Medicine and Health Sciences Commons^™

Black Is Decidedly Not Just Black: A Case Study On Hiv Among African-Born Populations Living In Massachusetts, Chioma Nnaji, Nzinga Metzger

Trotter Review

Black or African American is a racial category that includes the descendants of enslaved Africans as well as members of foreign-born black communities who migrated to the United States from places abroad, such as Africa, the Caribbean, and Latin America. Grouping native-born and foreign-born blacks into a single homogeneous racial category may make it easier to track disease and health outcomes; however, it masks the different cultural experiences, histories, languages, social and moral values, and expectations that influence health beliefs, attitudes, practices, and behaviors. It also ignores such factors as migration, which forces foreign-born populations to examine both their traditional …

The Effects Of Community Support On Posttraumatic Growth Outcomes For Parents Of Children With Chronic Illness, Colleen Gannon

Theses and Dissertations

Parents of children with chronic illnesses face many stressors on multiple fronts as a result of their child's care needs. Posttraumatic growth is positive psychological outcomes of stress for those who have experienced a traumatic event, such as the diagnosis of a child with a chronic illness. While much is known about the challenges of caring for a child with a chronic condition, there is little research on these parent's growth outcomes. Of the research that does exist, much focuses on internal predictors of posttraumatic growth, such as personality characteristics. The purpose of this study is to begin to investigate …

Research Brief: "Preferences For Gender-Targeted Health Information: A Study Of Male Veterans Who Have Experienced Military Sexual Trauma", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about male veterans' preferences for health information provided to them after experiencing military sexual trauma and the effect of that information on use of mental health services. In policy and practice, veterans who have experienced military sexual trauma should seek military sexual trauma care from the VA, health practitioners should learn more about military sexual assault to better help servicemembers, and gender-targeted literature should be distributed to servicemembers who have experienced military sexual trauma; the VHA should include gender-specific resources for male veterans who experienced military sexual trauma. Suggestions for future research include the addition of a …

Creating Health From Below? Exposing And Resisting The Power Of Media Culture Over Public Health, Woods Nash

Catalyst: A Social Justice Forum

A few days ago, my three-year-old daughter happened to glimpse a picture of a glowing young woman in blue gown and long white gloves. It was Cinderella, all dressed up for the ball. And though my daughter didn’t know the woman’s name—has never read the story or seen the Disney movie—she pointed and pleaded, “Can I dress up like her?” What silliness, I thought, as we left home for the playground. But not before I grabbed my mesh back hat, making sure its bill was still bent just as retired tennis star Andy Roddick would don it.

Do we …

Can Anyone With Low Income Be Food Secure?: Mitigating Food Insecurity Among Low Income Households With Children In The Tampa Bay Area, Edgar Allan Amador

USF Tampa Graduate Theses and Dissertations

In the US over the last few years, approximately 14.5% of households experience food insecurity at some point throughout the year. While studies on food insecurity in the US have determined that household income and specifically income available to spend on food is of critical importance to food security, it is still unclear why some households with low income are able to maintain food security while others experience food insecurity in a pattern characterized as not constant but recurrent. This dissertation compares households with children at different levels of food security and insecurity using the USDA Core Food Security Module …

Service Provider Promising Practice: Job Squad, Inc. (West Virginia) - A Blog That Conveys The Importance Of Community Employment, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Job Squad is a medium-sized CRP that provides services to individuals in 13 counties within West Virginia. In 2005, responding to customer demands, executive director Brenda Hellwig and her staff received training from Griffin Hammis Associates to offer community employment services. Once trained, the career counselors at Job Squad found that their most successful jobs were matches between job seekers and small businesses that needed their skills and could provide natural supports. The team then started the Community Economic Development blog at http:// jobsquadinc.blogspot.com/. This is a platform to communicate with employers,

Considering Sport Participation As A Source For Physical Activity Among Adolescents, Jennifer Pharr, Nancy L. Lough

Environmental & Global Health Faculty Research

BACKGROUND:

Studies have shown participation in sport is lower among girls than boys, decreases as students matriculate through high school, is lowest among Black and Hispanic girls and has a positive relationship with SES. With sport recognized as a contributor to physical activity and health in adolescents, consideration of diminishing rates of participation appears warranted. The purpose of this study was to identify patterns related to differences in self-reported sport participation between genders, ethnic groups, grades and SES.

