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Full-Text Articles in Medicine and Health Sciences
Providers’ Perspectives On Barriers Associated With Repeat Teen Pregnancies In Rural Southeastern United States, Vanessa Iheoma Iheanachor
Providers’ Perspectives On Barriers Associated With Repeat Teen Pregnancies In Rural Southeastern United States, Vanessa Iheoma Iheanachor
Walden Dissertations and Doctoral Studies
Teen (or adolescent) pregnancy remains a significant public health problem in the United States. Rapid repeat pregnancy, defined as any pregnancy that occurs within 24 months of a previous birth, has been linked to adverse maternal and neonatal outcomes. The purpose of this quantitative, cross-sectional study was to understand the perceptions of health care providers (HCPs) regarding barriers that influence repeat pregnancies among adolescents in rural southeastern United States. The theoretical framework that guided this study was Urie Bronfenbrenner’s social ecological model. A survey instrument was developed and disseminated to HCPs using Qualtrics, an online survey platform. Data (n=32) were …
Factors Associated With Nonmedical Prescription Opioid Use And Prescription Opioid Misuse Among Rural Americans, Brittany Cox
Factors Associated With Nonmedical Prescription Opioid Use And Prescription Opioid Misuse Among Rural Americans, Brittany Cox
Walden Dissertations and Doctoral Studies
Opioid misuse is a rapidly evolving health epidemic in the United States, leading to opioid use disorders, overdose deaths, and disparities in treatment. The rural population may be more susceptible given socioeconomic status, less educational attainment, and lower income. The impact on specific populations is not well understood. The purpose of this study was to identify the association of nonmedical prescription opioid use (NPOU), prescription opioid misuse (POM), and treatment-seeking with race, age, sex, education, and insurance status among rural Americans. The social-ecological model (SEM) served as the theoretical framework. The SEM described the interplay between individual, relationship, community, and …
Emergency Encounters: A Cross Sectional Study Of A Rural Emergency Room, Selynto Rodrecca Anderson
Emergency Encounters: A Cross Sectional Study Of A Rural Emergency Room, Selynto Rodrecca Anderson
Walden Dissertations and Doctoral Studies
It is very difficult for certain populations to obtain access to healthcare within the United States, particularly in rural areas. Typically, individuals who live in rural areas are far less healthy than those who live in more urbanized areas. Although there have been some improvements made to ensure there is adequate health care for all, barriers still exist. A few examples of these barriers are socioeconomic status, education, and job status. In this study, adult patients from a rural Southeastern hospital were surveyed via those who came to the emergency room seeking care, and via those who came to the …
Association Between Learning Methods And Analgesic Opioid Abuse, Nicole Marie Blanchard
Association Between Learning Methods And Analgesic Opioid Abuse, Nicole Marie Blanchard
Walden Dissertations and Doctoral Studies
Opioids are an extremely addictive class of medication used to treat pain; overprescribing practices and chronic misuse has led to an epidemic that continues to grow. The opioid epidemic not only has the potential to cause injury or even death but also has a large impact on the U.S. economy. Research regarding determinants of abuse are needed to improve safeguards for opioid abuse prevention. The purpose of this quantitative study was to determine if learning capabilities and/or learning medium preference are correlated with analgesic opioid abuse. The social-ecological model was used to evaluate the social levels of influence for abuse …
Exploring Health Literacy In The Acute Care Setting In A Rural Border Region, Shiloh Williams
Exploring Health Literacy In The Acute Care Setting In A Rural Border Region, Shiloh Williams
Walden Dissertations and Doctoral Studies
Health literacy is important to ensuring patients have the necessary knowledge and skills needed to actively participate as a member of their own healthcare team. Patients with low health literacy are at increased risk for poor outcomes and limited participation in decisions affecting their health or treatment plan. Using the Social Ecological Model (SEM) as a framework, the purpose of this study was to determine the relationship between medical-surgical registered nurses, medical-surgical patients and the registered nurse’s (RN) assessment of their patient’s health literacy of those who live in a rural-border region. The study’s sample consisted of 84 pairs of …
Education To Improve Health For Rural Africa American Women With Diabetes, Monique Deidre Pendleton
Education To Improve Health For Rural Africa American Women With Diabetes, Monique Deidre Pendleton
Walden Dissertations and Doctoral Studies
Diabetes (DM) is the 7th leading cause of death in the United States. Minorities like Hispanics and African Americans (AA) are at greater risk of developing DM. The prevalence and outcomes affecting diabetes are attributed to socioeconomic status, sex differences, ethnic, cultural, and religious status. Diabetes-related mortality is a major health problem in AA in rural America. The focus for this project was to identify the best evidence regarding educational counseling on lifestyle modifications that positively impact adult AA women with diabetes living in Rural America. The social-ecological theory and health belief model informed this project because these models incorporate …
