Social and Behavioral Sciences Commons^™

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 …

Differential Impact Of Admission Type And Clinical Complexity On Diabetes Hospitalization Costs Among African American And Hispanic Patients In Southeastern Virginia, Ismail El Moudden, Asra Amidi, Reem Sharaf-Alddin, Michael C. Bittner, Qi Zhang

Department of Obstetrics & Gynecology Faculty Publications

Background

Diabetes mellitus (DM) imposes substantial healthcare costs with documented disparities among African Americans and Hispanic patients. To inform care delivery and resource allocation, this study identified hospitalization cost predictors among African American and Hispanic patients with diabetes in Southeastern Virginia.

Methods

We analyzed 6,011 hospital discharges from the Virginia Health Information database (2016-2020) for adults aged 18-85 with diabetes. Discharges were classified by Medicare Severity Diagnosis-Related Groups: DM with complications/comorbidities (DCC, n = 3,328), DM with major complications/comorbidities (DMCC, n = 1,518), and DM without major complications/comorbidities (DWO, n = 1,165). Because cost distributions were right-skewed (skewness 3.5-8.24), we …

"I'M Going To College": Protective Factors Shaping The College-Going Identity Of Prospective First-Generation College Students Of Color, Joseph M. Williams, Yakob Lemma, Nina R. Schoonover, Morgan Rustia, Ben Allen

Journal of College Access

A college-going identity reflects a mindset in which individuals view college as a realistic, attainable, and desirable goal. It is characterized by the belief that higher education is a vital part of one's educational journey and is accompanied by a strong aspiration to earn a degree. For students from low-income and marginalized backgrounds, this identity serves as a critical protective factor, buffering against systemic inequities, resource limitations, and low expectations that often shape their educational experiences. This qualitative study examines the protective factors shaping the college-going identity of prospective first-generation, low-income middle school students of color (N = 17). Centering …

The Limits Of Daca: Affordability- And Access-Related Barriers To Health Professions Education, Nicole Perez, Laura Hirshfield

Journal of College Access

The U.S. is currently facing a shortage of health professionals from underrepresented backgrounds. One potential pathway to decrease this shortage is through the Deferred Action for Childhood Arrivals (DACA) program, a policy that provides temporary relief from deportation for individuals who migrated to the U.S. before age 16. This study, using 15 life-history narrative interviews, investigates the experiences of Latinx young adults who were pursuing health professions education or working as health professionals. Nine of the participants were DACA recipients, while the remaining six were second-generation (i.e., children of immigrants). An iterative, inductive approach to data analysis was used to …

A Quest For Food In Bedford-Stuyvesant And Brooklyn Heights: Residential Interactions With Neighborhood Food Resources, Aidan Carroll , ‘26

Senior Theses, Projects, and Awards

This thesis examines urban inequalities situated across Brooklyn, New York by speculating residential interactions with food resources in their neighborhood such as gardens, grocery stores, restaurants, and food pantries. With a specific focus on the areas Bedford-Stuyvesant and Brooklyn Heights of Brooklyn, New York, the study utilized qualitative data such as interviews and dietary food logs during ethnographic fieldwork in order to assess the ways in which experiences with accessing food can reveal a deeper message about systemic inequalities along the lines of racism and class if we are to consider food apartheid. That said, I found that food apartheid …

Hunter. Hunted. Human: Warfighters' Emotional Responses To Weapons In Tactical & Strategic Context, Simon Mace

Graduate Studies Theses and Dissertations 2026

Human emotional responses to weapons have long been assumed to be relatively parsimonious, comprised predominately of aggression, anxiety, and fear responses. However, most research on this weapons effect has focused on civilians – who are notably more likely to be targeted by than to employ weapons. So, there is reason to speculate that emotional responses to weapons vary more than previously believed. This is significant for three reasons. First, positive emotional responses generate more desirable combat behaviors, specifically the willingness to engage adversaries. Second, negative emotional responses catalyze an unpredictable range of behaviors, many of which are tactically and operationally …

The Impact Of Criminal Justice System Contact On Adolescents In The U.S.: Prescription Drug Misuse, Marijuana Use, Health Outcomes, And Demographic Characteristics, Fadime Gokce Karaaslan

