Digital Commons Network^™

Diabetic Adult Access To Medical Care And Race And Ethnicity In Connecticut, Natacha Bertine Jerome

Walden Dissertations and Doctoral Studies

Diabetes is among the leading causes of death in Connecticut. An approximate of 330,000 adults in Connecticut have diabetes (diagnosed and undiagnosed). Those with diabetes have almost twice the risk of premature death throughout various age groups. The purpose of this cross-sectional study was to investigate whether disparities exist in access to medical care due to race and ethnicity; among adults with diabetes in the state of Connecticut. Furthermore, this study used the Andersen's behavioral model framework. Survey data from the behavioral risk factor surveillance system (BRFSS) were also analyzed. The research study covered 3 years (2013 to 2015) of …

Relationships Among Vitamin D Deficiency, Metabolic Syndrome, Smoking Behavior, And Physical Activity, Ethan Pham

Walden Dissertations and Doctoral Studies

Aging increases the risk of both vitamin D deficiency and metabolic syndrome. Vitamin D deficiency and metabolic syndrome may be related, although there are mixed findings. Furthermore, literature suggests other factors such as physical fitness activity and smoking behavior are associated with Vitamin D deficiency and the development of metabolic syndrome. A number of studies have documented associations between Vitamin D levels and physical fitness activities, while other studies found correlations between Vitamin D levels, metabolic syndrome, and smoking behavior. However, no previous study has examined the links between physical fitness activity, smoking behavior, Vitamin D levels, and the risks …

Association Between Work-Related Safety And Work-Related Injuries Among Home Health Care Providers, Sania Mohammed Saleh Abdulkhaleq

Walden Dissertations and Doctoral Studies

Home care nurses (HCNs) have reported a high rate of exposure to work-related injuries (WRIs). Nurses are challenged by the multidimensional problems associated with home care safety. These contextual risk factors increase the physical and social health problems of health care workers and of community suffering as a whole. This quantitative, cross-sectional study was designed to examine the relationship between the organization-related factors (ORFs) and the environment-related factors (ERFs) and their influences on safety behaviors (SBs) and the WRIs of HCNs. The PRECEDE framework was used to guide the study. Self-reported data were obtained from 74 home health care (HHC) …

Health Promoting Behaviors Of Young Adults With Chronic Lyme Disease, Patricia D. Bolivar

Walden Dissertations and Doctoral Studies

Lyme disease is the most prevalent arthropod-borne (tick) disease in North America. The disease is more prevalent in some Eastern and Central states than in Western states. The general problem is that, in southern California especially in Los Angeles County, both patients and practitioners fail to recognize the disease, resulting in misdiagnosis and delayed treatment. Consequently, the patient may develop the long-term, chronic Lyme disease (CLD). The purpose of this phenomenological study was to explore the impact of CLD on the health-promoting behaviors of ethnically diverse young adults from similar educational and socioeconomic backgrounds based on their lived experiences. The …

Factors Influencing Alzheimer's Disease Healthcare Utilization Patterns In Puerto Rico, Carlamarie Noboa

Walden Dissertations and Doctoral Studies

Alzheimer's disease (AD) is associated with substantial healthcare utilization costs, resulting in a public health priority. In this study, the relationship between the demographic characteristics of age, gender, and type of health insurance; the presence of comorbidities of older Puerto Rican residents diagnosed with AD; and their healthcare utilization patterns (i.e., medical office and emergency room visits and hospital admissions) was examined using Andersen's behavioral model. Data from the 2013 Puerto Rico Health Study was used in this retrospective cohort design study. All AD cases aged -?¥ 60 years were extracted using systematic random sampling. One-way ANOVA-WELCH, Mann-Whitney U test, …

