Medicine and Health Commons^™

Prescribing Change For Minority Students: Diagnosing Inequalities In Science Education In The Clark County School District, Brianna K. Cotter

Calvert Undergraduate Research Awards

Promoting entry of underrepresented minority groups into the allied health professions is paramount to developing a balanced workforce that reflects the needs of an evolving populace. Currently, significant underrepresentation of racial minority groups in health and science related fields correlates with data showing an overrepresentation of black and Latino students in Title 1 (at-risk and low-income) schools. Data suggest that students who are exposed to “higher quality” science education, such as “hands on” experiences, have increased interest in pursuing a health or science related career. These findings prompt the hypothesis that Title 1 schools face inequalities in their science education …

Recovery From Design, Cassandra J. Ellison

Theses and Dissertations

Through research, inquiry, and an evaluation of Recovery By Design, a ‘design therapy’ program that serves people with mental illness, substance use disorders, and developmental disabilities, it is my assertion that the practice of design has therapeutic potential and can aid in the process of recovery. To the novice, the practices of conception, shaping form, and praxis have empowering benefit especially when guided by Conditional and Transformation Design methods together with an emphasis on materiality and vernacular form.

The Costs Of Cancer, Jamie Mosely

Honors Papers and Posters

This poster explores the relationship between more advanced cancer-fighting technologies and the increase in healthcare costs over the last several decades, and the socioeconomic impact this has for patients with less disposable income or no health insurance.

Powerful Words: An Exploration Of Linguistic Hierarchy In Moroccan Hospitals, Ellelan Degife

Independent Study Project (ISP) Collection

Morocco is a country of distinct diversity, which exists as a result of the settling of multiple peoples and European colonization. As a result of this diversity, many languages are employed in different settings and spaces, and of these languages, French represents remnants of colonialism and continual elitism in the country. One of the spheres that French commands in Moroccan society is medicine, which creates a dichotomy between the educated health care providers and the underprivileged patients in public hospitals. The aim of this paper is to explore the effect of French on the doctor-patient relationship in urban, public Moroccan …

Using The Theory Of Fundamental Causes To Show The Potential Effects Of Socioeconomic Status On Surgical Outcomes, Mehwish Qasim, A.B.D.

Journal of Health Disparities Research and Practice

Surgical procedures are both costly and common. There are large differences in surgical outcomes both within and between hospitals based on patient characteristics such as measures of income. In both 2000 and 2009, patients residing in low-income communities had worse morbidity and mortality rates, across a wide range of quality indicators. In this review, the author will explicate the Theory of Fundamental Causes as it relates to surgical care, review key empirical findings and address potential limitations of the theory. This review will provide a platform for researchers to discuss current research in surgical disparities using the Theory of Fundamental …

The Relation Between Discrimination, Sense Of Coherence And Health Varies According To Ethnicity; A Study Among Three Distinct Population Groups Living In Israel, Orna Baron-Epel, Vincent Berardi, John Belletierre, Waleed Shalata

Psychology Faculty Articles and Research

Self-reported experiences of discrimination and sense of coherence (SOC) have been found to be associated with health. A face-to-face survey of Long Term Jewish Residents (LTJR), Arabs and former Soviet Union (fSU) immigrants in Israel was performed. Respondents reported their physical and mental health, self-reported experiences of discrimination, SOC and socioeconomic status. Multivariable logistic regressions and bootstrapping path analyses were performed. Discrimination was associated with health after adjusting for all other variables. SOC was also associated with health. SOC did not mediate the strong association between discrimination and health among Israeli LTJR, but was a significant mediator among Arabs and …

Ethnicity Matters: Implications For Understanding And Acting Upon Disparities In Health Affecting Black Men In The United States, Helen V. S. Cole

Dissertations, Theses, and Capstone Projects

Compared to non-Hispanic whites, non-Hispanic blacks have higher rates of mortality from heart disease, cancer, cardiovascular disease, and HIV/AIDS. Black men have a life expectancy approximately 4.7 years than the life expectancy of non-Hispanic white men, due in part to higher prevalence of chronic disease among black men. Many factors are hypothesized to contribute to disparities in health between races, including differences in socioeconomic status; culturally-linked behaviors such as diet, substance use, and physical activity; access to quality healthcare and other resources; and experiences of racism, both institutional and interpersonal. However, in public health research, race is usually treated as …

The Relationship Between Food Insecurity And Weight In The United States, 2011 – 2014, Sebastián Villamizar-Santamaría

Center for Latin American, Caribbean, and Latino Studies

Introduction: This report examines the relation between weight and food insecurity in the United States between 2011 and 2014.

