Medicine and Health Commons^™

The Golden Girls: Addressing Issues Of Gender, Stigma, And Illness On Network Television, Miles Martin

Senior Honors Projects

Over thirty years after its 1985 premiere, The Golden Girls remains an alluring and nostalgic presence in the cultural consciousness of America. In this work, I investigate exactly what it is about this magical show that has caused it to endure across generations, and in so doing, illuminate how television in general can transcend incidental popularity and have a lasting impact on those who view it. I frame this examination within the topic of disenfranchised illness, a subject that, given events such as the rise of HIV/AIDS, the emergence of crack-cocaine addiction, and the discovery of chronic fatigue syndrome in …

Asexual-Identified People’S Interactions With Health Care Practitioners, Shelby Flanagan

Undergraduate Research Symposium 2017

People who identify as asexual use this label because, rather than a sexual orientation like “heterosexual,” “homosexual”, or “bisexual,” which labels attraction by gender, they experience a lack of sexual attraction. Previous psychological research on the topic asexuality is limited, but one conclusion agreed upon by several studies is that people who identify as asexual differ from those diagnosed with hypoactive sexual desire disorder (HSDD) in several ways, the most notable of which is that asexual people were shown typically to have little or no distress related to their lack of sexual desire, whereas distress is a key part of …

A Longitudinal Analysis Of Antiretroviral Adherence Among Young Black Men Who Have Sex With Men, Dexter R. Voisin

Faculty Scholarship

Purpose: Young black men who have sex with men (YBMSM) experience poorer antiretroviral therapy (ART) medication adherence relative to their white counterparts. However, few studies have longitudinally examined factors that may correlate with various classifications of ART adherence among this population, which was the primary aim of this study. Methods: Project nGage was a randomized controlled trial conducted across five Chicago clinics from 2012 to 2015. Survey and medical records data were collected at baseline and 3- and 12-month periods to assess whether psychological distress, HIV stigma, substance use, family acceptance, social support, and self-efficacy predicted ART medication adherence among …

Intersections Between Gender And Disability In A Clinical Setting: The Need For Clinicians’ Awareness Of The Gendered Effects Of Disability, Maria Medlyn

Scholarly Horizons: University of Minnesota, Morris Undergraduate Journal

While gender is a large topic in psychological research, little research investigates the intersection between gender and disability. This research is vital in psychology as gender strongly impacts an individual’s experience with disability and people with disabilities are at an increased risk for numerous mental disorders. Despite this need for clinician’s awareness of the gendered effects of disability, disability has been historically ignored in psychological research.

This literature review investigates common perspectives used to study disability including the medical model, feminist model, social model, and disabilities studies. Psychological research on disability demonstrates that men with disabilities commonly experience conflict between …

Mental Health Disparities By Identity Among Gender And Sexual Minorities, Shelby Flanagan

Scholarly Horizons: University of Minnesota, Morris Undergraduate Journal

One of the major obstacles faced by the queer and trans community is the poorer mental health outcomes this group tends to have. There is a disparity in mental health between people who are part of gender and sexual minority groups, and those who are not, meaning that gender and sexual minorities tend to have poorer mental health outcomes and higher incidences of mental health symptoms than people outside of that community. Due to the connection between mental health, marginalization, and stigma in society, this disparity may weigh more heavily on people whose identities are especially marginalized, such as bisexuals, …

Why The Classroom Is A Sacred Place For Me And Why I’Ll Keep Venturing Out Into “No-Man’S Land”… Even During These Abortion Wars, Rose Holz

Women's and Gender Studies Program: Faculty Publications

The classroom, as I see it, is not a place where I impose my views. It is a place for the free exchange of ideas even—no, especially—if they differ from my own. Otherwise, how else are we going to learn? Otherwise, how else are we going to get to know each other—maybe even like each other—even if sometimes we hold radically different views? And of course again, I would be lying if I didn’t mention just how many times I’ve miserably failed in this regard. But I’m also happy to report how over the years I’ve managed to achieve a …

Warmth And Competence Traits: Perceptions Of Female And Male Nurse Stereotypes, Randolph E. Gross

Dissertations, Theses, and Capstone Projects

A nursing shortage looms ahead; 1.03 million new nurses will be needed by 2022 to meet society's healthcare needs. A major barrier to recruitment of women and men are nurse stereotypes. The literature suggests four female and four male stereotypes exist; however, no quantitative research exists that explores perceptions of non-nursing undergraduate students. Approximately, 90% of college students do not consider nursing as a career option, and 72% have misconceptions of what nurses do in reality.

