Inequality and Stratification Commons^™

Chronic Inequities: Environmental & Structural Racism During Covid-19 And Hurricane Laura Disaster Recovery, Tomeka M. Robinson, Sabrina Singh

Critical Disaster Studies

The COVID-19 pandemic has amplified the realities of systemic health inequities within the United States. While the virus has severely impacted the entire country, people of color bear the brunt of this pandemic, from surges of COVID-19 cases in their communities to spikes in unemployment rates. Simultaneously, citizens are dealing with the impacts of natural disasters such as hurricanes along the Gulf Coast. The common denominator concerning these two stressors is that they can be exacerbated by institutional racism. This can be seen in the case of a small city in Southwest Louisiana, namely, Lake Charles, which has become a …

Book Review: The Shaming State: How The U.S. Treats Citizens In Need, Steve Matthewman

Critical Disaster Studies

Salman’s book centers two different constituencies, in two different locations, in the 2010s, who have been impacted by two different disasters. The first group are Iraqi refugees who have been resettled in Wayne County, Michigan. Trying to start again over half a world away, they are trapped in the transit lounge of life, never able to move on, never able to properly belong. They found a state in recession, the automobile industry collapsing, the city of Detroit bankrupt. Their particular county had higher unemployment than the state’s average and a poor median income as well. Economically speaking, ‘Michigan fared worse …

Socioeconomic Constraints On Low-Income Individuals' Perceptions Toward Food Safety, Uyen Thuy Xuan Phan, Cuc Thuy Thi Tran, Nguyet Minh Thi Nguyen

Food Science Faculty Articles and Research

Food safety has emerged as a critical concern in Vietnam, posing a significant threat to public health due to the prevalence of unsafe foods in the market. Among those most vulnerable to contaminated foods, low-income individuals are significantly affected. This study aimed to investigate the perceptions of food safety among this demographic, utilizing qualitative and quantitative approaches, including focus groups, survey questionnaires, and behavioral experiments using steamed bun as a stimulus. Participants were generally from low-income classes with certain variations in household monthly income. Results from focus groups and the survey highlighted that the factors influencing food purchases included perception …

Emotion Regulation Strategies And Perceived Emotional Intelligence: The Effect Of Age., Iwanna Sepiadou

Adultspan Journal

The aim of this study was to investigate the relationship between perceived emotional intelligence and the reported use of cognitive reappraisal and expressive suppression. We also investigated the possible effects of age on the aforementioned variables. The total sample consisted of 379 people (158 men, 220 women, 1 unreported). Across participants, 273 were young (20-39 years old) and 106 were middle-aged (40-65 years old). We found statistically significant positive correlations between the dimensions of perceived emotional intelligence and the reported use of cognitive reappraisal and negative primarily correlations between the dimensions of perceived emotional intelligence and the reported use of …

Neuroqueering Art Therapy: Bringing Neurodivergent Gender Diversity Into The Creative Arts Therapy Room: A Literature Review, Avital Eisen

Expressive Therapies Capstone Theses

Recent research across disciplines has established the significance of the overlap between neurodivergence and gender diversity, a truth long espoused by the community. Acting on this research, some mental health disciplines have begun addressing neurodivergent transgender and gender diverse people as a unified population in their research, but the field of art therapy has not yet followed suit. Theoretical frameworks of intersectionality, queer theory, and disability justice highlight the importance of centering the unique experiences and needs of neurodivergent gender diversity. Using these frameworks, this literature review synthesizes community knowledge with art therapy research on both neurodivergence and gender diversity, …

Timely Ambulatory Follow Up After Emergency Department Discharge, Kevin Endersby, Jackson Weber, Marisyl De La Cruz

Health Equity and Quality Improvement (HEQI) Summit

Background

Problem Statement:

Patients over the age of 65 lack timely ambulatory follow up after discharge from the ED, leading to increased return to the ED, resource utilization, and mortality.

Project AIM:

Within 6 months of intervention, 70% of patients over the age of 65 who were recently discharged from the ED will follow up with their PCP within 7 days of the timeline recommended by the ED provider.

