Community-Based Research Commons^™

Accessible Medical Equipment For Patients With Disabilities In Primary Care Clinics: Why Is It Lacking?, Jennifer Renee Pharr

Environmental & Occupational Health Faculty Publications

Background: Previous research has identified inaccessible medical equipment as a barrier to health care services encountered by people with disabilities. However, no research has been conducted to understand why medical practices lack accessible equipment.

Objectives/Hypothesis: The purpose of this study was to examine practice administrators’ knowledge of accessible medical equipment and cost of accessible medical equipment to understand why medical practices lack such equipment. Hypotheses were: 1) Practice administrators lacked knowledge about accessible medical equipment and 2) The cost of accessible medical equipment was too great compared to standard equipment for the clinic.

Methods: This study was a mixed methods …

Awareness And Beliefs Regarding Intimate Partner Violence Among First-Year Dental Students, Rhonda J. Everett, Karl Kingsley, Christina A. Demopoulos, Edward E. Herschaft, Christine Lamun, Sheniz Moonie, Timothy J. Bungum, Michelle Chino

Environmental & Occupational Health Faculty Publications

Intimate partner violence (IPV) may affect one to four million individuals per year in the United States, with women accounting for the majority of both reported and unreported cases. Dental professionals are in a unique position to identify many types of IPV because injuries to the head and neck may be indicators or predictors of IPV abuse. Fewer than half of dental programs surveyed have reported having IPV-specific curricula, and most dental students surveyed have reported having little experience or training to recognize IPV. Based on this information, this pilot study sought to assess the awareness and beliefs regarding IPV …

Environmental, Human And Socioeconomic Characteristics Of Pedestrian Injury And Death In Las Vegas, Nv, Jennifer Renee Pharr, Courtney Coughenour, Timothy J. Bungum

Environmental & Occupational Health Faculty Publications

Background: Pedestrian crashes are a deterrent to physical activity, especially walking. The purpose of this study was to analyze pedestrian crash characteristics in Clark County, NV and to determine if there was a significant relationship between pedestrian crashes and socio-economic variables.

Methods: Police reported pedestrian crash data collected between January 2009 and December 2011 were analyzed. Frequencies and rates for pedestrian crashes, injuries and deaths were calculated for environmental and human characteristics. Chi square tests were utilized to determine if there were significant differences in environmental and human characteristics for pedestrian injuries and deaths. Zero-inflated negative binomial (ZINB) regression analysis …

Predicting Barriers To Primary Care For Patients With Disabilities: A Mixed Methods Study Of Practice Administrators, Jennifer Renee Pharr, Michelle Chino

Environmental & Occupational Health Faculty Publications

Background. People with disabilities continue to be identified as a group who experience disparate health/health care. They are less likely to engage in some health care services. Structural barriers are often identified as one of the reasons for the underutilization of some health care services by people with disabilities. However, to date no study has been conducted to understand why structural barriers persist twenty years after the Americans with Disabilities Act (ADA) became law.

Objectives. We examined the relationship between primary care practice administrators’ knowledge of the ADA and the number of accessibility barriers that patients with mobility disabilities might …

Emotional, Psychological, And Behavioral Challenges Of Children With Incarcerated Parents, Starr Bailey, Marie Antoinette Wakefield

McNair Poster Presentations

Children of incarcerated mothers and fathers are at a high risk of developing emotion­al, psychological, and behavioral problems (Dallaire, 2000; Lotze, Ravindran, & Myers, 2010; Nurse, 2004). The literature review conducted for this study noted several problem­atic behaviors. Some children were at a high risk for delinquency and criminal activity. Others experienced several home displacements which led to foster care or grand parenting responsibilities (Belknap, 2006). Further, mental health issues and school behavior prob­lems were directly linked to parental incarceration (Arditti, 2012). Four main problems in children were identified, which included aggression, anxiety, poor concentration, and so­cial withdrawal. Some children …

Health Disparities Experienced By People With Disabilities In The Us: A Behavioral Risk Factor Surveillance System Study, Jennifer Renee Pharr, Timothy J. Bungum

Environmental & Occupational Health Faculty Publications

The Americans with Disabilities Act became law in 1990; since then research has shown that people with disabilities continue to experience barriers to health care. The purpose of this study was to compare utilization of preventive services, chronic disease rates, and engagement in health risk behaviors of participants with differing severities of disabilities to those without disabilities. This study was a secondary analysis of 2010 data collected in the Behavioral Risk Factor Surveillance System national survey in the United States. Rao Chi square test and logistic regression were employed. Participants with disabilities had significantly higher adjusted odds ratios for all …

Evaluating The Convergent Validity Of The Measure Of Emotional Connotations, Daniel N. Erosa

McNair Poster Presentations

The Measure of Emotional Connotations (MEC; Barchard, Kirsch, Anderson, Grob, & Anderson, 2012) is a new test that has been developed to measure the ability to perceive the emotional connotations of written language. To examine its convergent validity, the MEC will be correlated with the two emotion perception tasks on the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT; Mayer, Salovey, Caruso, & Sitarenious, 2003). These MSCEIT tasks are valid tests of emotion perception; thus, strong correlations would provide support for the MEC as a valid test of emotion perception.

