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2020

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Early-Career Child Care Teachers' Perceptions Of Their Training Experiences, Teri M. Peasley Jan 2020

Early-Career Child Care Teachers' Perceptions Of Their Training Experiences, Teri M. Peasley

Walden Dissertations and Doctoral Studies

In a Midwest state, child care teachers who enter the workforce with only a high school diploma or GED credential are not required to complete child development training before being placed in a classroom. Child care teachers need foundational knowledge to provide quality care and education to young children. The purpose of this qualitative phenomenological study was to explore how early-career child care teachers with no advanced education in child development experience training upon entering the workforce. Personal narratives are scarce in existing research, and understanding the perspectives of child care teachers provided an opportunity to consider appropriate training and …

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Motivators And Barriers Affecting Physical Activity Participation In Online Graduate Students, Gloria Christine Bales Jan 2020

Motivators And Barriers Affecting Physical Activity Participation In Online Graduate Students, Gloria Christine Bales

Walden Dissertations and Doctoral Studies

Physical inactivity is a major contributor to chronic diseases, especially coronary heart disease. The American College Health Association’s National College Health Assessment II showed that only 47.4% of college students are meeting suggested physical activity requirements. As the nontraditional student population increases, research is needed to identify motivators and barriers specifically for online graduate students. The purpose of this case study was to examine the relationships of barriers and motivators for physical activity in online graduate students at Walden University. The study addressed research questions on what physical activity barriers existed in this study sample, (b) what intrinsic motivators and …

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Health Literacy And Health Beliefs With Adherence To Antihypertensive Medications In An Urban African American Cohort, Karen Ranae Dukes Jan 2020

Health Literacy And Health Beliefs With Adherence To Antihypertensive Medications In An Urban African American Cohort, Karen Ranae Dukes

Walden Dissertations and Doctoral Studies

African Americans aged 40 to 65 are more likely to be diagnosed with hypertension, and adherence to prescribed antihypertensive medication regimens is important in controlling their blood pressure levels. The purpose of this quantitative study was to examine the relationship between health literacy and sociodemographic and clinical factors with adherence to antihypertensive medications among African American adults. The theoretical framework for this study was the health belief model. A quantitative research design was used with participants recruited from churches with African American congregations in the city of Detroit. A convenience sampling method was used to obtain a sample of 79 …

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The Promotion Of Safety And Quality In Fall Prevention, Sheila J. Mercado Jan 2020

The Promotion Of Safety And Quality In Fall Prevention, Sheila J. Mercado

Walden Dissertations and Doctoral Studies

Falls in a hospital setting are considered one of the most frequent, preventable adverse events that need to be addressed through the creation of safer environments. Nurses play a key element in the prevention and management of injuries related to falls. The focus question for this quality improvement initiative (QII) was whether an evidence-based QII program could reduce falls in the inpatient population. The objective of the project was to improve the practices related to fall prevention to reduce the number of inpatients falls. The change model of Kotter and the Preventing Falls in Hospitals: A Toolkit for Improving Quality …

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Nutritional Assessment Of Patients In The Intensive Care Unit, Jennifer Maureen Brown Jan 2020

Nutritional Assessment Of Patients In The Intensive Care Unit, Jennifer Maureen Brown

Walden Dissertations and Doctoral Studies

Impaired nutrition is associated with prolonged hospitalization, poor patient outcomes, high mortality, and increased health costs. Nutritional assessment in intensive care unit (ICU) patients is important in recognition of changes in the patient’s nutritional status from admission to discharge and may promote early nutritional interventions by the health providers to prevent complications of poor nutrition. The purpose of this staff education doctoral project was to assess ICU nurses’ knowledge of nutritional assessment for critically-ill patients and to provide education on an assessment tool for patient nutritional assessment- the malnutrition universal screening tool (MUST). The guidelines from the American Society for …

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Improving Glycemic Control For Post-Orthopedic Surgery Patients With Type 2 Diabetes, Allison Dale Jan 2020