METHODS:

This study was a cross-sectional, secondary analysis of data collected for a sport interest survey. All students in grades 8-11 attending …

Utilizing The Technology Acceptance Model To Predict System Use Of An Interactive Behavior Change Technology To Deliver Virtual Diabetes Health Education, Koren Sher'keyer Goodman

Health Services Research Dissertations

Diabetes is expected to affect more than 21% of the U.S. adult population by the year 2050 (Boyle, Thompson, Gregg, Barker, & Williamson, 2010). What is important to understand about diabetes is that there are safe, effective non-pharmaceutical lifestyle modifications and pharmaceutical treatment options that can prevent and delay the onset of complications. Telehealth efforts are practical solutions increasingly used in the health services delivery model to improve self-care management practices among patients with multiple chronic conditions (Davis, Hitch, Salaam, Herman, Zimmer-Galler, & Mayer-Davis, 2010; Eng, Gustafson, Henderson, Jimison, & Patrick, 1999; Fitzner & Moss, 2013; Gruman, 2011; Lin, 1999; …

The Influence Of Childhood Maltreatment On Substance Abuse In Adulthood, James Michael Blinco

Sociology & Criminal Justice Theses & Dissertations

This study examines the relationship between suffering physical or sexual abuse as a child and drug or alcohol use in adulthood. Data was used from the first three waves of the National Longitudinal Study of Adolescent Health survey. This study found that being a victim of childhood physical abuse can lead to abuse of alcohol later in life. In addition being male and African American are key factors in predicting alcohol abuse and other illegal drug use in adulthood. No significant relationship was found between being a victim of sexual abuse and abusing alcohol, using marijuana, or using any other …

Her-Storicizing Baldness: Situating Women's Experiences With Baldness From Skin And Hair Disorders, Kasie Holmes

USF Tampa Graduate Theses and Dissertations

A general goal to my study was to promote an inclusive approach to baldness by sharing and centering women's experiences with baldness from skin and hair conditions, such as autoimmune alopecia areata conditions and monilethrix. Specifically, a main goal of my study was to her-storicize the lived experiences of women who are bald from skin and hair conditions by examining medical and cultural discourses surrounding these conditions, femininity, and female baldness. Additionally, my study considers strategies of accommodation and resistance that bald women perform in a given context, space, or time. For instance, I consider the ways participants manage their …

Strategic Planning For Recruitment And Retention Of Older African Americans In Health Promotion Research Programs, Laura Dreer, Cynthia Owsley, June Weston

Journal of Health Disparities Research and Practice

The purpose of this study was to 1) describe a strategic plan for recruitment and retention used in conducting eye health education research with African-Americans living in urban and rural areas of Alabama and 2) characterize recruitment and retention patterns for this project.

We evaluated an eye health education program tailored specifically to older African Americans. InCHARGE was designed to promote eye disease prevention by conveying the personal benefits of annual dilated comprehensive eye care and teaching strategies to minimize barriers to eye care. The InCHARGEÓ program or a social contact control program was delivered at 20 senior centers in …

Developing An Action Learning Community Advocacy/Leadership Training Program For Community Health Workers And Their Agencies To Reduce Health Disparities In Arizona Border Communities, Kenneth A. Schachter Md, Mba, Maia Ingram Mph, Laurel Jacobs Drph, Mph, Hannah Hafter Mph, Jill Guernsey De Zapien Ba, Scott Carvajal Phd, Mph

Journal of Health Disparities Research and Practice

Community health workers (CHWs) make unique and important contributions to society. They serve as patient advocates, educators, and navigators in our health care system and a growing body of research indicates that they play an important role in the effective delivery of prevention and treatment services in underserved communities. CHWs also serve as informal community leaders and advocates for organizational and community change, providing valuable insiders' insights about health promotion and the interrelatedness of individuals, their community, its institutions, and the surrounding environment. Accion Para La Salud or Action for Health (Accion) is a CDC-funded community based participatory research (CBPR) …

A Qualitative Examination Of Barriers And Motivators To Smoking Cessation Among Hiv Positive African American Msm Smokers, Alicia Kaye Matthews, Maria Vargas, Lisa Kuhns, Nitin Shappiva, Andrea C. King

Journal of Health Disparities Research and Practice

Purpose: To identify barriers and motivators to smoking cessation among HIV-positive African American men-who-have-sex with men (MSM) who smoke.

