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Full-Text Articles in Social and Behavioral Sciences

The Ones Who Watched: Technology, Proxy Warfare, And The Testing Ground Hypothesis, Sean J. Oliver Jan 2026

The Ones Who Watched: Technology, Proxy Warfare, And The Testing Ground Hypothesis, Sean J. Oliver

Graduate Theses/Dissertations

Great powers need laboratories for war. This thesis argues that great powers find these laboratories in proxy forces. Proxy warfare is not just a tool for strategic influence. It is a machine for experimentation. This study posits a central testing-ground hypothesis. It contends that great powers deliberately use surrogates to vet emerging technologies, doctrines, and mobilization schemes under the pressure of real combat. The analytical methodology is historical. It traces patterns from the ancient world's proxy forces and the innovations of the Crusades to the Cold War and the digital age. The thesis examines enduring patterns, including the tension between …


Europe In The Indo-Pacific - Implications For The United States, Joshua G. Zinicola Jan 2026

Europe In The Indo-Pacific - Implications For The United States, Joshua G. Zinicola

Graduate Theses/Dissertations

Within the last five years the Indo-Pacific has become a region of increasing interest to European NATO members. In particular, the United Kingdom, France, and Italy have assigned strategic importance for their national security to the region, signing cooperative agreements with regional allies of the United States and deploying significant forces to the region. These agreements include commitments to jointly develop new technologies and combat systems for employment in both Europe and the Indo-Pacific, such as the Global Combat Air Programme (GCAP), and the Trilateral security partnership between Australia, the United Kingdom, and the United States (AUKUS). They also include …


Human Resources Representation Models And Municipal Employee Outcomes: A Quantitative Study Of Small Pennsylvania Municipalities, John W. Crouser Jan 2026

Human Resources Representation Models And Municipal Employee Outcomes: A Quantitative Study Of Small Pennsylvania Municipalities, John W. Crouser

West Chester University Graduate Theses, Dissertations, and Final Projects

Small municipalities operate in resource-constrained environments that shape how human resource management (HRM) is organized and experienced. This study examines whether HR representation models (in-house, delegated, outsourced, and hybrid) differ in association with employee job satisfaction and manager-reported turnover trends (RQ1), and whether delegating HR responsibilities to non-HR managers is associated with outcomes differently than other models (RQ2). Grounded in Strategic Human Capital Management, the Resource-Based View, and contingency theory, the study assesses whether HR information system (HRIS) capability is associated with turnover trends or employee satisfaction (RQ3) and whether Strategic Human Capital Management (SHCM) alignment is associated with manager-reported …


Beyond Interests And Ideas: Institutions And The Persistence Of Trade Protectionism In Brazil, Samo Sérgio Gonçalves Tosatti Jan 2026

Beyond Interests And Ideas: Institutions And The Persistence Of Trade Protectionism In Brazil, Samo Sérgio Gonçalves Tosatti

West Chester University Graduate Theses, Dissertations, and Final Projects

Despite decades of economic reforms and growing international integration since the 1990s, Brazil has remained one of the most protectionist large economies in the global trading system. Tariff levels remain relatively high, the country maintains a limited network of trade agreements, and non-tariff barriers play a significant role in shaping market access. Existing explanations for this persistence have focused primarily on the influence of organized interests, particularly import-competing industries, and the enduring influence of developmentalist ideas rooted in Brazil’s import-substitution industrialization (ISI) legacy.

This dissertation argues that these explanations are incomplete without accounting for a third explanatory dimension: institutions. It …


Experiences With The Criminal Justice System: How Discriminatory Policing Impact Minorities Economically, Gerard I. Boykin Jan 2026

Experiences With The Criminal Justice System: How Discriminatory Policing Impact Minorities Economically, Gerard I. Boykin

West Chester University Graduate Theses, Dissertations, and Final Projects

Systemic racism is an ailment that has plagued the United States since its inception. This research will highlight previous studies on the topic of race relating to discriminatory policing and injustices within the criminal justice system. Solutions will be offered as to the best remedies to rid the criminal justice system of inequalities faced by those within minority communities. Over-policing is one tactic used within the criminal justice system that targets minorities. Further, minorities are significantly more likely to receive longer prison sentences than White male counterparts for otherwise similar crimes. This study will also engage recently released prisoners to …


