Medicine and Health Sciences Commons^™

I'M Ok, You're Not: Assessing Variable Influence On Perceptions Of The Mentally Ill Among College Students, Phillip Wagner

Masters Theses

Due to the alarming level of stigma associated with individuals with a mental illness, this present study seeks to understand the variables that influence perceptions of the mentally ill. The research questions for this study are as follows: RQ1: What are the latitudes of acceptance, rejection and non-commitment that college students identify in their perceptions of the mental health community?, RQ2: Does gender influence college student perceptions of the mentally ill?, and RQ3: Does the level of religious involvement that college students identify correlate to their perceptions of the mentally ill? The 257 participants completed an online survey that assessed …

Useful Field Of View Predicts Driving In The Presence Of Distracters, Joanne M. Wood, Alex Chaparro, Philippe Lacherez, Louise Hickson

Publications

Purpose. The Useful Field of View (UFOV®) test has been shown to be highly effective in predicting crash risk among older adults. An important question which we examined in this study is whether this association is due to the ability of the UFOV to predict difficulties in attention-demanding driving situations that involve either visual or auditory distracters.

Methods. Participants included 92 community-living adults (mean age 73.6 +- 5.4 years; range 65– 88 years) who completed all three subtests of the UFOV involving assessment of visual processing speed (subtest 1), divided attention (subtest 2), and selective attention (subtest 3); driving safety …

Salud Y Saludos: The E-News Of The College Of Health Sciences, College Of Health Sciences

College of Health Sciences

Monthly e-news of the College of Health Sciences.

Investigating And Improving Medical Education And Library Resources At The Tamale Teaching Hospital In Northern Ghana : A Case Report., John Chenault

Faculty and Staff Scholarship

This article discusses a service-learning trip I took in the summer of 2011 to conduct a series of consultations and workshops for librarians, administrators, faculty, and students at Tamale Teaching Hospital (TTH) and the University of Development Studies (UDS) in Northern Ghana. The visit was organized in support of a series of programs and collaborations that have been ongoing for several years between the University of Louisville (U of L) School of Public Health and Information Science (SPHIS) and TTH and UDS. The goal of the visit was twofold: to provide a series of training workshops to improve the research, …

The Importance Of Play To Childhood Development: A Child’S Right To Play While Living With Hiv/Aids, Rachel Bambrick

Independent Study Project (ISP) Collection

This is a social analysis paper that explores child development and a child’s right to engage in play activities while living with HIV/AIDS in South Africa. Through experiences volunteering at the Children’s Rights Centre, interviewing occupational therapy professors, and living and playing in various communities in KwaZulu-Natal, the study looks into play development for children living with HIV and the policies put in place to protect their rights to play and develop. Primary data was triangulated against secondary sources, most of which were found while volunteering at the Children’s Rights Centre in Durban. The study looks at the stigmas surrounding …

Conflict Situation For Health Care Workers: A Case Study Of The Occupational Challenges In Kasangati Health Centre Iv And Their Implications For Patient Care., Shannon Mcdowell

Independent Study Project (ISP) Collection

Many factors influence a country’s ability to provide quality health services for its people. Particularly, quality health care hinges upon the availability of properly trained and equipped health care workers (HCWs) to deliver effective care. Resource-strained countries committed to the Millennium Development Goals are confronting the reality that shortages and uneven distribution of HCWs threaten their capacities to encourage and establish healthy communities. A scarcity in HCWs is one challenge of public health initiatives and places stress on existing HCWs. Other challenges faced by HCWs severely affect performance, motivation, and overall care-giving ability.

