Medicine and Health Commons^™

The Medical Treatment Of Obesity: On The Page & In The Office, Shayla J. Staley

LSU New Orleans Theses and Dissertations

This paper sought out the causes of weight discrimination in healthcare. Through content analysis of medical journals, the study illuminated several causes. These causes were used to create a concept matrix surrounding the medicalization of fatness that illustrated how these concepts are defined relationally, as well as how they combine to form the medical conception of the “obesity epidemic”. The concept matrix carries an indirect influence upon weight stigma that can lead to weight discrimination when fat folks seek out healthcare.

Racial And Ethnic Disparities In Opioid Use For Adolescents At Us Emergency Departments, Michael T. Phan, Daniel M. Tomaszewski, Cody Arbuckle, Sun Yang, Candice D. Donaldson, Michelle A. Fortier, Brooke Jenkins, Erik Linstead, Zeev N. Kain

Pharmacy Faculty Articles and Research

Background

Racial/ethnic disparities in the use of opioids to treat pain disorders have been previously reported in the emergency department (ED). Further research is needed to better evaluate the impact race/ethnicity may have on the use of opioids in adolescents for the management of pain disorders in the ED.

Methods

This was a cross-sectional study using data from the National Hospital Ambulatory Medical Care Survey from 2006 to 2016. Multivariate models were used to evaluate the role of race/ethnicity in the receipt of opioid agonists while in the ED. All ED visits with patients aged 11–21 years old were analyzed. …

"It's The Way You Sing It": Translating Music Therapy For Isolated Older Adults Affected By Covid-19 To The Television Screen, Eunice Wong

Expressive Therapies Capstone Theses

The current Covid-19 pandemic has increased the likelihood of loneliness and social isolation among older adults due to the restrictions on movement and visitations in care facilities. Loneliness and social isolation have consistently been identified as risk factors for poor mental and physical health in older people. Meanwhile, a growing number of older adults are utilizing technological resources to enhance their interpersonal relationships and overall quality of life. In the winter of 2020/2021, an innovative music therapy-informed television program was designed and produced for isolated older adults in need of mental and emotional support. This project, produced jointly by a …

Exploring Social Determinants Of Covid-19 Related Sickness And Suffering In The Bronx, Hamida Chumpa

Student Theses and Dissertations

Through a positivistic and phenomenological approach, the study examines social determinants of COVID-19 related sickness and suffering in the Bronx, New York City, New York, ZIP codes 10462, 10472, 10467, 10458, 10474, and 10464. I utilize a violence paradigm (structural and everyday violence) to describe the social determinants of risk and sickness-related suffering and deploy an assemblage framework to shed light on how these determinants create negative synergies that undermine wellbeing and render certain communities vulnerable to extreme suffering. The mixed methods include 64 surveys and eight interviews. Analysis methods include a descriptive analysis of survey results and a thematic …

Reporting Of Eating Disorder Deaths, Katherine Mobley, Amy Hord

Symposium of Student Scholars

Those affected by eating disorders experience disturbances in eating behaviors which are often related to underlying psychiatric disorders such as anxiety, depression, or obsessive-compulsive disorder (Parekh, 2017, Drieberg et al., 1998 p.53). The duplicitous nature of the disorder makes it difficult to diagnose, and the tole it takes on an individual’s physical health makes its mortality rate the second highest among psychiatric disorders (Guinhut et al., 2021 p.130). Even if the correct education and resources are accessible to certain individuals, negative stigmatization about the disorder can make sufferers unlikely to seek help (Becker et al., 2010). Findings from analysis of …

The Financial Implications Of The Chinese Healthcare System, Lilly Schneider, Chi Hung Kenneth Leung

DU Undergraduate Research Journal Archive

In 1949 one of the world’s most powerful and influential countries was born: The People’s Republic of China. Perhaps the greatest challenge the country has consistently faced since its inception has been ensuring a fiscally sound healthcare system. Today, China has the world’s largest population and a rapidly aging society with 330 million citizens over the age of 65 projected by 2050- nearly the same size as the total U.S. population. Living standards across China have been drastically increasing in recent decades and the Chinese people are desiring better, higher quality healthcare to complement their new lifestyles. With this desire …

Right! From The Start: Improving Maternal-Child Health In The Mississippi Delta, John J. Green, Elizabeth Young Sweeney