Unmet Support Needs Of Informal Caregivers Of Older Adults, Julie Ann Smith Hinders
Unmet Support Needs Of Informal Caregivers Of Older Adults, Julie Ann Smith Hinders
Walden Dissertations and Doctoral Studies
Due to projected growth of the 65-and-older population and concerns of an impending care gap, reliance on informal caregivers is expected to increase. Improving support for informal caregivers is viewed as a national priority, yet research related to the unmet support needs of informal caregivers is limited. The purpose of this cross-sectional correlational study was to examine predictive relationships between contextual factors (caregiving relationship and type of illness) and environmental factors (rurality) and the unmet support needs (classes, service access, support groups, counseling, and respite) of informal caregivers of older adults. The theoretical framework was Bronfenbrenner's ecological systems theory. Archival …
The Impacts Of Race, Residence, And Prenatal Care On Infant Mortality, Mary Christine Dorley
The Impacts Of Race, Residence, And Prenatal Care On Infant Mortality, Mary Christine Dorley
Walden Dissertations and Doctoral Studies
Tennessee ranks high for infant mortality (IM) in the United States. Despite public health efforts, the IM rate for Blacks is twice that of Whites mimicking what is observed nationally. Several risk factors for IM have been identified; however, it was still unclear how places of residence and prenatal care (PNC) affect IM for Tennesseans. The purpose of this study was to assess the relationship between places of residence (conceptualized by rurality and racial concentration), PNC, and IM among racial groups across Tennessee and to determine if race modified these associations. This was a cross-sectional study using data from the …
Health Literacy, Availability, And The Need For Educational Resources On Infertility, Amber Louise Dessellier
Health Literacy, Availability, And The Need For Educational Resources On Infertility, Amber Louise Dessellier
Walden Dissertations and Doctoral Studies
There is a gap in infertility research regarding resource availability within rural communities, yet existing research declares infertility a public health concern. This qualitative study was grounded in the Heggerian phenomenological framework by way of assessing participants' perceptions of and experiences with infertility resources in a rural community. The purpose was to analyze the meaning of those experiences within their world. To accomplish this, Antonovsky's salutogenic theory was applied to investigate the strengths and weaknesses of infertility resources including the availability of resources, participant understanding of, and participants' experiences. Purposive sampling was used and in-depth interviews were conducted with 12 …
Rural Haitian Women's Experiences With Poor Health Through Poverty, Geralda Felix
Rural Haitian Women's Experiences With Poor Health Through Poverty, Geralda Felix
Walden Dissertations and Doctoral Studies
People living in rural Haiti lack access to basic health care services due to poverty. Rural poverty in Haiti particularly affects women's health because Haiti has had the highest maternal mortality and infant mortality rates in the Americas, in addition to some of the worst health statistics in the Western Hemisphere. The purpose of this phenomenological study was to cultivate a greater understanding of the poverty factors that affect access to health care services specifically among poor women living in rural Haiti. This study was based on the social ecological model for population health development, theorizing that a person's health …
Planning For A Community Supported Farmers Market In A Rural Usda Food Desert, Carrie Lynn Engelbright
Planning For A Community Supported Farmers Market In A Rural Usda Food Desert, Carrie Lynn Engelbright
Walden Dissertations and Doctoral Studies
A community initiative to develop and sustain a farmer's market can address insufficient access to fresh and affordable fruits and vegetables for individuals working and residing in a United States Department of Agriculture (USDA) designated food desert. This project addressed a particular USDA food desert in South Wood County, Wisconsin. The purpose of this project was to develop and plan for implementation and evaluation of a community-supported farmers market in South Wood County, with the goal to increase access to fruits and vegetables. Project objectives included development of a sustainable community infrastructure to support the market, development of policies and …
Hiv Stigma Within Religious Communities In Rural India, Krutarth J. Vyas
Hiv Stigma Within Religious Communities In Rural India, Krutarth J. Vyas
Walden Dissertations and Doctoral Studies
This study was conducted to gain a better understanding of HIV/AIDS-related stigma within religious communities in rural Gujarat, India. This study used the hidden distress model of HIV stigma and the HIV peer education model as conceptual frameworks to examine a rural population sample of 100 participants. Regression analysis was conducted to test if school education had a moderating effect on the relationship between illness as punishment for sin (IPS) and HIV stigma. Religiosity was tested for mediating effects on the relationship between early religious involvement (ERI) and HIV stigma. The results of this study indicated that single unemployed men …