How Did We Learn About Sex? —— Sex Education And Sexual Health In Chinese Youth, Yujuan Liu

Theses and Dissertations (Comprehensive)

Attitudes toward sexuality among Chinese youth have become more liberal in recent generations, but sex education remains controversial and limited. Due to the lack of awareness of sexual risks, many Chinese youth engage in unprotected sexual activities resulting in unintended pregnancy, abortions, and STIs. Therefore, understanding successful pathways and unique challenges are crucial to develop adequate sex education for youth’s sexual health in China. The current study used semi-structured in-depth interviews and investigated 28 Chinese youths’ experiences of sex education and sexual health. The results mapped out youth’s sex education experiences by age and sources and demonstrated the impacts of …

Rainbow Writes: Peer-Led Creative Writing Groups’ Potential For Promoting 2slgbtq+ Youth Wellbeing, Ceilidh Harrison

Theses and Dissertations (Comprehensive)

Though mainstream acceptance for the 2SLGBTQ+ community is on the rise, elevated risks of mental health challenges still pervade this community, particularly for youth growing up in this changing environment. Based on previous literature citing the benefits of creative interventions and youth autonomy, the current study sought to explore the implementation of an online, peer-led creative writing program as a possible means to increase emotional, psychological, and social wellbeing in 2SLGBTQ+ youth. Twenty self-identifying 2SLGBTQ+ youth from across Canada were recruited to form two 10-week, online peer-led creative writing groups titled “Rainbow Writes”. Based on Lerner et al.’s (2003) “Five …

Second Generation Christian Korean Canadians: Exploring Their Lived Experiences Of Mental Health Issues And Services, Kyoung Jung Kim

Theses and Dissertations (Comprehensive)

Abstract

This study explores the lived experiences of second-generation Christian Korean Canadian young adults with mental health issues (MHI) and their use of health services (MHS). In addition, this study asked this cohort to discuss their beliefs about the views their parents held about MHI and MHS. All research participants were born and raised in Canada by Korean born immigrant parents. This study was descriptive, phenomenological, and qualitative in nature; it consisted of in-depth interviews with six male and six female participants. In their experience with MHI, seven participants experienced fear and sadness (depression and anxiety) and three of them …

There Is No Free: An Indigenous Informed Perspective On Free, Prior And Informed Consent, Nicole Burns

Theses and Dissertations (Comprehensive)

Many Indigenous nations in Canada are faced with complex issues surrounding proposed development on their lands. There are numerous rights frameworks that support Indigenous Peoples’ inherent rights, which includes their right to free, prior and informed consent (FPIC) in relation to any development that would impact their lands. This case study examined the various perspectives of Matawa First Nations in regard to their experiences of consultation with government and industry. This study was conducted by performing document review and analysis of three focus groups (n=20), a video analysis of the APTN documentary series Ring of Fire and survey distribution and …

Narrating A Conscientization Journey On Crime Prevention Through Social Development, Carlos Luis Zatarain

Theses and Dissertations (Comprehensive)

There is an increasing interest among municipalities to address crime through prevention as social development (CPSD) that acknowledges the underlying social conditions that influence the occurrence of crime. This requires a critical consciousness among community members and decision-makers of the root causes of crime and critical action that reflect that understanding. This, in turn, implies both a significant mental and cultural shift requiring personal transformation. Only then can the appropriate actions towards a preventative approach to crime be effectively fostered. For this purpose, the Waterloo Region Crime Prevention Council developed a community course titled Reframing Crime, Justice, and Prevention that …

Positive Wellbeing Among University Students From Diverse Communities: A Place-Based Approach, Kevin Bonnell

Theses and Dissertations (Comprehensive)

Universities in Canada and across the globe are experiencing a significant diversification of their student population. However, there is a great need to understand how campus spaces can better support the wellbeing of diverse students, where supports have traditionally been built to support a privileged and homogenous group of students. The study builds on a multi-disciplinary theoretical framework (wellbeing, intersectionality, microaggressions, and the Psycho-environmental Potential Model) to explore a) the positive wellbeing of diverse students (i.e., racialized; lesbian, gay, bisexual, transgender and queer, and/or living with any type of mental health issue or physical disability) and b) how the physical …

