Community-Based Research Commons^™

Predictors Of Depression For Low-Income African American Single Mothers, Jennifer Hatcher, Mary K. Rayens, Ann R. Peden, Lynne A. Hall

Journal of Health Disparities Research and Practice

Purpose: To test a model of predictors of depression in low-income single African American mothers. Design: Secondary analysis of existing data collected as part of a study of women at risk for clinical depression.

Methods: Cross sectional secondary data analysis of a study of low-income African American single mothers with children ages 2-6. Path analysis was used to test a model of the potential mediating role of negative thinking. It was hypothesized that negative thinking mediates the effects of chronic stressors, general health status, and self-esteem on depressive symptoms

Finding: Negative thinking mediated the relationships of chronic stressors and self-esteem …

African American Adults’ Experiences With The Health Care System: In Their Own Words, Keri A. Jupka, Nancy L. Weaver, Vetta L. Sanders-Thompson, Nicole M. Caito, Matthew W. Kreuter

Journal of Health Disparities Research and Practice

African Americans suffer a disproportionate burden of death and illness from a number of different chronic diseases. Inequalities in health care practices and poor patient and provider communication between African American patients and health care professionals contribute to these disparities. We describe findings from focus groups with 79 urban African Americans in which the participants discussed their interactions with the healthcare system as well as beliefs and opinions of the healthcare system and professionals. Analysis revealed five major themes: (1) historical and contextual foundations; (2) interpersonal experiences with physicians and other health care workers; (3) discrimination; (4) trust, opinions and …

Promoting Physical Activity In Low Income African Americans: Project Laps, Dorothy W. Pekmezi, Brooke L. Barbera, Jamie S. Bodenlos, Glenn N. Jones, Phillip J. Brantley

Journal of Health Disparities Research and Practice

Low income African Americans are at increased risk for physical inactivity and related chronic illnesses. Thus, effective interventions are needed to address these health disparities. The current study examined the efficacy of a home-based physical activity intervention among a low income African American sample with high rates of chronic illnesses (obesity, hypertension, diabetes, high cholesterol). Participants (n=214) were randomly assigned to either the home-based physical activity intervention (self-help print materials, five monthly newsletters, two telephone counseling sessions) or an attention control condition, which promoted healthy diet. Results indicated that the intervention did not produce significantly greater increases in physical activity …

Hepatitis C Diagnoses In An American Indian Primary Care Population, Hillary E. Norton, John T. Redd, Ralph T. Bryan

Journal of Health Disparities Research and Practice

BACKGROUND: Despite large disparities in the burden of chronic liver disease, data on hepatitis C virus (HCV) infection among American Indians (AIs) are lacking. We reviewed hepatitis C diagnoses in 35,712 AI/AN primary care patients.

MAIN FINDINGS: At least one HCV-associated ICD-9 code was recorded in 251 (1%) patients between October 1, 2001 and September 30, 2003. An HCV enzyme-linked immunoassay (HCVEIA) was sent in 209 (83.0%); 206/209 (99%) were positive. Confirmatory testing was performed in 144/206 (70%) HCV-EIA positive patients; HCV infection was confirmed in 144 (100%). In the 90/144 (63%) charts with risk factor documentation, injection drug use …

A Review Of Smoking Among Rural African Americans: Recommendations For Research And Cessation Interventions, Susan Hedgecock, Anita Fernander

Journal of Health Disparities Research and Practice

Objective: The purpose of this review is to synthesize the available literature on smoking among rural African Americans.

Methods: Using search terms “rural” “African American” “Black” and “smoking” 19 relevant articles were identified in the Medline data base. Findings gleaned from the 19 articles are presented in four categories: a) smoking prevalence, b) smoking behavior and patterns, c) smoking cessation interventions and quitting, and d) smoking-related outcomes.

