Medicine and Health Sciences Commons^™

Barriers To Disaster Preparedness, Evacuation, And Emergency Response In The Colonias Of El Paso County, Anthony Mark Lechuga

Open Access Theses & Dissertations

The colonias serve as a unique challenge to healthcare professionals and government agencies in developing programs and policies to reach these underserved communities. Minorities, persons of low socioeconomic status, and disabled or medically dependent persons are disproportionally affected by disasters. Researchers have studied several health outcomes prevalent in residents of colonias; however, barriers to disaster preparedness, evacuation, and emergency response have rarely, if ever, been studied in this population. This cross-sectional study applied the constructs of the Health Belief Model to identify common factors, barriers, and attitudes related to disaster preparedness, evacuation, disaster perceptions, and risk communication. Participants of this …

A Pilot Study Examining The Impact Of A Brief Health Education Intervention On Food Choices And Exercise In A Hispanic College Student Sample, Julie Ann Blow

Open Access Theses & Dissertations

It has been suggested that intervention efforts should focus on prevention of weight gain and the adoption of healthy eating and physical activity behaviors. There is a dearth of literature as to what theoretically-based interventions would be most amenable and efficacious in a Hispanic college student sample. This study assessed the impact of a pilot intervention based on components derived from Self-Determination Theory (SDT) and the Transtheoretical Model (TTM) that focused on increasing healthy eating and physical activity in Hispanic college students. Measures in the study included demographics, theoretical constructs from SDT and the TTM, eating behavior, and a food …

The Talk Of Unwed Adolescent Fathers Of Mexican Origin: A Discourse Analysis, Jose Arturo Jaime

Open Access Theses & Dissertations

Since the 1970s, changing family and marriage trends in the United States have led to a dramatic 41% increase in the rate of unwed parents also known as fragile families, i.e., those at high risk of living in poverty and/or disintegrating (McLanahan, Garfinkel, Mincy, & Donahue, 2013, p.3). By 2011, more than 20 million children (28%) lived in biological father-absent homes and one-fourth, or five million, of these children were Hispanic of any race (U.S. Census Bureau, 2012). Recent studies suggest a clear disparity in cognitive, behavioral and health outcomes for children who live with single or cohabiting parents when …

Coaching Relationships With Walk-On Athletes, Cortland Blake Dubose

Open Access Theses & Dissertations

The purpose of this study was to discover what communication practices coaches used on walk-on athletes and to determine whether the coach was successful or unsuccessful from the athletes' perspective. 15 present and former walk-on athletes who played for The University of Texas at El Paso football team served as the participants for the present study. In order to obtain data, the researcher interviewed the walk-on athletes using the phenomenological approach (Sparks, 1993) which utilizes open-ended questions to find out what kind of experience(s) the walk-on athletes shared in relationship to their coach. Results suggested that six major themes surfaced …

Psychographic Characteristics And Health Behaviors In Young Adults, Jose Alonso Cabriales

Open Access Theses & Dissertations

Tobacco use remains the leading cause of preventable death in the U.S. Non trivial smoking rates are observed among young adults and Hispanics, particularly as light and intermittent smoking is on the rise. Additionally, the assessment of other health behaviors including alcohol use, physical activity, and dietary practices seems warranted in young adults. The primary aim of this study was to identify clusters of individuals based on psychographics (e.g., lifestyle, preferences, personality characteristics), and their relation to tobacco use within a primarily Hispanic young adult border sample. Secondary aims were the assessment of group differences with respect to alcohol use, …

Life And Health Outside Prison, Tiffany Amorette Young

Open Access Theses & Dissertations

This qualitative study explores the subjective understandings of formerly incarcerated individuals' experiences of health and healthcare prior to, during, and post release. The study incorporates in depth ethnographic interviews, participant observation, and life charting to formulate a holistic understanding of how incarceration has impacted the health and lives of the participants recruited for this study. All participants were incarcerated for a minimum of one year in the U.S. prison system. This interdisciplinary study contributes to the fields of sociology, criminology, and public health, and builds on the literature of race, health, and corrections in the United States.

Arab Muslim Immigrant Women's Experiences Of Living In The United States: A Qualitative Descriptive Study, Maissa Khatib

Open Access Theses & Dissertations

Background: Over three million Arab Muslims live in the United States, and more than half are women (Nasser-McMillan, 2003). Little is known about these women in the growing and diverse Arab American Muslim population, and there is limited information available regarding their experiences of living in the U.S. Their experiences influence multiple aspects of their lives, including functioning in mainstream culture, use of resources or agencies, and the decisions they make that shape their acculturation outcome.

Purpose: To describe the experiences of Arab Muslim immigrant women living in the U.S.

