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Full-Text Articles in Community-Based Research

A Quantitative Exploration Of Risk And Protective Factors Affecting The Mental Health Of Chitimacha Tribal Youth, Daphnie Vilcan-Tanner Dec 2025

A Quantitative Exploration Of Risk And Protective Factors Affecting The Mental Health Of Chitimacha Tribal Youth, Daphnie Vilcan-Tanner

LSU New Orleans Theses and Dissertations

This study examines the relationships between demographics, risk factors, and protective factors with mental distress among Chitimacha Tribal adolescents aged 12 to 18. Using a Positive Youth Development framework, the research aimed to identify the prevalence of mental distress, trauma, discrimination, and protective factors, as well as their collective and individual impacts on mental health. Data were collected through online surveys completed by 73 participants residing on or near the Chitimacha Tribal Reservation. Descriptive statistics and multiple linear regression analyses were conducted to analyze the data. Results revealed that while trauma and discrimination collectively predicted mental distress, family and community …


Undergraduate Awareness Of Sexual Harassment Law In Tanzania's Higher Learning Institutions: Case Studies Of Two Universities, Salma Ramadhan Fundi Phd Candidate Dec 2025

Undergraduate Awareness Of Sexual Harassment Law In Tanzania's Higher Learning Institutions: Case Studies Of Two Universities, Salma Ramadhan Fundi Phd Candidate

Tanzania Journal of Sociology

This study examines undergraduate students' awareness of legal provisions and guidelines concerning sexual harassment in Tanzanian higher education, focusing on the University of Dar es Salaam (UDSM) and the Open University of Tanzania (OUT) as case studies. Sexual harassment significantly impacts students’ well-being, safety, and academic success. Despite the existence of legal frameworks, students' knowledge of these provisions is often limited. The study employed a qualitative approach with a phenomenological research design to explore students’ experiences and perceptions of harassment policies. This design allowed participants to share the meanings they attach to their experiences and how such policies are understood …


Exploring Hiring Managers’ Strategies For Recruiting Diverse Educators In A Southeastern State, Keisa K. Davis Ma Dec 2025

Exploring Hiring Managers’ Strategies For Recruiting Diverse Educators In A Southeastern State, Keisa K. Davis Ma

Dissertations

This dissertation examined the strategies applied by hiring managers within one state in the southeastern United States to recruit diverse teachers. The purpose of the study was to explore hiring managers’ experiences and knowledge of minority teacher recruitment. The primary research question for this study was: What strategies do hiring managers in the school district under study find most effective in overcoming barriers to recruiting minority educators, and how do they measure their success? Data was collected through semi-structured interviews, and thematic coding was used to arrive at emerging themes, patterns, and perceptions. The findings revealed that while hiring managers …


9th Gsep Research Symposium - 2025 Oct 2025

9th Gsep Research Symposium - 2025

GSEP Research Symposium

The Ninth Annual GSEP Research Symposium, themed "Building Bridges to Elevate Humanity: Innovations and Insights in Education and Psychology", was hosted by the Pepperdine University Graduate School of Education and Psychology (GSEP) on June 19–20, 2025, at the historic Château d’Hauteville in Switzerland and virtually via Zoom.

This hybrid symposium convened a vibrant global community of students, alumni, faculty, and scholars to share research that addresses real-world challenges, advances scholarly inquiry, and builds pathways for inclusive collaboration and leadership. Spanning a wide array of topics—from artificial intelligence and mental health to trauma-informed practices, educational equity, social justice, and cross-cultural leadership—the …


Digital Learning And Healing: Impacts Of Ai In Art Therapy, Cassandra E. Buffington-Bates Oct 2025

Digital Learning And Healing: Impacts Of Ai In Art Therapy, Cassandra E. Buffington-Bates

Journal of Human Services: Training, Research, and Practice

Art therapy, a creative approach to mental and emotional healing, is evolving with digital technologies to improve accessibility and care. This paper explores how artificial intelligence (AI) enhances art therapy by fostering emotional intelligence, collaboration, and personalized interventions. It highlights AI’s potential to support therapy while addressing challenges like empathy, data privacy, and training gaps. Through a literature review, the study offers insights into integrating AI with human-centered practices, providing innovative solutions for emotional and cognitive well-being.