Social Needs Screenings Programs: Factors For Success, Varun Jayanti, Akshay Krishnan, Zachary Goldberg, Md, David Nash, Md, Mba

Health Equity and Quality Improvement (HEQI) Summit

Abstract

Introduction: In January 2024, the Centers for Medicare and Medicaid Services (CMS) implemented Health Quality Measure (HQM) 487, which required participating hospitals to annually screen admitted patients for the 5 domains of the Social Determinants of Health (SDOH). These requirements allowed hospitals to develop individualized, but compliant, screening programs. Previous SDOH screening research has focused on measurement tools, but not the mechanisms of screening present in various hospitals.

Research Objectives: This study will investigate the mechanism(s) for a social needs screening program (which is reflective of underlying SDOH disparity) in a large, multi-hospital academic health system in the Northeastern …

Key Stakeholder Perceptions Of Doula Support For Persons With Perinatal Opioid Use Disorder, Meghan Gannon, Phd, Msph, Dennis Hand, Phd, Vanessa Short, Phd, Taylor Carrubba, Grace Thiele, Samantha Pancoe, Sarah Lawson, Nadia H-Yazdi, Phd, Scott Keith, Phd, Diane Abatemarco, Phd

Health Equity and Quality Improvement (HEQI) Summit

Background

• Maternal child health disparities are prevalent among pregnant and parenting women in treatment for opioid use disorder (OUD).
• Doulas have been utilized as a perinatal support in other vulnerable populations to increase healthcare utilization and improve birth outcomes.
• While research demonstrated that doula services can be feasibly implemented for populations experiencing poverty and trauma, there are limited studies to support that this could be true for patients with OUD as well.

Socioeconomic Status And Comorbidity Burden Influence On Mortality Index In Spinal Neurological Surgery Operations, Carey Preston, Bs, Pious Patel, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

• Pre-existing comorbidities are generally thought to increase risk of undergoing surgical procedures
• Low socioeconomic status (SES) has been correlated with increased comorbidity burden previously
• Patients with low SES undergoing spinal neurological surgery operations may have existing comorbidities that impact expected surgical outcomes
• Vizient Inpatient Mortality uses pre-existing comorbidities during an inpatient stay to estimate post-operative expected mortality
• With increased comorbidity burden, expected mortality in low SES patients may not be accurately represented by

Identifying Inappropriate Dual Anti-Platelet Therapy (Dapt) Utilization In The Outpatient Setting, Youssef Elfatatry, Julia Palecki, Nevin Varghese, Amry Majeed, Alexis Wickersham

Health Equity and Quality Improvement (HEQI) Summit

Background

Problem Statement:

• Dual anti-platelet therapy (DAPT) is a cornerstone in management of many cardiovascular and cerebrovascular conditions; however, inappropriate and prolonged use can lead to increased bleeding risk. Despite guidelines on optimal DAPT duration for various clinical scenarios, a proportion of patients receive inappropriately extended courses of therapy, exposing them to unnecessary risk.

Project AIM:

• We aim to (1) identify inappropriate DAPT use using established clinical guidelines at two academic primary care clinics and (2) develop and implement a targeted best practice advisory (BPA) in EPIC to address gaps in adherence to DAPT guidelines to enhance patient safety and …

Student-Parent Needs: A Study At Coastal Carolina University, Breton Poster

Honors Theses

This article focuses on Student-Parents as an under-represented group on Coastal Carolina University’s (CCU) campus. Student-Parents face many additional difficulties in their college experience, compared to traditional students. The goal of this study is to bring attention to the needs of student-parents on CCU’s campus and determine how certain stress factors related to being a student-parent can influence their college experience. We found that a majority of student-parents on CCU’s campus faced high levels of financial stress, academic stress, and social stress. As a result, we suggest providing additional resources for student-parents to use on CCU’s campus to help combat …

Salt: A Tribute To Ghana's Fishers, Vanessa F. Jaiteh

Green Humanities: A Journal of Ecological Thought in Literature, Philosophy & the Arts

This poem is a tribute to my fieldwork on fisher safety, labour abuses and human rights violations in Ghana’s fisheries.

