Social and Behavioral Sciences Commons^™

The Social Determinants Of Health And Genocide: Towards A Public Health Integrated Framework Of Genocide And Mass Violence, Sian Persad, Cheng Xu

Genocide Studies and Prevention: An International Journal

This paper makes a normative argument about transformations of public health as a necessary condition required in any transitional justice process. We seek to bridge the gap between the fields of genocide and public health to understand the recursive relationship between genocide and the social determinants of health. We show that structures and institutions established during genocide create enduring impacts on the public health outcomes of victim and survivor groups even after the ousting of the original perpetrators. Our comparative analysis of the Rwandan Genocide and the colonial genocide of Indigenous communities in Canada surveys the available public health literature …

The Development Of Health System Resiliency: How Kenya's Experience With Malaria Impacted Its Reaction To The Covid-19 Pandemic, Zoe A. Ward

Baker Scholar Projects

Public health scholars have recently focused on health system resiliency to explain how previous experiences dealing with public health crises impact the healthcare sector, public behavior, and policy response to novel crises. However, it is unclear how resiliency develops. This study contributes by testing whether a health system’s experience with a health emergency and significant interventions impacts the response to a novel crisis. This research asks, “How has Kenya’s experience with malaria impacted its response to COVID-19?” Using the United States Agency for International Development (USAID) Malaria Indicator Survey (MIS), I develop a malaria adherence score to measure county-level compliance …

Assessment Of Spatio-Temporal Variations In Pm2.5 And Associated Long-Range Air Mass Transport And Mortality In South Asia, Md Sariful Islam, Shimul Roy, Tanmoy Roy Tusher, Mizanur Rahman, Ryley C. Harris

Political Science & Geography Faculty Publications

Fine particulate matter (PM_2.5) is associated with adverse impacts on ambient air quality and human mortality; the situation is especially dire in developing countries experiencing rapid industrialization and urban development. This study assessed the spatio-temporal variations of PM_2.5 and its health impacts in the South Asian region. Both satellite and station-based data were used to monitor the variations in PM_2.5 over time. Additionally, mortality data associated with ambient particulate matter were used to depict the overall impacts of air pollution in this region. We applied the Mann–Kendall and Sen’s slope trend analysis tool to investigate the …

Odd Bedfellows & Marriage Of Necessity: Public Health And Politics In American Federalism, Gabriella Victoria Chianese

Honors Theses and Capstones

In the wake of the coronavirus disease 2019 (COVID-19) pandemic, while the public disagrees over mask mandates, required vaccinations, and social distancing, it seems like one common sentiment exists – a distaste for the odd bedfellows of politics and public health. There are those who cry for the compartmentalization of the science of public health and the art of politics to rectify this situation. In the wake of so much confusion and chaos, it is not unjustified to demand the depoliticization of public health; however, this response is unrealistic given the modern political climate, demonstrates a narrow understanding of the …

Understanding Costa Rica's Response To The Covid-19 Pandemic: Competing Explanations, Lise Charles

The Journal of International Relations, Peace Studies, and Development

As the COVID-19 pandemic continues to have major impacts on the world, careful study of successful health systems is essential. Costa Rica has been identified as a country that has responded well to the pandemic with the proportion of death rates compared to infection rates being the lowest in comparison to other countries in Central America. This paper examines Costa Rica’s relatively successful response to the COVID-19 pandemic as a case study in good public healthcare management. This study also highlights the importance of theory for addressing urgent, practical development challenges to explore what theoretical frameworks can best explain the …

Pandemics And Power: An Applied Analysis Of American Inequality, Megan A. Engle

Pursuit - The Journal of Undergraduate Research at The University of Tennessee

Pandemics represent both social change and continuance. While these public health crises bring about seemingly new issues, they also have a unique ability to reveal pre-existing problems within our society and perpetual social processes. Understanding historical patterns related to public health crises provides greater insight on the ongoing pandemic and American policy needs. Research reveals that, both historically and presently, systemic social injustices and economic inequalities are inflamed by such events. As a result, pandemics disproportionately affect minority groups in several interconnected ways. In examining public health theory, past pandemics, and the present moment, the effects of both power disparities …