This study aims to examine the particular …

Indicadores De Maduracion Sexual Y Su Relacion Con Indices De Masa Corporal (Imc) Y Habitos De Alimentacion En Escolares Femeninas De Arica, Chile, Melissa Colden

Independent Study Project (ISP) Collection

The basis of this investigation came from recent evidence that the age of puberty, specifically with respect to young girls, has fallen notably in the past decade. This trend exists in Chile, as well as other countries such as the United States, and has presented itself alongside a portentous epidemic of obesity and malnutrition. Knowing the risks of both disorders, and how their affects have already been manifested in the adolescent population in Chile and the city of Arica, this study sought to develop a relationship between body mass index (BMI) and pubertal development, including the appearance of secondary sexual …

Connecting Cultures: Msmcbj’S Alternative Methods To Mental Health Therapy Within The Aldeia Indigenous Reserve And The Bom Jardim Favela, Emily Rasowsky

Independent Study Project (ISP) Collection

For my Independent Research Project I observed how community integration and connecting individuals back to the indigenous cultural idea of community work together to improve upon the mental health of individuals in the Favela of Bom Jardim, Fortaleza and the Pitaguary Indigenous Reserve or Aldeia. I examined how the Movimento de Saude Mental Comunitara do Bom Jardim (MSMCBJ) organization provides individuals within Bom Jardim a space to build a supportive community, based in indigenous ideals, while simultaneously providing professional and social opportunities for the Pitaguary tribe to create a sense of cultural valorization and how both of these aspects lead …

Social Media Networking Strategies For The Yale New Haven Center For Emergency Preparedness And Disaster Response (Ynh-Cepdr)/ Yale New Haven Health System Center For Healthcare Solutions (Ynhhs-Chs), Amanda Smith

Masters Theses

This paper investigates the uses and gratification of social media for both personal and organizational usage among employees at the Yale New Haven Center for Emergency Preparedness and Disaster Response/Center for Healthcare Solutions in New Haven, Connecticut. The purpose of this thesis is to assess and evaluate the relationship between YNH-CEPDR/CHS' usage of social media tools and the organization's employees' personal attitudes, beliefs and usage of Facebook, Twitter, LinkedIn, and YouTube. Employees of CEPDR/CHS were surveyed regarding the function of social media for emergency management communication and the promotion of products and services. Results suggest that while employees generally agree …

The Development And Validation Of The Preference For Adherence To Theoretical Orientation Scale, Tiffinee S. Hamilton

Counseling & Human Services Theses & Dissertations

One of the most common criticisms of undergraduate and master's level graduate programs is that students lack the ability to define their view of human nature. One effective means of assisting students in their desire to identify their preference in orientation is the use of a validated psychometric instrument developed for mental health trainees. Thus, the purpose of this study is to develop and initially validate a new assessment tool, the Preference for Adherence to Theoretical Orientation Scale (PATOS). PATOS provides a theoretically grounded method for assessing a counselor's preference for a particular orientation(s) as well as adherence to a …

Recession Proof Pills: An Examination Of The Relationship Between Recession Economics And Pharmaceutical Expenditures, Kevin Gray

Annual Undergraduate Conference on Health and Society

The first decade of the 21st century proved to be a time of turbulence and volatility in the worldwide economy. Oddly enough, even as Americans’ disposable income decreased, spending on health care steadily increased. Americans spent $249.9 billion on prescription drugs in 2009, contrasted against $120.9 billion in 2000—a 105% increase.1 We may question the overall ramifications of such increases in pharmaceutical sales and the correlation to other economic factors. That is, how was the pharmaceutical sector able to boast gains when the housing market collapsed? One answer is that people place a priority on their health, even with limited …

Sick With Fear: Popular Challenges To Scientific Authority In The Vaccine Controversies Of The 21st Century, Ellen Watkins

Annual Undergraduate Conference on Health and Society

In the 20th century, vaccines were heralded as one of the greatest medical inventions in history. In the late 1990’s, however, the myth of vaccine-caused autism caught fire. Despite mountains of evidence disproving the link, panicking Americans eschewed vaccines and turned against their physicians. Why did Americans turn their backs on doctors, scientists, and the health industry? This paper follows the vaccine controversy of the last thirty years, looking in particular at the relationship between science and the media. This paper analyzes the contrast between discussion of the hypothesized link in scientific circles and in popular news sources, seeking to …

Sorry Buddy, But Your Name Isn't On The List: Fear And The Ethics Of Organ Donation In Film, Ted Callis