Unveiling The Impact: Structural Racism And Childhood Lead Exposure's Health Consequences In Philadelphia, Mahhum Naqvi, Mahrukh Naqvi, Justin Stout, Colton Spencer

Rowan-Virtua Research Day

Childhood lead exposure poses a significant risk to health and well-being, adversely affecting brain function, nervous system development, and behavioral patterns. This study examines the health disparities and inequities associated with childhood lead exposure in Philadelphia, focusing on structural racism and residential segregation as crucial lenses for analysis. By delving into the sociocultural context of lead exposure, this study underscores the imperative of collaborative efforts among stakeholders to safeguard Philadelphia's most vulnerable populations. Healthcare professionals and policymakers play pivotal roles in enhancing funding and prevention strategies. Addressing this issue through the prism of structural racism allows for the identification and …

Cost-Effectiveness And Outcomes Of Utilizing Tisagenlecleucel Therapy (Car T-Cell) In Pediatric Acute Lymphoblastic Leukemia In Comparison To Standard Of Care (Soc) Therapies: A Scoping Review, Andrew Atschinow, Evangeline Attota, Warren Chan, Pooja Kasarapu, Priyal Shah, Karina Vizzoni

Rowan-Virtua Research Day

Aims

This review aims to assess the correlations between outcomes and cost of treatment methods for pediatric acute lymphoblastic leukemia patients, specifically comparing CAR T-cell therapy and Standard-of-Care (SoC) therapy. The socioeconomic background of patients will also be taken into consideration to see if there are differences in their outcomes.

Methods

Peer-reviewed publications were collected from PubMed and Web of Science. The keyword strings used were “acute lymphoblastic leukemia,” “pediatric acute lymphoblastic leukemia,” “pediatric,” “CAR T-cell therapy,” and “cost-effectiveness.” 27 citations were obtained. Titles were screened by 6 authors. Articles met the inclusion criteria including potential Quality-Adjusted Life Year (QALY) …

Overcoming Disparities In The Treatment Of Alzheimer’S Disease, Christian Gamboa, Tribhuvan Lanka, Elaine Flowers, Nayarith Lopez

Rowan-Virtua Research Day

Background: Deaths due to Alzheimer’s have been increasing at an exponential rate for the last 24 years, with an astounding 145% increase between the years 2000-2024. Early detection is key to slowing down the rate of decline. Unfortunately, Latino and African American individuals delay seeking care, which predisposes them to worse outcomes. To date, socioeconomic limitations are the main factors leading to delayed care in Latino and African American communities. A service project was developed with the aim of addressing limitations that result in delays to seeking care within Latino and African American communities.

Methods: A systematic review of available …

Addressing The Black Maternal Mortality Rate, Kennedy Sanders, Venkateswar Venkataraman, Kate Whelihan

Rowan-Virtua Research Day

Introduction: As of 2021, the Black maternal mortality rate in the United States was 69.9 deaths per 100,000 live births as compared to the national average of 32.9 and the White American average of 26.61. It has been demonstrated that this discrepancy is not fully explained by socioeconomic status. Doulas are professionals who provide support and guidance throughout pregnancy, birth, and early parenthood. Encouraging the use of doulas may be an effective approach to improve the birth experience for Black mothers. Methods: A literature review was performed using PubMed and the following search strings: maternal mortality rate (+race, +race +ethnicity, …

Hi My Name Is: A Film On The Sources And Consequences Of Labeling The Black Identity In America, Hannah Mitchell

Undergraduate Theses

This project aims to explore how formal and informal labels given to Black people in the United States impact Black people’s self-perceptions, with attention to how intersectional identities (e.g. queer, person with disability) can complicate those impacts. Labeling theory (Cullen, 1976) provides the theoretical lens to explore how the Black identity, and Black people in this country, are threatened by externally assigned and internally actualized labels. Data is presented in the form of a film compiled from video interviews with 12-15 Black individuals. Participants were recruited in a purposive manner with intersectional identity traits in mind (e.g. age, gender identity, …

Amadeusz’S Prosper: Effective Reintegration Of Adults Facing Firearm-Related Charges In Ontario, Canada, Ardavan Eizadirad, Tina-Nadia Gopal Chambers, Sheena Blake Brown

Education Faculty Publications

This study evaluates the impact of Amadeusz’ Prosper program which supports individuals with firearm-related charges between the ages of 18 to 29 in Ontario, Canada. Prosper offers intensive case management through caseworkers who co-create tailored support plans with participants based on their immediate needs and long-term goals. The program supports individuals during incarceration and post-release once back in community. This study engaged 44 participants through interviews conducted between October 2022 and April 2023. Participants included program beneficiaries (n=29), family members (n=8), community partners (n=4), and caseworkers (n=3). Intersectionality and Critical Race Theory paradigms were applied as part of data analysis …