The Emergence Of Postcolonial Apologia: A Rhetorical Analysis Of The Chinese Governmental Response To Western Accusation During The Covid-19 Pandemic, Yiqing Ran

Theses - ALL

In my thesis, I examine how the Chinese government developed postcolonial apologia throughout its dispute with the US government over policies related to COVID-19. I focus on the shifting rhetorical strategies used by the Chinese government to defend China from accusations by other nations, especially the US. I determine that the Chinese government's response to the Western accusation during the COVID-19 pandemic progressively shifted from participating in the Western system to questioning Western centralization and adding Chinese interpretations to the existing world order. I argue that China's self-defense strategies altered in light of the changing geopolitical context and became more …

Tennessee’S Covid-19 Response: The Relationship Between Case Numbers And Public Opinion, Chandni Naidoo

Chancellor’s Honors Program Projects

No abstract provided.

The Effects Of Partisan Framing On Covid-19 Attitudes: Experimental Evidence From Early And Late Pandemic, Amber Wichowsky, Meghan Condon

Political Science: Faculty Publications and Other Works

Political polarization has dominated news coverage of Americans’ responses to the COVID-19 pandemic. In this research note, we report findings from two experimental studies, in which we present respondents with news stories about COVID-19 mitigation measures that emphasize partisan difference or accord. The stories present the same numeric facts about public opinion, but highlight either the partisan gap that existed at the time of the study, or the fact that large majorities of both Republicans and Democrats supported the measures at the time. Results from our first study, conducted late April 2020, show that a media frame drawing attention to …

How America’S Partisan Divide Over Pandemic Responses Played Out In The States, Julie Vandusky-Allen, Olga Shvetsova

Political Science Faculty Publications and Presentations

Throughout the COVID-19 pandemic, a partisan divide has existed over the appropriate government response to the public health crisis. Democrats have been more likely to favor stricter policies such as prolonged economic shutdowns, limits on gathering in groups and mask mandates. Republicans overall have favored less stringent policies.

America Delayed: An Analysis Of Comprehensive Sex Education In The Us, Carolyn Jones

Political Science

Sex education in the United States has been and continues to be a threat to public health. Compared to European countries, the United States has incredibly poor health outcomes all of which are a direct result of poor sex education. A deep dive into sex education per state reveals a list of bad actors across the United States, not just a result of a few bad acting states. In 2015 California passed what many health experts consider the exemplary sex education bill. A comparison of two similar states, New York and California try to identify the casual mechanisms that allowed …

Politics Of The Obesity Epidemic, Jacob Lyle

CMC Senior Theses

American society has long been obsessed with the issue of obesity. The turn of the 20th century broadly marked the beginning of America's current collective understanding of obesity. Throughout the century, the salience of the issue waxed and waned due to various factors. Around 2000, obesity became a major political issue. Media coverage of the issue exploded, and it became a hot topic for political debate. This paper looks to conduct a complete reckoning of the obesity epidemic that includes contextualizing the economic, cultural, and political factors that have shaped the issue throughout the 20th and 21st centuries.

Digital Disinformation Is A Threat To Public Health, Austin Mcneill Brown

Population Health Research Brief Series

In times of public health crises, like COVID-19, a country’s residents must be able to access valid, timely, and evidence-based information that can guide behaviors and prevention strategies. Disinformation undermines these efforts and represents an existential threat to U.S. population health.

From A 'Super Spreader Of Mers' To A 'Super Stopper' Of Covid-19: Explaining The Evolution Of South Korea's Effective Crisis Management System, Seung-Youn Oh

Political Science Faculty Research and Scholarship

COVID-19 has placed global and national leadership under a serious stress test by threatening lives and livelihoods on an unprecedented scale. South Korea emerged as one of the first countries to flatten the transmission curve despite its high population density and proximity to China, without imposing the aggressive lockdowns or complete travel bans that China and many other countries adopted. This paper explores two questions. First, what kind of institutional and legal foundations explain South Korea’s strong public health response to the pandemic? Second, from a historical perspective, South Korea evaded the worst of the SARS outbreak in 2003 yet …