Improving Glycemic Control For Post-Orthopedic Surgery Patients With Type 2 Diabetes, Allison Dale

Walden Dissertations and Doctoral Studies

Type 2 diabetes is a growing problem within the United States and a leading cause of mortality. The complications and comorbidities associated with type 2 diabetes cause a great financial and resource burden on the healthcare system, and cause negative mental and physical health outcomes for the individual living with it. The complications of poor glycemic control are especially notable following a surgical procedure that requires an inpatient stay. The practice problem for this project is glycemic control following an orthopedic surgery requiring hospitalization. To further analyze the practice problem and to create a clinical practice guideline a robust literature …

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Demographic, Lifestyle, And Psychosocial Predictors Of Obesity Among Nigerian Igbo Immigrants, Ahamefula Arthur Duru Jan 2020

Demographic, Lifestyle, And Psychosocial Predictors Of Obesity Among Nigerian Igbo Immigrants, Ahamefula Arthur Duru

Walden Dissertations and Doctoral Studies

Obesity is known as a risk factor for chronic diseases, and a contributor to health disparities among minorities and vulnerable persons. There is a paucity of data on Nigeria Igbos on obesity risks in the United States; therefore, studying obesity in this population may help policymakers tailor interventions that could reduce the prevalence of obesity. The purpose of the study was to examine the predictors of obesity among Nigerian Igbo immigrants in the United States. This study sought to examine lifestyle, psychosocial, and demographic factors as unique predictors of obesity in Nigeria Igbo immigrants. The social-ecological model and acculturation theory …

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Public Health Care Policies And Their Impact On Patient Satisfaction, Bryan John Henderson, Ph.D. Jan 2020

Public Health Care Policies And Their Impact On Patient Satisfaction, Bryan John Henderson, Ph.D.

Walden Dissertations and Doctoral Studies

Health care is a trillion-dollar industry, but without public policies in place to support a sustainable health care system, life would decline. For instance, health care providers now receive decreased payments from federal agencies if their health facility scores do not meet national benchmarks. The purpose of this retrospective, quantitative, comparative study was to examine the extent to which patient satisfaction was impacted by national public health policies in the United States and Canada. The research questions related to how health care reimbursement policies and patients’ financial responsibility of both the eastern United States and eastern Canada would predict country-specific …

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Instructional Strategies Teachers Use To Improve Literacy Performance Of Children In Poverty, Carlene Leonie Miller-Thompson Jan 2020

Instructional Strategies Teachers Use To Improve Literacy Performance Of Children In Poverty, Carlene Leonie Miller-Thompson

Walden Dissertations and Doctoral Studies

Poverty has an on-going and broadening negative effect on students’ academic performance. At the research school, 78% of the students in poverty performed below proficiency on the national literacy test in 2012. In 2013, the number was 68%, and in 2014, 80% performed below proficiency. The purpose of this research study was to explore the instructional strategies that teachers are using with these students in poverty. Piaget’s cognitive development and Vygotsky’s social development theories established the conceptual framework for this study. The research questions that this study sought to answer at the local school setting were what instructional strategies teachers …

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Roles Of Nephrology Social Workers In Health Literacy, Tiffena Gail Pierce Jan 2020

Roles Of Nephrology Social Workers In Health Literacy, Tiffena Gail Pierce

Walden Dissertations and Doctoral Studies

Health literacy is vital for hemodialysis patients because they need to undergo routine treatments 3 days per week and adhere to medication regimens requiring them to understand complicated health information. The questions for this study focused on a social work practice of their roles when assessing and promoting health literacy in dialysis patients. Nephrology social workers are vital in helping dialysis patients understand their medical information so that they can make better-informed decisions about their healthcare. This study also includes an exploration of the strategies nephrology social workers use to increase health literacy in patients with chronic kidney disease. An …

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Analysis Of The Impact Of Family Structure And Type 2 Diabetes Among Adolescents, Danny Lee Self Jan 2020