Annual Undergraduate Conference on Health and Society

The fear of death and illness is a powerful motivator. When taking into account the ethical reasoning that drives organ transplantation and procurement practices, it is persuasive enough to sway minds and corrupt pure reason. And so this paper will uncover how fear of illness and death shape answers to the ethical questions that arise in transplant debates and how these debates are in turn raised in the ethical dilemmas portrayed by popular American films. This paper will examine recent films such as The Island, and Never Let Me Go to illustrate how the ethical dilemmas associated with organ …

Facing An Epidemic: An Analysis Of Hiv/Aids, Antiretroviral Drug, And International Response To The Aids Pandemic, Michael Tate

Annual Undergraduate Conference on Health and Society

More than 33 million people are living with HIV/AIDS around the globe with 68% of all cases occurring in sub-Saharan Africa. The global prevalence rate is shocking considering that the disease was relatively unknown just 30 years ago. After reviewing medical, health policy, and health statistical journals, I will argue in this paper that international aid to nations struggling with AIDS needs to be redirected and refocused on supplying antiretroviral therapy to afflicted nations because ARV has been proven to be effective in managing the disease in countries that can afford the costs of treatment. International aid to countries that …

Medicines That Kill, Lina Ahmed Abushouk

Annual Undergraduate Conference on Health and Society

The prevalence of counterfeit drugs on the African continent has been increasing at an alarming rate. “Medicines that Kill” is a research paper that attempts to analyze the factors that make African countries particularly susceptible to this global threat. Nigeria, a country that has had some of the highest rates of counterfeit drugs in the world, is the main case study for this paper. Its efforts to combat the issue are compared and contrasted with those of Tanzania and Kenya in an attempt to understand what aspects of the issue are unique to Africa and the methods that have been …

Human Papillomavirus: How Social Ideologies Influence Medical Policy And Care, Fadi Hachem

Annual Undergraduate Conference on Health and Society

The purpose of this paper is to discuss the ways in which new advances in the production of a vaccine against human papillomavirus (HPV) have been received by both the general public and the medical community. Despite its high prevalence in the general population, as a sexually transmitted infection, there is a great deal of shame and stigma associated with contracting the virus (Waller, et. al. 2007). HPV is a disease of disparities in that ethnic and sexual minorities are disproportionately affected. Since the HPV vaccine is most effective at both a younger age, and before the first sexual experience, …

Sacrée Et Inviolable: The Hiv+ Mother In Ivoirian Health Policy, Amber Alaniz

Annual Undergraduate Conference on Health and Society

« La personne humaine est sacrée (2)… Le domicile est inviolable. Les atteintes ou restrictions ne peuvent y être apportées que par la loi. (4) La famille constitue la cellule de base de la société. L'État assure sa protection. (5)» Constitution of La Côte d’Ivoire, Articles 2,4,5[1]

The Ivoirian national constitution, authored and enacted in July of 2000, while expressing a devotion to democratic thought (Preamble) and to the sovereignty of the individual (Article 2), also acknowledges the primacy of the Ivoirian family and collective identity as the basis of society and advances a moral duty on the part …

The Pregnancy Project: Impact Of Ultrasound Use During Pregnancy Care, Paige Ricci

Annual Undergraduate Conference on Health and Society

Use of ultrasounds during pregnancy continues to increase and there is much debate as to what the best practice is regarding their use, for what types of patients, at what volume level. Current evidence suggests, the extended routine use of ultrasound technology should be for all women that present complications to screen for structural anomalies during pregnancy. However, others have suggested that excessive ultrasound use may be both unnecessary, costly and potentially harmful. Evidence further suggests that mothers find the use of technology to be security enhancing during pregnancy and through the process of care, and that ultrasound use is …

The Influence Of Neighborhood Characteristics On The Existence Of Asthma In Children, Elizabeth Adejuyigbe

Annual Undergraduate Conference on Health and Society

Asthma is one of the leading chronic diseases in children 17 years of age and under with nine million American children suffering from it. Previous studies to understand causal factors of disease including asthma tend to focus on the individual and sociocultural characteristics but there is little to no research using neighborhood characteristics, a factor that does influence health. Research shows that other community‐level environmental factors like collective efficacy, community structural factors, and neighborhood safety can affect a persons’ psychosocial well-being, and in turn increase morbidity. For this reason, researchers suggest that the need to understand asthma and its associated …

