Social Work Commons^™

Editorial: Human Rights And Inequity In Health Access Of Central American Migrants, Héctor Luis Díaz, Maria Elena Ramos-Tovar, Francisco Gonzalez-Salazar, Luis R. Torres-Hostos

School of Social Work Faculty Publications

Frontiers in Public Health is very pleased to publish this journal issue focusing on the health access of immigrants. Contributions to this journal issue include five articles that rely on different methodologies while focusing on diverse geographic world regions and target populations. This editorial summarizes these features while also highlighting the unique contributions of each article.

‘Have They Talked About Us At All?’ The Moral Distress Of Healthcare Social Workers During The Covid-19 Pandemic: A Qualitative Investigation In The State Of Texas, Sophia Fantus, Rebecca Cole, Lataya Hawkins, Priyanjali Chakraborty

School of Social Work Faculty Publications

Amid the ongoing pandemic, as overburdened and underfunded health systems are requiring health care social workers (HSWs) to assume responsibilities beyond their scope of practice, institutional constraints have undoubtedly heightened encounters of moral distress (MD). MD is the psychological disequilibrium that arises when institutional factors obligate an individual to carry out a task that violates their professional and/or personal ethics. Our qualitative study investigated HSWs’ (n = 43) MD in Texas during the 2019 COVID-19 pandemic. Findings from our study indicate that MD occurs across five levels: (i) patient care decisions; (ii) personal care decisions; (iii) team/unit decisions; (iv) …

A Preliminary Exploration On The Views Of Terrorism Among Indian And U.S. College Students, Eric G. Lambert, Shanhe Jiang, N. Prabha Unnithan, Sudershan Pasupuleti

School of Social Work Faculty Publications

No corner of the world is completely safe from terrorist attacks. Both India and the United States have suffered horrific acts of terrorist-inspired violence. While views of terrorism vary for different reasons, culture certainly plays a role. A total of 918 undergraduate college students, composed of 434 Indian students and 484 U.S. students, were surveyed on their views of terrorism, responses to terrorism, and appropriate punishment of terrorists. Ordered ordinal regression results indicated a significant difference on 20 of the 26 items by nationality. Indian participants were more likely to express strong views on the problem of terrorism for society …

“It’S Embarrassing. I Get Angry. I Get Frustrated.”: Understanding Severe Hypoglycemia And Glucagon Usage From The Perspectives Of People With Type 1 Diabetes, Allyson S. Hughes, Katherine Chapman, Jeoffrey Bispham, Jeannett Dimsits, Stuart Weinzimer, Wendy Wolf, Nazanin M. Heydarian

School of Social Work Faculty Publications

Introduction: This study characterized the emotional impact of severe hypoglycemia, views of glucagon, and barriers to glucagon use from the perspective of adults with type 1 diabetes (T1D).

Methods: Participants included individuals recruited from the T1D Exchange online community. The current study conducted 7 focus groups consisting of adults with T1D (N = 38, average age 49.4, SD = 16.11 years). Average duration of diabetes was 34.4 years (SD = 17.3) and average self-reported A1c was 6.8 % (SD = 0.7). Focus group interviews were recorded, transcribed, and thematically analyzed.

Results: A range of emotions was expressed about severe hypoglycemia …

“It’S Embarrassing. I Get Angry. I Get Frustrated.”: Understanding Severe Hypoglycemia And Glucagon Usage From The Perspectives Of People With Type 1 Diabetes, Allyson S. Hughes, Katherine Chapman, Jeoffrey Bispham, Jeannett Dimsits, Stuart Weinzimer, Wendy Wolf, Nazanin M. Heydarian

School of Social Work Faculty Publications

Introduction

This study characterized the emotional impact of severe hypoglycemia, views of glucagon, and barriers to glucagon use from the perspective of adults with type 1 diabetes (T1D).