Analysis Of The Impact Of Family Structure And Type 2 Diabetes Among Adolescents, Danny Lee Self

Walden Dissertations and Doctoral Studies

Type 2 diabetes (T2D) has increased among the adolescent population in the United States within the past 30 years. While the increase in T2D is linked to obesity and a lack of physical activity, it lacks contextual analysis within the structure of the non-traditional family unit. The purpose of this quantitative study was to examine family structure and prevalence of T2D among adolescents. Krieger’s ecosocial theory guided the study. The research questions were designed to investigate whether family structure directly impacts T2D prevalence or indirectly through socioeconomic status. The research design was quantitative with cross-sectional analysis of secondary data. The …

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Systematic Review Of Family Nurse Practitioner Utilization Within School Environments, Luz Elena Zapien Jan 2020

Systematic Review Of Family Nurse Practitioner Utilization Within School Environments, Luz Elena Zapien

Walden Dissertations and Doctoral Studies

The American Academy of Pediatrics and the Institute of Medicine recommend school health screening programs to detect problems that might interfere with a student’s education and general well-being, and many U.S. states require compliance with enrollment requirements such as updated immunizations and physical exams prior to attendance. In low-income areas, however, there is often a shortage of physicians available to meet the healthcare needs of the population. Family nurse practitioners (FNPs) can be utilized in school health settings to deliver health care services that support school attendance and the well-being of school students, yet little is known about their impact. …

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Nursing Home Caregivers’ Knowledge Of Decubitus Ulcer Prevention Strategies, Shola Akinfiresoye Jan 2020

Nursing Home Caregivers’ Knowledge Of Decubitus Ulcer Prevention Strategies, Shola Akinfiresoye

Walden Dissertations and Doctoral Studies

Decubitus ulcers (DUs) were a constant concern among the residents of the nursing home in this project. Prolonged immobility, sensory impairment, and urinary incontinence are some of the factors found in the literature as the causes of the disease. However, the lack of useful knowledge regarding evidence-based practices (EBPs) to prevent and treat DUs also contributed to the higher incidence rates at the nursing home. The purpose of this DNP- project was to evaluate the caregivers’ knowledge of EBPs to prevent and treat DUs at the facility. The IOWA Model of Evidence-Based Practice, which healthcare practitioners use to guide clinical …

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Relationship Between Health Risk Behaviors And Obesity Among American High School Students, Jacques Jean-Paul Cherry Jan 2020

Relationship Between Health Risk Behaviors And Obesity Among American High School Students, Jacques Jean-Paul Cherry

Walden Dissertations and Doctoral Studies

Adolescent obesity is a serious health condition that affects more than 55% of students aged 12 to 19 years in the United States. Recent statistical data have noted that the rate of adolescent obesity has more than quadrupled during the past few decades. Genetics and factors such as tobacco use, alcohol use, and marijuana use have contributed to this critical public health issue. Although uniqueness of prevalence has often been linked to gender and race, associations related to these health risk behaviors and increased body mass index remain relatively unexplored among today’s U.S. youth. Adolescence has been described as a …

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Exploring Adversities Of Custodial Grandparents Transitioning From The Grandparent To Parent Role, Carmelita Dockery Jan 2020

Exploring Adversities Of Custodial Grandparents Transitioning From The Grandparent To Parent Role, Carmelita Dockery

Walden Dissertations and Doctoral Studies

There are many familial and social disparities, including drug addiction and use, incarceration, abandonment, and sometimes the death of a biological parent, that cause grandparents to acquire custody of their grandchildren. Current public welfare policies in some states, however, may not adequately address the needs of custodial grandparents caring for grandchildren and little academic literature exists that explores the unique experiences of custodial grandparents. Using role theory as a foundation, the purpose of this study was to explore the experiences of custodial grandparents in a large mid-western city as their role transitions from grandparent to parent in order to inform …

