Medicine and Health Commons^™

Prenatal Care For Undocumented Immigrants: Implications For Policy, Practice, And Ethics, Rachel Fabi

Population Health Research Brief Series

Nearly 250,000 babies are born each year to undocumented immigrant parents in the U.S. These babies are U.S. citizens, but undocumented immigrants are ineligible for most public insurance, making it difficult for them to access prenatal care. This research brief describes restrictive policies related to prenatal care for undocumented immigrants and discusses how these policies affect health care providers and the care they are able to offer pregnant immigrant women.

Effects Of Quantitative Literacy On Healthcare Decision-Making: An Aural Context, Robert G. Root, Sonia Bhala

Numeracy

We propose a relationship between sensory modality, numerical formatting, and performance on a survey simulating healthcare decision-making. We examine the current literature on aural health literacy, and specifically aural literacy coupled with health numeracy. We then create a survey instrument called the Bhala test for this purpose and demonstrate that it is moderately internally consistent and provides results that correlate with the NUMi assessment, a widely accepted measure of health numeracy. The quantitative information provided in the Bhala test has two treatments, percentage and natural frequency formats, in an effort to determine which format is easier for subjects to use …

Population Council Annual Evaluation Report: Opening Futures (Abriendo Futuros) For Indigenous Girls In Yucatan, Mexico, Silvana Larrea

Poverty, Gender, and Youth

This Population Council Annual Evaluation Report includes evaluation activities from December 1, 2015 to December 1, 2019, and future evaluation plans (2019–21), as part of the Opening Futures (Abriendo Futuros) project for indigenous girls in Yucatan, Mexico. The first section describes the finalized analysis of the impact evaluation of the pilot phase; the second section reports the progress of evaluation activities; and the third section includes an evaluation of future plans for the period December 1, 2019 to November 30, 2021.

Temple Stay As Transformative Travel: An Experience Of The Buddhist Temple Stay Program In Korea, Susan L. Ross, Jungyun (Christine) Hur, Jamie Hoffman

Journal of Tourism Insights

The burgeoning tourism niche called temple stay, which originated in Korea, has been marketed to Koreans and internationals as a means for travelers to become immersed in cultural heritage, learn about Buddhism, and find one’s “true self” by spending a few days to a week as a guest in a living, operational Buddhist monastery. Although this tourism segment is gaining wide-spread appeal, the temple stay phenomenon has received relatively little scholarly attention outside of Korea. The handful of papers identified on the subject that are written in English, refer to this phenomenon as constituting various segments such as rural tourism, …

Leveraging The Power Of Mutual Aid, Coalitions, Leadership, And Advocacy During Covid-19, Daniela Domínguez, Dellanira García, David A. Martínez, Belinda Hernandez-Arriaga

Psychology

The COVID-19 pandemic has shed light on the norms, patterns, and power structures in the United States that privilege certain groups of people over others. This manuscript describes COVID-19 as an unprecedented catalyst for social transformation that underscores the need for multi-level and cross-sectoral solutions to address systemic changes to improve health equity for all. The authors propose that the American Psychological Association and its membership can initiate systemic change, in part, by: (a) supporting mutual aid organizations that prioritize the needs of vulnerable communities; (b) leveraging the efforts and strides APA psychologists have already made within the association, in …

Patient Advocacy: A Tool For Resolving Ethical Issues For Patients That Use The Emergency Department For Chronic Care Management, Lawanda Baskin

Journal of Health Ethics

The current state of scientific knowledge on using the emergency department (ED) for chronic care management indicates that using the ED for chronic care management creates health disparities and burdens healthcare systems. Ethical concerns also arise because patients use the ED for chronic care management. This article discusses health literacy, self-care behaviors, and social support and the presence of patient suffering, nonmaleficence, and beneficence in patients who seek care for chronic care management in the ED. Patient advocacy as a tool to lessen these ethical issues is further discussed. Eighty-six participants were used in a cross-sectional correlational predictive study. Findings …