Transforming Relations: Anishnawbe Natural Law In The “Ring Of Fire”, Darren Thomas

Theses and Dissertations (Comprehensive)

This multiple manuscript dissertation project contributes to a larger case study research project examining Matawa First Nation experiences of negotiating a proposed mining project known as the “Ring of Fire.” Nine independent First Nations located in the Treaty 9 territory in Northern Ontario, comprise a collective regional organization called Matawa First Nations. These First Nations have a long history of living their Ancestral ways of trapping, fishing, and gathering from the lands. During the early 20^th century, the southern Matawa communities began to have contacts with forestry development, but a chromite deposit with an estimated value of 65 billion …

Reducing Meat Consumption: Drawing On Participatory Action Research To Explore Ways Of Engaging In A Process Of Meat Consumption Reduction, Brittany Spadafore

Theses and Dissertations (Comprehensive)

With growing attention to climate change and human impacts on the environment, an emerging body of literature is exploring the impacts of global reliance on meat consumption. Research is increasingly supporting the feasibility of reducing meat consumption to address the environmental pressures of the global food system. However, recommended strategies to promote a reduction in meat consumption have been limited due to narrowly focusing on individual rational decision-making models. Centralizing a Social Practice theoretical lens, the present study utilized an approach to participatory action research to explore the experiences of seven (N = 7) green-building tenants reducing their meat consumption …

A Housing First Model For Youth And Its Relation To Social Integration, Alexandra Amiri

Theses and Dissertations (Comprehensive)

The present study explored how a Housing First for Youth intervention, working from an empowerment theory approach, influences the social integration of youth experiencing homelessness. This was done by contrasting between groups of individuals who either did or did not receive the intervention. The sample consisted of 86 youth in the city of Ottawa between the ages of 17-24 who were randomized into the intervention (n=44) or treatment as usual group (n=42). Quantitative data from baseline and 6-month follow-up were analyzed using the Community Integration Scale (CIS) and Multidimensional Scale of Perceived Social Support (MSPSS). Repeated measures ANOVA revealed an …

A Program Implementation Fidelity Assessment Of A Housing First Program In Ontario, Steven Bigioni

Theses and Dissertations (Comprehensive)

This research sought to assess the degree of fidelity to the Housing First model achieved by a new Housing First program in a mid-sized Canadian municipal region, and the factors that promoted or hindered fidelity therein. The program was delivering an adaptation to the Housing First model that prioritized home-based support, which was assessed simultaneously. Fidelity ratings were gathered by a team of researchers during a site visit that included observation of a staff meeting, seven interviews with program leaders and staff, two focus groups with program participants, and 10 chart reviews. Overall, the findings show a high degree of …

Well-Being, Discrimination, And Self-Management Among Racialized Lgbq+ Newcomers Living In Waterloo Region, Ontario, Emily Cox

Theses and Dissertations (Comprehensive)

Racism and homo/biphobia may negatively impact the well-being of racialized LGBTQ+ newcomers. While current research focuses predominantly on negative aspects of well-being (e.g., distress, exclusion), research on resilience and positive aspects of well-being (e.g., positive affect) is limited. Although self-management strategies (i.e., activities and attitudes to improve one’s well-being) could be a key factor in promoting well-being, previous research has not addressed how racialized LGBTQ+ newcomers use self-management strategies. Further, there is limited research about the role service providers (e.g., settlement services, mental and physical health services) play in supporting these strategies. In this study, eight racialized LGBQ+ newcomers and …

The Muslimah Project: A Collaborative Inquiry Into Discrimination And Muslim Women’S Mental Health In A Canadian Context, Brianna Hunt

Theses and Dissertations (Comprehensive)

In Canada, Muslim women face a unique form of discrimination based on their religious, racial, and gender identities (Helly, 2012; Mohanty, 2003; Zine, 2008). These complex forms of discrimination make it difficult to access adequate supports for positive mental health and wellbeing (Burgess, Ding, Hargreaves, van Ryn & Phelan, 2008). Grounded in feminist intersectional theory and practice (Hill Collins & Bilge, 2016), the present manuscript emerges from a community-based project centered around Muslim women’s experiences of discrimination and resulting adverse mental health impacts. Through a series of five focus groups (N=55) the research team engaged with Muslim women from diverse …