Results: There may be gender differences, a pattern of late onset of smoking, and a preference for mentholated brands among rural African American smokers. There is no evidence that rural African Americans are …

Differential Effects Of Race And Poverty On Ambulatory Care Sensitive Conditions, Farrukh B. Hakeem, Daniel L. Howard, Timothy S. Carey, Yhenneko J. Taylor

Journal of Health Disparities Research and Practice

This study is a continuation of an earlier study that examined hospitalization rates for ambulatory care sensitive (ACS) conditions, as a proxy for quality of care, and found evidence of a racial disparity among African American and White Medicare beneficiaries. The current study sought to determine whether neighborhood socioeconomic status (SES) explained this disparity. Differences in rates of ACS hospitalizations by race were assessed using Cochran-Mantel Haenszel tests and Poisson regression. Unadjusted rate ratios for ACS hospitalization for African Americans vs. Whites were found to be higher in low poverty areas (rate ratio (RR)=1.13; 95% CI (1.08, 1.17)) than in …

Race/Ethnicity As A Risk Factor Of Mother To Child Transmission Among Hiv Infected Mothers, Wei Yang, Fares Qeadan, Mona L. Brown, Michelle Chino, Scott Hall, Mary Guinan

Journal of Health Disparities Research and Practice

Objectives: African American women, living with HIV, exhibit a higher percentage of giving birth as compared to other race/ethnicity groups. The aim of this study is to understand the apparent black and non-black differences (health disparities) among the HIV Infected Mothers group and examine whether race/ethnicity can explain the high variation in different prenatal and HIV mother-to-child-transmission (MTCT) risk factors.

Methods: Data-Linkage was conducted on all women HIV+ cases, who delivered a child during the time period and reported to the Nevada state HIV with the live birth registries. Demographic and social data, separated into black and Non-black groups, were …

A Human Capital Approach To Reduce Health Disparities, Saundra Glover, Sudha Xirasagar, Yunho Jeon, Keith Elder, Crystal N. Piper, Harris Pastides

Journal of Health Disparities Research and Practice

Objective: To introduce a human capital approach to reduce health disparities in South Carolina by increasing the number and quality of trained minority professionals in public health practice and research.

Methods: The conceptual basis and elements of Project EXPORT in South Carolina are described. Project EXPORT is a community based participatory research (CBPR) translational project designed to build human capital in public health practice and research. This project involves Claflin University (CU), a Historically Black College University (HBCU) and the African American community of Orangeburg, South Carolina to reduce health disparities, utilizing resources from the University of South Carolina (USC), …

Waiting In “The House Of Life”: Experiences Of Seeking Asylum In The United States While Living In Buffalo, New York, Meagan Nicole Salisbury

Renée Crown University Honors Thesis Projects - All

I am interested in the experiences of individuals in Upstate New York throughout the process of seeking asylum. I want to know asylum law influences the daily lives of individuals in relation to their cases and other emotions and activities. To address this, I traveled to Vive, Inc. in Buffalo, a shelter for individuals seeking asylum in either the U.S. or Canada, and conducted nine interviews. I interviewed people seeking asylum, one woman who already obtained asylum in the United States, and the two staff members.

Based on my interviews, I argue that seeking asylum in the United States is …

"Nudge A Mexican And She Or He Will Break Out With A Story": Complicating Mexican Immigrant Masculinities Through Counternarrative Storytelling, Berenice Villela

Scripps Senior Theses

In this thesis, I explore Latino masculinities and contest their uniformity through transforming an oral history conducted with my father into a collection of short stories. Following storytelling traditions of Latino/Mexican culture, I converted an oral history interviews with my dad into a collection of short stories. From these short stories I extracted themes relating to the micro and macro manifestations of gender policing. Drawing from Judith Butler's Theory of performativity and Gloria Anzaldua's theory of Borderland identities, I rethink masculinity and offer Jose Esteban Munoz's theory of disidentification. With these theories in conversation, I analyze the themes of the …

Obesity Prevalence, Weight-Related Beliefs And Behaviors Among Low-Income Ethnically Diverse National Job Corps Students, Jamie S. Bodenlos, Milagros C. Rosal, Diane Blake, Celeste Lemay, Diane Elfenbein

Journal of Health Disparities Research and Practice

The obesity rates of Job Corps students, a predominantly ethnic minority and low income group of youth, are unknown. The purpose of this project was to examine obesity rates among these youth as well as their weight-related perceptions and behavior. First, medical charts (N=641) of all Job Corps students (ages 16-25) who were enrolled in the program in the past year were examined for height and weight. In the second phase of the study, 344 Job Corp students were recruited and information on weight perceptions, knowledge of obesity consequences, and weight loss behavior were examined. Almost half of the participants …