Methods

Participants included individuals recruited from the T1D Exchange online community. The current study conducted 7 focus groups consisting of adults with T1D (N = 38, average age 49.4, SD = 16.11 years). Average duration of diabetes was 34.4 years (SD = 17.3) and average self-reported A1c was 6.8 % (SD = 0.7). Focus group interviews were recorded, transcribed, and thematically analyzed.

Results

A range of emotions was expressed about severe …

Contact Based Intervention Reduces Stigma Among Pharmacy Students, Christine R. Bakos-Block, Tamara Al Rawwad, Marylou Cardenas-Turanzas, Tiffany Champagne-Langabeer

School of Social Work Faculty Publications

Introduction

Interventions to reduce the stigma of substance use disorders by health professionals often include didactic instruction combined with an interactive component that includes a guest speaker in recovery. Few interactive studies have focused on pharmacy students. Community pharmacists are moving to the front lines to battle the opioid epidemic; therefore, pharmacy students should be included in interventions aimed at reducing stigma by health professionals.

Methods

This study examined the effects of a contact-based interactive intervention delivered by a peer recovery support specialist on perceived stigma of opioid use disorder among third-year pharmacy students (N = 115) enrolled in …

“Immigration Enforcement Is A Daily Part Of Our Students’ Lives”: School Social Workers’ Perceptions Of Racialized Nested Contexts Of Reception For Immigrant Students, Sophia Rodriguez, Benjamin J. Roth, Leticia Villarreal Sosa

School of Social Work Faculty Publications

This qualitative analysis examines school social workers’ equity work for immigrant students, including their perceptions of immigration enforcement and school climates that support or hinder immigrant student experiences. We conceptually expand understandings of nested contexts of reception and racialized organizations across macro, meso, micro levels, and how they affect immigrant students’ educational experiences, mobility, and belonging. Utilizing open-ended responses from a unique national survey data set, we examine school social workers’ perceptions of the macro, meso, micro racialized contexts that immigrant students encounter, how school social worker perceptions reflect racial attitudes as part of the racialized organization of schools in …

“The Hierarchy Is Your Constraint:” A Qualitative Investigation Of Social Workers’ Moral Distress Across A U.S. Health System, Sophia Fantus, Rebecca Cole, Lataya Hawkins

School of Social Work Faculty Publications

This paper reports findings from a qualitative study on the triggers of hospital social workers’ moral distress at a large southern U.S. health system. Moral distress occurs when ethical conflict cannot be resolved in a way that aligns with an individual’s personal and professional values and ethics. Participants indicated that moral distress derives from both individual interactions and the culture and climate of health systems. For example, participants expressed how sources of moral distress derived from client-centered decisions, such as end-of-life care and patient autonomy; interpersonal dynamics, including team or supervisory conflict; structural issues, such as insurance barriers or internal …

Implementation Of The Texas Community-Engaged Statewide Consortium For The Prevention Of Covid-19, Erika L. Thompson, Bettina M. Beech, Robert L. Ferrer, Lorna Mcneill, Jasmine J. Opusunju, Rebecca A. Seguin-Fowler, Emily Spence, Luis R. Torres-Hostos, Christopher I. Amos, Palak Desai, Jamboor K. Vishwanatha

School of Social Work Faculty Publications

The Community Engagement Alliance (CEAL) Against COVID-19 Disparities aims to conduct community-engaged research and outreach. This paper describes the Texas CEAL Consortium's activities in the first year and evaluates progress. The Texas CEAL Consortium comprised seven projects. To evaluate the Texas CEAL Consortium's progress, we used components of the RE-AIM Framework. Evaluation included estimating the number of people reached for data collection and education activities (reach), individual project goals and progress (effectiveness), partnerships established and partner engagement (adoption), and outreach and education activities (implementation). During the one-year period, focus groups were conducted with 172 people and surveys with 2107 people …

The Role Of Community Factors In Predicting Depressive Symptoms Among Chinese Workforce: A Longitudinal Study In Rural And Urban Settings, Wanlian Li, Guanghan Gao, Fei Sun, Lin Jiang

School of Social Work Faculty Publications

Background: The dual urban-rural division system in China has led to distinguishes in economic development, medical services, and education as well as in mental health disparities. This study examined whether community factors (community cohesion, supportive network size, foreseeable community threat, and medical insurance coverage) predict the depressive symptoms of Chinese workers and how community factors may work differently in rural and urban settings.