English-Spanish Bilingual Speech Language Pathologists’ Experiences Evaluating English Language Learner Students: Incorporating Conceptual Scoring, Barbara De Jesus Rivera, Raul Prezas Oct 2025

English-Spanish Bilingual Speech Language Pathologists’ Experiences Evaluating English Language Learner Students: Incorporating Conceptual Scoring, Barbara De Jesus Rivera, Raul Prezas

Journal of Human Services: Training, Research, and Practice

The number of multilingual/bilingual students has increased across schools in the United States. Assessment in both the native language and English is considered the standard for evaluating bilingual children referred for language testing. Conceptual Scoring is an evaluation approach for bilingual students that considers the students’ responses in both languages to obtain an overall language score; however, there is variability among practitioners on best practices for multilingual assessment.

Purpose: The current study (a) sought to explore the decision-making process of bilingual SLPs when evaluating bilingual students, (b) to gain a deeper understanding of how bilingual SLPs incorporate conceptual scoring in …


Black Somatic Liberatory Practices: The Africanist Aesthetic In Psychotherapeutic Movement Observation, Ebony Nichols Sep 2025

Black Somatic Liberatory Practices: The Africanist Aesthetic In Psychotherapeutic Movement Observation, Ebony Nichols

Counseling and Psychology Dissertations

This critical ethnographic qualitative study explored Black body-based healing practices and coping strategies used to resist and titrate the impact of racism and oppression. It also examined how Black individuals use their bodies to regulate their nervous systems to heal and cultivate liberatory practices. Grounded in theoretical frameworks such as Black Psychology, African Indigenous Healing Systems, Liberation Psychology, and Critical Race Theory, this research investigated the intersections of Black Aesthetics, Psychology, and the body through the lens of the Africanist Aesthetic. The study employed interaction analysis and reflexive thematic analysis to analyze non-verbal and verbal data collected from two focus …


Latinos In Massachusetts Selected Areas: Boston, Phillip Granberry, Florita Coto Tristán Sep 2025

Latinos In Massachusetts Selected Areas: Boston, Phillip Granberry, Florita Coto Tristán

Gastón Institute Publications

The City of Boston Planning Department has found that Boston’s population was undercounted in the 2020 Census by as many as 25,000 people and that subsequent population estimates continue to understate the population.1 The Planning Department’s Research Division has developed a tool to display limited demographic data, but these population estimates are insufficient for purposes of this report.2 Therefore, this report uses 2019-2023 American Community Survey and may therefore undercount Boston’s population. Boston, the largest city in the Commonwealth, is home to an estimated 126,647 Latinos. This is the largest Latino population in the state, though other smaller cities (Lawrence, …


Voices Of Black Leadership: Town-Gown Relationships And The Black Community, Dave A. Louis, Kenzalia Bryant-Scott, Teranda J. Donatto Jul 2025

Voices Of Black Leadership: Town-Gown Relationships And The Black Community, Dave A. Louis, Kenzalia Bryant-Scott, Teranda J. Donatto

Journal of Community Engagement and Higher Education

This study explores the perspectives of 27 Black community leaders from Black communities in the United States about town-gown relationships in their communities. Utilizing the responses of the participants, a basic thematic analysis was conducted, and participants’ findings discussed. Emergent themes included issues of mistrust, division, desire for community improvement, and the positive relationships with Black colleges and universities. The researchers offer suggestions to university administrators, community engagement coordinators, and institutions about their approach to create meaningful and collaborative partnerships with Black communities.


Land Access As Liberation: A Qualitative Study On Faith, Food, And Farming Of Urban And Rural Black Land Stewards In The United States, Dominique Edwards Jun 2025

Land Access As Liberation: A Qualitative Study On Faith, Food, And Farming Of Urban And Rural Black Land Stewards In The United States, Dominique Edwards

Dissertations

Since 1920, Black farmers in the United States have held less than 2% of the nation's farmland, a direct result of race-based discriminatory policies embedded within federal, state, local, and county-level institutions (Daniel, 2013). Structural barriers—ranging from exclusionary lending practices by the U.S. Department of Agriculture (USDA) to the systematic dispossession of land through legal loopholes, heirs’ property laws, and violent racial terror—have contributed to this staggering decline in Black land ownership (Gilbert et al., 2002). The erosion of Black agrarian landholdings intensified in the latter half of the 20th century, as government programs, civil rights legislation, and technological advancements, …


For The Time Beings, Tori Hong May 2025

For The Time Beings, Tori Hong

Masters Theses

For the Time Beings is a socially engaged installation and artist book exploring the material consequences and future possibilities of sociocultural time theories. Time, in the West, is typically associated with Newtonian linearity, while in the East, time theory relies on Buddhist principles. These epistemologies reinforce hierarchical and patriarchal structures. Centered on Indigenous Asian and Asian American perspectives, For the Time Beings challenges dominant ideologies of existing in time and space.