Graduate Studies Theses and Dissertations 2026

Criminal justice system (CJS) contact remains a pervasive feature of social life in the United States, with both direct and indirect consequences for adolescents and their families. Although previous research has explored the consequences of direct CJS contact, less is known about how indirect or vicarious contact affects adolescents’ well-being and substance use. Drawing on data from the Future of Families and Child Wellbeing Study (FFCWS), this study investigates the association between parental incarceration and vicarious police stops, defined as police stops involving parents, siblings, friends, neighbors, or other social ties, and adolescent well-being. Findings indicate that CJS contact is …

Gaining Voice, Creating Opportunity: An Exploration Of Non-Native English-Speaking Students’ Sources Of Self-Efficacy In U.S. College Public Speaking Classrooms, Desiree M M Flores-Molina

Graduate Studies Theses and Dissertations 2026

This qualitative dissertation explores the sources of public speaking self-efficacy among non-native English-speaking international students enrolled in U.S. college public speaking courses. The study applies Bandura's social cognitive theory to examine how students describe the experiences that shape their confidence and perceived ability to succeed, with attention to mastery experiences, vicarious experiences, verbal persuasion, and physiological and affective states. It also considers how classroom practices and instructor support contribute to or constrain students' confidence.

Data were collected through semi-structured student interviews, guided reflection artifacts connected to major speech assignments, and key-informant interviews with public speaking instructors. Thematic analysis was used …

The Amanah Project: A Pilot Educational Intervention Addressing Intimate Partner Violence In Muslim Communities In The United States, Tamara Makki

Graduate Studies Theses and Dissertations 2026

This study is a two-part manuscript dissertation that addresses the need for culturally and faith-based responsive interventions for intimate partner violence (IPV) within the Muslim community in the United States (U.S). The first manuscript is a conceptual and literature-based paper that examines IPV within the Muslim community in the U.S. and explores the intersection of religion, culture, patriarchy, and systemic barriers influencing survivors’ help-seeking experiences. Particular attention is given to issues of accessibility, including the limited availability of culturally and religiously responsive IPV services for Muslim survivors. This manuscript argues for the development of culturally responsive, faith-integrated approaches that improve …

Appraising The Uniform: Stress, Predisposition, And Trust In Police Among Latin American And U.S. Latino Populations, Maren J. Mainx

Graduate Studies Theses and Dissertations 2026

Public trust in police is central to regime legitimacy, yet reforms intended to build trust produce inconsistent results, and communities facing comparable conditions can respond differently to similar policing. This dissertation accounts for that variation by examining how stress shapes citizens’ responses to police visual cues. It proposes a framework in which citizens interpret these cues through their general trust in police—trust that weighs more heavily under stress. This framework is examined through a multi-method design spanning the Americas. Study 1 merges AmericasBarometer data with the Global Police Militarization Dataset across nineteen countries (2010–2023) to examine how stress and national …

Front Matter

Comparative Civilizations Review

No abstract provided.

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 …

Understanding The Progression Of Borderline Personality Disorder During Adolescence: A Clinical Case Study, Anjali Chandak, Megha Sadashiv, Bhawna Sharma, Bhargav Mulpuru

Digital Journal of Clinical Medicine

Borderline Personality Disorder (BPD) often emerges during adolescence, but remains relatively understudied in this population. This case report explores the sociobiological factors shaping symptom expression in an adolescent girl. Longitudinal clinical evaluation revealed hallmark features, including affective instability, identity disturbance, interpersonal relations, and self-harming behaviour. Early attachment disruptions, emotional regulation difficulties, and heightened sensitivity to relational stressors were identified as key developmental risk factors. Diagnostic and therapeutic considerations are presented, highlighting the need for prompt, developmentally informed, and evidence-based interventions. The case further emphasises how prognosis and chronicity may be significantly influenced by an adopting developmental approach, providing insight into …

State Social Benefit Schemes For Women In Continuity Of Psychiatric Care: A Case Report, Mathumitha A, Kishor M. Manohar Rao Professor