According to social cognitive theory's Stereotype Content Model (SCM), perceptions are viewed through a combination of two dimensions: warmth and competence. The author devised …

Christians’ Cut: Popular Religion And The Global Health Campaign For Medical Male Circumcision In Swaziland, Casey Golomski, Sonene Nyawo

Anthropology

Swaziland faces one of the worst HIV epidemics in the world and is a site for the current global health campaign in sub-Saharan Africa to medically circumcise the majority of the male population. Given that Swaziland is also majority Christian, how does the most popular religion influence acceptance, rejection or understandings of medical male circumcision? This article considers interpretive differences by Christians across the Kingdom’s three ecumenical organisations, showing how a diverse group people singly glossed as ‘Christian’ in most public health acceptability studies critically rejected the procedure in unity, but not uniformly. Participants saw medical male circumcision’s promotion and …

Career Morph: Quantitizing Adversity In Academic Medicine, Carol Isaac, Rebecca Mcsorley, Alexandra Schultz

The Qualitative Report

Many qualitative researchers reject textual conversion based on philosophical grounds although others believe it facilitates pattern recognition and meaning extraction. This article examined interview data from 52 physicians from a large academic medical center regarding work–life balance. Analysis ranked men and women in four career tracks: Clinician-Educator, Clinician-Researcher, Clinician-Practitioner, and residents. The purpose of this paper is to illustrate how a qualitatively driven (QUAL→quan) mixed method design illustrated differences between stratified groups. Although many initial codes were similar for men and women, their language was gendered and generational in context of work-life balance. Results indicated that women (and low-status men) …

Actually, Let’S Not Talk About Sex: The Value-Laden Sex Education Received By China’S Young Women, Allyson Tsu

Independent Study Project (ISP) Collection

No abstract provided.

Estigma Y Discriminación Hacia Hombres Que Tienen Sexo Con Otros Hombres (Hsh) Y Mujeres Trans: El Impacto En La Vulnerabilidad Y Riesgo Frente Al Vih/Sida / Stigma And Discrimination Against Men Who Have Sex With Men (Msm) And Transgender Women: The Impact On Vulnerability And Risk Of Hiv / Aids, Alessandra Scher

Independent Study Project (ISP) Collection

Research Question – How does stigma and discrimination toward men who have sex with men (MSM) and transgender women affect their vulnerability toward HIV/AIDS?

Background – Although there has been progress over the years on improving attitudes towards, and knowledge about, sexual diversity, LGBT persons continue to be harshly discriminated against and stigmatized. The conservative and machista nature of Chilean society, as well as a lack of information about sexual diversity, perpetuates this treatment and marginalization of those who do not conform to the social expectations surrounding sexual relations and strict gender norms, specifically homosexual men and other MSM, as …

The Relationship Between Life Stressors And Drug And Sexual Behaviors Among A Population-Based Sample Of Young Black Men Who Have Sex With Men In Chicago, Dexter R. Voisin

Faculty Scholarship

Younger Black men who have sex with men (YBMSM) have the highest rates of HIV incidence in the U.S. and are also exposed to high life stressors (e.g., unemployment, incarceration, and exposure to communality). This study assessed whether life stressors were related to drug use and sexual risk behaviors among a representative sample of YBMSM. The South Side of Chicago and selected adjacent suburbs represents the most populous contiguous Black community in the U.S. Over 10% of the estimated YBMSM population in this geographic region were sampled. Major findings indicated that higher life stress was significantly associated with greater odds …

Marijuana Use Among Young Black Men Who Have Sex With Men And The Hiv Care Continuum: Findings From The Uconnect Cohort, Dexter R. Voisin