For nearly a year, I’ve burned handwritten prayers on new and full moons. The ashes of these prayers are incorporated into reverential drawings of chosen ancestors, made with charcoal …


"La Vida Es Un Carnaval": An Exploration Of Cuban Identity And Nostalgia Through Dance/Movement Therapy - A Community Engagement Project, Maria Fernanda Mendez Mendoza May 2025

"La Vida Es Un Carnaval": An Exploration Of Cuban Identity And Nostalgia Through Dance/Movement Therapy - A Community Engagement Project, Maria Fernanda Mendez Mendoza

Expressive Therapies Theses

“La Vida Es Un Carnaval” is a community engagement project and thesis that explores how identity and nostalgic resilience show up through dance/movement therapy with Cuban immigrants living in the United States, specifically Massachusetts. This project brought together six Cuban-born participants, ages 26 to 67, each with their own unique migration stories; from the Rafter Balsero Crisis of 1994, to the “Wet-Foot/Dry-Foot” policy, and family reunification. Through a mix of in-person and online sessions, participants explored their experiences using intermodal activities including dance/movement therapy techniques, conversation, journaling, artwork, and music. Themes of cultural pride, “Cubanía” – Cuban-ness, culture shock, and …


Integrating Positive Psychology And Spirituality To Foster Meaning And Well-Being In Older Adults, Crystal Morris May 2025

Integrating Positive Psychology And Spirituality To Foster Meaning And Well-Being In Older Adults, Crystal Morris

Adultspan Journal

This perspective article explores the integration of positive psychology interventions (PPIs) and spirituality in therapy to foster meaning and well-being in older adults. It highlights exercises such as the positive introduction, positive legacy, character strengths, mindfulness, mindful-based yoga, and a manifestation prayer journaling. The interventions presented are tools to support older adults that may experience depression, difficult life transitions, and the search for renewed meaning. Therapists who integrate PPIs and spirituality into therapy can promote a holistic, non-pathological approach to treatment.


Seven Themes About Substance Use Among Asian Americans, Carolyn Wong, Sun S. Kim Phd, Aprn-Bc May 2025

Seven Themes About Substance Use Among Asian Americans, Carolyn Wong, Sun S. Kim Phd, Aprn-Bc

Institute for Asian American Studies Publications

This research brief summarizes the findings from a study on improving services for Asian Americans at risk for substance use problems that was conducted by the Institute for Asian American Studies in collaboration with the Bureau of Substance Addiction Services at the Massachusetts Department of Public Health. The full report, Exploring Substance Use Among Asian Americans: Seven Themes from Interviews with Service Providers and Community Residents by Drs. Carolyn Wong and Sun S. Kim is available here: https://scholarworks.umb.edu/iaas_pubs/51/


Famílias Indigenas Entre Mundos: Standing In Pachakuti, Living In Chi’Xi Within The Constellation Of Their Comunidad De Saberes, Ymasumac Marañón Davis May 2025

Famílias Indigenas Entre Mundos: Standing In Pachakuti, Living In Chi’Xi Within The Constellation Of Their Comunidad De Saberes, Ymasumac Marañón Davis

Dissertations

To be Indigenous is to be la luz del mundo, to stand in your light and spread your sunrays, no matter winds or clouds of colonization that strive to dim you. This qualitative study explored ways Indigenous Latine families negotiate a sense of place within onto-epistemological realities and their home culture of learning and Western education. This research is desire-based (Eve Tuck, 2009), creating our own project of modernity, grounded in one Indigenous family’s experience within their Andean community. Drawing from Critical Latine Indigeneities Framework (Blackwell et al., 2017) and Chicana Feminist Epistemologies (Bernal, 1998), using an Entre Mundos methodology, …


God’S Got Me:The Intersection Of Faith And Mental Healing, Bre'anna Coleman Apr 2025