Methods: The data used in this report come from the Integrated Health Interview Services (IHIS) and its food security index. Weight is assessed by body mass index, and the population is divided into four weight groups based on body mass index ranges.

Results: First, food insecurity rates declined among the general population of Latinos between 2011 and 2014, however, food insecurity rates rose dramatically among underweight Latinos over that time period. Second, food insecurity rates were greatest among the obese and …

Predictors Of Quality Of Life For African American Women Who Assist Persons Who Receive Dialysis, Shaquita A. Starks

Theses and Dissertations (ETD)

The purpose of this predictive correlational study was to describe predictors of quality of life (QoL) for African American women who were caregivers of persons with end stage renal disease (ESRD). Five purposes, derived from a review of literature and conceptual model, guided this study. First, the study described the association between demographic factors (i.e., education, employment, age, marital status), and QoL. Second, the study explored the relationship between stress and QoL. Third, the study described the association between depressive symptoms and QoL. Fourth, the study described the association between family health/happiness and QoL. Fifth, the study described the extent …

Research Brief No. 13 - The Social And Health Service Needs Of Aboriginal Peoples In Urban Southern Ontario, Martin Cooke, Julia Woodhall, Jennifer Mcwhirter

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

The disproportionate needs of urban Aboriginal people make it important for urban social and health service providers to understand the conditions faced by this population. This synthesis paper reviews recent literature on urban Aboriginal populations in order to identify their characteristics and main areas of need. It is meant to inform those who work in health and social service planning and delivery in smaller urban centers, particularly non-Aboriginal service agencies in Southern Ontario. The existing research shows that urbanized First Nations, Métis and Inuit have greater needs for specific health, cultural, justice, financial, and educational services. Further-more, the literature indicates …

Policy Brief No. 10 - The Town With No Poverty: Health Effects Of Guaranteed Annual Income, Evelyn L. Forget

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Guaranteed Annual Income (GAI) has been advocated and opposed in both the United States and Canada as a means to fight poverty since the 1960s, but how does GAI influence specific health and social outcomes? In examining data from a town involved in a Canadian GAI field experiment, we primarily found that a relatively modest GAI can improve population health at the community level. Considering the increasing burden of health care costs in Canada, it is possible that implementing GAI could amount to considerable savings.

A Qualitative Investigation On The Effects Of The Uttar Pradesh Population Policy On Women Who Undergo Sterilization In Bahraich, Uttar Pradesh, Anna Wadhwani

Independent Study Project (ISP) Collection

The effectiveness of population policies is widely disputed by the international development community and is under constant scrutiny. While these policies have the potential to positively affect reproductive and child health indicators, they often focus too heavily on macro-demographic family planning goals and fail to acknowledge socioeconomic determinants of fertility indicators, often making for ineffective policy. Furthermore, target-based approaches have the potential to negatively impact women’s family planning choices and the quality of care they receive. This study seeks to analyze how the Uttar Pradesh Population Policy affects the decision-making process and experiences of women who undergo sterilization procedures in …

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 …

Inégalités En Santé Chez Les Adultes Plus Vieux Dans Les Pays Développés: Réconcilier Théories Et Approches Politiques, Amélie Quesnel-Vallée, Andrea Willson, Sandra Reiter-Campeau

Population Change and Lifecourse Strategic Knowledge Cluster Discussion Paper Series/ Un Réseau stratégique de connaissances Changements de population et parcours de vie Document de travail

Les politiques dont le but est de soutenir les personnes âgées creusent peut-être les inégalités. Des régimes de pensions de plus en plus privatisées et un manque de services de soutien subventionnés profitent de façon disproportionnée à ceux qui ont les moyens sociaux et économiques les plus forts à l’âge avancé. Les gens favorisés sont en meilleure santé que ceux qui sont désavantagés. Le Canada a l’occasion d’éviter un impact si biaisé des programmes pour les aînés, en puisant dans les approches créées par l’Organisation mondiale de la santé, des exemples internationaux et dans la théorie et la recherche sociologique. …

Sustainable Development Goals Worth Sharing, Erika Simpson

Political Science Publications

The international community has agreed upon another set of goals for the next 15 years. On the table are no less than 169 objectives and 17 Sustainable Development Goals (SDGs). The new aspirations are summarized and the merits and demerits of further elaboration and measurement including country-specific deadlines and targets are discussed. The hefty budget to achieve all 17 goals is estimated at more than $4 trillion US a year. North American policy-makers need to be aware of humankind’s shared aspirations as they consider the new and expensive SDGs. Foreign aid is one of the instruments of North American foreign …

A Systematic Review Of Coal Fired Power Plant Proximity And Local Socioeconomic Status Trends And Outcomes, Oshane Mcrae, Peter Lapuma