To Live Means To Suffer: Exploring The Identity Of Chronic Pain Conditions, Gabriela Harris

Annual Undergraduate Conference on Health and Society

This paper examines the necessary identity reconstruction for chronic pain patients through the use of illness narratives. The biographical interruption of a chronic illness, partnered with the patients’ inability to discuss embodiment and pain wholly (because language failures to capture the essence of pain and suffering) creates a devastating chasm between the world of the healthy and the world of the sick. Psychosomatic pain, and illnesses without diagnosis, are all the more divisive conditions, because these factors rob the patient further, disallowing them from constructing even an illness identity. Utilizing published patient interviews, sociological and anthropological texts, as well as …

Hiv/Aids: Ayurvedic Medicine's Impact On India's Social Stigma, Shawn Francis

Annual Undergraduate Conference on Health and Society

Ayurvedic medicine is an ancient form of treatment that has existed in India through scriptures and generations for thousands of years. It is practiced by “indigenous medical practitioners” or natural medical practitioners that assume the role of healers and use various forms of herbal remedies to treat individuals that have a form of illness. (Kakar DN. 1983) According to the C.D.L. College of Ayurveda, Ayurvedic medicine focuses on viewing the individual holistically through the body, mind, food, and environment to produce a medicinal recipe to meet the needs of the individual. In addition, the college has also mentioned that they …

The Drawn-Out Battle Against Stigma: Mental Health In Modern American Comics And Graphic Novels, Swee Khee Brenda Seah

Annual Undergraduate Conference on Health and Society

The discussion of mental health issues in the media significantly shapes public perceptions, most notably in negative portrayals that contribute to the stereotyping of mental health patients. Perhaps surprisingly, comics and graphic novels are forms of media that have potential to mitigate such stigma, despite earlier criticism of mental health stereotypes propagated in some comics. This is reflected in a recent trend of comics treating mental health issues in more sympathetic ways. This paper discusses three American comics from the last decade, examining depictions of post-traumatic stress disorder in Garry Trudeau's comic strip, Doonesbury, around 2005-2006, schizophrenia in Nate …

Busting A Gut: Portrayals Of Obesity In Popular Culture, Carly Babel

Annual Undergraduate Conference on Health and Society

Obesity is America’s number one leading health epidemic, affecting more than 93 million Americans today (OAC). From 1985 to 2010, obesity has gone from affecting an average of 10% of individuals in just about every state to today affecting 33.8% of people within each state. Children and adults alike all over the U.S. are being diagnosed with obesity and encouraged to change their lifestyles. Doctors are prescribing patients to lose weight, exercise, eat healthy, and in extreme cases, go under the knife, but none of these recommendations are making a dent in lowering the rate of obesity. Rather, the number …

Mirror, Mirror On The Wall, Who's The Thinnest Of Them All?, Ann Marie O'Brien

Annual Undergraduate Conference on Health and Society

Societal standards of feminine beauty are presented in all forms of popular culture, thus bombarding women with images that portray what our society considers to be the “ideal body type.” These images, as seen on the cover of magazines, in popular films and in all forms of web and print advertising, are consistently depicted and easily described with one word: skinny. The regular use of unnatural, unhealthy and unrealistic models sends the implicit message that in order for a woman to be beautiful, she must attain this ultra-thin physique. Such adulation of these images encourages women to sacrifice their health …

Cancer Awareness In Alternative Settings: Lessons Learned And Evaluation Of The Barbershop Men’S Health Project, Cheryl L. Holt, Theresa A. Wynn, Katrina Debnam, Mark S. Litaker, Sanford Jeames, Yu-Mei Schoenberger, Penny Southward, Virgil Simons

Journal of Health Disparities Research and Practice

Prostate and colorectal cancer are two of the leading causes of cancer deaths among African American men. This study describes lessons learned from the development, implementation and evaluation of a culturally appropriate, barbershop-based intervention to improve prostate and colorectal cancer screening awareness among African American men. Working with an Advisory Panel of shop owners, barbers, and cancer survivors, local barbers were recruited and trained as Community Health Advisors to educate, motivate, and assist their clients in becoming more knowledgeable about prostate and colorectal cancer. Survey results reveal increases in prostate and colorectal cancer knowledge and self-reported screening among participants. Lessons …

Preventing Hepatitis B-Induced Liver Cancer: Implications For Eliminating Health Disparities, Moon S. Chen Jr.