Methods: This qualitative study examined the shared experiences of immigrant …

Functional Data Analysis To Guide A Conditional Likelihood Regression In A Case-Crossover Study Investigating Whether Social Characteristics Modify The Health Effects Of Air Pollution, Juana Maribel Herrera Hernandez

Open Access Theses & Dissertations

In this study we are focused on exploring whether social characteristics modify the relationship between air pollution and hospitalizations due to asthma or chronic pulmonary obstructive disease (COPD) in El Paso, Tx. The case-crossover design with conditional regression analysis was used, here the controls and the case are the same subject at different

times and has the advantage of removing confounding by permanently confounding factors. Social characteristics are included in the models as interactions with the pollutants, variables included are age, sex, ethnicity and insurance status as indicator for the socio-economic status. The pollutant's lags were chosen using the historical …

Deprivation And Hispanic Health Paradox: Neighborhood Effects On Children's Wheezing In El Paso, Texas, Young-An Kim

Open Access Theses & Dissertations

This study examines the impact of hypothetical health determinants - including objective and relative economic deprivation, as well as foreign-born composition -at the neighborhood-level on respiratory wheezing among Hispanic children in El Paso, Texas while accounting for individual-level covariates based on hierarchical logistic modeling (HLM). Due to El Paso's majority Latino/a population, focus is placed on the so-called "Hispanic health paradox" through analysis of the impact of neighborhood foreign-born composition on Hispanic children's wheezing. Neighborhood-level variables at the census tract-level are derived from US Census data. The percent of families in poverty and the GINI coefficient for income (income inequality) …

Benefits Of Baby Sign On Cognitive Development In Infants, Clarissa Navedo

Open Access Theses & Dissertations

Research in the area of baby sign language has increased dramatically over the past several years, however there is still a lack of research regarding baby signs effects on typical infant development, specifically in the area of cognition. The hypothesis of this study was that instruction of baby sign would be correlated with a significant increase in the development of cognition and language acquisition for infant participants. This study provided a five-week instructional course on baby sign for parents/caregivers to implement with their typically developing infants (n=11). The course provided instruction of baby signs, methods of implementation and encouragement to …

The Impact Of Interpersonal Communication On Breastfeeding, Jennifer Alarcon

Open Access Theses & Dissertations

The medical community has offered a lot of evidence in support of breastfeeding which has led to many of the leading medical associations (i.e. the American Academy of Pediatrics, World Health Organization) to recommend breastfeeding infants exclusively for the first six months of life and for at least a full year, up to two years or whatever is mutually desirable to mother and child. However, in the United States, many mothers do not follow this recommendation. Research shows that instances of women being unable to breastfeed exist but are minimal. Many people have attempted to address the problem of low …

Pre, Peri, And Post-Migration Perspectives Of Mexican National Refugees Related To Experiences Of Violence, Migration, And Resettlement Along The Texas-Mexico Border, Jana L. Mccallister

Open Access Theses & Dissertations

For the past six years, the war on drugs in Mexico has resulted in the out-migration of tens of thousands of Mexican nationals fleeing violence, many settling in El Paso, Texas. The historical context of being pulled to the U.S. for economic opportunity had changed. Mexican nationals were now refugees pushed out of their country for safety. Because the context of migration had changed, the close proximity and similarities between El Paso, Texas and Ciudad Juárez, and the availability of social support in the U.S., the experiences of this refugee cohort were unique. Because increasing numbers were seeking mental health …

Correlates Of Marijuana Use In A Hispanic College Sample, Joseph Ephraim Charter

Open Access Theses & Dissertations

Currently there is a dearth of literature regarding marijuana and its correlates of use, particularly in Hispanics. Marijuana is the most widely used illicit drug, and its use has increased in recent years. This study aimed to assess correlates of marijuana use in a Hispanic college student sample. Data were collected from 549 participants from University psychology courses. Participants completed a comprehensive survey packet consisting of: demographics, marijuana use history, tobacco and alcohol use, depression, anxiety, stress, and acculturation. Descriptive analyses were used to provide a characteristic profile of Hispanic college student marijuana use. Eight percent reported past 30-day marijuana …

Employers' Perceptions Of Factors Related To The Workforce Development Of Community Health Workers In El Paso, Texas: A Descriptive Study, Aurora Aguirre Polanco

Open Access Theses & Dissertations

Workforce studies are necessary for regional economic development and for having a diverse workforce that meets the communities' needs. Workforce studies explore the most salient factors of models aimed at balancing economic forces of supply and demand. Community Health Workers (CHWs) are frontline health workers recognized by both the United States (US) Department of Labor (DOL) and the Patient Protection and Affordable Care Act of 2010 (PPACA). CHWs' service is oriented towards health promotion and disease prevention; they deliver public health interventions.