The Impact Of Transmission Mode On Hiv/Aids Medication Adherence, Lindsey Wilde

Walden Dissertations and Doctoral Studies

Medication adherence amongst HIV/AIDS infected individuals can be challenging for many reasons. I examined whether there was an association between mode of HIV transmission, such as sexual intercourse, mother to child, or IV drug use, and medication adherence among HIV+ individuals 18 years and older living in New York City. The theoretical base for this study was the Social Ecological Systems Theory. Logistic regression analyses were conducted on field data obtained from the New York State Medicaid Agency from 2015. Results indicated that transmission mode, age, race, and poverty level all have statistically significant associations with the dependent variable of …

Relationships Of Gender On Mathematics Achievement In High Achieving Military-Connected Children, Randi Kay Rose Dalton

Walden Dissertations and Doctoral Studies

The purpose of this quantitative correlational study was to describe the relationship between gender and grade level to mathematics achievement for high achieving military-connected students in Grades 3 through 9 who attended American public schools between 2012 and 2016. The theoretical framework was based on Sax's research on gender differences in learning. The research questions were: if there was a statistically significant difference between the percentage of military-connected students scoring in the top 2 quartiles (at or above the national average) for normal curve equivalent (NCE) mathematics scores on the Terra Nova Third Edition (TNTE) using gender as a predictor; …

Association Between Genetic Ancestry And Body Mass Index Among A Cohort Of Hispanic American Children, Sahel Hazrati

Walden Dissertations and Doctoral Studies

Childhood obesity is disproportionately higher among children from Hispanic backgrounds. Ethnicity is a social and cultural construct and does not capture true ancestral heterogeneity. Hispanic Americans have a wide variety of genetic admixture proportions of European (EUR), Native American (AMR), and African (AFR) ancestry. The objective of this cross-sectional study was to assess the contribution of ancestral genetic composition to body mass index (BMI), and to evaluate the relationship of obesity risk factors to BMI among 154 2-year-old Hispanic American children. The theory of Evolutionary Developmental Biology was utilized to investigate the relationship between children's growth process and ancestral background. …

Advancement Of Social Service Delivery Through Cross-Sector Partnerships In Nigeria, Emmanuel Chukwudi Ihenacho

Walden Dissertations and Doctoral Studies

Nonprofit organizations and the social services they provide have often engaged the attention of organizational scholars and practitioners. There is also a general perception of nonprofits as agents of social development in cases of public service failure. However, with the proliferation of many small nonprofits, their capacity for effective service delivery has been debated. Some have proposed cross-sector organizational partnerships (CSPs) as a means of assuring service effectiveness; however, such initiatives have been limited and not well understood in Nigeria. This study used a qualitative case study approach to focus on a CSP involving a nonprofit vocational training institute and …

Racial And Cultural Etiology Of Body Satisfaction Among Obese, Young Adult Women, Deirdre Lynnett Moyer

Walden Dissertations and Doctoral Studies

Obesity, a public health issue in the United States, has been linked to numerous chronic diseases. A gap exists in the literature related to racial and cultural etiology of body satisfaction for obese women. The purpose of this qualitative phenomenological study was to describe the racial and cultural etiology of body satisfaction for obese Black women and White women residing in a rural area of the state of North Carolina. Social comparison theory provided the theoretical underpinning for this examination. The central research question was how do obese, young adult Black women and White women describe their perceptions about and …

Strategies For Assessing The Effectiveness Of Certification Programs For Youth Workers, Allen R. Turner

Walden Dissertations and Doctoral Studies

Leaders of youth intervention programs provide a significant social service by redirecting at-risk youth onto a productive path. The standards for youth-serving organizations are inconsistent from 1 organization to another across a wide range of youth-worker training certification programs in the United States. A single-case study was conducted to explore the strategies that 3 leaders of a nonprofit organization located in Minnesota, use to select, collect, and analyze data to assess the effectiveness of training certification programs for youth workers. The 2017-2018 Baldrige Excellence Framework provided the structure for a systems-based evaluation of the client organization; Freeman's stakeholder theory was …