GW Research Days 2016 - 2020

Among the significant sources of energy, coal based energy bears the largest share (42%) of the electricity produced in the United States. Already existing coal fired power plants are the largest emitter of carbon dioxide emissions in the United States. Among the cumulative emissions contributed by the industrial sector, significant portions are from coal fired power plants. Coal-fired power plants emit 66% of sulfur oxides, 40% of carbon dioxide, 33% of mercury and 22% of nitrogen oxides in the U.S. and are linked as risk factors to respiratory diseases, cardiovascular diseases and other ailments shown to impact environmental and human …

Postoperative Pain Management In Children Of Hispanic Origin: A Descriptive Cohort Study, Rebecca Brown, Michelle A. Fortier, Sheeva Zolghadr, Padma Gulur, Brooke N. Jenkins, Zeev N. Kain

Psychology Faculty Articles and Research

BACKGROUND:

It has been established that pain is frequently undertreated in children following outpatient surgery. Very few studies, however, have investigated this phenomenon in ethnically diverse populations.

METHODS:

This study included 105 families of children aged 2 to 15 years of Hispanic origin and low income undergoing outpatient tonsillectomy and adenoidectomy surgery. Participating parents completed baseline and demographic packets. Recorded postoperative pain ratings and administration of analgesics at home for 1 week were collected during home visits.

RESULTS:

Despite the high (70%; 99% confidence interval [CI], 57%–82%) incidence of significant pain in the first 24 hours home, 32% (95% CI, …

Los Riesgos Sobre La Salud De Los Trabajadores Inmigrantes Bolivianos En Los Talleres Textiles En La Ciudad Autónoma Buenos Aires: Las Experiencias De Los Trabajadores De La Cooperativa La Alameda / The Health Risks Of Bolivian Immigrant Workers In Textile Workshops In The Autonomous City Of Buenos Aires: The Experiences Of Workers At Cooperative La Alameda, Marian Gardner

Independent Study Project (ISP) Collection

Los bolivianos inmigran a Argentina para escapar de la falta de oportunidades laborales y de la pobreza. Sin embargo, una vez en Argentina, su inserción laboral es precaria e informal, principalmente, son contratados en los talleres textiles clandestinos. En éstos , donde la mayoría de ellos también vive, se ven reducidos a condiciones de servidumbre, explotación y son sometidos a condiciones de semi esclavitud, como lo demuestran las 14 a 18 horas de trabajo que realizan los siete días de la semana por sólo alrededor de $ 1300 a $ 3000 pesos argentinos por mes. Además, las condiciones laborales suponen …

The Hidden Epidemic: Mental Health Epidemiology In Post-Conflict Populations And Implications For Conflict Transformation Practices, Jennifer Sato

Capstone Collection

This capstone explores the ramifications of unmitigated mental health illness in conflict populations, paying special attention to refugees and migrants. The intersection between conflict and mental health is explored and analyzed in order to highlight the implications of the findings and to make recommendations to both metal health and conflict transformation practitioners. This capstone depends predominately on secondary resources and personal interviews and is informed by my own practicum experience at a refugee health center. The need to improve mental health outcomes in order to pursue conflict transformation and peace building is a key focus and is supported by the …

Economic Status And Old-Age Health In Poverty-Stricken Myanmar, Bussarawan Teerawichitchainan, John Knodel

Research Collection School of Social Sciences

Objective: We examine the association between poverty, economic inequality, and health among elderly in Myanmar. Method: We analyze 2012 data from Myanmar’s first representative survey of older adults to investigate how health indicators vary across wealth quintiles as measured by household possessions and housing quality. Results: Poverty and poor health are pervasive. Self-assessed health, sensory impairment, and functional limitation consistently improve with higher wealth levels regardless of socio-demographic controls. Differentials in self-rated health and sensory impairment between the bottom and second quintiles are clearly evident, suggesting that relative economic inequality matters even among very poor elders and that a small …

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 …

Recursos Y Servicios Disponibles Para Personas Afectadas Por El Uso De Agroquímicos Tóxicos En Avia Terai, Chaco, Argentina / Resources And Services That Are Available To People Who Are Affected By The Use Of Toxic Agrochemicals In Avia Terai, Chaco, Argentina, David Andersen

Independent Study Project (ISP) Collection

Introducción: El Chaco es una provincia del norte de Argentina con los peores indicadores de salud y de menor ingreso. El estudio se desarrolló en Avia Terai, un pueblo que tiene cinco mil habitantes, está rodeado por cultivos que son fumigados con agroquímicos tóxicos y que tiene niveles muy altos de cáncer y de discapacidad. Muchas personas en Avia Terai trabajan con agroquímicos y viven cerca de los campos fumigados. La mayoría de las personas en el pueblo no tienen seguros de salud y usan el sector público. En el pueblo hay un Centro Integrador Comunitario (CIC), un hospital, dos …