Journal of Health Disparities Research and Practice

If the definition of eliminating of a health disparity were signified by the absence of any differences in incidence or mortality between a population’s experiences with a health problem, then the only health disparity that has ever been eliminated is smallpox because with zero cases of smallpox in the world, no health disparities exist because of smallpox. The eradication of smallpox is perhaps the only historical example where the elimination of a health disparity has been achieved. Principles and lessons learned, particularly through the intersection of science and policy that could be applied to the elimination of other health disparities …

Physical Activity Effects On Depressive Symptoms In Black Adults, Elisa R. Torres, Carolyn M. Sampselle, Kimberlee A. Gretebeck, David L. Ronis, Harold W. Neighbors

Journal of Health Disparities Research and Practice

Objectives: Randomized trials found physical activity (PA) effective in decreasing depressive symptoms. Few studies included Black participants. The purpose of this systematic literature review was to determine the effects of PA on depressive symptoms in Black adults. Methods: Articles were abstracted by conducting a computer and hand search of eligible studies. Results: Eight of 13 studies found a significant inverse relationship between PA and depressive symptoms in Black adults. Sources for the heterogeneity were explored. Conclusion: Future studies should include representative samples of Black adults, incorporate a theory which considers multiple levels of influence, account for genetic factors in the …

Perceptions Of Healthcare, Health Status, And Discrimination Among African-American Veterans, Nathaniel Rickles, Silvia Dominguez, Hortensia Amaro

Journal of Health Disparities Research and Practice

The Institute of Medicine identified access to healthcare and race-based discrimination as important barriers to quality healthcare that contributes to health disparities. This study (1) describes African-American veterans’ perceptions of healthcare services and perceived discrimination in healthcare and (2) investigates the relationship between perceived discrimination and patient perceptions of care, satisfaction with healthcare, and health status. A convenience sample of 141 African-American veterans in Boston completed surveys from May to June 2006.

Respondents reported an average of 16 lifetime experiences of discrimination and over half recalled a situation when they experienced discrimination in healthcare. Modest ratings of perceived quality of …

Preventable Asthma Episodes Among Urban/Rural Children And Adolescents: A Comparative Study, Saundra Glover, Crystal N. Piper, Edith Williams, Kevin Bennett, Winifred Thompson, Lucy Annang, Shaniece Charlemagne, Rahnuma Hassan

Journal of Health Disparities Research and Practice

Context: Asthma is a chronic respiratory illness that is increasing in prevalence among children in the United States. A limited number of studies have examined the relationship between rurality and the prevalence of asthma in minority children, and those studies found mixed results. The aim of this study is to examine urban/rural locality and its impact on asthma episodes and preventable emergency department visits, and to provide quantitative evidence concerning the relationship between patient characteristics and geographic location. Methods: This is a retrospective study and secondary data analysis of the 2000 National Health Interview Survey. Parametric testing using Univariate/Bivariate/Multivariate analysis …

Colorectal Cancer Screening Behaviors Among American Indians In The Midwest, Christine M. Daley, Niaman Nazir, K. A. Greiner, Aimee S. James, Won S. Choi

Journal of Health Disparities Research and Practice

Colorectal cancer is the second most diagnosed cancer among American Indians and is also the second leading cause of cancer death. We used a community-based participatory approach to conduct a mixed methods study to examine colorectal cancer screening behaviors. Here we report on the screening behaviors of our focus group participants (n=153). There were significant gender differences in the colorectal cancer screening rates for FOBT and colonoscopy. Although over 80% of participants reported having health insurance, only 35% of males over 50 years old and 57% of females reported ever having a colonoscopy. More research is needed to identify the …