The Evolution Of Ethical Conviction, Tracy Henry Jan 2026

The Evolution Of Ethical Conviction, Tracy Henry

West Chester University Graduate Theses, Dissertations, and Final Projects

There is a steady decline in public opinion polling when it comes to the public’s perspective of public officials. In 2023, the combined unfavourability rating of Congress was at 72%.  There are ongoing unfavorable ratings, by issue, for the judiciary, and by individual for the executive. The researcher went in search of the reasons behind the declining opinions. Semi-structured interviews were conducted to identify those reasons and to answer the research question: To what extent do the ethical philosophies of consequentialism, deontology, and virtue inform the perceptions of the American public when they scrutinize the decision-making and conduct of public …


The 2025 American Society Of Pediatric Otolaryngology Workforce And Compensation Survey: Current State And Future Directions, Lyndy J. Wilcox, Cristina M. Baldassari, Amy C. Brenski, Emily Boss, John Carter, David H. Chi, William O. Collins, Charles E. Elmaraghy, Andrew J. Tompkins, Craig S. Derkay, The Aspo 2025 Workforce And Compensation Committee Jan 2026

The 2025 American Society Of Pediatric Otolaryngology Workforce And Compensation Survey: Current State And Future Directions, Lyndy J. Wilcox, Cristina M. Baldassari, Amy C. Brenski, Emily Boss, John Carter, David H. Chi, William O. Collins, Charles E. Elmaraghy, Andrew J. Tompkins, Craig S. Derkay, The Aspo 2025 Workforce And Compensation Committee

Department of Otolaryngology (ENT) Faculty Publications

Objective

To provide an updated comprehensive assessment of the Pediatric Otolaryngology workforce in the United States inclusive of compensation, productivity, practice patterns, and on-call burden.

Study Design

Cross-sectional electronic survey.

Methods

A structured electronic survey was developed by members of the American Society of Pediatric Otolaryngology (ASPO) Workforce and Compensation Committee. The survey evaluated six domains: demographics, compensation, workforce dynamics, productivity, on-call burden, and future priorities, and was distributed to all 480 presumedly actively-practicing, domestic ASPO members.

Results

The survey response rate was 68% (327/480). Ninety-one percent of respondents held an academic appointment with relatively equal percentages of each rank …


The Balance Of Power In Ukraine And Deterrence Effectivenes Against Nuclear-Armed Russia, Chick Edmond Jan 2026

The Balance Of Power In Ukraine And Deterrence Effectivenes Against Nuclear-Armed Russia, Chick Edmond

Political Science & Geography Faculty Publications

Russia's invasion of Ukraine has raised several significant questions regarding the impact of deterrence, the European balance of power and the ability of current security frameworks to restrict the actions of nuclear-armed revisionist powers. This paper uses an integrated theoretical framework consisting of deterrence theory, the balance of power theory, the security dilemma and neorealism to analyze the dynamic relationships between Russia, Ukraine and the Western alliance. The primary contribution of the paper is to develop a comprehensive analytical framework to evaluate the relationship between different aspects of deterrence (i.e., to prevent an initial attack, to limit further escalation and …


Great Power Competition In Africa: Sustaining Openness Amidst Transnational Threats And Authoritarian Fragmentation, Chick Edmond Jan 2026

Great Power Competition In Africa: Sustaining Openness Amidst Transnational Threats And Authoritarian Fragmentation, Chick Edmond

Political Science & Geography Faculty Publications

As the United States seeks to position itself in an increasingly competitive world, Africa has emerged as an increasingly key arena of great power competition where the United States, China, and Russia are competing to determine the nature of political norms, economic governance and security architecture on the continent.