God’S Got Me:The Intersection Of Faith And Mental Healing, Bre'anna Coleman

Honors Theses

Due to the lack of healthcare accessibility and other factors within the Mississippi Delta, faith and the church is often utilized within African American communities in the area as a form of mental wellness. The Intersection of Faith and Mental Healing was a photo voice methodology project that highlighted how faith and mental healing intersect and impact African Americans within the Mississippi Delta. Through three prompts, six participants discussed mental health and how faith, location, and their identities shaped their views of mental wellness. Five participants were male with one female participant. Their ages ranged from eighteen to sixty five …


Community-Driven Policy Solutions To Police Accountability, Rashawn Ray Mar 2025

Community-Driven Policy Solutions To Police Accountability, Rashawn Ray

Brookings Scholar Lecture Series

George Floyd’s death shifted public opinion as 76% of Americans agreed that incidents such as the killing of Floyd are signs of racism within law enforcement. While police reforms such as implicit bias training and body-worn cameras gained public support, they insufficiently address the structural, cultural, and organizational components of policing that can obstruct accountability and contribute to racial disparities in policing. In this lecture, Brooking Senior Fellow Rashawn Ray presents interview, survey, social media, and virtual reality data with police officers, activists, and civilians, and demonstrates state- and city-level databases on police reform legislation. Ray posits that evidence-based policy …


No Longer Invisible: 2025 Massachusetts Asian And Pacific Islander American (Apia) Community Survey Report, Watanabe P. Dhaurali S. Jan 2025

No Longer Invisible: 2025 Massachusetts Asian And Pacific Islander American (Apia) Community Survey Report, Watanabe P. Dhaurali S.

Institute for Asian American Studies Publications

The first Massachusetts Asian Pacific Islander American (APIA) Community Survey gathered opinions from 1,414 APIAs across the state in March 2025 on issues such as economic stability, political engagement, safety and sense of belonging, healthcare access, as well as recent executive actions by the federal administration. The survey was offered in Chinese, Vietnamese, and Khmer languages in addition to English.The resulting data was disaggregated by the three largest APIA subgroups in MA: Chinese, Indian and Vietnamese Americans.
Key findings include that housing affordability and cost of living are the top economic concerns for APIAs across Massachusetts; both citizens and non-citizens …


Identifying Intangible And Biocultural Heritage Elements Toward Environmental Understanding: Engaging Stakeholders Through Art, Martha B. Lerski Jan 2025

Identifying Intangible And Biocultural Heritage Elements Toward Environmental Understanding: Engaging Stakeholders Through Art, Martha B. Lerski

Publications and Research

Grounded in a case study in Barbuda in the Caribbean, this research examines sustainability from the perspective of what arts and heritage can contribute to community engagement and local and broader understandings about the environment. This article documents a growing body of literature recognizing the role of arts and culture, including local knowledge and traditional ecological knowledge (TEK), in climate change endeavors. Art and TEK present expansive world views. Contextual information situates research done on the island of Barbuda pre- and post-Hurricane Irma. Visual arts workshops engaged community members in mixed methods research. Results documented cultural elements, particularly intangible and …


Healing Communities With Police Divestment: Seeking Abolition Through Transformative Reform And Community-Government Collaboration, Jessica E. Gillson Jan 2025

Healing Communities With Police Divestment: Seeking Abolition Through Transformative Reform And Community-Government Collaboration, Jessica E. Gillson

Undergraduate Honors Theses

Concerns about the efficacy and sustainability of the U.S. carceral system have persisted throughout the country’s history, recently fueling renewed activism and bipartisan calls for reform. However, proposed solutions remain divisive. This thesis first defines the current status of our prison systems, then explores collaborative alternatives to incarceration and policing that support communities and break cycles of incarceration.

Focusing on partnerships among local governments, community organizations, justice-involved individuals, and law enforcement, this study examines holistic approaches to crime prevention, reentry, and reintegration. Using an interdisciplinary framework incorporating restorative justice, community resilience, and systems theory, it investigates how community-based strategies can …


Urban Isolation In The Digital Age- Examining The Sociological Impact Of The Digital Divide On Civic Life In U.S. Cities, Delante Clark Jan 2025

Urban Isolation In The Digital Age- Examining The Sociological Impact Of The Digital Divide On Civic Life In U.S. Cities, Delante Clark