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Experiences And Challenges Of Social Workers Working With Transitioning And Postmilitary Service Members Who Have Mental Health Issues, Joyce M. Hewitt Jan 2020

Experiences And Challenges Of Social Workers Working With Transitioning And Postmilitary Service Members Who Have Mental Health Issues, Joyce M. Hewitt

Walden Dissertations and Doctoral Studies

Active duty service members, veterans, and their family members are faced with a myriad of problems including mental health issues, substance abuse issues, traumatic brain injury, suicide, family integration issues, and family distress. Understanding the organizational, environmental, and person-centered factors that affect the delivery of mental health care treatment to active duty service members, veterans, and their families is urgent to this unique population for social work practitioners (licensed master, advanced, & clinical). This project explored the experiences and challenges that social work practitioners (licensed master, advanced, & clinical) have in providing effective services for mental health care treatment to …

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Predictors Of Condom Use Among High School Students In North Carolina, Danielle Cierra Robinson Jan 2020

Predictors Of Condom Use Among High School Students In North Carolina, Danielle Cierra Robinson

Walden Dissertations and Doctoral Studies

The spread of sexually transmitted diseases is a major ongoing public health issue in North Carolina. Adolescents between the ages of 13 and 19 years have consistently contributed to this trend. Researchers have found that condom use among high school students has decreased. High school students continue to engage in sex with multiple partners, with lack of knowledge about sexually transmitted diseases, even though sex education and prevention programs have been recommended. The purpose of this quantitative study was to evaluate the predictors of condom use among adolescents. The socioecological model theoretical framework was applied to guide this research involving …

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Obesity And Overweightness Among African-American Adolescent Population And Health-Related Quality Of Life, Emmanuel Anene Jan 2020

Obesity And Overweightness Among African-American Adolescent Population And Health-Related Quality Of Life, Emmanuel Anene

Walden Dissertations and Doctoral Studies

Obesity and overweightness are a significant public health problem and a risk factor for many chronic diseases. The purpose of this study was to find the associations between gender, race, physical activity, and health-related quality of life (HRQOL) among obese and overweight African American adolescents aged 12 to 19 years. An improved understanding of the health issues could help this population live a longer quality life and prevent serious health implications in adulthood. A quantitative approach with a sample size of 331 was used. The control variables were age and household income, the dependent variable was HRQOL, and the independent …

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Leadership And End-Of-Life Planning Among Elderly Patients With End-Stage Renal Disease, Elizabeth R. Armstrong-Fears Jan 2020

Leadership And End-Of-Life Planning Among Elderly Patients With End-Stage Renal Disease, Elizabeth R. Armstrong-Fears

Walden Dissertations and Doctoral Studies

More than 8-million people in the United States possess no kidney function. The purpose of this quantitative casual-comparative research study is to examine the relationship between ethnicity status of African American and European American patients suffering from end-stage renal disease, and advanced care planning and end-of-life decision-making among patients who are 55 years of age and older. The health belief model is the selected explanatory framework used to examine (a) whether ethnicity status is a significant predictor of whether decedents had written end-of-life care instructions, (b) whether ethnicity status is a significant predictor of whether treatment decisions were made, and …

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The Lived Experience Of Child Marriage And Its Health Effects Among Young Mothers In Nigeria, Anastasia Iliwo Ashi Jan 2020

The Lived Experience Of Child Marriage And Its Health Effects Among Young Mothers In Nigeria, Anastasia Iliwo Ashi

Walden Dissertations and Doctoral Studies

Child marriage has life-threatening implications for the mental, physical, and psychological development of the girl-child. In Sub-Saharan Africa, and other resource poor settings, child brides and very young mothers undergo various negative experiences including economic hardship and health challenges such as obstetric fistulas, birth complications, and even death. The purpose of this phenomenological study was to describe the lived experiences of child marriage and its effect on maternal health among young mothers in Nigeria. The social ecological model provided the conceptual framework for this study. Ten young women ages 18-24 years who had been child brides when age 12-16 years …