Digital Journal of Clinical Medicine

Mental health disorders are a major global public health challenge. The disorders affect over a billion people worldwide, while depressive and bipolar spectrum disorders also contribute substantially to disability and reduced quality of life. According to the World Health Organization, major depression alone affects more than 300 million people globally and is considered a leading cause of years lived with disability. Beyond clinical morbidity, mental illnesses exert a profound economic impact, with depression and anxiety accounting for an estimated USD 1 trillion annually in lost productivity worldwide, while the overall global economic burden of mental disorders is projected to reach …

Smart Cities Beyond Methodological Cityism: Foregrounding Developmentalism, Scalar Flexing And The Rebranding Of The 'Urban', Prerona Das, Orlando Woods, Lily Kong

Research Collection College of Integrative Studies

In this paper we show that in Southeast Asia, smart city development has become a type of digital urban transformation that is not targeted towards any particular territorial formation or settlement. Instead, development-oriented states in the region leverage the smart city rhetoric as a nationwide branding strategy to leapfrog development stages. Such smart city policies are infused with a scalar logic – which we call ‘scalar flexing’ – that captures the enmeshing of local and national scales, causing local scale smart city initiatives to be stretched across wide-ranging, national-scale urban transformation agendas. We examine the nationwide 100 smart cities policies …

How Do You Fix Knowledge In Place? Digital Nomads And Infrastructural Stickiness, Emma Grimley, Prerona Das, Orlando Woods, Lily Kong

Research Collection College of Integrative Studies

Remote work has become increasingly accessible due to the growing acceptance of remote work arrangements following the COVID-19 pandemic. Some state actors, especially in countries which face a shortage of digital talent and have reputations as leisure-tourism destinations, have begun considering the opportunities for digital transformation or workforce upskilling that highly skilled remote workers may offer. This paper develops the case of remote workers in Thailand to argue that infrastructural stickiness is a critical determinant for effective knowledge transfer to occur. By infrastructural stickiness we refer to the regulatory and socio-material infrastructures that both attract and retain international remote workers …

Multidimensional Analysis Of Human Outdoor Comfort: Integrating Just-In-Time Adaptive Interventions (Jitais) In Urban Digital Twins, Binyu Lei, Pengyuan Liu, Kunihiko Fujiwara, Mario Frei, Clayton Miller, Xuan Yun Chua, Filip Biljecki

Research Collection College of Integrative Studies

How can bidirectional information exchange be enhanced in urban digital twins, and support human-centric data and processes? Their key characteristic is the nearly real-time exchange of information, allowing adjustments to physical environments based on simulations and analytics within virtual models. Yet, achieving such interaction remains challenging, particularly regarding device deployment and infrastructure development. Embracing the concept of humans as sensors, this work develops a two-way framework based on the emerging concept of just-in-time adaptive interventions (JITAIs), exploring how urban digital twins can play a role in understanding and enhancing human comfort outdoors. Human comfort outdoors is inherently spatio-temporal and personalised, …

An Ex-Post Analysis Framework For Assessing The Effectiveness And Driving Factors Of Green Building Certification Adoption: A Case Study Of Singapore, Hao Gu, Xiaoyu Jin, Fu Xiao, Maomao Hu, Clayton Miller

Research Collection College of Integrative Studies

Cities worldwide are adopting green building certification policies to meet sustainability and decarbonization targets in the building sector. However, the effectiveness of green certifications remains contested due to the difficulty of decomposing multiple influencing factors on building energy consumption. This study proposes an econometrics-based ex-post analysis framework to assess the effectiveness of green building certification policies in energy savings and identify driving factors by decomposing multiple influential factors. The proposed framework incorporates time-fixed effect models to examine factors driving the adoption of green building certifications, and causality analysis to quantify the effectiveness. Applying the framework to analyze a panel dataset …

Careless Responding: Testing The Theory Of Vigilance, Rusty Wilson

Graduate Studies Theses and Dissertations 2026

Careless responding (CR) has been identified as a threat to the psychometric integrity of cognitive and non-cognitive tests, with much of the current research focusing on the identification and removal of carelessness from dataset. While this research has proved fruitful in improving data quality, there has been a recent push to move towards preventing carelessness as opposed to post-hoc removal, which harms statistical power. However, the most common prevention strategy to prevent carelessness (pre-survey warnings) has shown equivocal effects. Additionally, the literature lacks an agreed upon theory to explain why carelessness occurs. To address these gaps I introduce theory from …