Methods: This secondary data analysis was conducted using data from the 2014 and 2016 China Labor-force Dynamics Survey (CLDS). The sample of this study includes 9,140 workers (6,157 rural labors and 2,983 urban labors) who took part …

Health Through A Human Right Lens At The Us-Mexico Border: Increasing Access To Healthcare For Central American Immigrants, Carolina Venturi, Diana Guízar-Sánchez, María Elena Ramos-Tovar, Melissa Torres, Flor D. Avellaneda, Luis R. Torres-Hostos, Omar Matuk-Villazon

School of Social Work Faculty Publications

The number of immigrants seeking entry into the U.S. through asylum requests or through irregular means is increasing, and most come from the Northern Triangle of El Salvador, Guatemala, and Honduras. Immigrants come fleeing extreme poverty, violence, health and social inequities, and drastic climate changes. Most had limited access to healthcare at home, and even more limited care along the journey. Those that are allowed entry into the U.S., are confronted with feeling unwelcome in many communities, having to navigate an array of local, state, and federal laws that regulate access to healthcare. We need immigration policies that preserve the …

Social Work Advocacy In Federal Immigration Courts: A Consultant’S Reflection On Successful Cases, Luis H. Zayas

School of Social Work Faculty Publications

Advocacy for immigrant families undertaken by social workers, attorneys, and other supporters to protect against deportation, detention, and unfair government policies occurs mostly in immigration and federal courts. Social workers bring unique knowledge and skills that enhance legal teams’ representation of immigrants. This paper provides case illustrations of social work’s contribution in three types of legal actions. One illustration from immigration court demonstrates the social work consultant’s role in cancellation of removal cases when undocumented immigrants have US-citizen children. A second case is a federal class-action lawsuit to end the detention of asylum-seeking families. The third case was a federal …

Remedios: Coping With Mental Distress Among Mexican Americans In The Rio Grande Valley, Romeo Escobar, Irán Barrera, Denise Longoria, John M. Gonzalez, Isaias Melgoza

School of Social Work Faculty Publications

The Latino population continues to increase, with estimates of 60 million living in the United States. Of the Hispanic population, 19% live in poverty. This may be a problem because according to research, living in poverty affects people’s social networks and self-worth negatively and is strongly associated with psychological issues. This study examined the perceptions of practitioners of mental health treatment of Mexican Americans who were experiencing mental distress and were residing in the U.S.- Mexico border. Findings suggest clients self-diagnose and try medications (usually purchased in Mexico) that were recommended to them by family members and/or social networks. Additionally, …

The Texas Community-Engagement Research Alliance Against Covid-19 In Disproportionately Affected Communities (Tx Ceal) Consortium, Rebecca A. Seguin-Fowler, Chris Amos, Bettina M. Beech, Robert L. Ferrer, Lorna Mcneill, Jasmine J. Opusunju, Emily Spence, Erika L. Thompson, Luis R. Torres-Hostos, Jamboor K. Vishwanatha

School of Social Work Faculty Publications

The coronavirus disease 2019 (COVID-19) pandemic requires urgent implementation of effective community-engaged strategies to enhance education, awareness, and inclusion of underserved communities in prevention, mitigation, and treatment efforts. The Texas Community-Engagement Alliance Consortium was established with support from the United States’ National Institutes of Health (NIH) to conduct community-engaged projects in selected geographic locations with a high proportion of medically underserved minority groups with a disproportionate burden of COVID-19 disease and hospitalizations. The purpose of this paper is to describe the development of the Consortium. The Consortium organized seven projects with focused activities to address COVID-19 clinical and vaccine trials …