External and internal factors to the US health care system such as health care and wealth disparities, changing …

Disparities In Park Availability, Features, And Characteristics By Social Determinants Of Health Within A U.S.-Mexico Border Urban Area, Amir Kamel

Open Access Theses & Dissertations

Background: Parks have been shown to be a key feature in the built environment that promote physical activity and positively influence health. However, a number of studies have highlighted that park availability, park features (e.g., park facilities, amenities, and aesthetic features), and park characteristics (e.g., quality/safety concerns of the park and surrounding neighborhood) are not equally distributed across neighborhoods in the U.S, specifically areas of low socioeconomic status and diverse racial/ethnic composition. The overall aim of this study was to examine and describe park availability, park features, and park characteristics, and determine their association with two social determinants of health …

The Role Of Perceptual Processes In The Use Of And Willingness To Use Professional Health Care Services, Luis Omar Rivera

Open Access Theses & Dissertations

To better address ethnic health disparities, it is imperative that we understand the psychological processes that shape people's use of and willingness to use professional health care services. The current research proposes and tests a model in which people's attentional orientation toward context discourages them from seeking professional health care services because (a) attentional orientation toward context encourages people to attribute symptoms of illness to external/environmental factors and (b) attributing symptoms of illness to external/environmental factors is associated with less use of professional health care services. The results of two studies show mixed support for the proposed model. Consistent with …

The Latina/O Mental Health Paradox Or Racial/Ethnic Disparities? Depression Among New Immigrants To The U.S, Sandra Iveth Ramirez

Open Access Theses & Dissertations

The Latino/a Mental Health Paradox states that the foreign-born immigrants have better mental health outcomes when compared with native-born groups of various ethno-racial backgrounds, with the gap in mental stress minimizing overtime. The objective of this study is to examine whether Latina/os immigrants suffer an ethno-racial disparity in mental health or if they have favorable mental health outcomes as predicted by the Paradox. Expanding on the Latina/o Mental Health Paradox, rather than comparing Latina/o immigrants with native-born, this study will compare depression among recently legalized Latina/os with recent legalized European immigrants.

Safe Medication Use Among Hispanic College Students: Knowledge, Attitudes And Behaviors, Tania Guadalupe Quiroz

Open Access Theses & Dissertations

College students are at increased risk of medication errors. Research suggests that young adults are active users of over-the- counter (OTC) medications and other products that may increase the risk for negative health outcomes. Therefore, it is very important to analyze young adults' attitudes, beliefs, and behaviors about medication use among college students in order to provide them with the necessary information. Due to language and cultural factors, the issue is particularly relevant in U.S.-Mexico border communities. This casual-comparative study examined knowledge, attitudes, and behaviors regarding medication use among Hispanic college students. Data was collected through a survey developed by …

Does Type Of Stimulus Influence Task-Irrelevant Evaluative Categorization Processes?, Guadalupe Corral

Open Access Theses & Dissertations

The effect of stimulus type on task-irrelevant evaluative categorization was examined in two separate studies by using the P3 component from event-related brain potentials. The first study presented idiosyncratic stimuli consisting of individuals that were rated by participants as either positive or negative within sequences of pictorial and verbal stimuli. The second study presented sequences of novel and familiar stimuli consisting of previously normed unattractive and neutral individuals. It was hypothesized that pictures would elicit task-irrelevant evaluative categorization processes and so would novel stimuli (relative to words and familiar stimuli, respectively). Task-irrelevance was examined by assessing P3 peak amplitude to …

A Study Of Possible Pre-Cognitive Advantages Of Bilingualism, Marisela Gutierrez

Open Access Theses & Dissertations

Past research has suggested that second language acquisition has a beneficial effect on the development of inhibitory control processes in children and adults. This has been referred to as the "bilingual advantage" and is most commonly quantified using the Simon task. Whether the bilingual advantage extends to precognitive mechanisms has not yet been examined. The goals of this study were to examine the bilingual advantage in university students; and to examine whether the bilingual advantage extends to the precognitive filtering mechanism of sensorimotor gating. It was predicted that, as compared to monolinguals, bilingual university students would have greater inhibitory control, …

Theory Of Planned Behavior Constructs As Mediators Of Behavior Change Associated With A Brief Alcohol Intervention, Denise Servo

Open Access Theses & Dissertations

This study examined the Theory of Planned Behavior constructs (attitudes, subjective norms, perceived behavioral control [PBC], and behavioral intentions) as mediators of changes in alcohol consumption and alcohol-related problems in a longitudinal sample of 206 college students. The Brief Alcohol Screening and Intervention for College Students (BASICS) is a program designed to curb risky alcohol consumption and its related consequences among college students. Eligible students completed a baseline assessment battery at assessment and again six months after participating in BASICS. The AUDIT (Alcohol Use Disorders Identification Test) assessed alcohol consumption and the RAPI (Rutgers Alcohol Problem Inventory) assessed alcohol-related problems. …