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Full-Text Articles in Education

Columnas: The Honors Program Newsletter At Bentley University, Clara Williams, Micaela Corzo, Naeelah Desanges, Alyssa Galin, Isabella Ramirez Apr 2024

Columnas: The Honors Program Newsletter At Bentley University, Clara Williams, Micaela Corzo, Naeelah Desanges, Alyssa Galin, Isabella Ramirez

Honors Program

Page 1: WHY ARE NEW YEAR’S RESOLUTIONS SO HARD TO KEEP? By Sahil Raut ’27

Page 2: THE CAPITALIST INFLUENCE ON HIGHER EDUCATION By Kevin Heintz ’26

Page 3: THE IMPORTANCE OF MENSTRUAL HEALTH MANAGEMENT By Sid Goel ’24

Page 4: CAN TECHNOLOGY SOLVE EDUCATIONAL INEQUALITY? By Ariana Ramirez ’27

Page 5: DATA PORTABILITY CAN CHANGE THE DIGITAL WORLD By Kassidi Thompson ’27

Page 6: THE POWER OF VULNERABILITY By Peter Epp ’24

Page 7: THREADS OF BELIEF By Yudao Song ’26


Assessment Of Breastfeeding Education In Medical Training, Saranya Madan, Abigail Kuplicki Mar 2024

Assessment Of Breastfeeding Education In Medical Training, Saranya Madan, Abigail Kuplicki

Medical Student Research Symposium

In 2019, the Academy of Breastfeeding Medicine issued a revised set of educational objectives for medical trainees at various stages of education. In this statement, objectives for medical school were broken down into preclinical and clinical training objectives. In this project, our goal is to assess the degree to which medical training at Wayne State University School of Medicine is addressing these aims.

The assessment of breastfeeding education is accomplished by surveying medical students at various stages of training (M1-M4) and eliciting their level of confidence in and understanding of the topics outlined in the objectives by the Academy of …


Adverse Childhood Experiences Among Adolescent Girls In Residential Treatment: Relationship With Trauma Symptoms, Substance Use, And Delinquency, Akemi E. Mii Aug 2023

Adverse Childhood Experiences Among Adolescent Girls In Residential Treatment: Relationship With Trauma Symptoms, Substance Use, And Delinquency, Akemi E. Mii

Department of Psychology: Dissertations, Theses, and Student Research

Adverse childhood experiences (ACEs) refer to negative events during childhood or adolescence including abuse, maltreatment, and exposure to household dysfunction (Kalmakis & Chandler, 2014). ACEs are associated with negative outcomes including mental and behavioral health concerns and offending (Fox et al., 2015). The risk of negative outcomes associated with ACEs increases when an individual experiences polyvictimization (experiencing multiple types of adverse events; Felitti et al., 1998; Finkelhor et al., 2011). A majority of adolescents served by residential treatment programs (RTPs) have experienced polyvictimization (Briggs et al., 2013). Research examining juvenile offending and youth delinquency has focused on boys. Thus, research …


Mental Health Problems Among Elementary School Students Mandated To E-Learning: A Covid-19 Rapid Review Caveat, Renée M. D'Amore, Angelina N. Halpern, Lauren R. Reed, Kevin M. Gorey Jul 2023

Mental Health Problems Among Elementary School Students Mandated To E-Learning: A Covid-19 Rapid Review Caveat, Renée M. D'Amore, Angelina N. Halpern, Lauren R. Reed, Kevin M. Gorey

International Journal of School Social Work

Extended lockdowns during the COVID-19 pandemic mandated millions of students worldwide to e-learning and by default made many of their parents proxy homeschool teachers. Preliminary anecdotal, journalistic and qualitative evidence suggested that elementary school children and their parents were probably most vulnerable to this stressor and most likely to experience mental health problems because of it. We responded with a rapid review of 15 online surveys to estimate the magnitude of such risks and their predictors between 2020 and 2021. The pooled relative risk of mental health problems among school children and their parents was substantial (RR = 1.97). Moreover, …


The Development Of Sexual Health Educational Canvas Modules For Cal Poly Students, Alexa J. Asson, Dillan Chiewpanich, Amanda Hodges, Tanya Patil Jun 2023

The Development Of Sexual Health Educational Canvas Modules For Cal Poly Students, Alexa J. Asson, Dillan Chiewpanich, Amanda Hodges, Tanya Patil