School Program Planning To Increase Active Transport To School, Brenda Aguilar

McNair Poster Presentations

Studies have shown that active transport is known to increase physical activity of children, decrease traffic congestion and the production of greenhouse gasses. This study examines active transport to school (ATS) [walking, biking, or other self-powered wheels to school] among elementary students. Through the Nevada Moves Day program an increase proportion of elementary students who use ATS was expected.

This study was done at two elementary schools, one being the intervention school that participated in the Nevada Moves Day, and a control school, which did not participate. Data was collected over a three week period. Students using active transport and …

Creating New Stories, Creating New Lives: Applying Narrative Therapy To Survivors Of Human Sex Trafficking, Paige Espinosa

McNair Poster Presentations

The effects of trauma experienced by survivors of sexual human trafficking has been an under-researched topic in the psycho­logical community. This study will review the current literature on the psychological and emotional implications associated with human sex trafficking, and analyze the components of narrative therapy and its previous application in treating domestic abuse trauma. This paper will explore the viability of narrative therapy as a method to treat the complicated traumas and stress developed as a victim of sexual trafficking. The ultimate goal of this literature analysis is to propose a study that utilizes narrative therapy as an approach that …

Health Status Effects On Human Female Mate Preferences And Sociosexuality, Tiffany Alexandra Alvarez

McNair Poster Presentations

Much literature suggests that the sociosexual strategies of females are highly sensitive and consequently responsive to change and its parameters. Through the investigation of an unexplored contextual variant—health status—this study aimed to broaden the understanding of the facultative nature of human female sociosexuality and mate preferences paradigms. We recruited normally cycling women between the ages of 18 and 30 when they were sick (A) had them complete a questionnaire designed to obtain, among other things, measures of their symptom severity and sociosexuality (B) had them evaluate the appeal of two computer manipulated markers of sexual dimorphism (those present in the …

Health Effects Associated With Foreclosure: A Secondary Analysis Of Hospital Discharge Data, Nancy N. Menzel, Sheniz Moonie, Melva Thompson-Robinson

Environmental & Occupational Health Faculty Publications

Objectives: The purpose of this study was to assess the health effects of high home foreclosure rates in an area of the United States of America and the utility of hospital discharge data for this purpose.

Methods: We analyzed hospital discharge data from three postal zip codes using the principal diagnosis for 25 Diagnostic Related Groups associated with stress. Descriptive statistics were used to characterize hospital discharge rates for each condition by year and zip code. To test for differences across time, the Cochran-Armitage trend test was performed.

Results: Most conditions did not demonstrate a statistical change between 2005 and …

Health Effects Associated With Foreclosure: A Secondary Analysis Of Hospital Discharge Data, Nancy Menzel, Sheniz Moonie, Melva V. Thompson-Robinson

Nursing Faculty Publications

Objectives. The purpose of this study was to assess the health effects of high home foreclosure rates in an area of the United States of America and the utility of hospital discharge data for this purpose. Methods. We analyzed hospital discharge data from three postal zip codes using the principal diagnosis for 25 Diagnostic Related Groups associated with stress. Descriptive statistics were used to characterize hospital discharge rates for each condition by year and zip code. To test for differences across time, the Cochran-Armitage trend test was performed. Results. Most conditions did not demonstrate a statistical change between …

Predictors Of Parental Involvement In Immigrant Chinese American Families, Pamela Cornejo, Cathy Anicama, Qing Zhou

McNair Poster Presentations

Parental involvement (PI) relates to children’s positive outcomes but few studies have examined factors of PI, particularly among immigrant families. The current study examines how contextual characteristics influence PI behaviors within Chinese immigrant families and potential mediating factors. Percentage of Asian students in schools and Parents’ report of education. English and Chinese proficiency, employment status and income were analyzed as predictors of PI behavior (i.e., parental involvement- home (PIH), parental involvement- School (PIS), parent-teacher contact (PTC)), based on parent and teacher report. Parental beliefs such as parent and teacher roles, perception of impact and ability, and endorsement of school were …

Suicide Trends And Prevention In Nevada, Matt Wray, Tatiana Poladko, Misty Vaughan

Social Health of Nevada Reports

Suicide is a leading cause of death in the United States. In 2007, nearly 35,000 Americans took their own lives, a rate of 11.5 suicides per 100,000 (Xu et al. 2010). Among 15-24 year olds, suicide is the third leading cause of death and for those aged 25-34, it is the second leading cause (CDC WISQARS 2007).