Leveraging Public-Private Partnerships During Covid-19: Providing Virtual Field Opportunities For Student Learners And Addressing Social Isolation In Older Adults, Omolola E. Adepoju, Sheara Jennings, Patti Schrader, Kathleen Reeve, Tracy Mcmanaman-Bridges, Lauren Gilbert, Ben King, Jessica Dobbins, Andy Rollins, Luis R. Torres-Hostos

School of Social Work Faculty Publications

While preventive and management measures are important to mitigate the spread of COVID-19, strategies like social distancing can have devastating effects on older adults who are already at risk for social isolation and loneliness. In response, two Colleges of Health Professions (Social Work and Nursing) at a large public University leveraged a partnership with a national health and wellbeing company to address social isolation and loneliness in Houston area older adults during the COVID-19 pandemic. This intergenerational linkage initiative involved 707 older adults and 177 graduate social work and nursing students. This study describes the process of developing a virtual …

Suicide Among South Asian Americans: A Systematic Review Of Causal And Risk Factors, Susheelabai R. Srinivasa, Sudershan Pasupuleti, Rani Dronamraju

School of Social Work Faculty Publications

This paper will provide an overview of suicide prevalence among South Asian Americans who constitute nearly one-third of Asian Americans and 1.7 percent of the United States population. South Asians, late 20th century immigrants, are a numerally small percentage of the population in the United States. As a distinct ethnic population despite significant diversity within, South Asians encounter unique challenges with myriad sub-cultures and struggles that make them vulnerable and underrepresented in policy and service utilization in mental health and health care due to various barriers. These conditions create vulnerability among first and subsequent generations as they go through social …

System Dynamics Of Cognitive Vulnerabilities And Family Support Among Latina Children And Adolescents, Peter S. Hovmand, Esther J. Calzada, Lauren E. Gulbas, Su Yeong Kim, Saras Chung, Jill Kuhlberg, Carolina Hausmann-Stabile, Luis H. Zayas

School of Social Work Faculty Publications

The paper describes an approach to developing a data-driven development of a feedback theory of cognitive vulnerabilities and family support focused on understanding the dynamics experienced among Latina children, adolescents, and families. Family support is understood to be a response to avoidant and maladaptive behaviors that may be characteristic of cognitive vulnerabilities commonly associated depression and suicidal ideation. A formal feedback theory is developed, appraised, and analyzed using a combination of secondary analysis of qualitative interviews (N = 30) and quantitative analysis using system dynamics modeling and simulation. Implications for prevention practice, treatment, and future research are discussed.

Community-Clinic Linkages For Promoting Hiv Prevention: Organizational Networks For Prep Client Referrals And Collaborations, Rebecca L. Mauldin, Tamara Al Rawwad, Muhammad Amith, Lisa M. Kuhns, John A. Schneider, Kayo Fujimoto

School of Social Work Faculty Publications

Community-clinic linkages may help communities increase HIV pre-exposure prophylaxis (PrEP) uptake. Referrals from community-based organizations may be particularly important for linking Black men who have sex with men (MSM) to PrEP. This study describes PrEP referral and HIV/STI prevention networks among organizations that serve MSM in Houston, TX (N = 40), and Chicago, IL (N = 28), and compares network positions of organizations based on percentage of Black/African American clients. A majority of organizations conducted PrEP awareness/promotion activities, but fewer made PrEP referrals, with little overlap between the collaboration and referral networks. The networks tended to have a …

Associations Of Positive And Negative Affect On Health Risk Behaviors Among Latinos., John R. Moore, Zully C. Guerra, Nazanin M. Heydarian, Tatiana Londoño, Yessenia Castro

School of Social Work Faculty Publications

Objective: Negative affect is widely emphasized in behavior modification interventions. However, positive affect is associated with smoking cessation, physical activity, and healthy dietary habits and may be an important treatment target. Few studies have examined the relationship between positive affect and health behaviors among Latinos, who disproportionately experience modifiable health risk behaviors. This study examined the independent associations of positive affect and negative affect on modifiable health risk behaviors among Latino adults.