Policy Implications And Perceptions Of African American Men Who Used Ritalin As Children, Divine Ayivor

Walden Dissertations and Doctoral Studies

Even though there are high diagnosis rates of ADHD among young African American

men, policy makers and parents have largely viewed the use of Ritalin as a psychotrop

ic

drug that raises public health concerns. African American parents may be reluctant to

treat their children pharmacologically. Very few studies have fully explored the

perceptions of African American men

about the consequences of their

Ritalin

use

as

chi

ldren. The purpose of this qualitative study was to explore the experiences of African

American men who used Ritalin as children

so that

policy makers

and

parents of children

with ADHD

might

better …

The Effects Of Increased Emotional Intelligence On Information Technology Professionals, Reba Alexander Businsky

Walden Dissertations and Doctoral Studies

Information technology professionals effectively manage complex, tactical processes and procedures for internal and external customers. At the time of this study there was a gap in the literature regarding the effects of emotional intelligence on information technology professionals. An organization's internal and external customers may become dissatisfied with the information technology professionals because of their communication style lacking an increased level of emotional intelligence. The purpose of this quantitative study was to research the effects of increased emotional intelligence by surveying 315 information technology professionals. Data were collected using 3 electronic surveys including a general questionnaire to collect demographic data, …

The Relationship Between Body Dissatisfaction And Cosmetic Enhancement Surgery, Amanda Crandall Sharp

Walden Dissertations and Doctoral Studies

Previous research has indicated an increasing trend toward elective cosmetic surgery to achieve a perceived ideal body image and meet psychological and social needs. However, there remains a gap in the literature regarding the number of procedures performed on a single patient, and the potential that patients may suffer from body dysmorphic disorder (BDD). Therefore, the purpose of this quantitative study was to examine the relationship between the number of cosmetic surgeries undergone, level of body dissatisfaction, level of dysmorphic concern, and preoccupation with appearance. Participants included 75 females and 55 males, ranging in age from 18 to 64 years. …

Impact Of Free Maternal And Child Health Services On Health Care Utilization In Jigawa State, Nigeria, Nura Ibrahim Kazaure

Walden Dissertations and Doctoral Studies

In spite of a decrease globally, the maternal mortality rate (MMR) in Nigeria and its

Jigawa State has remained persistently high. Few efforts to address the MMR in Nigeria have been undertaken. The purpose of this study was to investigate the impact of Jigawa State's Free Maternal and Child Health Program (JSFMCHP), education, employment, and parity of pregnant women on health care utilization (the outcome variable), as measured by antenatal care (ANC) visits. Anderson's behavioral model served as the study's theoretical framework. The sample size included 400 antenatal records of pregnant women who were randomly selected from the state's Health …

Parental Influence On Hiv Vertical Transmission In Kenya, Hussein Abdi Nunow

Walden Dissertations and Doctoral Studies

Mother-to-infant vertical transmission of HIV usually occurs during pregnancy, labor, delivery or breastfeeding. It is the third leading cause of transmission of HIV after sexual intercourse and blood transfusions. In 2008, 12 million women aged 15 years and above were anticipated to be living with HIV in countries within Sub-Saharan Africa. In this study, the association between parental HIV knowledge, attitudes and risk reduction practices, and HIV vertical transmission in Kenya were explored. The health belief model was used to help understand and interpret the findings. For this quantitative study, data were collected via surveys from 212 participants in 3 …

Strategies To Implement Succession Planning In A Nonprofit, Talecia Y. Parks

Walden Dissertations and Doctoral Studies

Surveys of nonprofit organizations conducted between 2004 and 2014 showed that 74% of the 6,923 leaders surveyed did not have a succession plan. In this qualitative single case study, the human capital theory was used as a guide to explore strategies used to implement a succession plan by 3 nonprofit leaders in a single nonprofit organization in a large metropolitan city in Southeastern Georgia. The participants were selected based on their implementation of succession plan strategies and geographical location. Semistructured interviews and document review were used to collect the data, which were analyzed using Yin's 5-step approach. Three themes emerged: …