Procedures: A convenience sample of smokers was recruited for this study using a range of outreach approaches. Focus groups (N = 4) were conducted that examined: quit experiences, barriers to and motivators of cessation, cultural beliefs, and community norms. Established qualitative methods were used to conduct and analyze the focus groups.

Main Findings: Participants (N = 31) reporting being diagnosed with HIV+ for M = 12 years. More than 60% reported a quit attempt in the past year. Knowledge was about …

Trends And Disparities In Tb Among U.S.-Born Black And White Chicago Residents, 1998-2008, Susan A. Lippold, Lori Armstrong, Jennifer M. Carter, Xiomara Hardison

Journal of Health Disparities Research and Practice

ABSTRACT

OBJECTIVE: To describe the decline of tuberculosis (TB) cases among U.S.-born non-Hispanic (NH) black and white Chicago residents.

METHODS: Data from the National TB Surveillance System was used to analyze trends and characteristics of reported TB cases among U.S.-born NH black and U.S.-born NH white Chicago residents from 1998-2008.

RESULTS: Chicago reported a total of 3,821 TB cases over the 11-year time period. Of these, 1,916 were U.S.-born NH black and 235 were U.S.-born NH white. The proportion of cases attributable to U.S.-born NH blacks was 63% (294/469) in 1998 and 34% in 2008 (72/213). Analysis for trends from …

Gendered Violence, Hiv Acquisition, And Clinical/Behavioral Research, Liz Barr, Michele Peake Andrasik, Claire Rappoport, Jessica Mooney, Annet Davis Vogel, Lisa Rossi, Amina Alio

Journal of Health Disparities Research and Practice

HIV incidence and prevalence rates for US women continue to increase, especially among Black and Latina women. In addition, the link between violence and HIV acquisition has been well documented. However, the interaction between violence, HIV risk, and HIV acquisition remains an under-addressed issue in current clinical and behavioral HIV research designs. Because violence against women plays an important role in HIV acquisition and transmission, it is imperative for clinical research to address violence in trial design and implementation. In this article, we discuss the prevalence of violence in women’s lives; the role violence plays in HIV acquisition; and the …

Practicing Patienthood Online: Social Media, Chronic Illness, And Lay Expertise, Collette Sosnowy

Publications and Research

The use of digital technologies and social media by people with serious illness to find, share, and create health information is much celebrated but rarely critiqued. Proponents laud “Health 2.0” as transforming health care practice and empowering patients. Critics, however, argue that a discourse of developing lay expertise online masks the disciplinary practices of the neoliberal state’s emphasis on individual responsibility. Notably, the perspectives of people who are engaging with social media related to their health and illness are under-represented in this debate. This research examines the experiences and perspectives of women who blog about their lives with Multiple Sclerosis …

Obesity And Diabetes Cause Cognitive Dysfunction In The Absence Of Accelerated Β-Amyloid Deposition In A Novel Murine Model Of Mixed Or Vascular Dementia, Dana M. Niedowicz, Valerie L. Reeves, Thomas L. Platt, Katharina Kohler, Tina L. Beckett, David K. Powell, Tiffany L. Lee, Travis R. Sexton, Eun Suk Song, Lawrence D. Brewer, Caitlin S. Latimer, Susan D. Kraner, Kara L. Larson, Sabire Özcan, Christopher M. Norris, Louis B. Hersh, Nada M. Porter, Donna M. Wilcock, Michael Paul Murphy

Sanders-Brown Center on Aging Faculty Publications

Mid-life obesity and type 2 diabetes mellitus (T2DM) confer a modest, increased risk for Alzheimer's disease (AD), though the underlying mechanisms are unknown. We have created a novel mouse model that recapitulates features of T2DM and AD by crossing morbidly obese and diabetic db/db mice with APP^ΔNL/ΔNLx PS1^P264L/P264L knock-in mice. These mice (db/AD) retain many features of the parental lines (e.g. extreme obesity, diabetes, and parenchymal deposition of β-amyloid (Aβ)). The combination of the two diseases led to additional pathologies-perhaps most striking of which was the presence of severe cerebrovascular pathology, including aneurysms and small …

Toward A Biocommunicable Cartography Of Health Decision-Making In The Amazon Basin Of Ecuador, James Cartwright

Lawrence University Honors Projects

This paper comprises a critical, ethnographic study of health communication in a rural community of Amazonian Ecuador. By synthesizing approaches from anthropology, discourse studies, and public health, the study explores how conversations influence health decisions, how communities understand health systems, and how macrostructural discourse changes the political economy of healthcare in Ecuador. My work draws on the recent theoretical development of ‘biocommunicability’ in anthropology as well as earlier sociological research on knowledge construction. Most importantly, this paper offers a critique of current interventions by NGOs in the region.