Health Care Disparities For Persons With Limited English Proficiency: Relationships From The 2006 Medical Expenditure Panel Survey (Meps), Diane L. Smith

Journal of Health Disparities Research and Practice

Inadequate communication between patients with limited English proficiency (LEP) and providers can be associated with lower access to health care. The purpose of this research was to determine if there is a significant difference among those persons whose primary language is English and those with LEP in ability to access care and preventative screenings and perception of interaction with their physician. Chi square analysis was performed to determine if there was a significant relationship between primary language spoken and access to health care and patient-provider interaction. Data were obtained from the 2006 Medical Expenditure Panel Study. Results show that there …

Modeling Health Inequities Research In Context And The Minority Researcher’S Role, Ari Mwachofi, Ngure Wamwachofi

Journal of Health Disparities Research and Practice

Current health inequities research templates are flawed and self-defeating because they do not include historical inequalities as the central context that points to the root causes of health inequities. The context includes structural malformations which are products of the history of colonization and slavery that created racial separation and hierarchies which established Whites as the dominant group and non-Whites (minorities) as the subordinate group. Consequently it is difficult for mainstream researchers to capture the minorities’ core knowledge necessary for the creation of relevant and effective interventions for fundamental and sustainable improvement of their health. This paper proposes a health inequities …

Prioritizing Interventions And Research To Address The Cancer Disparities Of Arizona’S American Indian Population, Norman J. Petersen, Sujata Joshi, Tim Flood, Kathryn Coe

Journal of Health Disparities Research and Practice

The aim of the Southwest American Indian Collaborative Network (SAICN) is to reduce cancer disparities by closing the gap between community needs and the promise of cancer prevention and cure through participatory education, training and research programs. In an effort to provide evidence-based recommendations and promote the use of relevant data in tribal communities, the SAICN Data and Evaluation Core developed two comparison matrices that present scientifically sound practices for use by community health decision makers in prioritizing activities likely to reduce the irrespective community’s burden of cancer. In their current configurations, Matrix A considers those cancers for which prevention …

A Communication Strategy To Address Health Inequities In Municipal Settings, Christine Unson, Ben Tyson, Angela Funaiole, Comfort Agaba

Journal of Health Disparities Research and Practice

This study assessed knowledge of health inequities, importance and benefits/barriers of addressing inequities, and ways of communicating information about inequities among municipal officials. Five focus groups (N=47) were conducted with officials from economic development, land use and housing, public safety, education, and environment departments. Discussions were recorded, transcribed and analyzed for key themes. Findings show that participants had an uneven understanding of the symptoms and causes of health inequities and identified limitations to participating in health equity initiatives and collaborating with local health departments. Recommendations are that a communication strategy to reduce health inequities should aim to increase awareness of …

Racial Disparities In Cancer Screening Among Women With Chronic Joint Pain, Edith M. Williams, Laurene Tumiel-Berhalter, Christopher Purdy, Adrianne Ransom, Judith Anderson

Journal of Health Disparities Research and Practice

Chronic pain related disorders and breast and cervical cancer are more prevalent among African-American women compared with non-Hispanic White women. However, few studies address how racial differences in the context of comorbidity may compound these disparities. This study used secondary analysis of the National Health Interview Survey (NHIS) to assess racial differences in breast and cervical cancer screening and patient education among adult women with chronic joint pain conditions. Statistical analyses included chi-square and independent samples t-tests. African-American women compared with non-Hispanic White women were less likely to receive a pap smear or mammogram within the last two years and …

Kebijakan Pembaharuan Agraria Di Indonesia : Studi Pilihan Kebijakan Landreform Pada Pola Kepemilikan Lahan Komunal, Dwi Kristianto

Jurnal Ilmu Kesejahteraan Sosial

No abstract provided.