“How Far Do These Roots Go Down”: An Exploration Of Latinx And Latina Fans On Representation In Disney's Encanto, Noemi Nunez

Graduate Studies Theses and Dissertations 2026

In this dissertation, I examine how Latinx and Latina audiences engaged with and interpreted Disney’s 2021 Encanto, an animated film celebrated for its representation of Colombian and broader Latinx culture. While scholarship on Latinx representation in media has expanded, less attention has been given to how Latinx audiences themselves respond to narratives that are meant to represent them, particularly within fan studies. Focusing on both a broader Latinx fan community and first-generation Latinas in the United States, this project explores how audiences negotiate representation and recognition using Encanto as a media text that centered a Latinx story. Drawing from …

Toward Evidence-Based Disposition Assessment In Counselor Education: Advocating For Established Measures And Evaluating The Psychometric Properties Of The Pdca-Ra, Laura Rendon Finnell

Graduate Studies Theses and Dissertations 2026

Professional dispositions are recognized as an essential component of counselor competence and are now explicitly included within accreditation standards. However, questions remain regarding how these characteristics should assessed in ways that are fair, systematic, and supported by empirical evidence. This two-manuscript dissertation focused on professional disposition assessment in counselor education. The first manuscript provides a conceptual examination of professional dispositions, counselor competence, and gatekeeping responsibilities while reviewing established disposition assessment instruments in counselor education. The manuscript advocates for the use of established disposition measures rather than relying solely on locally developed assessment procedures. The second manuscript presents an empirical evaluation …

Independent And Interacting Effects Of Co-Presence And Social Media 'Likes' On Online Disinhibition, Margaret M. Doheny

Graduate Studies Theses and Dissertations 2026

Social media platforms have fundamentally transformed interpersonal communication by creating environments in which behaviors are publicly reinforced through visible social feedback systems such as “likes.” Although prior research has linked online environments with increased disinhibition and negative behavior, existing literature has primarily focused on anonymity and invisibility as the primary mechanisms underlying these effects. However, the mechanistic role of physical and psychological co-presence in driving online disinhibition has received little empirical investigation. The central aim of the present study was to determine whether reduced social presence and the selective reinforcement of negative content contribute to online disinhibition and anticipatory reward-seeking …

Psychometric Evaluation Of The Treatment Integrity Instrument For Elementary School Classrooms - Observer Report: Preliminary Evidence For Construct And Discriminative Validity, Cristian J. Rivera Nales

Theses and Dissertations

Treatment integrity is the degree to which a program and its practices are delivered as intended. Treatment integrity measures are critical for evaluating the effectiveness of evidence-based programs (EBPs) in effectiveness research, but few are designed for research conducted in community settings, such as schools. The Treatment Integrity Instrument for Elementary School Classrooms – Observer Report (TIES-O) is an observational measure used to assess the treatment integrity of teachers implementing EBPs in their classrooms. This study evaluated the psychometric properties of the TIES-O, which captures Adherence (frequency and thoroughness of delivery) Competence (skillfulness of delivery), and Differentiation (the extent to …

Psychological Richness From Shared Experiences In Romantic Relationships: The Moderating Role Of Attachment, Sae Y. Kim

Theses and Dissertations

Psychological richness, defined by experiences that are novel, complex, and perspective changing, has been proposed as a third dimension of the good life alongside satisfaction and meaning. Although prior work has focused on richness at the life level, romantic relationships may be an important context in which psychologically rich experiences occur. In Study 1, a correlational study, adult attachment was associated with psychological richness in life, such that secure attachment was positively related to psychological richness, whereas anxious and avoidant attachment were negatively associated. Informed by the results of this study, I designed Study 2 to be a 4-day daily …

Sensory Constellations, Madaline K. Gardner

Theses and Dissertations

This thesis situates neurodiversity within the field of fine arts by integrating disability studies, institutional critique, and material practices in painting and printmaking. Through visual analysis and studio-based research, the project examines how tactile engagement, color relationships, and repetitive mark-making can articulate embodied experiences of neurodivergence. It challenges dominant institutional frameworks that pathologize neurodivergent behaviors by reframing stimming as a generative and communicative practice. The resulting body of work includes both image-making and the creation of tactile objects designed to facilitate sensory interaction. The thesis proposes alternative ways of understanding artistic practice and accessibility within art institutions.