Biological Sciences

Purpose: Sexual health education continues to be a taboo topic underrepresented in young adult health education. Many high school students do not receive the sexual health education they need. One study found that 34% of girls and 42% of boys left high school without education on birth control methods (Wong et al., 2019). Furthermore, students entering college have varying, often inadequate, levels of sexual health knowledge. After examining sexual health data at California Polytechnic State University (Cal Poly), the Cal Poly Sexual and Reproductive Health (SRH) Lab found that students engage in risky sexual behaviors. For example, nearly one quarter …


Therapeutic Approaches To Working With Perinatal Loss Clients: A Grounded Theory Study, Heather H. Olivier May 2023

Therapeutic Approaches To Working With Perinatal Loss Clients: A Grounded Theory Study, Heather H. Olivier

University of New Orleans Theses and Dissertations

Perinatal loss (i.e., miscarriage, stillbirth, termination, and infant death) is commonly referred to in the literature as an invisible loss, non-loss, and even medical event. It is an ambiguous loss exhibiting the dialectical contradiction between the physical absence and psychological presence of the baby accompanied by disenfranchised grief, a reaction to a loss that is unacknowledged by society. Despite the likelihood of mental health clinicians working with clients who have experienced perinatal loss, there has yet to be a therapeutic model designed specifically for the unique grief and trauma reactions presented in this population. Existing grief models do not address …


Increasing College Students Awareness Of Technologies Impacts In Their Daily Lives, Melissa Gutierrez May 2023

Increasing College Students Awareness Of Technologies Impacts In Their Daily Lives, Melissa Gutierrez

Capstone Projects and Master's Theses

Many college students today may spend an excessive amount of time on technology. Excessive technology may leave an impact on their mental and physical health leading to poor eating habits or obesity, anxiety and can even have an impact on their academics. When college students learn about how to manage their technology use, it is likely they will focus more on the negative impacts to benefit their health and wellbeing. To address the overuse of technology, I created a one-day workshop for Theta Alpha Sigma sorority college students at Cal State Monterey Bay.


Possible Effects Of Sexual Health Education On Health Behaviors And Indicators, Chloe Lafosse Apr 2023

Possible Effects Of Sexual Health Education On Health Behaviors And Indicators, Chloe Lafosse

Honors Scholar Theses

Sexual health education has long been evolving, and while a mountain of research has built a compelling case for continuing its improvement, the authors of the present paper were interested in evaluating the efficacy of state education standards in 2009, 2014, and 2019 on a multitude of sexual health outcomes in 2019. We concluded that throughout all three years, states with higher educational requirements could in fact produce better health outcomes, but those outcomes were heavily targeting delaying pregnancy. The educational requirements appeared to have neglected all other aspects of sexual health, including STD prevention, even though STD-based education was …


Combatting Abortion Misinformation And Disinformation In Medical Education, Jaya Prakash, Deborah Bartz Apr 2023

Combatting Abortion Misinformation And Disinformation In Medical Education, Jaya Prakash, Deborah Bartz

Feminist Pedagogy

Abstract Introduction: Although abortion has historically been federally legal, functional access to abortion care has been thwarted by inflammatory political discourse. Abortion misinformation and disinformation have been deliberately intertwined into political agendas and ideologies, widening the gap between the lay public’s perception of and patients’ lived experience with abortion care. The politicization of abortion care has adverse effects on its provision and training along lines of inequity and marginalization established by preexisting systems of oppression and structural violence. Critical feminist pedagogy—an examination of class, gender, and sexuality on patriarchal misrepresentations of abortion information—can guide medical students to recognize and combat …


Reproductive Justice Teaching In Undergraduate Medical Education: An Opportunity To Partner With Communities Beyond Traditional Medicine To Influence Health, Tiwadeye I. Lawal, Miriam R. Singer, Deborah Bartz Apr 2023

Reproductive Justice Teaching In Undergraduate Medical Education: An Opportunity To Partner With Communities Beyond Traditional Medicine To Influence Health, Tiwadeye I. Lawal, Miriam R. Singer, Deborah Bartz

Feminist Pedagogy

No abstract provided.