Motherhood Spirit Dalam Kedermawanan Sosial Perempuan : Sebuah Perspektif Pemberdayaan Perempuan Berbasis Komunitas Dalam Rangka Mewujudkan Pembangunan Berpusat Pada Manusia, Rissalwan Habdy Lubis

Jurnal Ilmu Kesejahteraan Sosial

No abstract provided.

Faktor Faktor Yang Mempengaruhi Upaya Penanganan Pra Bencana Kebakaran Di Tingkat Komunitas : Studi Kasus Pada Masyarakat Rw 02, Kelurahan Karang Anyar, Kecamatan Sawah Besar, Jakarta Pusat, Steven Steven

Jurnal Ilmu Kesejahteraan Sosial

No abstract provided.

Peningkatan Pengetahuan Pengasuhan Orangtua Untuk Mewujudkan Kesejahteraan Anak Usia 5 Dan 6 Tahun : Action Research Pada Komunitas Ibu-Ibu Semai Benih Bangsa (Sbb) Tapos, Depok, Annisah Annisah

Jurnal Ilmu Kesejahteraan Sosial

This research discusses about the lack of knowledge in the SBB Tapos parenting and its association with child welfare. This study explains not only how these problems occurred, but also the potential of what society has to address the problem, and how to overcome them. Overcoming ofproblems conducted with the participation of target communities in a program of action in the form of social action. This research is an applied research that is processed in a qualitative way so that describes each stage of parenting knowledge improvement that has been done. The results of this study show a change in …

“Primero, La Verdad”: Un Análisis Sobre Los Procesos De Construcción Identitaria De Los Jóvenes De Villa Tranquila / “First, The Truth”: An Analysis Of The Processes Of Identity Construction For The Youth Of Villa Tranquila, Courtney Weintraub

Independent Study Project (ISP) Collection

Informal housing settlements in the suburbs of the City of Buenos Aires and their residents, hereby referred to in this report as villas and villeros, respectively, have historically been stigmatized for reasons real and arbitrary. The inundation of negative imagery about the villero population, as propagated by the mainstream society and its apparatuses—the government and the media, among others—often has grave consequences for the collective consciousness of the villeros themselves. My hypothesis in carrying out this investigation is that the control hegemonic society has over the labeling and identification of marginalized populations obscures the latter’s ability to form a …

Discourses Around Social Welfare Grants As Antipoverty Policy: Effectiveness And The Potential For Reform, Sarah Maniates

Independent Study Project (ISP) Collection

In a South Africa where many still live in poverty, the government has chosen an extensive system of social grants as one of the primary methods by which it attempts to reduce this poverty. Research has generated substantial quantitative evidence that the system is successful, but there has been little analysis of public opinion around this costly policy, its effectiveness, and the need for its reform. This study explores discourses around the grants, both within government and among everyday people, in order to gain insight into such opinions. This insight is important in a South Africa that is now democratic, …

Conocimientos Y Conductas Sexuales En Trabajadores Migrantes (Arica, Chile), Anna Conley

Independent Study Project (ISP) Collection

Background: The HIV/AIDS epidemic continues to be prevalent and to expand in Chile, as in many other regions of Latin America and around the world. Furthermore, it continues to concentrate in distinct, vulnerable populations. Migrant workers represent one such vulnerable population. The HIV/AIDS epidemic disproportionately impacts migrant workers because of the social, economic, and psychological factors that are involved in both migratory behaviors and disease construction.

Aim: This study identified sexual health knowledge and sexual health behavior in the migrant laborer population of Arica, Chile. More specifically, it identified risk factors for HIV/AIDS and explored possible strategies for a preventative …

Perceptions Of Healthcare, Health Status, And Discrimination Among African-American Veterans, Nathaniel Rickles, Silvia Dominguez, Hortensia Amaro

Journal of Health Disparities Research and Practice

The Institute of Medicine identified access to healthcare and race-based discrimination as important barriers to quality healthcare that contributes to health disparities. This study (1) describes African-American veterans’ perceptions of healthcare services and perceived discrimination in healthcare and (2) investigates the relationship between perceived discrimination and patient perceptions of care, satisfaction with healthcare, and health status. A convenience sample of 141 African-American veterans in Boston completed surveys from May to June 2006.