Method: Data came from 432 persons who participated in one of two studies examining determinants of modifiable health risk behaviors among Latino adults. Primary outcomes were current smoking, …

A Brief Report Examining The Stereotype Content Model With Blind Americans, Nazanin M. Heydarian, Yessenia Castro, Osvaldo F. Morera

School of Social Work Faculty Publications

Objective.

The Stereotype Content Model is a unifying theory of the makeup of stereotypes and their consequences on emotions and behaviors. There is a need to study this theory from the perspectives of those most affected by them—targets of stereotypes.

Research Methods.

Blind adults (n = 264) living in the United States completed the Stereotype Content measure asking participants to rate the extent to which they believed members of wider society held certain beliefs about Blind persons.

Results.

Confirmatory factor analyses showed good fit for the four-factor model of stereotype content: Warmth, Competence, Status, and Competition.

Conclusions.

This study confirms …

Factors Influencing The Political Activity Of Social Workers: A Comparative Study Among Swiss And United States Social Workers, Tobias Kindler, Jason Ostrander

School of Social Work Faculty Publications

Various international and national social work ethical principles call social workers to participate in politics, yet not much research exists in the field of a political social work. Little is known about the actual voluntary political engagement of social workers as well as factors influencing their political activity. Especially, few studies with an international comparison focus have been conducted. Consequently, this study used cross sectional survey design to better understand the factors influencing the political activity of social workers in Switzerland (n = 1242) and in the United States (n = 3033). The results indicate that the political activity of …

Who Is A Social Worker?, Patrick Meehan, Jason Ostrander, Shannon R. Lane

School of Social Work Faculty Publications

Defining social workers for the purposes of research is not as straightforward as it sounds. To date, researchers who have examined social workers as a group have used a variety of sampling methods. Multiple methods speak to the variety of options for defining social workers. Understanding membership within the profession is a precondition to understanding research about the behavior of those within the profession. This research note explores these sampling methods in detail. Each has its advantages, but none are without their own disadvantages, some of which bias their view of the profession. As researchers who have considered the political …

Channa Reddy In Telangana Statehood Movement: Initiation, Intervention And Contribution, Jakkula Koteswar Rao, Ram Shepherd Bheenaveni

School of Social Work Faculty Publications

The present paper tries to explore some of the repeated accusations and half-truths against the Telangana leader – Dr. Marri Channa Reddy, who led the movement in 1969. It is believed that the leaders started the Telangana Statehood movement as a problem-solving movement against subregionalism. Dr. Reddy was a staunch opponent of Andhra’s internal colonization. This is not only absurd but also a parody of the truth. This is mainly due to the lack of original documents in an organized campaign for the separate state of Telangana. The print and electronic media reports speak of alarming national integration at the …

Improving Spanish Translations Of Tobacco Dependence Measures Using Cognitive Interviewing, Yessenia Castro, Annette Leija, Zully C. Guerra, Tatiana Londoño, Nazanin M. Heydarian, Virmarie Correa-Fernández

School of Social Work Faculty Publications

Background:

Cognitive interviewing is the practice of systematically collecting feedback about survey items from members of the priority population, with the goal of identifying and rectifying problems to increase the comprehensibility of the survey. Evidence is limited on the extent to which this method of pretesting improves survey items.

Objective:

The current study examined the utility of incorporating cognitive interviewing to improve the Spanish translations of two measures of tobacco dependence.

Methods:

Items from the Spanish versions of the Wisconsin Inventory of Smoking Dependence Motives (68 items) and Nicotine Dependence Syndrome Scale (19 items) were subjected to cognitive interviews with …

The Contribution Of Positive Affect And Loneliness On Readiness And Self-Efficacy To Quit Smoking Among Spanish-Speaking Mexican American Smokers, Tatiana Londoño, John R. Moore, Zully C. Guerra, Nazanin M. Heydarian, Yessenia Castro

School of Social Work Faculty Publications

Background: The existing research on affective and interpersonal determinants of smoking cessation largely under-represents minority smokers, such as Latinos.