Male Hormonal Contraceptives: Associations Between Students’ Perception Of And Trust In Usage And Endorsement Of Gender Norms, Zoe Keese Mar 2023

Male Hormonal Contraceptives: Associations Between Students’ Perception Of And Trust In Usage And Endorsement Of Gender Norms, Zoe Keese

Honors Theses

As clinical trials continue to test the safety and efficacy of new male contraceptive options, evaluating attitudes towards them is critical in expanding access to reproductive healthcare. The present study sought to investigate the relationship of endorsement of traditional masculine and feminine gender norms with attitudes towards male hormonal contraceptive pills. Using a Qualtrics survey, 45 participants rated their attitudes towards different measures, including attitude towards the male contraceptive pill, willingness to use male hormonal contraception, and endorsement of traditional masculine and feminine gender norms. The results of the survey indicated that there was a significant positive correlation between endorsing …


Sulopenem For The Treatment Of Complicated And Uncomplicated Bacterial Urinary Tract Infection (Uti), Aiyi Chen, Thanh-Liem Vu, Daniel J. Yang, Landon Olsen Feb 2023

Sulopenem For The Treatment Of Complicated And Uncomplicated Bacterial Urinary Tract Infection (Uti), Aiyi Chen, Thanh-Liem Vu, Daniel J. Yang, Landon Olsen

Annual Research Symposium

No abstract provided.


Acupressure Modality Effectiveness: Research Results For Pain And Anxiety, Deanna Waggy Otr, Carroll Noel Mozer Otr/L, Marilyn Zurwaski Otr/L Feb 2023

Acupressure Modality Effectiveness: Research Results For Pain And Anxiety, Deanna Waggy Otr, Carroll Noel Mozer Otr/L, Marilyn Zurwaski Otr/L

Journal of Transformative Touch

According to recent studies, including Monson et all, JACM, 2019, there is growing evidence for the effective and safe use of acupressure as a non-pharmacological approach to reducing pain and anxiety. Acupressure can quiet the mind, promoting a sense of well-being by decreasing anxiety.

A collaborative retrospective analysis of self-rated pain and anxiety scores before and immediately after administration of a stress release protocol indicate that acupressure is a highly satisfactory complementary therapy. Results were clinically significant for a decrease in self-rated pain and anxiety scores.

Occupational therapy practitioners as well as those who use the Kawa model of reference …


The Role Of Porn Literacy In Comprehensive Sex Education To Reduce Endorsements Of Gendered Sexual Violence And Support Healthy Adolescent Development, Kiana Harnish Jan 2023

The Role Of Porn Literacy In Comprehensive Sex Education To Reduce Endorsements Of Gendered Sexual Violence And Support Healthy Adolescent Development, Kiana Harnish

Scripps Senior Theses

Due to stigmatization of sex and insufficient sexual education, modern-day adolescents rely on free online pornography as a source of education about sex and relationships. This thesis provides a review of the connections between adolescent porn use and the socialization of sexual violence (SV) and coercion against women, comprehensive sex education (CSE) and healthy adolescent sexual development, and porn literacy (PL) and sexual attitude or behavior changes. Porn literacy aims to equip adolescents with tools to critically analyze sexualied media and messages, to empower them to make informed decisions to engage or disengage with porn and their sexuality in a …


Using The Social-Ecological Model To Better Understand Sexual Assertiveness Among Undergraduate Women At An Institution Of Higher Education In The Southeastern United States, Lisa Wright Dec 2022

Using The Social-Ecological Model To Better Understand Sexual Assertiveness Among Undergraduate Women At An Institution Of Higher Education In The Southeastern United States, Lisa Wright

Dissertations

This study examined sexual assertiveness among female undergraduate students at an institution of higher education in the southeastern United States from the context of the social-ecological model. An online survey instrument examined sexual assertiveness, sexual communication self-efficacy, campus climate, and sexual scripts. Structural equation modeling was used to examine the relationships between these variables and all variables significantly predicted sexual assertiveness individually, but when examining the relationships collectively, only sexual communication self-efficacy and campus climate remained significant predictors of sexual assertiveness.


The Child Care Crisis: Through The Social Ecological Lens, Jocelyne Saldana Aug 2022

The Child Care Crisis: Through The Social Ecological Lens, Jocelyne Saldana

Master's Projects and Capstones

Abstract

Objective - Working mothers face mental strain when returning to work due to the challenges of the current child care system. It is unclear how the instability of the child care sector impacts the mental health of working mothers.

