Social and Behavioral Sciences Commons^™

Physicians' Moral Dispositions, Role Perceptions, And Patient Interactions: Exploratory Findings From Physicians In The Midwestern United States, Aaron B. Franzen

Faculty Publications

We know that patients and their well-being is important to physicians, but what this means in terms of their practice is not always as clear. One potentially fruitful approach to understanding this variation is to look to physicians' value dispositions and moral foundations. Prior work within the general population has highlighted the place and importance of religion/spirituality, but very little is known about physicians and how moral foundations matter for medicine more broadly. The purpose of this research note is to explore these issues with a sample of physicians in Michigan. We find that individual characteristics are related to physicians' …

Patient Or Physician Centered Care?: Structural Implications For Clinical Interactions And The Overlooked Patient, Aaron B. Franzen

Faculty Publications

Patient-centered care is widely supported by physicians, but this wide-spread support potentially obscures the social patterning of clinical interactions. We know that patients often want religious/spiritual conversations in the context of medical care but the provision is infrequent. As there is regional variance in religiosity, a gap in the literature exists regarding whether patient populations’ religiosity is connected to physicians’ self-reported religious/spiritual interactions. Using a national sample of U.S. physicians linked to county-level measures, the author test whether both physicians’ background and patient population characteristics are related to religious/spiritual interactions. Specifically, do physicians in more religious locations report more frequent …

A Longitudinal Study Of Resident Emotional Stability, Self-Reported Health And Perceptions Of Programmatic Support, Aaron B. Franzen, Benjamin R. Doolittle

Faculty Publications

Purpose: Certain characteristics such as acceptance, planning, and humility have correlated with less burnout among resident physicians. However, less is known about residency program culture, socialization, and support. The purpose of this study is to investigate social isolation, solidarity, stress, and frustration over time, their self-reported health, as well as the programmatic support.

Methods: A longitudinal self-administered survey implemented within an academic pediatric residency program to track resident characteristics over time.

Results: In Wave 1, among 101 residents, 78 (77%) responded. In Wave 2, among 98 residents, 73 (74%) responded. 45 residents were in both Wave 1 and 2. All …

Women In Community Corrections In New York City: Hiv Infection And Risks, Nabila El-Bassel, Phillip Marotta, Stacey Shaw, Mingway Chang, Xin Ma, D Goddard-Eckrich, Tim Hunt, Karen Johnson, Sharun Goodwin, Maria Almonte, Louisa Gilbert

Faculty Publications

Although the incidence of HIV among women on probation, parole and alternatives to incarceration programs is significant to public health, drivers of this concentrated epidemic among women under community corrections remain understudied. This study examined prevalence of HIV and sexually transmitted infections and the associations between substance use, sociodemographic factors and the prevalence of biologically-confirmed HIV and other sexually transmitted infections among a sample of 337 substance-using women recruited from community correction sites in New York City. Prevalence of HIV was 13% and sexually transmitted infections was 26% (Chlamydia, trachomatis and Neisseria gonorrhea). After adjusting for covariates, HIVpositive women were …

Stress Buffer Or Identity Threat?: Negative Media Portrayal, Public And Private Religious Involvement, And Mental Health In A National Sample Of Us Adults, Samuel Stroope, Mark H. Walker, Aaron B. Franzen

Faculty Publications

Guided by the stress process tradition, complex links between religion and mental health have received growing attention from researchers. This study gauges individuals’ public and private religiosity, uses a novel measure of environmental stress—negative media portrayal of religion—and presents two divergent hypotheses: (1) religiosity as stress-exacerbating attachment to valued identities producing mental health vulnerability to threat and (2) religiosity as stress-buffering social psychological resource. To assess these hypotheses, we analyze three mental health outcomes (generalized anxiety, social anxiety, and general mental health problems) in national U.S. data from 2010 (N = 1,714). Our findings align with the stress-buffering perspective. Results …