Crime And Delinquency In Nevada, Brooke M. Wagner, Andrew L. Spivak, Stephanie L. Kent, Deborah Koetzle

Social Health of Nevada Reports

Crime and justice system have received much attention from American scholars and politicians in the last than 50 years, with issues in adult criminality, delinquency, and penology emerging at the center stage of criminological inquiry. While scholarly literature now includes many studies focused on different regions and cities, there are no large-scale empirical examinations of crime and delinquency in Nevada. One exception is the Social Health of Nevada report issued in 2006 by University of Nevada, Las Vegas (UNLV) Center for Democratic Culture (CDC).

Disease Prevalence And Behavioral Risk In Nevada, Shannon M. Monnat

Social Health of Nevada Reports

Throughout the last several years, people living in the United States have engaged in intense debates about health care reform, costs, and mandates. What is often missing from these debates is arguably the key issue in American health: What is making us sick in the first place?

Health Care Access And Insurance Availability In Nevada, Douglas L. Garner, Marie A. Wakefield, Tiffany G. Tyler, A. Dexter Samuels, Roger Cleveland

Social Health of Nevada Reports

The U.S. Department of Health and Human Services (2012) defines healthcare access as “the timely use of health services to achieve the best health outcomes.” The Department specifies that efficient health care access is contingent on several steps, including (1) entry into the healthcare system, (2) availability of needed services, and (3) accessibility of providers with whom individuals can establish relationships founded on mutual communication and trust.

High School Graduation And Dropout Rates In Nevada, Tiffany G. Tyler, Sandra D. Owens

Social Health of Nevada Reports

The causes and consequences of high school dropout rates are multifaceted and of great importance to society, and that is why this problem has been the subject of close scrutiny by educators, researchers, administrators, politicians and laypersons. Experts do not always agree on the nature of this social problem, but they have pinpointed its economic and social costs, identified key risk factors, and outlined most promising policy options for improving high school graduation rates in our society.

Academic Achievement And School Resources, Tiffany G. Tyler, Douglas L. Garner, Marie A. Wakefield, Roger Cleveland, Sandra D. Owens

Social Health of Nevada Reports

This chapter examines the national and local trends in educational policy, focusing in particular on Nevada’s academic achievement, standardized test performance, available school resources, and unmet needs. The discussion begins with the concept of academic achievement and the ways it is measured. After that, we analyze the policies impacting academic achievement, most notably the No Child Left Behind (NCLB) Act. Next, we suggest the strategies to improve academic performance in the Nevada K12 System and make recommendations to increase parental involvement in education and encourage culturally competent policies of bringing together children, families, and schools. Finally, we discuss the resources …

Child Abuse And Neglect In Nevada, Ramona W. Denby

Social Health of Nevada Reports

Child maltreatment in Nevada reflects the general social, economic, and health conditions within the state and its local communities. This chapter starts with various definitions of child abuse and neglect, focusing on the approach adopted by Nevada legislators and comparing it to competing definitions. Next, this report examines child abuse and neglect rates in Nevada and tracks the progress the state has made towards achieving its goals related to child welfare outcomes, including child protection and safety, child permanency, and child well-being. After that, the discussion moves to the most promising child welfare intervention practices and approaches. Finally, the chapter …

Teen Sexuality And Pregnancy In Nevada, Tiffany G. Tyler, Marie A. Wakefield, Sandra D. Owens, Lori Smith

Social Health of Nevada Reports

The proliferation of sexually explicit materials has been the hallmark of North American culture for decades. The arrival of the Internet made access to such materials all the easier, and not only for adults but also for teenagers who learn at ever-early age that romantic relations are exciting and sexual encounters are a welcome part of life. When such exposure to sensual images is not accompanied by appropriate sex education, the consequences could be dire for teenagers and society alike.