Faculty Scholarship

Background: Young Black men who have sex with men (YBMSM) are at highest risk for HIV seroconversion in the United States. Successful movement through the HIV care continuum is an important intervention for limiting onwards HIV transmission. Objective: Little data exists on how substances most commonly used by YBMSM, such as marijuana, are related to the HIV continuum, which represents the primary aim of this study. Methods: A cohort of YBMSM (n = 618) was generated through respondent-driven sampling. Frequency of marijuana use and marijuana use as a sex-drug were assessed across the HIV care continuum using weighted logistic regression …

Gender Differences In Social Support, Self-Salience, And Mental Health, Ee Shin (Emily) Hum, Christina Falci

UCARE: Research Products

Men and women tend to manifest distinct mental health outcomes. Specifically, women report higher levels of internalizing symptoms, such as depression and anxiety, whereas men report higher levels externalizing symptoms, such as alcohol abuse (Rosenfield, S., Lennon, M. C., & White, H. R., 2005; Rosenfield, S., & Smith, D., 2010). However, it is unclear what mechanisms shape the gender differences in mental health outcomes. This research will explore two key possible mechanisms: social support and self-salience. Our aims in this study are to examine how and why mental health outcomes vary by gender? And also to what extent do social …

Multiple Dimensions Of Stigma And Health Related Factors Among Young Black Men Who Have Sex With Men, Dexter R. Voisin

Faculty Scholarship

This study is among the first to examine the association between multiple domains of HIV-related stigma and health-related correlates including viral load and medication adherence among young Black men who have sex with men (N = 92). Individual logistic regressions were done to examine the hypothesized relationships between HIV-related stigma and various health and psychosocial outcomes. In addition to examining total stigma, we also examined four domains of HIV stigma. Findings revealed the various domains of stigma had differential effects on health-related outcomes. Individuals who reported higher levels of total stigma and personalized stigma were less likely to be virally …

Factors Associated With African American Women’S Sexual Health And Risk Behavior: A Mixed Methods Study, Melody N. Waller

Theses and Dissertations (ETD)

Introduction: When looking at the health status of our nation, an examination of sexual and reproductive health reveals that there are multiple conditions related to sexual behavior posing a burden on the health of African American women (AAW). Disproportionate rates of sexually transmitted infections, unintended/teen pregnancy, and sexual violence in this group reveal the need to integrate a broader construct to address the multiple factors known to contribute to disparities in sexual and reproductive health affecting AAW. Current health promotion efforts including the encouragement of abstinence and condom use fail to address the multiple components involved in sexual health and/or …

Understanding Transgender Community: Locating Support And Resiliency Using The Minority Stress Model, Rosalind D. Kichler

Department of Sociology: Dissertations, Theses, and Student Research

The minority stress model (Meyer 2003) predicts stigmatized minorities, like transgender persons, suffer worse mental health due to exposure to discrimination. However support from similarly stigmatized others can ameliorate the effect of discrimination stress. Although gender and sexual minorities are often assumed to have access to and support from “the” LGBTQ community or “the” transgender community, many may not understand themselves as members of this community nor feel supported by it. Therefore it is essential to interrogate what community means to LGBTQ persons, particularly to transgender people for whom a paucity of literature exists. Based on in-depth interviews with 10 …

Population Neuroscience Approaches To Minority Discrimination And Health, Alleah Bouley, Alexander Johnson, Bethany Stoutamire, Elizabeth Straley, Jacob Cheadle

UCARE: Research Products

Alleah Bouley, Alex Johnson, Bethany Stoutamire, Elizabeth Straley

UCARE Abstract: Academic Year 2015-2016

Advisor: Dr. Jacob Cheadle

Population Neuroscience Approaches to Minority Discrimination and Health

STATEMENT OF PURPOSE

The primary purpose of our research is to explore the effects of social exclusion and discrimination on the mental and physical health and wellbeing of sexual minorities (gay, lesbian, and bisexual individuals). Addressing this complicated issue is a team effort, so participation in this project will provide a novel set of research experiences for participating undergraduates.

