was assessed with the use of the Rivermead Behavioural Memory Test-Third Edition. Solicitation of the participants …

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Hiv-Positive Status Disclosure Barriers In Stable Heterosexual Partners In Warri, Nigeria., Edith Nkechinyere Ogbozor Jan 2016

Hiv-Positive Status Disclosure Barriers In Stable Heterosexual Partners In Warri, Nigeria., Edith Nkechinyere Ogbozor

Walden Dissertations and Doctoral Studies

Nondisclosure of positive status drives the secondary transmission of human immunodeficiency virus (HIV) infection. This cross sectional quantitative survey study grounded by the consequence theory evaluates fear of stigma, lack of social support, and level of HIV-related knowledge as barriers to self-disclosure of HIV-positive status to stable heterosexual partners. A sample of 303 HIV-infected respondents (111 men and 192 women) accessing antiretroviral therapy at 4 designated centers in Warri, Nigeria, completed the self-administered questionnaires. Logistic regression analysis was used to assess the association between these factors and spousal HIV-positive status disclosure. Results demonstrated: (a) social support availability significantly predicted HIV …

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