The combination of growing transnational threats (such as terrorism, pandemics, climate-related instability, and digital vulnerability), and growing authoritarianism, has transformed the continent into a testbed for competing visions of international order. In light of this backdrop, this paper posits that the United States must pursue a strategy of sustained strategic openness …


Hybrid Threats And Deterrence Effectiveness In Europe, Chick Edmond Jan 2026

Hybrid Threats And Deterrence Effectiveness In Europe, Chick Edmond

Political Science & Geography Faculty Publications

Objectives:
The current European security landscape is characterized by the growing intersection of historical security challenges (i.e., "traditional" security issues) and new forms of hybrid threats. These changes call for a significant re-evaluation of the role of deterrence in today's world. Traditional deterrence approaches have focused on the use of military capability as well as credible retaliatory threats. However, the recent development of hybrid warfare, including cyber-attacks, disinformation campaigns, economic coercion, and clandestine sabotage has made it increasingly difficult to distinguish between times of war and times of peace. This research argues that existing frameworks for deterring adversaries will increasingly …


Evidence-Based Policymaking And Global Governance: An Examination Of The Role Of The Policy Studies Organization And Ecosoc, Chick Edmond Jan 2026

Evidence-Based Policymaking And Global Governance: An Examination Of The Role Of The Policy Studies Organization And Ecosoc, Chick Edmond

Political Science & Geography Faculty Publications

Transnational challenges, such as climate change, global inequality, pandemics, digital governance, and institutional legitimacy crises, are becoming increasingly complex, therefore, the demand for evidence-based decision-making has become an important developing normative and practical issue in the area of global governance. The Economic and Social Council (ECOSOC) is the principal organ of the UN responsible for coordinating policy processes across all areas of economic, social and development issues. However, despite ECOSOC’s ability to make decisions concerning how the world addresses these problems, it has been widely criticized for being unable to translate expert knowledge into tangible policy outcomes. Therefore, this paper …


Security Governance In Post-Colonial Africa And Implications On Democratic Institutions, Chick Edmond Jan 2026

Security Governance In Post-Colonial Africa And Implications On Democratic Institutions, Chick Edmond

Political Science & Geography Faculty Publications

This paper will evaluate how security governance contributes to both the development of democracy and the establishment of stable institutions within newly independent post-colonial states in Africa. Security governance is examined here as it relates to the long-term influence of colonial legacy, military presence, and the politicization of the security services. The authors have based their analysis of this issue on qualitative data gathered from Nigeria, Ghana, South Africa, Democratic Republic of Congo, and Kenya. The findings of the research suggest that unless security sectors are subject to civilian oversight and adhere to democratic principles, they tend to serve the …


Air Quality Risks In Public Housing, Brynn Sheehan, Carolyn Caraballo Velez, Vaughan W. Rees, Miasha T. O'Neal, Kristen E. Moore, Katie M. Jones, Jessica Meadows, Sarah Gehlert, Richard Grucza, Andrew Plunk, Kelli J. England Jan 2026

Air Quality Risks In Public Housing, Brynn Sheehan, Carolyn Caraballo Velez, Vaughan W. Rees, Miasha T. O'Neal, Kristen E. Moore, Katie M. Jones, Jessica Meadows, Sarah Gehlert, Richard Grucza, Andrew Plunk, Kelli J. England

Department Psychiatry & Behavioral Science Faculty Publications

Importance Public housing residents face elevated environmental health risks, yet indoor air quality in these settings remains underexamined. OBJECTIVE: To evaluate indoor air quality in public housing 5 years after implementation of the federal smoke-free housing policy and compare it with outdoor air quality in the same regions.

Design, Setting, and Participants A 1-year cohort study of indoor air quality (particulate matter ≤2.5 μm in diameter [PM2.5]) across 12 multifamily public housing communities in southeastern Virgina for individuals 65 years and older or persons with disability in cities with the highest rated outdoor air quality. Indoor PM2.5 was continuously measured …


From Coverage To Care: Evaluating The Effects Of Aca Medicaid Expansion On Birth Outcomes, Bailey R. Lengfelder Jan 2026

From Coverage To Care: Evaluating The Effects Of Aca Medicaid Expansion On Birth Outcomes, Bailey R. Lengfelder