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Administrators’ Roles And Practices In The Implementation Of Positive Behavioral Interventions, Frances Correa-Phelps Jan 2020

Administrators’ Roles And Practices In The Implementation Of Positive Behavioral Interventions, Frances Correa-Phelps

Walden Dissertations and Doctoral Studies

Positive behavior intervention support is a behavioral approach that was implemented in the early 2000s across the United States to assist educators in addressing the behavioral concerns of students with special needs. Since its implementation, it has been used to assist students at all levels with emotional and behavioral needs to achieve academic success in over 20,000 schools. However, there was a reported lack of administrative support and insufficient understanding regarding administrators’ roles in the process. The purpose of this basic interpretive qualitative study was to examine administrators’ roles and decision-making practices in implementation of the behavioral intervention approach across …

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Managing Energy As Experienced By Female Federal Senior Managers, Gwendolyn Jones Crimiel Jan 2020

Managing Energy As Experienced By Female Federal Senior Managers, Gwendolyn Jones Crimiel

Walden Dissertations and Doctoral Studies

Senior managers experience a drain on personal energy while trying to meet the demands of work. The purpose of this hermeneutic phenomenological study was to explore how female senior managers describe lived experiences of managing and renewing personal energy while at work. The theoretical framework included conservation of resources theory and effort recovery theory. Data were collected from semi-structured interviews with 14 female senior managers who experienced managing and renewing their personal energy at work. Data analysis involved coding to capture the essence of the experiences and to identify common themes. Findings indicated that insufficient energy affected participants’ mental and …

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Single Mothers’ Perceptions Of Police Encounters And Effectiveness Related To Youth Gun Violence, Janay M. Gasparini Jan 2020

Single Mothers’ Perceptions Of Police Encounters And Effectiveness Related To Youth Gun Violence, Janay M. Gasparini

Walden Dissertations and Doctoral Studies

Single mothers and their children residing in high-crime communities (HCCs) in the United States are disproportionately exposed to crime, and therefore, the criminal justice system. Specific challenges of single motherhood in HCCs compound the link between juvenile offending and single-female-headed households. Little is known, however, about how single mothers in HCCs perceive and use the police as a resource to help prevent juvenile offending, specifically gun violence. The purpose of this study was to explore the lived experiences of single mothers with police as they related to the arrest of their children for a gun crime. The research questions focused …

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Predictors Of Hiv Testing Among African American Men Who Have Sex With Men, Jeanette Marie Higgins Jan 2020

Predictors Of Hiv Testing Among African American Men Who Have Sex With Men, Jeanette Marie Higgins

Walden Dissertations and Doctoral Studies

Human immunodeficiency virus (HIV) infections affect more than 1.2 million people living in the United States and disproportionately affect African Americans (AA) men who have sex with men (MSM). The numbers of those who have HIV infections are likely higher due to lack of HIV testing by all individuals living at risk for HIV in the United States. Prior research has been inconclusive in determining the exact cause of the disparity among AA MSM. Therefore, the purpose of this quantitative secondary data study was to explore barriers to HIV testing within the AA MSM population. The sample for this study …

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Case Analysis Of Acute Care Guidelines For The Prevention Of Pressure Ulcers, Carle Ray Jan 2020

Case Analysis Of Acute Care Guidelines For The Prevention Of Pressure Ulcers, Carle Ray

Walden Dissertations and Doctoral Studies

Prevention of pressure ulcers (PUs) in acute care settings is an attempt to avoid adverse events (AE). Literature shows that wounds such as PUs are the most prevalent complication for spinal cord injury patients (SCI) including quadriplegic individuals (QI). SCI and QI bring important pressure ulcer (PU) prevention knowledge to the hospital which involves teamwork and participation by nurses, organizations, and patients. The purpose of this qualitative study was to examine the effectiveness of acute care guidelines for PUs by drawing insights from multiple sources including interviews with QI, healthcare clinicians, care providers, family members, and an online search of …