RESEARCH QUESTIONS

Our UCARE research will address two important questions. The first question we will address …

Depression And Body Mass Index, Differences By Education: Evidence From A Population-Based Study Of Adult Women In The U.S. Buffalo-Niagara Region, Ashley Wendell Kranjac, Jing Nie, Maurizio Trevisan, Jo L. Freudenheim

Sociology Faculty Articles and Research

The relationship between obesity and depression is well described. However, the evidence linking depression and body mass index (BMI) across the broad range of body size is less consistent. We examined the association between depressive symptoms and BMI in a sample of adult women in the Buffalo-Niagara region between 1997 and 2001. Using logistic regression, we investigated whether increased weight status beyond normal-weight was associated with a higher prevalence of depressive symptoms, and if educational attainment modified the association between obesity and depression. There was a trend for increased weight status to be associated with higher depressive symptoms (obese II/III, …

Psychological Distress, Drug Use, Sexual Risks And Medication Adherence Among Young Hiv-Positive Black Men Who Have Sex With Men: Exposure To Community Violence Matters, Dexter R. Voisin

Faculty Scholarship

In the USA, Black males are disproportionately affected by community violence and HIV. The aim of this study was to assess whether exposures to community violence are related to psychological distress, drug use, sexual risk behaviors, and medication adherence among a sample of HIV-positive young Black men who had sex with men (YBMSM). Data are from 98 YBMSM ages 18–29 years recruited from Chicago who completed measures on demographics, exposures to community violence, psychological distress, drug use, condomless anal intercourse, and medication adherence. Rates of exposure to community violence were high and youth reported victimization and witnessing numerous types of …

An Investigation Into Improving Men's Access To Health Services, Kieran Geary

Theses

This thesis sets out to examine the area of men’s health and to recommend strategies for mainstream health services to get more men interested in their health. In Ireland, men die, on average, approximately five years younger than women and have higher death rates than women for most of the leading causes of death (Richardson and Carroll, 2008). As Wilkins (2009) points out, identifying the problems with men’s health is not the ultimate challenge, nor is advocating for change at a political or policy level, rather it is identifying what works with men and translating that into workable strategies capable …

Gender Nonconforming, Transgender, And Transsexual Patient Navigation Of The American Health Care System: Locating A Primary Care Provider, Justin M. Vinneau

Theses and Dissertations

This study explores the experiences of gender nonconforming (GNC), transgender, and transsexual (trans) people in the search for a primary care provider in the United States. The current body of literature on transgender health often discusses HIV rates, substance use, mental health/suicide, and few studies have studies primary care seeking behaviors; this study seeks to provide new insight into the primary care (pcp) seeking behaviors of GNC and trans people. The primary theoretical perspectives utilized in this study were West and Zimmerman’s (1987) “Doing Gender” and the Health Beliefs Mode (Ayers et al., 2007; Connor and Norman, 2005; Green and …

Gender And Attitudes About Mental Health Help Seeking: Results From National Data, Douglas Wendt, Kevin Shafer

Faculty Publications

Men often express less emotion than women do, are hesitant to express weakness, and seek professional help much less frequently than do their female counterparts. The lack of help seeking is common across characteristics such as age, race, ethnicity, and nationality. Authors used data from the 2006 General Social Surveys mental health module to suggest that the gender gap in help seeking may be rooted in attitudes regarding help-seeking behaviors generally. Using structural equation modeling, we linked vignette type (depression and schizophrenia) to the endorsement of help seeking from informal and formal sources. Men showed similar support for informal help …

Reproductive Rights In Latin America: A Case Study Of Guatemala And Nicaragua, Katherine W. Bogen

Scholarly Undergraduate Research Journal at Clark (SURJ)

A lack of access to contraceptives and legal abortion for women throughout the nations of Nicaragua and Guatemala creates critical health care problems. Moreover, rural and underprivileged women in Guatemala and Nicaragua are facing greater limitations to birth control access, demonstrating a classist aspect in the global struggle for female reproductive rights. Although some efforts have been made over the past half-century to initiate a dialogue on the failure of medical care in these nations to adequately address issues of maternal mortality and reproductive rights, the women's reproductive health movements of Nicaragua and Guatemala have struggled to reach an effective …

The Social Costs Of Gender Nonconformity For Transgender Adults: Implications For Discrimination And Health, Lisa R. Miller, Eric Anthony Grollman