A Limited Rational Choice Theory In Local Public Health Decision Making, Lona Bryan

Walden Dissertations and Doctoral Studies

The threat and occurrence of terrorist attacks have increased in the United States since September 2011, heightening concerns for weaponized anthrax, other biological pathogens, and epidemics and pandemics. Early decisions and funding levels in local public health agencies can be the first line of defense or first point of failure; yet little is understood about how decisions are made when there are budget cuts before a biological event happens. Using Lindblom's conceptualization of limited rational choice theory, the purpose of this single case study was to understand how a local public health official made decisions after budget cuts in a …

The Effects Of Sleep Deprivation On Online University Students' Performance, Maureen Cort-Blackson

Walden Dissertations and Doctoral Studies

Sleep deprivation affects the academic performance of online university students, and students who have family responsibilities and a full-time job have a higher prevalence of sleep deprivation. This phenomenological study examined the lived experiences of online university students regarding sleep patterns, sleep deprivation, and the impact on their academic performance. The theoretical foundation for this study was based on the opponent processing model that explains the 2 fundamental processes necessary for individuals to function at their optimum ability: the sleep-wake homeostatic process and the circadian rhythm processes. The research question explored the beliefs and perceptions of 10 online university students, …

Determinants Of Low Birth Weight In A Population-Based Sample Of Zimbabwe, Paul Nesara

Walden Dissertations and Doctoral Studies

Low birth weight (LBW) is a major public health concern globally. Despite its negative social and economic impact on the family and community at large, it has remained relatively unexplored at population level in Zimbabwe. The purpose of the study was to establish determinants of LBW using data from the 2015 Zimbabwe Demographic and Health Survey. The socioecological model was the conceptual framework for the study. A secondary analysis was conducted on 4,227 mother-infant dyads. Independent variables were duration of pregnancy, number of births within the past 5-year period, exposure to mass media, type of fuel used for cooking in …

The Relationship Between Personality Traits And The Income Of Small Business Owners, Staci Lashawn Parker

Walden Dissertations and Doctoral Studies

Abstract

Researchers have found that the Big Five personality trait of conscientiousness correlated consistently with high performance across industries. However, previous research was limited to self-reported data collected based on the opinions of the participants and did not include the subtraits of conscientiousness (achievement and dependability). Previous studies also did not provide data specific to entrepreneurs operating as small business owners and did not compare them to their peers. Thus, the purpose of this quantitative, correlational study was to explore whether or not there was a relationship between the personality traits of achievement and dependability and the income of U.S. …

Longitudinal Associations Between Psychological Well-Being And The Consumption Of Fruits And Vegetables, Julia K. Boehm, Jackie Soo, Emily S. Zevon, Ying Chen, Eric S. Kim, Laura D. Kubzansky

Psychology Faculty Articles and Research

Background: Psychological well-being is associated with longevity and reduced risk of disease, but possible mechanisms are understudied. Health behaviors like eating fruits and vegetables may link psychological well-being with better health; however, most evidence is cross-sectional. Purpose: This study investigated psychological well-being’s longitudinal association with fruit and vegetable consumption across as many as 7 years. Method: Participants were 6,565 older adults from the English Longitudinal Study of Ageing, which includes men and women aged 50 years or older. Psychological well-being was assessed with 17 items from the Control, Autonomy, Satisfaction, Pleasure Scale. Fruit and vegetable consumption was initially assessed during …