Economics Honors Projects

I examine the impact of the Affordable Care Act’s Medicaid expansion on maternal and fetal health outcomes using National Center for Health Statistics Natality data from 2006 to 2023. I exploit staggered state adoption as a quasi-experiment, and the staggered differences-in-differences estimates indicate an increase in the share of Medicaid births but broadly no impact on maternal prenatal care, maternal health, and fetal health. The absence of statistically significant effects is consistent across heterogeneity groups. These null findings indicate that expanded insurance access through the Affordable Care Act may be insufficient to improve health outcomes. I do find a statistically …


Spectral Frequency And Broadband Noise Analysis Of The Firefighter Environment: Potential Implications For Cardiac Health, James Blando, Catherine Reed, Amya Turner Jan 2026

Spectral Frequency And Broadband Noise Analysis Of The Firefighter Environment: Potential Implications For Cardiac Health, James Blando, Catherine Reed, Amya Turner

Epidemiology, Biostatistics, & Environmental Health Faculty Publications

Firefighters are well known to have elevated risk of adverse health outcomes across a wide range of diseases and injuries, including cancer, hearing loss, fatal cardiac events, post-traumatic stress disorder (PTSD), sleep disorders, and many other adverse outcomes. It has been speculated that the noise environment is a significant risk factor for several of these diseases. In particular, the impact of noise on cardiac outcomes has recently been identified. An environmental survey of noise that included spectral and broadband analysis was conducted across all 14 firehouses in a southeastern city in the United States as a first step to investigate …


'I Want To Learn Biology And Preserve My Culture' Testing The Efficacy Of A Culturally Relevant And Context Specific Approach, Umar Adam, Musa Adekunle Ayanwale, Hafsat Mustapha, Sakibu Olajide Saibu, Tunde Owolabi, Adekunle Ibrahim Oladejo Jan 2026

'I Want To Learn Biology And Preserve My Culture' Testing The Efficacy Of A Culturally Relevant And Context Specific Approach, Umar Adam, Musa Adekunle Ayanwale, Hafsat Mustapha, Sakibu Olajide Saibu, Tunde Owolabi, Adekunle Ibrahim Oladejo

Teaching & Learning Faculty Publications

Background

The dominance of Western-inspired teaching methods and instructional materials has contributed to cultural erosion in African schools. In response, increasing attention has been directed toward culturally responsive approaches to decolonising science education. One such approach is the Culturo-Techno-Contextual Approach (CTCA), which enables African students to conceptualize science as culturally embedded knowledge, integrated into their everyday experiences and practically relevant to their lived realities.

Purpose

This study examined the potency of the CTCA in enhancing students' achievement in the biology topic of variation, which is widely regarded as conceptually challenging.

Sample

The study involved 105 Senior Secondary II students from …


Anything But Endo: Diagnostic Buck-Passing In Endometriosis Diagnosis, Rita Dexter, Megan Kitts, Heather Welty, Melanie Jeske Jan 2026

Anything But Endo: Diagnostic Buck-Passing In Endometriosis Diagnosis, Rita Dexter, Megan Kitts, Heather Welty, Melanie Jeske

Center for Medical Ethics and Health Policy Staff Publications

People living with endometriosis, a disease in which tissue similar to the lining of the uterus grows elsewhere in the body, often experience prolonged diagnostic journeys because of symptom variability, normalisation of period pain and other symptoms, and lack of awareness of the condition. In this article, we analyse the endometriosis diagnostic journey through the lens of epistemic injustice. Drawing on in-depth interviews with 52 people living with endometriosis in the United States, we introduce the concept of diagnostic buck-passing to characterise the phenomenon wherein individuals who seek treatment for their symptoms end up stuck in a cycle of seeing …


Differences Between Government, Consortium, And Private Database Stewards Impacting The Genomic Data Market: A Survey Of U.S. Academic Genetic Researchers., Amanda K Greene, J Denard Thomas, Kaitlyn Jaffe, Luyun Chen, Kerry A Ryan, Brian J Zikmund-Fisher, J Scott Roberts, Amy L Mcguire, Katherine Hendy, Kayte Spector-Bagdady Jan 2026

Differences Between Government, Consortium, And Private Database Stewards Impacting The Genomic Data Market: A Survey Of U.S. Academic Genetic Researchers., Amanda K Greene, J Denard Thomas, Kaitlyn Jaffe, Luyun Chen, Kerry A Ryan, Brian J Zikmund-Fisher, J Scott Roberts, Amy L Mcguire, Katherine Hendy, Kayte Spector-Bagdady

Center for Medical Ethics and Health Policy Staff Publications

Background: Despite major shifts in U.S. federal government data sharing requirements, their impact, and relation to researcher choice of database, are underexplored. This study surveyed genetic researchers regarding trends, priorities, perceptions of quality, impact on research outcomes, and genomic data sharing and use across government, consortium, and private databases.