Post-Treatment Drug Use, Recidivism, Analogous Behaviors, And Perceptions Of Fairness: Examining Whether Parolees With Low Self-Control Will Benefit From The Collaborative Behavioral Management Intervention, Sriram Chintakrindi

Dissertations, Theses, and Capstone Projects

This dissertation tested Gottfredson and Hirschi's (1990) low self-control theory and its relationship with post-treatment outcomes by conducting a secondary-data analysis of a randomized controlled trial on parolees (n=569) called the Step'n Out study (2005). The Step'n Out study (2005) compared the results of a control group (standard parole) with an experimental treatment for parolees called the Collaborative Behavioral Management (CBM) intervention which was designed to improve substance-use treatment outcomes, reduce drug use, and reduce recidivism for parolees participating in the study.

Low self-control theory states that individuals with character traits that are impulsive, risk-seeking, self-centered, and display volatile temper …

"If She Can Do It, So Can I": An Ethnography Of A Supportive Living Environment For Women In The Criminal Justice System And Their Children, Regina Cardaci

Dissertations, Theses, and Capstone Projects

There are now more women in prisons and jails than at any time in United States history. A large number of these women will be returning to the community. Women returning to the community after release from prison or jail face numerous challenges to successful reentry, e.g., securing housing and employment. In addition, following separation and care of their children by others, women with children struggle to resume their roles as mother.

This dissertation is an exploration of a program that assists women transitioning from incarceration to the community. This program helps women by helping to develop job skills and …

Congestive Heart Failure Self-Management Among Us Veterans: The Role Of Personal And Professional Advocates, Eleni Skaperdas, Anaïs Tuepker, Christina Nicolaidis, Jessica K. Robb, Devan Kansagara, David H. Hickam

School of Social Work Faculty Publications and Presentations

Objective: Understand patients’ experiences with primary care services for congestive heart failure (CHF) and explore the relationship between health services and self-management.

Methods: We conducted semi-structured interviews with thirty-nine patients with CHF receiving care at one Veterans Affairs Medical Center (VA). We analyzed data using thematic content analysis.

Results: Participants acknowledged the importance of ongoing engagement in the plan of care for CHF. They attributed success in this effort to be greatly influenced by personal advocates. The advocates included both members of the healthcare team with whom they had a continuity relationship and friends or family members who assisted on …

Learning From Las Vegas: Gambling, Technology, Capitalism, And Addiction, David T. Courtwright

Occasional Papers

Gambling has always led to addictive behavior in some individuals. However, the number and types of addicted gamblers have changed over time and in response to specific gambling environments. Recent work by historians, journalists, and anthropologists, reviewed in this paper, suggests that the situation worsened during the modern era, and that it has become worse still during the last half century. Technological, organizational, and marketing innovations have “weaponized” gambling, increasing both the likelihood that people will gamble and that they will gamble compulsively—a phenomenon with parallels to several other consumer products, including processed food, digitized games, and psychoactive drugs.

Reporting Risk, Producing Prejudice How News Reporting On Obesity Shapes Attitudes About Health Risk, Policy, And Prejudice, Abigail C. Saguy, David Frederick, Kjerstin Gruys

Psychology Faculty Articles and Research

News reporting on research studies may influence attitudes about health risk, support for public health policies, or attitudes towards people labeled as unhealthy or at risk for disease. Across five experiments (N = 2123) we examined how different news framings of obesity research influence these attitudes. We exposed participants to either a control condition, a news report on a study portraying obesity as a public health crisis, a news report on a study suggesting that obesity may not be as much of a problem as previously thought, or an article discussing weight-based discrimination. Compared to controls, exposure to the public …