Social Stigma, Public Health, And Addiction In Albania, Ediola Malkouari

Honors Undergraduate Theses

Drug use is considered in many countries the plague of today's society. Researchers from medical, psychological and sociological fields, as well as lawmakers, are interested in finding more answers to this widespread phenomenon. All over the world there are known conflicts related to drug producing, transportation routes and distribution, that harm the economy and social standing of the involved communities or countries. Policies towards drug use vary from country to country, but this research focuses on how stigma affects the lives of individuals suffering from substance use disorder (SUD) in Albania. Substance use disorder is not often considered a disease, …

Tobacco Use Disparities By Sexual And Gender Minority Status Among Ucf Students., Parth N. Patel

Digital Repository: Showcase of Undergraduate Research Excellence

No abstract provided.

Leveraging Technology To Blend Large-Scale Epidemiologic Surveillance With Social And Behavioral Science Methods: Successes, Challenges, And Lessons Learned Implementing The Unite Longitudinal Cohort Study Of Hiv Risk Factors Among Sexual Minority Men In The United States, H. Jonathon Rendina, Ali J. Talan, Nicola F. Tavella, Jonathan Lopez Matos, Ruben H. Jimenez, S. Scott Jones, Brian Salfas, Drew Westmoreland

Publications and Research

The use of digital technologies to conduct large-scale research with limited interaction (i.e., no in-person contact) and objective endpoints (i.e., biological testing) has significant potential for the field of epidemiology, but limited research to date has been published on the successes and challenges of such approaches. We analyzed data from a cohort study of sexual minority men across the United States, collected using digital strategies during a 10-month period from 2017 to 2018. Overall, 113,874 individuals were screened, of whom 26,000 were invited to the study, 10,691 joined the study, and 7,957 completed all enrollment steps, including return of a …

The Path To Pregnancy: Fertility Services And Assisted Reproductive Technologies, Olivia H. Gilbert

Scripps Senior Theses

The emergence of reproductive assistance like fertility treatments and assisted reproductive technologies (ART) in recent decades have provided new paths to pregnancy for many individuals. However, certain demographics in the US like low-income women and women of color are often excluded from utilizing these services on the basis of race, geography, and socioeconomic status. This in turn leads to significant disparities in access to and usage rates of such services. This research points out the perceived shortcomings in the current academic discussion surrounding fertility service disparities with the ultimate goal of expanding access to fertility assistance services for those who …

Vulvodynia, It’S In My Head: Mad Methods Toward Crip Coalition, Renee Dumaresque

Journal of Feminist Scholarship

This article employs a mad transdisciplinary approach to autoethnography to detail vulvodynia — or chronic vulvar pain — within the system of (dis)ability. Through autoethnography, the self operates as a mobile orientation from which to identify and disrupt the colonial rationalities that differentially construct and narrate vulvodynia across sites of madness and disability. Through historical, discursive, and autoethnographic analysis, I locate vulvodynia’s role in various processes of subject, race, and settler-state formation from the nineteenth century up to the neoliberal present.

Prospects And Challenges Of Population Health With Online And Other Big Data In Africa; Understanding The Link To Improving Healthcare Service Delivery, Rowland Edet, Bolarinwa Afolabi

Department of Sociology: Faculty Publications

Big data analytics offers promises to many health care service challenges and can provide answers to many population health issues. Big data is having a positive impact in almost every sphere of life in more advanced world while developing countries are striving to meet up. Even though healthcare systems in the developed world are recording some breakthroughs due to the application of big data, it is important to research the impact of big data in developing regions of the world, such as Africa and identify its peculiar needs. The purpose of this review was to summarize the challenges faced by …