Medicaid Work Requirements: State-Based Innovation Or Punitive Policymaking?, Diane Sherwin

Honors Theses

In March 2017, officials appointed to the Center for Medicare and Medicaid Services by President Donald Trump signaled to state governments their intent to support states who would choose to utilize Medicaid’s Section 1115 waiver provision to alter their state’s Medicaid program by introducing a work requirement. As of October 1, 2018, 13 states have heeded this signal and proposed a work requirement component for their Medicaid programs. The purpose of this paper is to determine if Medicaid work requirements are an innovative policy approach to improve independence among Medicaid enrollees, or if these requirements are a punitive, partisan approach …

Individual Bodies, Informed Consent, And Self-Determination: A Rhetorical Analysis Of The Vaccine Refusal Movement, Gretta Richardson

Scripps Senior Theses

This project sought to explore the narratives and rhetorical themes that permeate the anti-vaccination movement. Mass media has portrayed vaccine refusal groups as stupid, as conspiracy theorists, and as radically selfish. However, the data I analyzed from vaccine refusal nonprofits and advocacy groups supports that although these themes may appear to be radical, in reality, each is congruent with already present societal frameworks, particularly neoliberal social discourse and a preoccupation with the individualistic and self-determined health care rather than utilitarian or collective action.

The Year In C-Span Archives Research: Volume 4, Robert X. Browning

The Year in C-SPAN Archives Research

C-SPAN is the network of record for US political affairs, broadcasting live gavel-to-gavel proceedings of the House of Representatives and the Senate, and to other forums where public policy is discussed, debated, and decided––without editing, commentary, or analysis and with a balanced presentation of points of view.

The C-SPAN Archives, located adjacent to Purdue University, is the home of the online C-SPAN Video Library. The Archives has copied all of C-SPAN's television content since 1987. Extensive indexing, captioning, and other enhanced online features provide researchers, policy analysts, students, teachers, and public officials with an unparalleled chronological and internally cross-referenced record …

Adolescent Sex Education, Carolyn Payne

Family Medicine Clerkship Student Projects

This project identified a significant need for adolescent sex education and curriculum development in Vermont and the United States. A comprehensive sex education presentation was developed, reviewed by experts in the field, and piloted at The Boys and Girls Club of Burlington. Subjective results were positive and future strategies to teach students, evaluate effectiveness, and expand impact were developed.

Reproductive Rights In Latin America: A Case Study Of Guatemala And Nicaragua, Katherine W. Bogen

Scholarly Undergraduate Research Journal at Clark (SURJ)

A lack of access to contraceptives and legal abortion for women throughout the nations of Nicaragua and Guatemala creates critical health care problems. Moreover, rural and underprivileged women in Guatemala and Nicaragua are facing greater limitations to birth control access, demonstrating a classist aspect in the global struggle for female reproductive rights. Although some efforts have been made over the past half-century to initiate a dialogue on the failure of medical care in these nations to adequately address issues of maternal mortality and reproductive rights, the women's reproductive health movements of Nicaragua and Guatemala have struggled to reach an effective …

Negotiated Bodies : Institution Building And Participatory Policymaking In Mexico's Public Health Sector, Katherine Truby

Legacy Theses & Dissertations (2009 - 2024)

This dissertation examines the relationships between the state and civil society organizations within the context of HIV policy in Mexico. The Mexican context is important in this analysis: Mexico has relatively recently transitioned to a more democratic form of governance, including expanding institutional opportunities for civil society organizations to participate in processes of policy development and implementation. Further, Mexico has an HIV epidemic that is concentrated in the most at-risk communities. These communities typically face political and social exclusion. The extent to which civil society organizations advocating on behalf of these marginalized communities successfully negotiate the creation of new policy …

Public Assistance, Drug Testing, And The Law: The Limits Of Population-Based Legal Analysis, Candice T. Player

All Faculty Scholarship

In Populations, Public Health and the Law, legal scholar Wendy Parmet urges courts to embrace population-based legal analysis, a public health inspired approach to legal reasoning. Parmet contends that population-based legal analysis offers a way to analyze legal issues—not unlike law and economics—as well as a set of values from which to critique contemporary legal discourse. Population-based analysis has been warmly embraced by the health law community as a bold new way of analyzing legal issues. Still, population-based analysis is not without its problems. At times, Parmet claims too much territory for the population perspective. Moreover, Parmet urges courts …