Graduate Scholarship and Creative Works

The digital divide remains a persistent barrier to civic participation and social inclusion in urban America, particularly in historically underserved communities. This mixed-methods study investigates how digital lack of access affects civic engagement, social capital, and community cohesion in U.S. cities, with a focus on Chicago’s South Side, Harlem New York, St. Louis, and Orlando. Drawing on quantitative data from recent surveys and qualitative insights from peer-reviewed literature, the research applies four sociological frameworks, Urban Sociology, Social Capital Theory, Critical Race Theory, and Symbolic Interactionism. These were used to examine the structural and interpretive aspects of digital isolation. Findings reveal …


More Than Players, More Than Coaches: Institutional Agents And Youth Development In Urban And Suburban Minority-Majority Neighborhoods, Rainah N. Folk Jan 2025

More Than Players, More Than Coaches: Institutional Agents And Youth Development In Urban And Suburban Minority-Majority Neighborhoods, Rainah N. Folk

Theses and Dissertations

Institutional agents play a crucial role in shaping youth development. While the institutional agent framework is well established in postsecondary research, less is known about its role during mid-adolescence. Using relational ethnography and responsive interviewing, this study compares an urban and a suburban high school in minority-majority neighborhoods in Cook County, Illinois, to explore how development is influenced through relationships between sport coaches and high school athletes. Athletes in both contexts face significant challenges tied to neighborhood conditions and socioeconomic status. In response, coaches form deeply caring and supportive relationships, though their roles diverge in ways shaped by their urban …


Honorable Mention Research Paper: The Impact Of External Factors On Urban Youth Behaviors, Erin Simmons Dec 2024

Honorable Mention Research Paper: The Impact Of External Factors On Urban Youth Behaviors, Erin Simmons

Kevin and Tam Ross Undergraduate Research Prize

This study examines how community, family, and educational dynamics impact behavioral and academic outcomes for students in urban communities, focusing on Black and Latinx youth. Through qualitative research involving interviews and observations, the study explores how factors like family instability, economic challenges, and community violence influence students’ behaviors and motivations in school. Findings reveal that unresolved trauma and external stresses manifest in the behavior and emotions of students within the classroom, affecting both student engagement and achievement. The research offers insights for educators, counselors/ therapists, social workers, families and policymakers to develop supportive interventions that address students’ unique experiences.


Strategies For Prevention And Management Of Non-Communicable Diseases Among Community Women In Nigeria: Insights For Family Social Welfare, Abiola Adiat Omokhabi Dr Oct 2024

Strategies For Prevention And Management Of Non-Communicable Diseases Among Community Women In Nigeria: Insights For Family Social Welfare, Abiola Adiat Omokhabi Dr

Journal of Human Services: Training, Research, and Practice

In this study, modifiable risk factors, prevention and management plans for non-communicable diseases (NCDs) among women were examined. This study examined published and grey literature that was gathered from a number of sources, such as open data portals on the five major illness categories that make up the NCDs such as cardiovascular diseases (CVDs), diabetes, malignancies, chronic respiratory diseases, and mental health. Literature shows that the primary behavioural risk factors for NCDs, including CVDs, diabetes, and cancer(malignancies), can be largely avoided. Inactivity, tobacco use, alcohol use, and unhealthy eating habits (often high in processed sugar, fats, and salt) are a …


Training Counselors In Clinical Case Formulation: A Proof Of Concept Of The Thematic Mapping Method, Christina E. Jeffrey, Charles Ridley, Nina Quintana, Taylor Parks Oct 2024

Training Counselors In Clinical Case Formulation: A Proof Of Concept Of The Thematic Mapping Method, Christina E. Jeffrey, Charles Ridley, Nina Quintana, Taylor Parks

Journal of Human Services: Training, Research, and Practice

Case formulation, or the way in which clinicians synthesize client information and formulate appropriate treatment directions, is a crucial part of counseling and clinical training. Thematic mapping is a transtheoretical, transdiagnostic strategy of case conceptualization that provides a holistic, complex, multicultural formulation of clients. This proof of concept study evaluated the relationship of a training in the thematic mapping method and case conceptualization quality. Supervisors trained six second-year counselors in the method, along with application to clinical cases, during weekly group supervision. Case formulation complexity, evidence of a systematic approach, level of detail, and goodness-of-fit from client data to synthesized …


Providing End-Of-Life Counseling: A Narrative Inquiry, Carol Hecht, Sibyl West Sep 2024