Three Essays On Health Economics And Policy Evaluation, Shishir Shakya

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation consists of three essays on the U.S. Health care policy. Each paragraph below refers to the three abstracts for the three chapters in this dissertation, respectively. I provide quantitative evidence on how much Prescription Drug Monitoring Programs (PDMPs) affects the retail opioid prescribing behaviors. Using the American Community Survey (ACS), I retrieve county-level high dimensional panel data set from 2010 to 2017. I employ three separate identification strategies: difference-in-difference, double selection post-LASSO, and spatial difference-in-difference. I compare how the retail opioid prescribing behaviors of counties, that are mandatory for prescribers to check the PDMP before prescribing controlled substances …

The Positive Effects Of Exercise On Active Transplant Recipients And Its Impact On Medication Adherence, Travane Morrison

Theses

Organ failure is a life-threatening condition (Daugirdas et al, 2014). Non-adherence to medication is one of the main causes of the failure of a transplanted organ (Oberlin et al, 2016). In an effort to combat non-adherence to medication, research had employed intervention studies to tackle the main cause of non-adherence (Chisholm-Burns, 2013). The aims of this project are three fold. Firstly it aims to find if complications associated with organ transplant affect the individual’s medication adherence. Secondly, it explores the connections between exercise and medication adherence. Thirdly the research explores if exercise assists with possible complications associated with an organ …

Therapists Who Specialize In Addiction: A Grounded Situational Analysis Of A Stigmatized Profession, Heather J. Humphrey-Leclaire

Antioch University Dissertations & Theses

This study used the methodology of a grounded situational analysis to explore the lives of therapists who specialize in addiction. Historians have researched the history of addiction treatment itself and some have identified parallel processes of discrimination, stigma, and stigma by association for therapist and client, but the complex intersectionality between social processes and organizational issues have been largely invisible. In this study, therapists who specialize in addiction (including social workers, clinical mental health counselors, and alcohol and drug counselors) were asked about their sense of how others see them in their role. These conversations made visible the many, enmeshed …

Changing Weight Management Self-Efficacy Among Obese Puerto Rican Adults: A Quantitative Study Using A Health Coaching Intervention, Richard Valentin Ayala, Josh Bernstein

Internet Journal of Allied Health Sciences and Practice

Purpose: Obesity and associated healthcare-related issues continue to increase. The prevalence of obesity is on the rise, which has led many health professionals to find ways to improve health interventions. Health coaching can be a viable tool to reduce the obesity epidemic. The purpose of this quantitative study was to investigate the effects of an 8-weekhealth coaching intervention in obese individuals from Puerto Rico and to determine if self-esteem and body image influence weight managementself-efficacy. Method: A pretest-posttest design using a weight management self-efficacy scale helped the researcher evaluate the effectof the coaching sessions. In addition, body image …

Knowledge Of Breast Cancer And Screening Methods Among Rural Women In Southwest Nigeria: A Mixed Method Analysis, Rowland Edet, Oluwayimika Ekundina, Obasanjo Afolabi Bolarinwa, Julianah Babajide, Juliet Amarachukwu Nwafor

Department of Sociology: Faculty Publications

The objective of this study was to assess the awareness of rural women on breast cancer and its screening methods in Southwest Nigeria. Descriptive cross-sectional survey design with the aid of a semi-structured questionnaire was used to generate data among 422 rural women in selected communities in Egbeda local government area of Ibadan. The qualitative data was generated through in-depth interviews among rural women and key informant interviews among health workers in the communities. The study revealed that only 63.7% were aware of breast cancer screening methods compared to 31.6% who were not aware of it. The commonly known screening …

Pediatric Postoperative Pain Medication: Demographic Predictors And Parent Medication Attitudes, Vivian Luong

Student Scholar Symposium Abstracts and Posters

Over 85% of children experience significant pain after surgery. Despite this presence of pain, research suggests that a quarter of these children receive very little pain medication at home. Such poor pain management in children can have harmful long-term consequences. Previous research indicates that the amount of pain medication administered to children in the home may be significantly impacted by the attitudes parents have regarding analgesics. Given this, the purpose of the present study is to identify how demographic factors such as child sex and ethnicity predict certain parent analgesic attitudes and, in turn, the amount of pain medication their …