Carter, Tim Lee, 1910-1987 (Mss 80), Manuscripts & Folklife Archives

MSS Finding Aids

Finding aid only for Manuscripts Collection 80. Correspondence, photographs, audiotapes, film, clippings, general office files, and records of legislative proceedings relating to the political career of Tim Lee Carter, U.S. Representative (Republican) for Kentucky's Fifth Congressional District, 1965-1981.

Drug Markets And The State: A Perspective From Political Economy, Jake M. Kosinski

Honors Papers

The paper introduces a classification scheme for state approaches to regulation of drug markets. The concept of the 'drug regulation state' is developed to include policies and agencies concerned with all drugs, including legal examples such as tobacco, alcohol, and oxycodone. Approaches to regulation are classified broadly as drug war, harm reduction, decriminalization, and legalization. The approaches and rationales used by various state agents, especially in the United States and Europe, are summarized and analyzed. The history of modern pharmacology and drug regulation is expanded with a focus on the American case. The role of industry in state regulation is …

Public Health Governance And Population Health Outcomes, Scott P. Hays, Janine Toth, Matthew J. Poes, Peter F. Mulhall, David M. Remmert, Thomas W. O'Rourke

Frontiers in Public Health Services and Systems Research

Research reviews have identified a gap in understanding the diversity of health department governance structures and in understanding how the variations in governing relates to health outcomes. This report details the categorization of local public health governance and reveals that certain governance types may be better suited to achieve better population health outcomes. State systems achieve the poorest health outcomes, but the best health outcomes are achieved when the political branches have a key role in local public health governance. Public health systems should consider greater local control and involvement in governance; but local governance should include the political branches …

Analyzing The Effects Of Policy Options To Mitigate The Effect Of Sea Level Rise On The Public Health And Medically Fragile Population: A System Dynamics Approach, Rafael Diaz, Joshua Behr, Anna Jeng, Hua Liu, Franceso Longo

VMASC Publications

A critical question related to climate change concerns to how rising sea level will affect underserved populations and medically fragile population in coastal zones and floodplains. As sea levels rise, coastal waters will regain near-tidal areas and co-mingle with human-made pollutants, resulting from decades of industrial and commercial activity. This poses potential threat and risks to public health and the environment. It is critical that decision makers will initiate a process of parsing resources to the mitigation and management of these issues. The purpose of this research is to model the inherent dynamics of this process and understand how near-term …

Diagnosis Blog: Checking Up On Health Blogs Inthe Blogosphere, Edward Alan Miller, Antoinette Pole

Department of Political Science and Law Faculty Scholarship and Creative Works

Objectives. We analyzed the content and characteristics of influential health blogs and bloggers to provide a more thorough understanding of the health blogosphere than was previously available.

Methods. We identified, through a purposive–snowball approach, 951 health blogs in 2007 and 2008. All blogs were US focused and updated regularly. We described their features, topics, perspectives, and blogger demographics.

Results. Approximately half of the bloggers in our sample were employed in the health field. A majority were female, aged in their 30s, and highly educated. Two thirds posted at least weekly; one quarter accepted advertisements. Most blogs were established after …

Health As Foreign Policy: Between Principle And Power, David P. Fidler

Articles by Maurer Faculty

No abstract provided.

War & Public Health In The Twenty-First Century, Barry S. Levy, Victor W. Sidel

New England Journal of Public Policy

War has profound adverse effects on public health. War leads to death for military personnel and especially for civilians, long-term physical and psycho- logical consequences to survivors, destruction of sociocultural and ambient environments, and diversion of needed resources. In addition, war legalizes and promotes violence as a mode of solving problems. These and related issues relating to war in the twenty-first century are analyzed in this paper. The authors discuss several approaches to preventing war and minimizing its consequences on health — including addressing the underlying problems that often lead to war, promoting a culture of peace, and controlling weapons.