Research Brief: "Women At War: Understanding How Women Veterans Cope With Combat And Military Sexual Trauma", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about stressors during military service that OEF/OIF female veterans experienced and how they coped with the stress. In policy and practice, female veterans should tell healthcare providers of their healthcare needs, and should form support groups with other veteran women; family members should support returning female service members; the VA should adapt its services to address the needs of female veterans, policymakers should allocate funding toward creating non-VA mental health and substance abuse counseling, and the VA should offer gender-specific mental health programs. Suggestions for future research include analyzing differences between age groups and length of time …

Improv To Improve Interprofessional Communication, Team Building, Patient Safety, And Patient Satisfaction, Candace A. Campbell

Doctor of Nursing Practice (DNP) Projects

The purpose of this process improvement project was to implement a test of change within a healthcare team utilizing applied improvisational exercises (AIEs), and to lay the groundwork for more effective inter- and intra-professional communication.

Literature review: AIEs have been shown to facilitate individual participant communication strengths through a process of un-learning certain common behavioral habits, and learning new habits that assist in creating and expanding closed-loop communication. Such un-learning and learning enriches the participant’s awareness of the environment and encourages participant adaptability through positive group interactions.

Method: An all-day AIE seminar/workshop was conducted with members of two healthcare teams …

Do Culture And Biological Sex Influence People Who Engage In Non-Suicidal Self-Injury?, Rachel Berger

Graduate Theses

Non-Suicidal Self-Injury (NSSI) refers to behaviors in which a person intentionally harms and causes tissue damage to oneself, without the desire to end his or her life. There have been contradictory findings with regard to differences in NSSI by biological sex and culture. In this study, I sought to examine if adults with independent cultural self- construals would report more occurrences of NSSI in comparison to those with interdependent cultural self-construals. Furthermore, I was interested in whether females would report more instances of NSSI in comparison to males in independent based cultures, and I examined whether the methods and reasons …

"Can’T Touch This": Empowering Children With Severe Food Allergy In The Residential Camp Setting 2014, Alexsandra Dubin

Master's Theses

The purpose of this project was to create an empowerment program for children with severe food allergy (SFA) in a residential camp setting. Despite recent advancements in research, there is no cure for SFA, thus there is a need for programs to help children manage their allergies and cope with the ramifications of their condition. Quality of life is a major concern for children with SFA, as the constant fear of exposure to an allergen can lead to high levels of anxiety. This is particularly noteworthy because, barring exposure to an allergen, these children are otherwise healthy and symptom free. …

Big Pharma And Big Medicine In The Global Environment, Anne E. Figert, Susan E. Bell

Sociology: Faculty Publications and Other Works

In previous work we argued that sociologists need to expand our thinking about pharmaceuticalization, the process of understanding and/or treating social, behavioral, or bodily conditions with pharmaceuticals. The majority of sociological scholarship has investigated pharmaceuticalization as a primarily Western process and conceptualized it in modern terms (Bell and Figert 2010, 2012a, 2012b). In our view, the work of anthropologists and science and technology studies (STS) scholars who decenter the West as the starting point for research opens up new avenues for understanding the global dynamics of pharmaceuticalization. We have also argued in favor of adopting a postmodern theoretical lens which …

Underrepresented Minorities In Medical School Admissions, Margaret A. Hadinger Edd, Ms

Department of Education

No abstract provided.

Lean Body Mass May Explain Apparent Racial Differences In Carotid Intima-Media Thickness In Obese Children., Shahryar M. Chowdhury, Melissa H. Henshaw, Brad Friedman, J Philip Saul, Girish S. Shirali, Janet Carter, Bryana M. Levitan, Tom Hulsey

Manuscripts, Articles, Book Chapters and Other Papers

Background: Racial differences in carotid intima-media thickness (cIMT) have been suggested to be associated with the disproportionally high prevalence of cardiovascular disease in black adults. The objective of this study was to evaluate the effects of cardiovascular risk factors on the racial differences seen in cIMT in obese children.

Methods: Obese subjects aged 4 to 21 years were recruited prospectively. Height, weight, blood pressure, fasting insulin, glucose, lipid panel, high-sensitivity C-reactive protein, and body composition by dual-energy x-ray absorptiometry were obtained. B-mode carotid imaging was analyzed by a single blinded physician.

Results: A total of 120 subjects (46 white, 74 …