Free, Prior, And Informed Decision-Making About Proposed Development On Indigenous Territories In Northern Ontario, Courtney Arseneau

Theses and Dissertations (Comprehensive)

This case study examined the experiences of consultation and consent-seeking processes among nine Indigenous communities in northern Ontario that, individually and collectively, are faced with complex decisions to be made since the discovery of several significant mineral deposits on their traditional territories. In examining the processes involved in making informed development decisions, this dissertation addressed four key research questions: 1) What are the roles, processes, laws and rights frameworks that influence resource governance in the Matawa First Nations region? 2) How is free, prior, and informed decision-making described by people living and working in the Matawa First Nations region? 3) …

Sense Of Community In Young Adulthood And Its Relation To Early Childhood Experiences, Madeline Gritzan

Theses and Dissertations (Comprehensive)

The present study focused on sense of community and community involvement in emerging and young adulthood and examined how these relate to involvement in an early childhood developmental (ECD) program. This study explored the effects of early childhood participation in the Better Beginnings Better Futures (Better Beginnings) program on entrance into communities later in life. The research objectives were to (i) identify factors related to developing sense of community in emerging and young adulthood and (ii) understand differences in adulthood sense of community based on early childhood experiences. The sample consisted of young adults who participated in three …

“Invisible” Parent Experiences Of Homelessness And Separation From Their Children In Canada, Rachel A. Caplan

Theses and Dissertations (Comprehensive)

Family homelessness includes a sub-group of individuals whose experiences remain largely hidden or “invisible” within Canadian homelessness systems: parents who have been separated from their children. Yet, to date, little research has focused on the experiences of “invisible” parents who have experienced homelessness, mental illness, and separation from their children in Canada. The purpose of this dissertation was to help fill this notable gap in the literature, as well as to inform community psychology and family homelessness theory, research, practice, and policy in Canada.

The Canadian At Home/Chez Soi (AHCS) research demonstration project included a subset of parents with mental …

Building Young People’S Capacity For Critical And Transcendent Engagement: Examining The Institution, The Community, And The Individual As Protagonists Of A School Setting, Livia Dittmer

Theses and Dissertations (Comprehensive)

As a powerful socializing force in Western society, schools have significant influence on young people’s development into adulthood. As powerful agents of societal maintenance and change, adolescents have significant influence on communities and institutions such as schools. In this embedded case study, I use structuration theory, German Critical Psychology, and systems thinking to examine the dynamic relationship between institutional structures and student agency in a school setting. I specifically examine the influence of this relationship on young people’s capacity for critical and transcendent engagement, constructs described further in this work. In the setting of Nancy Campbell Academy (NCA), an international …

Access To The Healthcare System For Acb People Living In Waterloo Region, Ontario: A Racial And Socio-Ecological Examination, Tiyondah Fante-Coleman

Theses and Dissertations (Comprehensive)

Little research has investigated the barriers and facilitators to accessing healthcare for African, Caribbean, and Black people in Canada. This thesis identifies barriers and facilitators using a socio-ecological framework in two papers. Five focus groups were held with 22 ACB participants in Waterloo, Ontario. Thematic analysis guidelines informed the analysis of focus group data. The first paper identified barriers at the social (racism and employment, immigrant status) and institutional (wait times, out-of-pocket expenses) levels. Community connections was the sole facilitator at the social level. The second paper identified four barriers at the interpersonal level: physicians’ style of care, lack of …

Long-Term Effects Of A Universal Program On Child Welfare Youth's Psychosocial Outcomes, Alexis Gilmer, Colleen Loomis

Theses and Dissertations (Comprehensive)

The present project conducted two studies to better understand the impacts of former involvement with the child welfare system on young adults’ psychosocial outcomes at ages 18 and 30. In the first study (N = 598, M_age = 18.47 years) participants who were involved with child welfare during youth had higher rates of depression than those not involved in care. Using a quasi-experimental design, we hypothesized that participation in a universal community program would moderate the relationship between child welfare system involvement and negative outcomes; the hypothesis was not supported. The second study explored trends ten years later …