Methods: As part of an exploratory sequential mixed methods project, we surveyed 294 U.S.-based genomic academic researchers.

Results: Genetic researchers generally have a choice between databases, which allows them to prioritize data quality. This might explain recent trends toward the use of government and consortium databases away from private ones. Respondents …


“A Civilised Order”: Political Economy Of Welfare State Development In United States And South Africa, Camden M. Webb Jan 2026

“A Civilised Order”: Political Economy Of Welfare State Development In United States And South Africa, Camden M. Webb

Masters Theses

The welfare state and its development across national contexts in the twentieth century signaled a marked change in the state’s relationship with its citizens. They developed in a structural crisis between two political economy organizations, moving from liberal structures to regulated ones. As the world continues the current ongoing structural crisis out of the neoliberal structure, the future of welfare policy is uncertain. My research presents a Qualitative Comparative Analysis (QCA) using the United States and South Africa as most-different cases to explore the similarities and differences in their national contexts that shaped their welfare state development in the early …


The Response Of Diaspora And Religious Institutions On The Refugee Crisis: Case Study Of The Republic Of Croatia, Galyna Sagan Dr., Tetiana Kostiuk Dr. Jan 2026

The Response Of Diaspora And Religious Institutions On The Refugee Crisis: Case Study Of The Republic Of Croatia, Galyna Sagan Dr., Tetiana Kostiuk Dr.

Occasional Papers on Religion in Eastern Europe

This article is dedicated to the multifaceted support that Ukrainian diaspora and Catholic organizations in the Republic of Croatia have been providing to Ukrainian refugees since the full-scale Russian invasion on February 24, 2022. The study details the systemic response of such key religious institutions as the Diocese of Križevci, Caritas and the Jesuit Refugee Service (JRS). Particular attention is paid to integration initiatives, like educational programs developed by the Catholic University of Croatia (HKS), and the provision of spiritual and pastoral care, which remains the unique prerogative of the Church. The study emphasizes coordination between ecclesiastical and state …


Connectivity And Selective Rural Migration, Lin Ma, Yuan Mei, Qunfeng Wu, Mingzhi Xu Jan 2026

Connectivity And Selective Rural Migration, Lin Ma, Yuan Mei, Qunfeng Wu, Mingzhi Xu

Research Collection School Of Economics

We study how infrastructure shapes rural development using household panel data from a nationally representative sample of Chinese villages, matched to high-resolution highway maps. Reduced-form results show that road expansion between 2000 and 2015 operates mainly through reallocation, with less productive farmers scaling down or exiting and more productive farmers remaining and expanding. We quantify the aggregate and distributional consequences in a dynamic spatial equilibrium model with heterogeneous households and endogenous migration. Improved connectivity not only accelerates urbanization, roughly doubling the speed of convergence, but also increases aggregate rural output by 2.2 to 5.3 percent in the long run, even …


Design Considerations For Development Of A Youth Advisory Board, Michelle I. Graef, Penny Putnam Collins Jan 2026

Design Considerations For Development Of A Youth Advisory Board, Michelle I. Graef, Penny Putnam Collins

Center on Children, Families, and the Law (and Related Organizations): Publications

This guide provides an overview of youth advisory board (YAB) design components. The guide is organized around key design components, with examples from States across the country to illustrate different approaches. A range of examples are provided that highlight diverse and instructive models of the various ways YABs have been structured. Each section describes approaches that states have used in practice, offering jurisdictions a menu of options to consider when developing or strengthening their own YABs. Descriptive information about state YABs was gathered through interviews conducted with state YAB administrators and contractors from 8 states, conducted from October–December 2024. Examples …