Reclaiming Tremé: A Design Research Thesis, Tori Dunston

Masters in Architecture Program: Theses

Reclaiming Tremé explores the potential for design to support the well-being of the oldest African American neighborhood divided by urban highway projects in the US. This comprehensive thesis that seeks to improve the well-being the neighborhood using precedents, historical context, and the quantifiable architectural goals of WELL v2, to present a design solution for Tremé. Through understanding the current communities needs and having historical context of the area, the design strategy focuses on creating a vibrant cultural core that enhances the community's well-being. By integrating new structures and amenities, preserving cultural heritage, and enhancing physical and social infrastructure, the project …

Do Unions And Collective Bargaining Impact Economic Inequality In Oecd Nations?, Brady D. Crosby

Political Science Theses and Capstones

The decline of unionization has coincided with a dramatic increase in income and wealth inequality within countries across the world. Many theories in the existing literature have been proposed to explain both trends, including technology/automation, globalization and shifts in public policy. I analyze the impact of collective bargaining rates and union density on economic inequality. To test the connection between collective bargaining, labor unions and inequality, I use a series of statistical tests, including basic correlation tests, as well as a series of linear regression tests with Gini, union density, collective bargaining among other variables. The results show a moderately …

The Viral Spread Of Xenophobia: Analyzing The Influence Of Far-Right Politics On Anti-Asian Sentiment Expressed On Social Media During Covid-19., Robert F. Arnold Iii

Capstone Projects and Master's Theses

Throughout history, viral outbreaks have frequently led to the emergence of biased and discriminatory attitudes, often targeting populations that deviate from Western norms. These sentiments commonly manifest as xenophobia and racism (Chen, 2020; Chou, 2021). This report serves as an in-depth analysis of the role far-right political phrasing of Covid-19 as the “Chinese Virus,” played in the proliferation of anti-Asian and xenophobic attitudes, expressed on the social media platform X (Twitter). This study also aims to better understand the various different factors that cause followers of far-right politics to engage and believe in anti-Asian sentiment online. Using Integrated Threat Theory …

A Qualitative Inquiry Into The Intersectionality Of Race, Gender, And Social Networks In Stem Education., La'ree Alexandria Shontee

Electronic Theses and Dissertations

This study explores the intersectional experiences of Black women in Science, Technology, Engineering, and Mathematics (STEM) education by focusing on the strategic utilization of social capital to navigate systemic barriers and challenges. The unique struggles faced by Black women within predominantly white and male-dominated STEM programs are addressed in this study. Drawing on a growing body of literature, this research diverges from prevailing narratives of disinterest in or departure from STEM programs and instead illuminates proactive strategies employed by Black women. Through an exploration of social capital - encompassing networks, resources, and support systems - this study offers a comprehensive …

Travel-Time Disparities In Access To Proton Beam Therapy For Cancer Treatment, Todd Burus, Alexander Vanhelene, Michael Rooney, Krystle Lang Kuhs, W. Jay Christian, Christopher Mcnair, Sanjay Mishra, Arnold Paulino, Grace Smith, Steven Frank, Jeremy Warner

Department of Pharmacology, Physiology, and Cancer Biology Faculty Papers

IMPORTANCE: Proton beam therapy is an emerging radiotherapy treatment for patients with cancer that may produce similar outcomes as traditional photon-based therapy for many cancers while delivering lower amounts of toxic radiation to surrounding tissue. Geographic proximity to a proton facility is a critical component of ensuring equitable access both for indicated diagnoses and ongoing clinical trials.

OBJECTIVE: To characterize the distribution of proton facilities in the US, quantify drive-time access for the population, and investigate the likelihood of long commutes for certain population subgroups.

DESIGN, SETTING, AND PARTICIPANTS: This population-based cross-sectional study analyzed travel times to proton facilities in …

Breaking The Rule Of Silence: Childbirth And Gendered Power In Efuru And The Joys Of Motherhood, Sunday Elliott Uguru

Department of English: Dissertations, Theses, and Student Research

This study examines the thematic preoccupation of childbirth in the formative period of feminist discourse in African literature through a critical study of selected novels of Igbo women of southeastern Nigeria. The novels studied represent the earliest published African texts in English by women. The period under focus falls within the emerging stage of Nigerian literary tradition in its written form with a dominant presence of men. This study investigates the women novelists' perspective toward the failure of male authored works to represent women's childbirth experience. Through a critical reading of Flora Nwapa's Efuru and Buchi Emecheta's The Joys of …