Exploring Profiles Of Lgbtq Social Wellbeing In Waterloo Region, Canada, Kendra Hardy

Theses and Dissertations (Comprehensive)

Literature on the wellbeing of lesbian, gay, bisexual, transgender, and queer (LGBTQ) people has predominantly examined the negative experiences associated with LGBTQ identity; however, a growing body of literature explores the positive wellbeing of LGBTQ people. The present study examines social wellbeing as the connections across six elements identified in previous literature: discrimination, sense of safety, outness, social support, sense of belonging, and community acceptance. Latent profile analyses (LPA), a person-centered approach, was used to explore these elements of social wellbeing with cisgender LGBQ (n = 406) and transgender (n = 110) participants from a sample of LGBTQ …

Bridging The Gaps In Bringing In The Bystander: An Intersectional Approach To Campus-Based Sexual Violence Prevention, Anne E. Rudzinski

Theses and Dissertations (Comprehensive)

This paper draws upon pilot-test data from an intersectional approach to a sexual violence prevention program on university campuses. While many programs have been created to address the sexual violence epidemic, many focus heavily on white, heterosexual, and cisgender scenarios. This research utilizes the Bringing in the Bystander® workshop, a community-based prevention initiative focused on preventing sexual violence through inspiring students to intervene in pro-social ways. In this analysis, the program maintained the same pedagogical structure, but contained a wider variety of narratives designed to include stories and scenarios about contexts relevant to the experiences of LGBTQ+ and racialized students. …

Youth-Adult Community Partnerships: Student Voice And Choice In Addressing Racism, Sarah Ranco

Theses and Dissertations (Comprehensive)

Researchers have documented many benefits of youth engagement, however there is a need for more systematic research on participation in different contexts. This study has investigated how a youth-adult partnership addressed racism within a high school, as well as the experiences of participants during this process. This project was a case study of a school-based, youth-adult partnership consisting of eight (N = 8) participants. Five participants were students in Grades 11 and 12, two were school/school board staff, and one was the author; I directly participated in the partnership as a facilitator. Qualitative data were collected through field notes, interviews …

Social Support, Discrimination, And Self-Esteem In Lgbtq+ High School And Post-Secondary Students, Kirstie Taylor

Theses and Dissertations (Comprehensive)

LGBTQ+ (lesbian, gay, bisexual, transgender, queer, plus) people are at a disadvantage compared to their heterosexual and cisgender (non-transgender) counterparts. LGBTQ+ people are likely to be discriminated against based on their gender or sexual identities. Drawing on data from the OutLook Study in Waterloo Region, Ontario, Canada, this paper examines discrimination and social support among high school and post-secondary students, and how they are related to self-esteem. Using t-tests, we found that transgender students in high school reported significantly higher levels of direct transphobia and of victimization compared to transgender post-secondary students. Using multiple linear regressions, we found indirect homophobia …

Changing The Narrative Of Social Determinants Of Health: Messaging For Ontarians, Emily Churchill

Theses and Dissertations (Comprehensive)

Social determinants of health (SDOH) are conditions in which people live, such as physical environment or political context, which impact health. In Canada, SDOH are the greatest determinants of life expectancy. Despite evidence that broader social structural factors are key determinants of health, a majority of the public Ontario hold an individualistic view of health and do not see the government as having a role in decreasing health inequities. It is imperative to address the gap between public opinion and existing evidence as governmental policy will have the greatest effect on decreasing health inequities caused by SDOH. This thesis is …

Using Social Media To Engage Toronto Communities For Resiliency And Stress Planning, Martha Ta

Theses and Dissertations (Comprehensive)

As Toronto’s low-income areas grow, the city’s neighbourhoods experience a segregation by low- and high-income, contributing to chronic stress as environmental determinants and leading to negative health outcomes and chronic diseases. This study identified Crescent Town as one of the Toronto neighbourhoods with potentially high levels of chronic emotional stress through an analysis of emotions indicated by Tweets, as well as triangulation with administrative data describing relevant neighbourhood indicators. Crescent Town community members (n=23) were engaged using concept mapping to identify existing neighbourhood stressors and assets and empowered to strategize solutions. The ten-cluster solution created with six clusters describing neighbourhood …