Objective: The current study examined associations between affective and interpersonal factors with intermediary smoking cessation variables among Mexican-American smokers (N = 290; 60% male).

Methods: Measures of positive and negative affect, social support, and loneliness were each examined for associations with measures of motivational readiness to quit smoking, and smoking abstinence self-efficacy. Significant predictors were entered into models simultaneously to examine their unique associations. Covariates included gender, age, and educational attainment.

Results: Negative affect (b = .68, SE b = …

Do Nursing And Pharmacy Students Practice What They Preach On Safe Drug Storage And Disposal? A Cross-Sectional Study, Tamara Al Rawwad, Patrici K. Schrader, Andrea Brooks, Lillian Duong, Douglas Thornton

School of Social Work Faculty Publications

Background: Research has confirmed a lack of knowledge regarding the risks of unused medications including diversion, misuse, or accidental overdose among health care professionals (Abdulmajeed, 2020). Nurses and pharmacists are often who patients interact with the most regarding medications; therefore, early education on proper storage and disposal is vital (Bowen, Rotz, Patterson, & Sen, 2017; Celio, Ninane, Bugnon, & Schneider, 2018).

Objectives: The study's objective is to explore safe drug storage and disposal knowledge, attitudes, and practices of professional pharmacy (Pharm.D.) and nursing students.

Design: This research is an exploratory cross-sectional study from May to September 2019.

Methods: An anonymous …

Suicide Among South Asians In The United States: Perspectives, Causes, And Implications For Prevention And Treatment, Susheelabai R. Srinivasa, Sudershan Pasupuleti, Rani Dronamraju, Denise Longoria

School of Social Work Faculty Publications

No abstract provided.

Visual Impairment And Self-Efficacy In Diabetes Management, Nazanin M. Heydarian, Brittany Brown-Podgorski, Jahanett Ramirez

School of Social Work Faculty Publications

Purpose: The purpose of this study is to examine the relationship between visual impairment and diabetes management self-efficacy.

Methods: The present study utilized pooled cross-sectional data (2008-2018) from the Medical Expenditure Panel Survey Household Component and Diabetes Care Survey. Binary and generalized ordinal logit regression models were used to compare diabetes management self-efficacy between patients with and without visual impairments.

Results: Compared to their non-visually impaired counterparts, visually impaired persons had a lower odds of reporting high diabetes management self-efficacy. Similarly, visually impaired adults with diabetes have a significantly lower odds of being very confident in their ability to manage …

Seeking Health Information And Social Support In The Diabetes Online Community, Allyson S. Hughes, Nazanin M. Heydarian, Diana Gerardo, Isabela Solis, Osvaldo Morera

School of Social Work Faculty Publications

Purpose: People with type 1 diabetes (T1D) search for health information online in the Diabetes Online Community (DOC), where individuals with diabetes, researchers and caregivers post and respond to health questions. The aims of this study were 1) to understand how people with T1D are seeking health information and engaging in health behaviors in the DOC, and 2) develop a measure of online health information seeking in adults with T1D.

Research Method: Ninety-five adults with T1D completed qualitative prompts online.

Results: Themes that emerged in this study included sense of community, and multiple types of social support that are necessary …

Integrating Occupation-Based/Focused Assessments During The Evaluation Process. Opportunity To Revisit The Topic In A Post Covid-19 Practice Setting?, John S. Luna

School of Social Work Faculty Publications

Occupational therapists treat clients across the lifespan, and every successful intervention begins with a successful evaluation. Incorporating a variety of norm-referenced standardized assessments into the assessment process has become increasingly important to justify services to third party payors identification of goals, and intervention strategies. However, occupational therapists tend to select assessments that are focused and measuring performance skills and client factors versus occupations and performance of occupations. The purpose of this article is to examine the topic of occupation based and occupation focused assessments. While using occupation-based/ occupation-focused assessments is not a new topic, the COVID-19 pandemic has changed how …