Sociology and Anthropology Faculty Publications

Research suggests that transgender people face high levels of discrimination in society, which may contribute to their disproportionate risk for poor health. However, little is known about whether gender nonconformity, as a visible marker of one’s stigmatized status as a transgender individual, heightens trans people’s experiences with discrimination and, in turn, their health. Using data from the largest survey of transgender adults in the United States, the National Transgender Discrimination Survey (N = 4,115), we examine the associations among gender nonconformity, transphobic discrimination, and health-harming behaviors (i.e., attempted suicide, drug/alcohol abuse, and smoking). The results suggest that gender nonconforming trans …

Factors Associated With Belief In Conspiracies About Hiv/Aids Among Hiv-Positive African-American Patients, Andrew A. Zekeri, Youssouf Diabate

Professional Agricultural Workers Journal

Abstract

The purpose of this study is to examine factors associated with belief in conspiracies about HIV/AIDS among HIV-Positive African American patients. Survey data were collected from 256 African American patients living with HIV/AIDS attending two HIV clinics in Montgomery and Dothan, Alabama. The study used multiple regression analysis to examine how sociodemographic factors contribute to belief in conspiracies about HIV/AIDS. Education and age were significantly related to belief in conspiracies about HIV/AIDS among men and women. Beliefs in conspiracies about HIV/AIDS may be a barrier to HIV prevention among African Americans. Public health officials should work toward obtaining the …

Serving The Healthcare Needs Of Lgb Millennials: Insights From A Focus Group, Colin Davis, Richard Ruth

School of Medicine and Health Sciences Student Works

The continuance of the historically strained relationship between LGBT populations and systems of care is evidenced by several recent studies and surveys that provide testimony connecting experiences of homo/transphobic and culturally incompetent healthcare to a reluctance or refusal to enter future care, indicative of a significant healthcare disparity for these populations. Few, if any studies have examined the experiences and perceptions of younger LGBT populations, specifically the “Millennial” generation, whose identities, because of generationally distinct social upbringings, might come to bear uniquely in healthcare settings. Understanding this cohort’s relationship with the healthcare system will enable practitioners to more competently interact …

Investigating Sex Positivity: Does Education And Socialization Increase Sexual Satisfaction In Young Adults, Kendall Coffman

Undergraduate Distinction Papers

Abstract

This study was designed to investigate a proposed association between exposure to sexual education, positive information, and materials, and an individual’s level of comfort, sexual satisfaction, and willingness to discuss sexual topics. This study also looked at the influence of various other variables such as gender, sexual orientation, and relationship status. Undergraduates at a small, private Midwestern college were surveyed with questions regarding the context in which they were exposed to various sexual topics as well as their current levels of sexual satisfaction and willingness to discuss sexual material with a friend, family member, intimate partner, or a stranger. …

Low Desire, Trauma, And Femininity In The Dsm-5: A Case For Sequelae, Alyson K. Spurgas

Sociology and Criminal Justice Studies Faculty Research, Scholarship, and Creative Activity

The recently released DSM-5 (2013) includes a new sexual dysfunction: Female Sexual Interest/Arousal Disorder (FSIAD). For the first time, the low sexual desire disorders are split along gender lines, and lack of sexual ‘receptivity’ is offered as a criterion for diagnosis in women only. Although ‘severe relationship distress’ or other ‘significant stressors’ are to be considered during evaluation for FSIAD, the patient’s trauma history is not evaluated as part of the protocol. The presence of violence or distress can potentially elicit a differential diagnosis, but what constitutes ‘severity’ is not articulated either, except to designate ‘partner violence’ as the primary …

Postcolonial Disability In Mohesen Makhmalbaf’S Kandahar, Sukshma Vedere

Ray Browne Conference on Cultural and Critical Studies (2015-2021)

Kandahar (2001), an Iranian film directed by Mohsen Makhmalbaf, details the journey of the protagonist, Nafas, to Kandahar to save her sister from committing suicide on the day of the solar eclipse. The film has gained recent attention by disability studies scholars for the representation of disability in Afghanistan; scholars have discussed the significance of prosthetics and international aid for the disabled in post-war zones of the Third World, but little has been said about disability as a postcolonial embodiment. I argue that Kandahar represents the postcolonial state as a disabled space both literally and metaphorically. It projects the veil …