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Exploring Teacher Confidence Using Behavioral Interventions In The Classroom, Etoile Denise Swift Jan 2020

Exploring Teacher Confidence Using Behavioral Interventions In The Classroom, Etoile Denise Swift

Walden Dissertations and Doctoral Studies

The original purpose of this study was to conduct a quantitative quasi-experimental study to compare a treatment group of teachers with training in the cognitive behavioral ABC model to a control group and examine differences in the average count of referrals to school counselors for students who exhibited disruptive behaviors. However, due to lack of participation, this study examined teacher perceptions of their confidence to use behavioral interventions with students who are disruptive in the classroom and the relationship to the number of referrals teachers made to the school counselor. This study included 99 teachers from pre-K through 12th grade …

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Socio-Economic Determinants Of Risky Sexual Behavior In Sub-Saharan Africa, Frida Tende Jan 2020

Socio-Economic Determinants Of Risky Sexual Behavior In Sub-Saharan Africa, Frida Tende

Walden Dissertations and Doctoral Studies

Risky sexual behavior (RSB) is a major public health concern due to health outcomes, such as HIV/AIDS, sexually transmitted infections, and unwanted pregnancies. RSB has been identified as 1 of the main components contributing to the high HIV incidence rate in sub-Saharan Africa. The purpose of the current research was to investigate RSB and its association with education and economic status among men and women in 3 sub-Saharan African countries (i.e., Rwanda, Zimbabwe, and Cameroon) while controlling for gender, age, religion, and place of residence. The social cognitive theory provided the framework for this cross-sectional study that included data from …

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Meat-Eating Justification And Relationship Closeness With Vegetarian Family, Friends, And Romantic Partners, Amy Vandehei Jan 2020

Meat-Eating Justification And Relationship Closeness With Vegetarian Family, Friends, And Romantic Partners, Amy Vandehei

Walden Dissertations and Doctoral Studies

Omnivores often respond negatively when friends, family members, or romantic partners disclose adoption of a vegetarian/vegan diet. Examining the beliefs behind these negative responses could result in improved relationships between omnivores and vegetarians. This study examined whether the beliefs omnivores hold to justify meat-eating are related to relationship closeness. The theory of planned behavior provided a foundation with which to examine the attitudes omnivores have about meat consumption. A survey was used with 190 omnivores with existing friend, family member, or romantic partner relationships who had become vegetarian/vegan. Multiple regression analysis was used to determine the extent to which meat-eating …

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Nurse Practitioner Approach To Care For Peripheral Vascular Disease, Jessica R. Wozniak Jan 2020

Nurse Practitioner Approach To Care For Peripheral Vascular Disease, Jessica R. Wozniak

Walden Dissertations and Doctoral Studies

The Amputation Coalition indicates that there were approximately 2 million people with limb loss in the United States primarily caused by peripheral vascular disease in 2019. Those with amputation related to vascular disease have a 5-year mortality rate. The gap in clinical practice at the facility used for this project is that there were no comprehensive program guidelines for nurse practitioners and other health care professionals working with people who are at risk for vascular intervention or limb loss. The practice-focused question was answered that an interprofessional team did develop a prototype for a comprehensive peripheral vascular program that serves …

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Association Between Obesity, Socioeconomics, Mental Illness, And Education In Native American Communities, Darrell D. Wright Jan 2020

Association Between Obesity, Socioeconomics, Mental Illness, And Education In Native American Communities, Darrell D. Wright

Walden Dissertations and Doctoral Studies

Obesity is a profound health epidemic that adversely affects the health of all ethnicities. This growing health crisis has been found to be linked to several chronic diseases such as stroke, diabetes, and several forms of cancer. As in Native American populations, increased morbidity and mortality rates associated with obesity prevalence in minority populations has been linked to variables such as income, education, mental illness, and age. The purpose of this research was to examine the association of obesity with socioeconomic status, education, mental illness, and age in Native American populations. The theoretical framework used in this study was based …

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