Bridging The Gap: Predictors Of Alignment Of Parent And Caseworker Perceptions Of Engagement, Jianchao Lai, Michelle I. Graef Jan 2026

Bridging The Gap: Predictors Of Alignment Of Parent And Caseworker Perceptions Of Engagement, Jianchao Lai, Michelle I. Graef

Center on Children, Families, and the Law: Faculty Publications

This study examined predictors of alignment between parents’ and caseworkers’ perceptions of family engagement in child welfare services. Using data from 2,274 Alternative Response (AR)–eligible families randomized to AR or Traditional Response, engagement was assessed across the domains of Receptivity, Buy-in, Worker-family Relationship, and Mistrust using a modified Yatchmenoff (2005) scale. Multinomial logistic regression models identified factors associated with agreement and discrepancy between ratings of family engagement within the parent and worker dyad. While both parents and workers valued engagement, workers were more likely to provide higher overall engagement ratings, although the direction of discrepancy varied across specific subscales. Greater …


Navigating Mental Wellness: A Peer-Led Journey Into Adult Services, Kristin G. Haberek Jan 2026

Navigating Mental Wellness: A Peer-Led Journey Into Adult Services, Kristin G. Haberek

DSW Capstone Projects

Students with severe emotional disturbances (SED) occupy one of the most underserved intersections in American education and mental health care. As they age out of children’s services, they face abrupt service discontinuation, disrupted therapeutic relationships, and adult systems ill-equipped to meet their needs. These vulnerabilities, including heightened risks of crisis, hospitalization, homelessness, and justice involvement, constitute a central practice problem. This capstone addresses these transitions across three scholarly products: a systematic literature review, a theoretical concept paper, and a practical application paper, tracing a unified arc from diagnosing structural failures to proposing an evidence-informed, equity-oriented clinical response. Synthesizing key findings …


Comparative Assessment Of Energy And Emission Costs For Geothermal Heat Pumps And Fossil-Fuel Heating Systems Across U.S. Climatic Zones, Md Shahin Alam, Shima Afshar, Seyed Ali Arefifar, Mohammad Haq Jan 2026

Comparative Assessment Of Energy And Emission Costs For Geothermal Heat Pumps And Fossil-Fuel Heating Systems Across U.S. Climatic Zones, Md Shahin Alam, Shima Afshar, Seyed Ali Arefifar, Mohammad Haq

Electrical & Computer Engineering Faculty Publications

In response to growing concerns over global warming and energy sustainability, transitioning from fossil-fuel-based heating systems to renewable alternatives is essential. This study evaluates the economic and environmental performance of geothermal heat pumps for building heating and compares it with conventional coal-fired boilers, natural-gas boilers, and diesel furnaces. Using the heating degree-day (HDD) method, heating energy demand was analyzed for four U.S. cities—Anchorage (AK), San Francisco (CA), Salt Lake City (UT), and Las Vegas (NV)—representing diverse climatic zones. The analysis integrates thermodynamic and economic parameters, including the coefficient of performance (COP = 2–5) and annual fuel-utilization efficiency (AFUE = 80–97%), …


Statewide Corridor Evacuation Response And Re-Entry Behaviors In Florida During Hurricane Irma, Xin Wang, Yuan Zhu, Hong Yang, Kun Xie Jan 2026

Statewide Corridor Evacuation Response And Re-Entry Behaviors In Florida During Hurricane Irma, Xin Wang, Yuan Zhu, Hong Yang, Kun Xie

Electrical & Computer Engineering Faculty Publications

Hurricane Irma stands as one of the most destructive tropical storms to make landfall in the United States, particularly impacting the State of Florida, where it prompted the largest evacuation in history with approximately 7 million residents. The profound consequences of mass evacuation underscore the critical need to understand travel behaviors during hurricane evacuation and the recovery process. This research analyzes statewide evacuation and re-entry patterns, leveraging diverse datasets, including TTMS data from main corridors and GIS data. A statewide corridor-based empirical analysis framework is constructed to characterize evacuation and re-entry response patterns using sensor-based traffic observations. The results show …


Affordable Course Content And Open Education Resources For Undergraduate Courses Teaching Fundamentals Of Wireless Communications And Networking, Dimitrie C. Popescu, Otilia Popescu Jan 2026