Respondents reported an average of 16 lifetime experiences of discrimination and over half recalled a situation when they experienced discrimination in healthcare. Modest ratings of perceived quality of …

Preventable Asthma Episodes Among Urban/Rural Children And Adolescents: A Comparative Study, Saundra Glover, Crystal N. Piper, Edith Williams, Kevin Bennett, Winifred Thompson, Lucy Annang, Shaniece Charlemagne, Rahnuma Hassan

Journal of Health Disparities Research and Practice

Context: Asthma is a chronic respiratory illness that is increasing in prevalence among children in the United States. A limited number of studies have examined the relationship between rurality and the prevalence of asthma in minority children, and those studies found mixed results. The aim of this study is to examine urban/rural locality and its impact on asthma episodes and preventable emergency department visits, and to provide quantitative evidence concerning the relationship between patient characteristics and geographic location. Methods: This is a retrospective study and secondary data analysis of the 2000 National Health Interview Survey. Parametric testing using Univariate/Bivariate/Multivariate analysis …

Addressing The Learning Needs At Occupy Dc, Andrew J. Batcher

Capstone Collection

The purpose of this paper is to examine how learning can help the Occupy movement in Washington DC. It explores three questions. What are the learning needs of the movement? What educational content can help meet those needs? And how can education be practiced in a way that most effectively addresses the learning needs within the real world circumstances of the movement? Research methods include participant observation, surveys, interviews, focus groups, literature review, and primary document review. Data was coded into 11 outcome oriented learning needs and 3 educational orientations which are geared towards meeting those needs. This paper is …

Study Guide For United In Anger: A History Of Act Up, Matt Brim

Open Educational Resources

The United in Anger Study Guide facilitates classroom and activist engagement with Jim Hubbard’s 2012 documentary, United in Anger: A History of ACT UP. The Study Guide contains discussion sections, projects and exercises, and resources for further research about the activism of the New York chapter of ACT UP (AIDS Coalition to Unleash Power). The Study Guide is a free, interactive, multimedia resource for understanding the legacy of ACT UP, the film’s role in preserving that legacy, and its meaning for viewers' lives.

Catalyst: A Social Justice Forum, Volume One, Issue One, Shane Willson, Landon S. Bevier, Rachael E. Gabriel, Taylor Krcek, Alaina Elizabeth Smith

Catalyst: A Social Justice Forum

It is with great pride that we present to you the inaugural issue of Catalyst: A Social Justice Forum. Here we have attempted to create an innovative, peer-reviewed space in which people from numerous disciplines, or even those claiming no discipline, can present research, multimedia, and art aimed at furthering the ideals of social justice, broadly defined. Social justice is not a concept owned by the academy, for attempts to create a more just world can come from many professions, or even from no profession at all. By applying the traditionally academic peer-review process to work done by activists, artists, …

The Writing On The Stall: Graffiti, Vandalism, And Social Expression, Brett Wolff

Kaleidoscope

Graffiti and vandalism are everywhere in the modern city; they seem to be part of the typical urban background. While graffiti are usually associated with concrete walls, bridges and train cars, one particular area of focus of vandalistic writing is the walls and stalls of public bathrooms. This area, for both obvious, and sometimes unclear reasons, is a popular forum for anyone wanting to write. This project was conducted with the intent of better understanding these somewhat ubiquitous and seemingly mundane scribbles. As the first step toward this goal, a literature review of approaches to vandalism was conducted. This theoretical …

Alliances Et Cultures: Cap Nord, Stacey Fitzpatrick

Independent Study Project (ISP) Collection

En essence, Alliance et Culture est un endroit où les gens peuvent rencontre et apprennent comment de vivre ensemble. Cette association, officiellement crée en 1987, avait la mission de répondre à problèmes d'intégration sociale par des actions collectives, et le développement d’une vie social dans les quartiers. Pour réaliser cet objectif ils offrent des activités et services ouvrent à tout le monde comme l’accompagnement à la scolarité, les ateliers, les cours d’alphabétisation et de Français, et les ludothèques et plus. Il y a trois centres en Toulouse dans diffèrent lieux qui contribuent aux les gens dans les quartiers des Mirail, …