Older Adults’ Social Networks And The Role Of A Telephone Helpline Program, Harmanpreet (Preet) Chauhan

Theses and Dissertations (Comprehensive)

Over the past century, advances in health care, higher levels of education, and improved living conditions have resulted in increased human life expectancy. However, with longer life expectancy comes potential challenges to quality of life, as individuals may face numerous transitions in older age: children leaving home, employment to retirement, or physical declines possibly leading to lack of mobility. As a result, older adults may experience social isolation and difficulty in building new relationships. This is problematic, as lack of social connection is a strong predictor of lower physical and mental health (Fiori & Jager, 2012; Fiori, Smith, & Antonucci, …

Knowledge Mobilization For Complex Community Initiatives: Examining How Peer Learning Strategies Influence Capacity For Local Implementation Of Housing First, Sarah Kathleen Worton

Theses and Dissertations (Comprehensive)

Knowledge-to-action theories (such as knowledge mobilization, translation, and dissemination) have been developed to address a persistent disconnect between research and practice. Critiques of these theories highlight areas for improvement, including better incorporating knowledge generated through experience and examining the learning process in greater detail. The research in this dissertation examines peer learning as strategy for mobilizing knowledge to advance the uptake of evidence-based practices, particularly interventions that are complex in nature. Complex interventions require engagement of many different stakeholder groups and often require adaptation to ensure sufficient fit with the implementation context. Research on peer learning as a knowledge mobilization …

Assessing Job Seekers’ Attraction To Working In Green Buildings, Devon Fernandes

Theses and Dissertations (Comprehensive)

This research explores to what extent young job seekers are attracted to working in green buildings and the processes underlying their potential attraction. An exploratory sequential mixed methods design research is employed that involves two studies. In Study One, ten semi-structured interviews were conducted with university students in southwestern Ontario who identified as young (18 – 25 years old) job seekers. Based on insights from the interviews, Study Two obtained responses from 273 young job seekers across Canada to an online survey about their attraction to green buildings. This research shows that green buildings on their own are not a …

Hepatitis C Testing And Treatment Access Among People Who Inject Drugs, Monika Roerig

Theses and Dissertations (Comprehensive)

Hepatitis C (HCV) remains a global issue as it affects 2-3% of the world’s population. Despite Canada’s universal access to healthcare, barriers to accessing testing and treatment for HCV has contributed to approximately 250,000 Canadians living with chronic HCV. People who inject drugs (PWID) account for about 60% of all HCV cases in Canada, making them the primary target for public health interventions, namely prevention and harm reduction. Harm reduction efforts have proven effective to reduce the incidence of infectious diseases and to prevent overdoses, but there remains a large proportion of individuals living with the virus who are unaware …

Do Early Community-Based Initiatives Predict Social Anxiety 20 Years Later?, Christina Dimakos

Theses and Dissertations (Comprehensive)

Social anxiety disorder is characterized by an extreme and persistent fear of embarrassment or scrutiny in social or performance situations. This condition is among the most common mental illnesses and is characterized by an early onset, chronic course, and significant associated health and social service costs. Nevertheless, it remains among the least recognized, researched, and treated mental health conditions. Critically, broader community characteristics have yet to be considered as valuable tools for disrupting the onset and maintenance of social anxiety. The present study examined the long-term impact of a comprehensive, holistic, community-based early childhood development initiative on social anxiety in …

Participant Perspectives On Housing And Landlords In A Canadian Housing First Program, Timothy Macleod

Theses and Dissertations (Comprehensive)

Housing First (HF) is an evidence-based approach to housing and services for adults who are chronically homeless and have a psychiatric disability. Research has demonstrated that HF rapidly ends homelessness but less in known about how participants experience their housing environments and landlords. This study is a part of a larger Canadian randomized field trial of HF that included qualitative interviews with participants in five cities. The narratives of 127 participants randomized to HF (n=82) or Treatment as Usual (TAU, n=45) were collected with regard to their perceptions of housing and landlords. Participant narratives were analyzed using thematic analysis and …