Affordable Course Content And Open Education Resources For Undergraduate Courses Teaching Fundamentals Of Wireless Communications And Networking, Dimitrie C. Popescu, Otilia Popescu

Electrical & Computer Engineering Faculty Publications

Wireless communication systems and networks along with the services they provide have become an essential component of the modern 21st century society, fueling job growth in the wireless industry and increasing the need for engineers specialized in wireless communication systems. As a consequence, over the past two decades, undergraduate courses teaching fundamentals of wireless communication systems and networks have become common in electrical and computer engineering and technology programs. At the same time, the number of textbooks dedicated to wireless systems and networks published by mainstream publishers has also grown, with availability in various formats and offerings and a significant …


Association Between Neighborhood Social Determinants Of Health And Stillbirth, Tetsuya Kawakita, Misa Hayasaka, Ann M. Harper, John Brush, George Saade Jan 2026

Association Between Neighborhood Social Determinants Of Health And Stillbirth, Tetsuya Kawakita, Misa Hayasaka, Ann M. Harper, John Brush, George Saade

Department of Obstetrics & Gynecology Faculty Publications

OBJECTIVE:

To examine the association between neighborhood-level social determinants of health and stillbirth.

METHODS:

We performed a retrospective cohort study of deliveries that occurred at a gestational age of at least 20 weeks within a five-hospital system (2012-2022). Electronic health record data mapped to the Observational Medical Outcomes Partnership Common Data Model were geocoded using addresses at the time of delivery and linked to neighborhood health indices, which included the Area Deprivation Index (ADI), Maternal Vulnerability Index (MVI), and Social Vulnerability Index (SVI) at the Census tract level. Stillbirths were adjudicated by medical record review. Modified Poisson regression generated relative …


Mediating Effect Of Social Determinants Of Health Between Race And Phthalate Biomarkers In Pregnancy, Tetsuya Kawakita, Misa Hayasaka, Carole Barake, Trinity Soto, Jillian Fleming, Amir Lueth, Stevens Danielle, Alfred Abuhamad, Ann Pryzybylska, Elena Sinkovskaya, Kelly K. Ferguson, George Saade Jan 2026

Mediating Effect Of Social Determinants Of Health Between Race And Phthalate Biomarkers In Pregnancy, Tetsuya Kawakita, Misa Hayasaka, Carole Barake, Trinity Soto, Jillian Fleming, Amir Lueth, Stevens Danielle, Alfred Abuhamad, Ann Pryzybylska, Elena Sinkovskaya, Kelly K. Ferguson, George Saade

Department of Obstetrics & Gynecology Faculty Publications

Introduction

Prenatal phthalate exposure is linked to adverse reproductive and developmental outcomes and is consistently higher among non‐Hispanic Black compared to non‐Hispanic White pregnant individuals, yet the factors responsible for these disparities are poorly characterized. We sought to quantify Black–White differences in repeated urinary concentrations of phthalate biomarkers during pregnancy and to estimate the extent to which neighborhood‐level social determinants of health (SDoH) mediate these disparities.

Methods

This secondary analysis used data from the Human Placenta Project Study, a prospective observational cohort study conducted at two academic institutions between 2016 and 2018. Eligible participants had singleton pregnancies, were recruited before …


Gendered Resistance: Women’S Strategies Against Military Dictatorships, Argentina And Chile, Maricarmen Canales-Moreno Jan 2026

Gendered Resistance: Women’S Strategies Against Military Dictatorships, Argentina And Chile, Maricarmen Canales-Moreno

Publications and Research

This article compares the Madres de Plaza de Mayo in Argentina and the Agrupación de Familiares de Detenidos Desaparecidos (AFDD) in Chile to examine how women transformed their identities as mothers, wives, and daughters into strategies of political resistance under military dictatorship. It argues that maternal imagery, public mourning, and the transformation of private grief into collective defiance enabled women-led human rights organizations to challenge authoritarian regimes while strategically drawing on gender roles those regimes sought to enforce. The article traces the emergence of both organizations, their occupation of public space, hunger strikes, legal action, and engagement with international human …