Methods - The systematic review of literature was conducted to identify existing evidence to determine the influence access to quality, dependable, and affordable child care has on maternal mental health outcomes in working mothers. Multiple databases were used including PubMed and Scopus.

Results - Subsidized programs help reduce the cost of child care, however, income eligibility criteria makes it difficult …


Find Your Flow: A Menstrual Health Social Media Campaign, Sarah Hamp-Adams Jun 2022

Find Your Flow: A Menstrual Health Social Media Campaign, Sarah Hamp-Adams

Kinesiology and Public Health

In many cultures, menstruation is surrounded by silence and shame instead of being celebrated as a sign of health and vitality. Globally, challenges, including stigma surrounding menstruation, create barriers for menstruators (White, 2013; Crawford, 2014; Garg, 2015). It proves to be difficult for young menstruators to navigate menarche due to the taboos and socio-cultural restrictions surrounding menstruation (Sharma,2015). Encouraging women to have open conversations about their periods is necessary to combat these challenges.

To understand how to address the stigmas around menstruation, the researchers first conducted a literature review, revealing that education messages via the Internet, posters, storytelling, and peer …


Rural Pregnant Women’S Experiences With Substance Use Disorder: A Qualitative Study, Cami Weber Jan 2022

Rural Pregnant Women’S Experiences With Substance Use Disorder: A Qualitative Study, Cami Weber

Dissertations

Rural pregnant women with substance use disorder (SUD) are an understudied vulnerable population that often experiences poor pregnancy outcomes (Higgins et al., 2019; Jumah, 2016; Kramlich et al., 2018; Shaw et al., 2015). Despite the high prevalence and high burden associated with SUD, rural women are less likely than non-pregnant women to seek addiction treatment and complete an outpatient treatment program during pregnancy (Shaw et al., 2015). This study aimed to give voice to rural Missouri women with SUD. The research questions explored the life experiences and motivations for seeking treatment using a qualitative, descriptive research design with grounded theory …


Using A Social Support Group To Educate And Empower Immigrant Latina Women, Diana N. Rendon Dec 2021

Using A Social Support Group To Educate And Empower Immigrant Latina Women, Diana N. Rendon

Department of Occupational Therapy Entry-Level Capstone Projects

The purpose of this capstone project was to promote mental health education and access to vulnerable South Florida Latina Women. The original intent was to establish a program providing families with mental health education, including information about common mental illnesses, signs and symptoms, community resources, and the impacts on occupations. This capstone experience was conducted with the Magnolias Women's Support Group at Caridad Center, located in Palm Beach County, Florida. The focus areas of this capstone were advocacy, policy and program development, and administration. Furthermore, this capstone project was intended to promote health literacy for underserved populations, especially immigrant women.


Experiences Of African American Women Living With Herpes Simplex Virus 2, Cherlisa Jackson, Yitza A. Arcelay-Rojas Dec 2021

Experiences Of African American Women Living With Herpes Simplex Virus 2, Cherlisa Jackson, Yitza A. Arcelay-Rojas

Journal of Social, Behavioral, and Health Sciences

In the United States, the prevalence of herpes simplex virus 2 (HSV-2) continues to be the highest among African American women. Yet the perceived benefit of discussing sexual health, as well as recognizing a need to discuss HSV-2 with a health-care provider, is a gap in research. The purpose of this interpretive qualitative study was to understand the experiences of African American women who received an asymptomatic HSV-2 diagnosis. Semistructured interviews of seven participants were used to explore the experiences of African American women diagnosed with HSV-2, including barriers and challenges of discussing HSV-2 with health-care providers. Participants highlighted that …


Women In The Outdoors: Navigating Fear And Creating Space For Spiritual Inspiration 2021, Morgan Costello May 2021

Women In The Outdoors: Navigating Fear And Creating Space For Spiritual Inspiration 2021, Morgan Costello

Master's Theses

The purpose of this study was to examine the relationship between fear and spiritual inspiration for women in the outdoors. Specifically, this study looked at participants from SUNY Cortland’s Outdoor Education Practicum, a core course in the Recreation, Parks, and Leisure Studies Department that culminates with a two-week outdoor experience, with the goals of teaching outdoor skills and building community. This was a mixed-method study, with quantitative data collected according to pre(mid)post design and qualitative data coming from journal entries over a 5-day period. Testing was conducted using the Outdoor Situational Fear Inventory to measure fear, and the Nature Relatedness …