Comorbid Psychosis In The General Population, Mariam Sankoh

Theses and Dissertations

Psychosis is a complex psychiatric phenotype characterized by substantial heterogeneity in symptom presentation, psychosis diagnosis, comorbidity patterns, and genetic architecture across diverse populations in the general population. Despite advances in psychiatric epidemiology and genomics, important gaps remain in understanding how psychosis symptoms and psychosis-related diagnoses manifest across racial and ethnic groups and how evolutionary genomic factors may contribute to disease risk and cross-ancestry genetic prediction. This dissertation, Characterizing Comorbidity in Psychosis in the General Population, integrates epidemiological, psychometric, and evolutionary genetic approaches to examine psychosis across diverse populations.

Aim 1 examined racial and ethnic differences in psychosis comorbidity patterns …

Algorhythm: Commodification Of Hobbies On Social Media Platforms, Fariha Ahmed

Theses and Dissertations

Forcing the world online, the COVID-19 pandemic appeared to turn social-media-based hobbies into income-generating cash cows. Digital creative spaces became sites of capitalist logic where hobbyists came to operate as both laborers and commodities. Profit-focused algorithms operate imperceptibly, shaping creative behavior and decision-making in ways that are difficult to recognize, and even harder to resist. This thesis asks how algorithmic participation on platforms such as Instagram conditions a hobbyist, and how that conditioning can be made legible to audiences who inhabit such platforms without always seeing them. Using autoethnography, I position myself as both researcher and subject to document the …

24-H Circadian Rest-Activity Rhythms And Physical Frailty In Older Adults: A Biopsychosocial Perspective On Sex Differences And Social Capital, Jisu Kim

Theses and Dissertations

Physical frailty is a prevalent geriatric syndrome characterized by age-related decline across multiple physiological systems. Physical frailty is associated with an elevated risk of adverse health outcomes, including chronic disease progression and all-cause mortality, representing a significant and growing public health concern. Disrupted circadian rest-activity rhythms (RARs) are increasingly recognized as clinically meaningful markers of physical frailty in older adults. However, the extent to which biological sex and social determinants of health (SDoH), particularly social capital, contribute to or modify the associations between RARs and physical frailty remains underexplored.

Therefore, this dissertation summarizes the existing literature on age-related changes in …

Internalizing Symptoms In Lgbtq+ Young Adults: Understanding The Roles Of Social Support And Resilience To Social Stigma, Chloe M. Sobolewski

Theses and Dissertations

LGBTQ+ young adults are at increased risk of adverse mental health outcomes including internalizing symptoms. The current study seeks to better incorporate strengths when modeling internalizing symptoms outcomes in LGBTQ+ young adults. The present study is secondary analysis of data collected as part of a three-wave longitudinal study. LGBTQ+ young adults (N = 250) completed baseline questionnaires assessing resilience to social stigma, types of perceived social support (i.e., family, friend, significant other), and internalizing symptoms. Moderation models were not practically or statistically significant; however, covariates (i.e., age, socioeconomic standing, and childhood basic needs) stood out in their significant contribution in …

Examining Youth Ethnic Identity And Parental Familismo As Protective Factors Against Bicultural Stress And Internalizing Symptoms In Latino Youth, Daniella Olivares

Theses and Dissertations

Adolescence is a critical developmental period marked by increased vulnerability to mental health challenges. For Latino adolescents living in the U.S., experiences of bicultural stress may heighten the risk for adverse mental health outcomes. However, cultural strengths–such as youth ethnic identity and parental familismo–may serve as protective factors. The current study examined whether youth ethnic identity and parental familismo moderated the relationship between bicultural stress and internalizing symptoms among a diverse sample of Latino youth in central Virginia. Latino adolescents (n = 60) completed measures assessing bicultural stress, ethnic identity, and internalizing symptoms, while parents (n = 60) reported on …