Addiction And Substance Abuse Among Nevada Youths, An-Pyng Sun, Chih-Hsiang Ho, Larry Ashley

Social Health of Nevada Reports

Adolescence is a critical stage for substance abuse initiation, as well as for substance abuse prevention, intervention, and treatment. This report presents tobacco product use, alcohol use, and illicit drug use rates of Nevada’s youths (aged 12-17) compared with youths nationwide as a whole. Most data were retrieved from the Substance Abuse and Mental Health Services Administration (SAMHSA), including the 2008--2009 National Survey on Drug Use and Health (NSDUH) data and Treatment Episode Data Set (TEDS), supplemented with the Centers for Disease Control and Prevention (CDC)’s 2009 Youth Risk Behavior Survey (YRBS) data. Substate data were taken from SAMHSA’s 2006-2008 …

Disability Rights And Services In Nevada, Janet S. Belcove-Shalin

Social Health of Nevada Reports

For ages, people with disabilities faced hardship and condescension from the general public. As recently as the 19th century, individuals with serious physical or mental issues were singled out for pity, shunned by society, and urged to accept their afflictions as God’s will. The government offered no assistance to the impaired, relying instead on almsgiving by religious institutions and philanthropic organizations.

Prenatal Care And Infant Mortality In Nevada, Douglas L. Garner, Roger Cleveland, A. Dexter Samuels, Tiffany G. Tyler

Social Health of Nevada Reports

The U.S. outspends all other industrial countries on health care, and yet Americans hardly enjoy better health (Gorman 2010). An American baby born in 2006 can expect to live 78 years – two years less than a baby born across the Canadian border. The U.S. ranks 28th in infant mortality out of the 30 major industrial countries (Gorman 2010). A large part of the gap in infant mortality can be traced to high infant death rates in certain populations, particularly African-Americans who make up about 13% of the total population. In 2005, infant mortality for non-Hispanic blacks in the U.S. …

Aging Trends And Challenges In Nevada, Jennifer Reid Keene, Kathryn Mcclain, Jacqueline Ragin

Social Health of Nevada Reports

Societal aging is one of the most important social trends of the 21st century. It affects our political, social, and economic institutions and also the nature of our interpersonal and family relationships (Quadagno 2011). In the coming decades, both as individuals and as a society, we will have to make important decisions regarding the consequences of our aging population. Policy makers, families, businesses, local, state, and federal governments, health care providers will have to meet the growing needs of the older population in the U.S. and in Nevada.

Income Distribution And Poverty In Nevada, Danielle Ely, Christina Morales, David R. Dickens Jr.

Social Health of Nevada Reports

In his famous visit to the U.S. early in the nineteenth century, the French observer Alexis de Tocqueville was surprised by what he saw as “an equality of condition” in his travels around the country. Although he commented on the existence of wealth in the new nation, he was impressed by what he saw as its relative lack of concentration (de Tocqueville 1969). Recent studies by social historians, however, discovered that de Tocqueville was mistaken. Further research suggests that a pattern of highly unequal distributions of wealth and income persisted from the time of the Revolution up through the end …

Housing Availability And Homelessness In Nevada, Dahn Shaulis, Kathleen Fairchild, Kurt Borchard

Social Health of Nevada Reports

The first edition of Housing Availability and Homelessness in Nevada was written in 2005 amid economic boom times and rapid population growth. At the publication of this revision, in 2011, Nevadans face crisis-level economic conditions profoundly affecting how we evaluate housing conditions in the Silver State. Hundreds of thousands of people have lost their homes and tens of thousands are jobless and without benefits, putting them at greater risk of homelessness (Associated Press, 2011, Silva, 2011, Sermons and Witte, 2011). Housing availability and homelessness are social concerns looming larger than six years ago.

Immigration And Ethnic Diversity In Nevada, Thomas Wright, John P. Tuman, Maryam T. Stevenson

Social Health of Nevada Reports

In a few decades, non-Hispanic whites will constitute a bare majority in the United States. If current demographic trends continue, the Hispanic population will double or even triple in size by 2050, the Asian population will double, and the African-American population will grow at a faster pace than non-Hispanic whites, which are actually expected to begin declining by 2025. These developments promise to bring profound changes in the country’s ethnic and racial landscape.

Environment And Sustainability In Nevada, Mark J. Salvaggio, Robert Futrell

Social Health of Nevada Reports

When the inaugural Earth Day launched the first environmental decade in the U.S. more than forty years ago, protecting our air, water, land and other natural resources seemed a relatively straightforward task. Environmental polluters and exploiters would be brought to heel by tough laws. The U.S. and other industrialized nations responded to quality of life concerns associated with environmental degradation by adopting dozens of major environmental and resource policies and creating new institutions such as the U.S. Environmental Protection Agency to manage environmental programs. Following these national developments, states and local communities began systematic efforts to address environmental problems.

Religion And Spirituality In Nevada, Ariane G. Mitchum, Michael Ian Borer

Social Health of Nevada Reports

Across the world, religion is integral to society insofar it shapes people’s thoughts, behaviors, and interactions. What exactly the term “religion” means, however, is far from clear-cut, as it continues to be a highly charged topic of discussion and debate, a subject that many hold dear and near to their hearts.