La Relación Entre El Desamparo Y La Salud: El Caso Del Campamento Japón En Santiago, Chile, Chaveli Concepción

Independent Study Project (ISP) Collection

En esta investigación se busca exponer más a fondo como la desigualdad social afecta la salud de aquellos que han sido menos favorecidos. En esta ocasión se analizó el caso de los habitantes del Campamento Japón, en la comuna de Maipú, de Santiago, Chile, con el objetivo de entender el fenómeno de la desigualdad social y cómo esta afecta la salud de las personas que la sufren. La metodología de este estudio cualitativo se constituyó de investigación bibliográfica previa, y posteriormente visitas y trabajos voluntarios al Campamento Japón para hacer observaciones y entrevistas a los activistas del campamento, a los …

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 …

Confronting Cultural Challenges For Migrant Healthcare In Switzerland, Rebecca Weiss

Independent Study Project (ISP) Collection

Switzerland is home to many migrants, and migration exacerbates health risks. In addition to physical health problems, migrants are more likely than Swiss nationals to face mental health challenges and cultural barriers, which complicate their experiences seeking healthcare. Similarly, clinicians encounter numerous challenges related to the special circumstances of migrant patients. As a response to the specific health needs of migrants, hospital networks and migrant support organizations promote the migrant health situation. However, these services are not ubiquitous in Switzerland, partly due to the partial freedoms of each canton to create its own health policy. This paper explores the barriers …

Health Inequalities Among Older Adults In Developed Countries: Reconciling Theories And Policy Approaches, Amélie Quesnel-Vallée, Andrea Willson, Sandra Reiter-Campeau

Population Change and Lifecourse Strategic Knowledge Cluster Discussion Paper Series/ Un Réseau stratégique de connaissances Changements de population et parcours de vie Document de travail

Policies that are meant to support older people in Canada might worsen inequalities. Increasingly privatized pension schemes and lack of subsidized support services disproportionately reward those with the most social and economic means in old age. Those who benefit generally experience better health than those who are disadvantaged. Canada has opportunity to guard against such a skewed impact of programs for the elderly by drawing on approaches developed by the World Health Organization, international examples, and sociological theory and research. These approaches can to help design policies that transcend existing inequalities in older people, fostering more equitable health outcomes.

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 …

State Of The States’ Health, Sarah A. Burgard, Molly M. King

Sociology

Inequalities in access to health and health care are especially important forms of inequality because they speak to who lives long and who lives well.

It is well known that, even though the United States spends more on health care per capita than any other country, it has some of the worst access and outcome results among wealthy nations.1 While important, such cross-country comparisons hide substantial health inequality within the United States. Even a cursory inspection of the data suggests that some states are indeed better performers on key health measures. For example, only one in ten adults in Utah …

Why Is There So Much Poverty In California? The Causes Of California’S Sky-High Poverty And The Evidence Behind The Equal Opportunity Plan For Reducing It, David Grusky, Marion Coddou, Erin Cumberworth, Jonathan Fisher, Jared Furuta, Jasmine Hill, Sara Kimberlin, Molly M. King, Yana Kucheva, Ryan Leupp, Marybeth Mattingly, Natassia Rodriguez, Charles Varner, Rachel Wright

Sociology

The purpose of this report is to describe the current state of poverty in California, to discuss concrete steps that could be taken to reduce poverty in California, and to present the best available evidence on the likely effects of those steps. We take on an important but infrequently-posed question: If California were to seriously commit to reducing poverty, how might that commitment best be realized?

This is of course a hypothetical question, as there is no evidence that California is poised to make such a serious commitment, nor have many other states gone much beyond the usual lip service …

Unequally Distributed Psychological Assets: Are There Social Disparities In Optimism, Life Satisfaction, And Positive Affect?, Julia K. Boehm, Ying Chen, David R. Williams, Carol Ryff, Laura D. Kubzansky

Psychology Faculty Articles and Research

Socioeconomic status is associated with health disparities, but underlying psychosocial mechanisms have not been fully identified. Dispositional optimism may be a psychosocial process linking socioeconomic status with health. We hypothesized that lower optimism would be associated with greater social disadvantage and poorer social mobility. We also investigated whether life satisfaction and positive affect showed similar patterns. Participants from the Midlife in the United States study self-reported their optimism, satisfaction, positive affect, and socioeconomic status (gender, race/ethnicity, education, occupational class and prestige, income). Social disparities in optimism were evident. Optimistic individuals tended to be white and highly educated, had an educated …