Lessons In Persistence, Syble Heffernan

Department of English: Dissertations, Theses, and Student Research

LESSONS IN PERSISTENCE is a thesis that operates within the tradition of writing about trauma and resilience, taking up themes of mental illness, class, colonialism, loss of a parent, navigating queerness in a conservative Christian context, and reckoning with gender-based violence and expectations directed toward people socialized as women. The use of ecopoetics highlights the relationship between traumas to the earth brought about by climate change, war, and worldwide suffering, and those brought upon the human body (specifically marginalized bodies) by grief, illness, abuse, and the loss of self. The collection ultimately aims to establish explicit connections between internal and …

Students Of Higher Education Receiving Supplemental Nutrition Assistance Program And Its Impact On Mental Health, Cristina Palacios Mosqueda

Electronic Theses, Projects, and Dissertations

The focus of this research study was the impact of Supplemental Nutrition Assistance Program (SNAP) on the mental health, specifically anxiety and depression, of students pursuing higher education. The study analyzed if food security from receiving SNAP benefits relieved mental illnesses for students pursuing higher education. This study utilized a post-positivist paradigm. The data was obtained through qualitative methods, including 14 audio interviews and verbal observations of current undergraduate and graduate students from Southern California. At the time that the research interviews were conducted, the students participated in the student and discussed their experiences of dealing with mental health symptoms …

Cultural And Structural Barriers Of Utilizing Mental Health Services In A School-Based Setting For Latinx Populations, Silvia Lozano, Bridgette Guadalupe Calderon

Electronic Theses, Projects, and Dissertations

This qualitative research study aimed to reduce mental health service disparities in Latinx communities and helps fill in the gap by addressing cultural and structural barriers to utilizing MHS in a school-based setting for Latinx youth. There is limited research regarding Latinx parents’ perspectives and the reservations they have on utilizing school-based mental health services (MHS) for their children. This study identified six important themes: cultural factors, trust and rapport, reservations, access and awareness, parental involvement and challenges, and school-based resources. Implications for school districts are that they can use these findings to increase early intervention mental behavioral health programs …

The Relationship Between Role Models, Socioeconomic Mobility Beliefs, And Academic Outcomes, Christian Koeu, Marisol Espinoza Garcia

Electronic Theses, Projects, and Dissertations

Objective: This study aims to provide insights into the relationships between role models, socioeconomic mobility beliefs and the education outcomes of students from low socioeconomic backgrounds. While previous studies highlight the positive influence of role models on academic and career aspirations, the specific relationship between role models and socioeconomic beliefs remains unexplored. Our study addresses this gap by examining whether the presence of role models relates with more optimistic socioeconomic beliefs and how these beliefs, in turn, affect academic outcomes (academic engagement, academic intentions, and grade point average [GPA]). Additionally, we investigate the influence of role model characteristics to …

“Think Leader, Think Alpha Male” And The Evolution Of Leader Stereotypes., Christopher Von Rueden

Jepson School of Leadership Studies articles, book chapters and other publications

Over the past few decades, the representation of women in top leadership positions has steadily increased around the world, yet remains well below gender parity. Do leader stereotypes and preferences still favor men? Based on a series of studies with U.S. participants, Wiezel, Barlev, Martos, and Kenrick (2024) argue that leaders remain stereotyped as male, which is consistent with a “think leader, think alpha-male” model. Inconsistent with the model, the authors also find that women are slightly preferred as leaders, due in part to greater association of men with dominance-based leadership. In general, Wiezel et al. (2024) provide a valuable …

Exploring The Governmental Intervention, Journalistic Approach, And Theories Involved In Reducing Poverty Journalistic For A Special Project – Feature Story On Non-Profit Organization Called Circles In Northwest Arkansas, Trevor Spencer

Graduate Theses and Dissertations

Over the 60 years since President Johnson declared the War on Poverty, with close to 40 million people currently in poverty nationwide as of 2022, government measures of the issue, like the Federal Poverty Level and Supplementary Poverty Measure, have continued to be significant determiners for who is constituted as poor. Yet, framing of the poor by sociologists has shifted to a more multi-dimensional approach to who constitutes as poor and how to help them. This means that the definition of poverty is beginning to include a larger set of deprivation unaccounted for in a nation where the definition of …