Tracing The Evolution Of The Tarasoff Duty In California, Benjamin A. Swerdlow

The Journal of Sociology & Social Welfare

Since the first Tarasoff decision in 1974, the question of mental health professionals’ “duty to protect” third-parties has been a topic of vigorous debate. The ensuing forty-three years witnessed considerable shifts in the statutory and legal landscape in the United States, including several significant changes in California state law over the past decade alone. In this historical review, I trace the evolution of the Tarasoff duty with a specific focus on the state in which that duty originated, California, with the intention of elucidating the major policy, ethical, and practical questions that have followed in the wake of the Tarasoff …

Increased Immigration Enforcement And Perceived Discrimination Among Latino Immigrants, David Becerra, Jason Castillo, Maria Rosario Silva Arciniega, Michela Bou Ghosn Naddy, Van Nguyen

The Journal of Sociology & Social Welfare

The purpose of this paper was to examine the impact of perceived discrimination among Latino immigrants in the context of recent immigration policies and immigration enforcement strategies. Data for this study were drawn from a pilot study (n=213) of adult Latino immigrants living in Arizona during the summer of 2014. The results of multivariate OLS linear regressions indicated greater perceived discrimination was significantly related to reporting: (1) avoidance of immigration officials; (2) family has suffered; and (3) friends have suffered. In addition, greater perceived discrimination was significantly related to lower confidence in a better future for the individual, their families, …

Review Of One Nation After Trump: A Guide For The Perplexed, The Disillusioned, The Desperate, And The Not-Yet Deported. E. J. Dionne, Jr., Norman J. Ornstein, And Thomas E. Mann. Reviewed By Daniel Liechty., Daniel Liechty

The Journal of Sociology & Social Welfare

Review of:

E. J. Dionne, Jr., Norman J. Ornstein, and Thomas E. Mann, One Nation After Trump: A Guide for the Perplexed, the Disillusioned, the Desperate, and the Not-Yet Deported. St. Martin’s Press (2017), 344 pages, $25.99 (hardback).

Review Of Adult Sibling Relationships. Geoffrey L. Greif And Michael E. Woolley. Reviwed By Teri Kennedy., Teri Kennedy

The Journal of Sociology & Social Welfare

Review of:

Geoffrey L. Greif and Michael E. Woolley, Adult Sibling Relationships. C olumbia University P ress (2016), 3 01 p ages, $ 29.99 (paperback).

Review Of Young People Leaving State Care In China. Xiaoyuan Shang And Karen R. Fisher. Reviewed By Mingyang Zheng., Mingyang Zheng

The Journal of Sociology & Social Welfare

Review of:

Xiaoyuan Shang and Karen R. Fisher, Young People Leaving State Care in China. Policy Press at the University of Bristol (2017), 264 pages, $120.00 (hardcover).

Review Of Fragile Families: Foster Care, Immigration, And Citizenship. Naomi Glenn-Levin Rodriguez. Reviewed By Yue Xu., Yue Xu

The Journal of Sociology & Social Welfare

Review of:

Naomi Glenn-Levin Rodriguez, Fragile Families: Foster Care, Immigration, and Citizenship. University of Pennsylvania Press (2017), 222 pages, $59.95 (hardcover).

Investing In Adoption: Exploring Child Development Accounts For Children Adopted From Foster Care, Amy Conley Wright

The Journal of Sociology & Social Welfare

Adoption is arguably the most powerful intervention available for children in foster care who are unable to be restored to their birth families. Adoption promises stability and a family for life, in contrast to foster care or guardianship, which are expected to end when the child reaches adulthood. In comparison to foster care, adoption is associated with better educational, financial, and social outcomes. However, because children adopted out of foster care have had adverse experiences, they may have additional support needs in later years. These unknown costs can be off-putting to potential adoptive parents, who may not be in the …

Review Of The War On Kids: How American Juvenile Justice Lost Its Way. By Cara H. Drinan, Rong Bai, Robert Fischer

The Journal of Sociology & Social Welfare

Review of: Cara H. Drinan, The War on Kids: How American Juvenile Justice Lost Its Way. Oxford University Press (2018), 215 pages, $27.95 (hardcover).