Picturing Health; Picturing Life: Visual Illness Narratives Of Women With Type 2 Diabetes, Sarah Gurley-Green

Educational Studies Dissertations

The prevalence of diabetes in the U.S. reached 23 million people between 2012 and 2017 and consumed one-quarter of the overall healthcare dollars. Remembering the suffering and pain of individuals behind these numbers becomes difficult and incalculable. Black American women are the most affected by type 2 diabetes (T2D), compared to their white counterparts, as well as twice as likely to be diagnosed with T2D and 2.5 times more likely to die from T2D. Therefore, understanding the problem requires the fundamental consideration of how these women cope daily with this complex illness while often struggling with complex lives. This narrative …

Improving Access To Mental Health Care With Nurse Practitioners, Jessica Whelan

Dissertations

Problem: Over 40% of those with mental illness are untreated since the supply of psychiatrists does not meet the demand. The psychiatric mental health nurse practitioner (PMHNP) may be an adjunct in providing those services. The purpose of this quality assurance study was to evaluate outcomes of care between a PMHNP and a psychiatrist (medical doctor [MD]).

Methods: An observational, descriptive design with a retrospective medical record review of adult patients over a six-month period in a suburban, Midwestern, privately owned psychiatric practice.

Results: A total of 787 individual patients encountered at least one visit (N=787) although 3,679 …

Ethnobotany And Dai Medicine: Herbal Roots, Jasper Tsai

Independent Study Project (ISP) Collection

Xishuangbanna is home to one of the most biologically and culturally diverse regions in China. Dai medicine from the Dai people has been recognized by China as one of the four major ethnic minority medicines. With over 2,500 years of practice, Dai medicine utilizes the herbs found in the diverse region mixed with principles and theories from Buddhism. There have been over 500 unique herbs used in Dai medicine, each with different properties and functions. As Xishuangbanna continues to develop as a city and expand its rubber and banana plantations, it has large impacts on the environment, living standard, education, …

A Comparative Study On Mental Health Knowledge Based On Socioeconomic Status In Kisumu Kenya 2019, Mashoud Kaba

Independent Study Project (ISP) Collection

Studies show that people who live in rural Kenya have more positive attitudes toward mental illnesses than people in urban areas. They also had more mental health knowledge. One of the differentiating factors between the two environments is the socioeconomic status of those who live in each area. People in rural areas tend to be of lower socioeconomic status, while those living in urban areas tend to be of a higher socioeconomic status. I wanted to see if the previous findings would be observed if we were looking at people in the same area (strictly urban or rural) with the …

Health And Education: Perspectives On The Role Of Schools In Health Promotion, Miranda Powell

Independent Study Project (ISP) Collection

The purpose of this study was to understand learners’ perceptions of the role schools play in health promotion. Health promotion encompasses health education and can be highly effective in the school setting. Given the high rates of HIV/AIDS, teen pregnancy, early sexual debut, and abuse, health education is highly important in South African schools. All learners are required to take Life Orientation classes, which cover many topics including health education. Comparing the views of what learners expect, experience, and the curriculum, my study addressed the gaps in Life Orientation classes with regards to health promotion education.

For this study I …

Which Factors Influence The Usage And Perceptions Of Medicinal Plants In Kizanda Village (Lushoto District) And Ushongo Village (Tanga District)?, Callie Smith

Independent Study Project (ISP) Collection

The objective of this study was to compare and examine which factors impact usage and perceptions of traditional medicine in Ushongo Mtoni and Kizanda villages. More specifically, this study aimed to gain an understanding of the usages, with a specific focus on gendered usages of medicinal plants in Kizanda village and Ushongo Mtoni village and to try to examine the differences in perceptions towards traditional medicine usage in Kizanda and Ushongo. Additionally, this study aimed to determine if there are any major themes that are constant with medicinal plants in both Ushongo and Kizanda. In order to conduct this study …