Project C.O.P.E Sexual Health Intervention On Sexual Negotiations Skills Among Black And Hispanic Adolescents In An Under-Resourced Northeastern Urban Community, Irene N. Cantu Apr 2021

Project C.O.P.E Sexual Health Intervention On Sexual Negotiations Skills Among Black And Hispanic Adolescents In An Under-Resourced Northeastern Urban Community, Irene N. Cantu

Individual, Family, and Community Education ETDs

Decades of sexual health interventions have focused on the disparities youth of color face; however, inequalities in health outcomes and resources remain. This study evaluated Project C.O.P.E. (Communities Organizing for Prevention and Empowerment), a sexual health intervention in an under-resourced northeastern urban community. The goal of the study was to determine if the intervention, personal domains (ethnic identity and family support), or sexual health domains (Viral Hepatitis [VH] knowledge and human immunodeficiency virus [HIV] knowledge) had an impact on sexual negotiation skills in Black and Hispanic adolescent participants (n =510; Mage =16.78 ± 1.14). Between group analyses found significant …


How Did We Learn About Sex? —— Sex Education And Sexual Health In Chinese Youth, Yujuan Liu Jan 2021

How Did We Learn About Sex? —— Sex Education And Sexual Health In Chinese Youth, Yujuan Liu

Theses and Dissertations (Comprehensive)

Attitudes toward sexuality among Chinese youth have become more liberal in recent generations, but sex education remains controversial and limited. Due to the lack of awareness of sexual risks, many Chinese youth engage in unprotected sexual activities resulting in unintended pregnancy, abortions, and STIs. Therefore, understanding successful pathways and unique challenges are crucial to develop adequate sex education for youth’s sexual health in China. The current study used semi-structured in-depth interviews and investigated 28 Chinese youths’ experiences of sex education and sexual health. The results mapped out youth’s sex education experiences by age and sources and demonstrated the impacts of …


The Ideology Of Baby-Mama Phenomenon: Assessing Knowledge And Perceptions Among Young People From Educational Institutions, Opeyemi S. Adeojo, Daniel Egerson, Gabriel Mewiya, Rowland Edet Jan 2021

The Ideology Of Baby-Mama Phenomenon: Assessing Knowledge And Perceptions Among Young People From Educational Institutions, Opeyemi S. Adeojo, Daniel Egerson, Gabriel Mewiya, Rowland Edet

Department of Sociology: Faculty Publications

This study investigated the knowledge and perception of the ideology of baby-mama concept among the youths. Particularly, this paper assessed the knowledge of the concept of baby mama among youths and also their opinion on the acceptability of this style of family structure. The study employed a qualitative approach through an in-depth interview research method. Forty respondents between the ages of 16 and 40 years were selected across three educational institutions in Oyo state, south-west Nigeria. The participants of the study voluntarily agreed to participate in the research and everything said during the course of the interview was transcribed and …


Three Decades Of Research: The Case For Comprehensive Sex Education, Eva Goldfarb, Lisa D. Lieberman Oct 2020

Three Decades Of Research: The Case For Comprehensive Sex Education, Eva Goldfarb, Lisa D. Lieberman

Department of Public Health Scholarship and Creative Works

Purpose

School-based sex education plays a vital role in the sexual health and well-being of young people. Little is known, however, about the effectiveness of efforts beyond pregnancy and sexually transmitted disease prevention. The authors conducted a systematic literature review of three decades of research on school-based programs to find evidence for the effectiveness of comprehensive sex education.

Methods

Researchers searched the ERIC, PsycINFO, and MEDLINE. The research team identified papers meeting the systematic literature review criteria. Of 8,058 relevant articles, 218 met specific review criteria. More than 80% focused solely on pregnancy and disease prevention and were excluded, leaving …


Fertility Awareness And Parenting Intentions Among Mexican Undergraduate And Graduate University Students, J. M. Place, Brennan D. Peterson, B. Horton, M. Sanchez Sep 2020

Fertility Awareness And Parenting Intentions Among Mexican Undergraduate And Graduate University Students, J. M. Place, Brennan D. Peterson, B. Horton, M. Sanchez