Providing End-Of-Life Counseling: A Narrative Inquiry, Carol Hecht, Sibyl West

Adultspan Journal

This qualitative study aimed to address the gap in the research related to end-of-life counseling by exploring the experiences of counselors working with clients at end of life. While counseling literature and education are lacking regarding end of life, many counselors will work alongside clients approaching death. The purpose of this study was twofold: (a) to better understand the nuanced experiences of counselors providing end-of-life counseling and (b) to explore the supports and preparations helpful for counselors to provide end-of-life counseling. A narrative approach, using the Listening Guide (Gilligan, 2015), was employed to analyze and present the stories of three …


Considerations Of Medicare Telehealth Services With Older Adults, Sonah Kho, Amanda Dediego Sep 2024

Considerations Of Medicare Telehealth Services With Older Adults, Sonah Kho, Amanda Dediego

Adultspan Journal

The onset of the COVID-19 pandemic set in motion a rapid expansion of mental health services offered via telehealth. With this rapid expansion came the need to examine how policy and practice should be shaped in a future where telehealth is considered common in counseling practice. For counselors to understand how to support older adult clients in using telehealth services, they must understand telehealth policy. Following the eligibility of licensed counselors to participate in Medicare, counselors need to stay abreast of regulatory changes regarding restrictions and regulations on use of telehealth for mental and behavioral health services, including video and …


Remembering Lost Lives And Collective Healing From Trauma: Homicides, Incarceration, And Pain-Driven Advocacy In The Jane And Finch Community, Ardavan Eizadirad, Devon Jones, Greg Leslie, Tamasha Grant Sep 2024

Remembering Lost Lives And Collective Healing From Trauma: Homicides, Incarceration, And Pain-Driven Advocacy In The Jane And Finch Community, Ardavan Eizadirad, Devon Jones, Greg Leslie, Tamasha Grant

Education Faculty Publications

This article serves as a vessel for knowledge mobilization and activism as research, intertwining remembrance of lost lives and communal healing by sharing collective pain amongst the authors and bolstering mutual support. Guided by personal encounters with violence including death, homicides, and incarceration, four authors comprising a teacher, social worker, and two community activists, unveil their 20-year+ advocacy journey in the Jane and Finch community in Toronto, Canada including their involvement with programs and services through the non-profit organization Youth Association for Academics, Athletics, and Character Education (YAAACE). The pain and suffering are shared as symptoms of systemic trauma inflicted …


Remembering Lost Lives And Collective Healing From Trauma: Homicides, Incarceration, And Pain-Driven Advocacy In The Jane And Finch Community, Ardavan Eizadirad, Devon Jones, Tamasha Grant, Gerg Leslie Sep 2024

Remembering Lost Lives And Collective Healing From Trauma: Homicides, Incarceration, And Pain-Driven Advocacy In The Jane And Finch Community, Ardavan Eizadirad, Devon Jones, Tamasha Grant, Gerg Leslie

Education Faculty Publications

This article serves as a vessel for knowledge mobilization and activism as research, intertwining remembrance of lost lives and communal healing by sharing collective pain amongst the authors and bolstering mutual support. Guided by personal encounters with violence including death, homicides, and incarceration, four authors comprising a teacher, social worker, and two community activists, unveil their 20-year+ advocacy journey in the Jane and Finch community in Toronto, Canada including their involvement with programs and services through the non-profit organization Youth Association for Academics, Athletics, and Character Education (YAAACE). The pain and suffering are shared as symptoms of systemic trauma inflicted …


Skin Tone Discrimination And Birth Control Avoidance Among Women In Harris County, Texas: A Cross-Sectional Study, Eran Ben-Porath Sep 2024

Skin Tone Discrimination And Birth Control Avoidance Among Women In Harris County, Texas: A Cross-Sectional Study, Eran Ben-Porath

Faculty, Staff and Student Publications

INTRODUCTION: Structural racism plays a major role in reproductive health inequities. Colorism, discrimination based on skin color, may profoundly impact reproductive health access and service delivery. However, quantitative research in this area is limited.

METHODS: We administered an online survey of women (n = 1,299) aged 18-44 from Harris County, Texas to assess the relationship between skin color discrimination and reproductive health service avoidance. The survey included questions on demographics, self-reported skin tone, and dichotomous measures of previous discrimination experiences and avoidance of care because of perceived discrimination. Binary logistic regression was used to examine whether race/ethnicity, skin tone, and …