Herbal Medicine And Pediatric Massage: Interning At A Tcm Pediatric Clinic, Yvette Way

Independent Study Project (ISP) Collection

Before entering this program my knowledge of TCM was practically nonexistent. However even from a young age, I had an interest in learning about the healing properties of plants and herbs but, I had no way of exploring this interest of mine. After entering this program, I have learned more about TCM and herbal medicine. Because of the lessons that we have taken in class, it made me want to have a deeper understanding of TCM because of this, I decided to do an internship that would involve TCM. My time at Yang Zhen Er Kang clinic has taught me …

The Hapless State Of Amyotrophic Lateral Sclerosis In India: A Comprehensive Look At Life And Medical Services For Als Patients In Rural Himachal Pradesh, Carson J. Bergström

Independent Study Project (ISP) Collection

Amyotrophic lateral sclerosis (ALS) or Lou Gehrig’s disease is a neurodegenerative disorder that leads to paralysis. The disease requires a high amount of medical intervention and interdisciplinary focus to achieve quality of life for patients. This study looks at ALS patient’s lifestyles, their access to these medical devices, Indian therapeutic approaches and policy that impacts patients in Shimla, Himachal Pradesh. As caretakers have a critical part in the care for this disease, their lives were also considered in the case studies. It was found that ALS patients are not experiencing access to medical devices necessary for life because of physical …

Intersections Between Health And Disability: A Case Study At Disha Centre, Jaipur, Rajasthan, Finnian Brokaw

Independent Study Project (ISP) Collection

This study investigated intersections between health and disability by asking the question: how do community perceptions of disability at Disha: A Resource Centre for the Disabled in Jaipur, India relate to health and quality of life for a person with multiple disabilities? This study utilized a case study methodology. The researcher took qualitative interviews from six respondents in the immediate educational and familial support network of a 27-year-old man with multiple disabilities. An interview based, qualitative methodology was important for investigating the complexity of perceptions of multiple disabilities and health as intersecting identities. The responses were analyzed and reflected upon …

An Analysis Of The Rajasthan Public Health System’S Response To The 2019 Dengue Insurgence, Luke Bryan

Independent Study Project (ISP) Collection

Dengue virus is in a pandemic status and is a major public health issue in the modern world. The mosquito-borne disease is largely prevalent in Asia and specifically India, where more than half of the states are considered to have complete presence of the dengue virus. The intricate infrastructure of the Indian public health system looks for dengue cases at all levels and reports to the integrated disease surveillance programme (IDSP).

Analyses of the IDSP and trends of dengue cases was done in response to dengue outbreaks throughout the state. Geographic information system (GIS) maps were created to evaluate a …

Enhancing Quality Of Life Of People With Visual Impairments Through Aesthetic Techniques, Christia M. Labro

Student Capstone Papers

Vision loss affects roughly 285 million people globally and is one of the leading causes of age-related disability which can lead to reduced quality of life (QoL) and increased levels of depression and anxiety (van der Aa, Bruin, van Rens, Twisk, & van Nispen, 2015). Occupational therapists have been involved in the rehabilitation of individuals with low vision since 1917 (Warren, 1995) and are significant to the low vision community due to their knowledge and expertise addressing occupational limitations while taking into consideration psychosocial factors that result from vision loss. However, there appears to be gaps in the literature related …

Recent Trends, Current Research In Cyberpsychology: A Literature Review, Amarjit Kumar Singh, Pawan Kumar Singh

Library Philosophy and Practice (e-journal)

Cyberpsychology refers to the study of the mind and behavior in the context of interactions with technology. It is an emerging branch, which has focused on the psychological aspects connected to the increasing presence and usages of technology in modern lives. This paper traces recent advancement and trends of Cyberpsychology is an emerging domain of knowledge and goes on the give a literature review of the same. An analysis of the recent research and literature covering 300 most relevant research papers from the period of 2012 to 15, August 2019 was conducted to determine and shape the research pattern based …