Marriage and Family Therapy Faculty Articles and Research

An online, cross-sectional survey was carried out between November 2017 and January 2018 to assess fertility awareness among students attending the National Autonomous University of Mexico (UNAM) in Mexico City. A total of 371 students participated in the survey (n = 228 females, 143 males). 75% of females and 74% of males believed a woman’s fertility begins to decline markedly after age 40. Over 75% of all participants overestimated the probability of couples having a live birth after undergoing one cycle of IVF. With regard to parenting intentions, only 48% of females wished to have children compared to 59% …


The Reproductive Health And Academic Impact Of The New York City School-Based Health Center Reproductive Health Project For Adolescents, Michelle Silverio Jun 2020

The Reproductive Health And Academic Impact Of The New York City School-Based Health Center Reproductive Health Project For Adolescents, Michelle Silverio

Dissertations and Theses

Background: Gaining an understanding of how school reproductive health policies impact adolescent sexual health and academic outcomes is a public health priority in the United States (U.S.) since it has the highest rates of adolescent pregnancy and sexually transmitted infections among developed nations. Adolescence is a critical developmental period and influences in this period affect reproductive health and social well-being over a person’s entire lifespan. Almost all adolescents spend the majority of their time in school settings; therefore local school reproductive health policies may have substantial lifetime impacts. Policies such as providing comprehensive sexual health education and contraceptive access in …


A Case Study Of Factors That Influence The Implementation Of Full Spectrum Contraceptive Care In A University Student Health Center, Cecile Dahlquist Jun 2020

A Case Study Of Factors That Influence The Implementation Of Full Spectrum Contraceptive Care In A University Student Health Center, Cecile Dahlquist

Electronic Theses, Projects, and Dissertations

Large, prospective cohort studies such as The Contraceptive Choice Project have been conducted regarding safety, efficacy, satisfaction, and usage of Long-Acting Reversible Contraception (LARC) such as the Contraceptive Implant (Nexplanon) and Intrauterine Contraception (Winner, Peipert, Zhao, Buckel, Madden, Allsworth & Secura (2012). Despite these findings, access and financial barriers remain for many women, and less than 7 percent of women utilize the most effective methods of contraception in the United States (Winner et al., 2012). Barriers to effective LARC methods exist at a higher rate with our young, poor, and non-white marginalized populations (Finer & Zolna, 2016).

Unplanned pregnancies have …


Evaluation Of The Impact Of Social Collaborations On Sexual And Reproductive Health Knowledge, Lucki Word, Jaila Campbell, Manar T. Edriss, Destiny Stroman, Jewel Evans, Melanie Hanna-Johnson, Md, Anil N. F. Aranha, Phd Mar 2020

Evaluation Of The Impact Of Social Collaborations On Sexual And Reproductive Health Knowledge, Lucki Word, Jaila Campbell, Manar T. Edriss, Destiny Stroman, Jewel Evans, Melanie Hanna-Johnson, Md, Anil N. F. Aranha, Phd

Medical Student Research Symposium

Introduction: Developments in technology, such as the popularity of mobile devices and social media outlets, have enhanced the ability of individuals to communicate. Currently, search engines allow for easy exploration of information related to every topic of interest. Our study purpose was to evaluate the impact of technological and social collaborations on sexual and reproductive health knowledge (SRHK).

Methods: A 50-item survey instrument, integrating factors of sociodemographics, number/type of social collaborations, technological communication use, and SRHK, was developed to assess familiarity with sexual and reproductive health perceptions. The survey was provided to consenting patients in an ambulatory, primary care setting. …


The Impact Of Socioeconomic Factors On Food Insecurity Among Syrian Refugees In Florida, Racha Sankar Nov 2019

The Impact Of Socioeconomic Factors On Food Insecurity Among Syrian Refugees In Florida, Racha Sankar

FIU Electronic Theses and Dissertations

Syrian refugees settled in the United States may experience food insecurity due to different socioeconomic factors that may include nutrition knowledge, language proficiency, women’s education, and perceived stress. The structure and the type of households may also contribute to food insecurity in this population.

The objective of this study was to measure food security among Syrian refugees residing in Florida. It also aimed to determine the socioeconomic factors that may attribute to food insecurity at household level.

A comprehensive 228-item questionnaire was administered to N=80 households (n=43 in rural areas, n=37 in urban areas). Families with and without children were …