Delta Directions: Publications

Right! From the Start (R!FTS) was created nearly ten years ago as a collaborative effort between Women and Children Health Initiatives, Inc. and the Community Foundation of Northwest Mississippi with support from the W.K. Kellogg Foundation (WKKF). The immediate goal of the initiative was to raise breastfeeding rates for mothers and babies in vulnerable families, especially those with preterm and low weight births. A long-term goal was improvement of maternal and child health outcomes in a region plagued by socioeconomic and racial disparities, the Mississippi Delta. R!FTS has gone through three distinct phases of development, which are detailed in this …

Seeking Sustainable Solutions To Period Poverty Amongst Homeless Women In Camden County, Nj, Bilal Khan, Alana Smith, Melisa Ibarra-Zavala

Rowan-Virtua Research Day

Health Careers Opportunity Program (HCOP) – National Ambassadors is an effort for underserved high school, undergraduate, and medical students to collaborate on a research-based community service project to equip future health professionals with tools to heal their communities.

The average woman spends up to 3500 days of their life menstruating. Menstrual health is therefore not just a fundamental human right, but a robust indicator of community well-being. Despite the biological inevitably of menstruation, barriers to practicing adequate menstrual hygiene, or “Period Poverty,” are far common and often ignored in public forums. Period products face a luxury goods sales tax in …

Association Between Childhood Obesity And Lack Of Healthy Food Access In Urban Food Deserts, Nicholas Averell, Rushali Desai, Archana Menon, Ayushi Naik, Arpun Shah

Rowan-Virtua Research Day

Background

Childhood Obesity: growing epidemic affecting almost 20% of children and adolescents in the United States

● Characterized by BMI greater than 95^th percentile of their age and gender

● Often leads to chronic medical conditions: high blood pressure, Type II Diabetes and heart diseases

● Low socioeconomic status(SES), lack of healthy food access and urban neighborhood

Ethnic Differences In Maternal Cytokines And Adipokines And Their Association With Spontaneous Preterm Delivery, Yelizavet D. Lomakova, Xinhua Chen

Rowan-Virtua Research Day

Spontaneous preterm delivery (SPTD, birth at <37 weeks’ gestation) is a leading cause of infant mortality in the United States [1]. Infants born prematurely are more likely to suffer from both short and long-term complications including neurodevelopmental delay, visual and hearing impairment, and chronic diseases such as heart disease, hypertension and diabetes in later life [2-4]. African American women have a 2-fold increased risk of preterm delivery compared to Caucasian women [5].The reasons for this disparity are poorly understood. This limits the ability to predict and prevent preterm delivery in the most high-risk populations.

County-Level Factors That Influenced The Trajectory Of Covid-19 Incidence In The New York City Area, Ashley Wendell Kranjac, Dinko Kranjac

Sociology Faculty Articles and Research

More than a century of research has shown that sociodemographic conditions affect infectious disease transmission. In the late spring and early summer of 2020, reports of the effects of sociodemographic variables on the spread of COVID- 19 were used in the media with minimal scientific proof attached. With new cases of COVID-19 surging in the United States at that time, it became essential to better understand how the spread of COVID-19 was varying across all segments of the population. We used hierarchical exponential growth curve modeling techniques to examine whether community socioeconomic characteristics uniquely influence the incidence of reported COVID-19 …

Eastern European Orthodox Christian Immigrant Women: A Pilot Study And Needs Assessment, Kimberly A. Babich-Speck

Doctor of Nursing Practice Scholarly Projects

The healthcare perceptions of the Eastern European Orthodox Christian immigrant women (EEOCIW) to the United States (U.S.) are under-represented in the literature. Although they appear similar to Americans, their cultural and religious traditions are outside the mainstream American culture. This pilot study and health needs assessment examines the women’s healthcare perceptions of 14 EEOCIW and identifies similarities and differences with 25 U.S. born Orthodox Christian women (USOCW). Between September and November 2020, interviews were conducted with Orthodox Christian immigrant women from Eastern Europe and Orthodox Christian women born in the U.S. Questions covered the perceptions of women’s healthcare, factors influencing …

Race, Ethnicity, And Insurance: The Association With Opioid Use In A Pediatric Hospital Setting, Vivian Luong

Student Scholar Symposium Abstracts and Posters

Pediatric opioid-related poisoning and deaths have increased by 268% between 1999 and 2016. One risk factor for these poisonings may be receiving an opioid prescription at a young age. Given the established link between legitimate opioid prescriptions and later misuse in young adulthood, research focused on identifying relationships between sociodemographic factors with opioid and non-opioid prescribing is needed to understand opioid prescribing inconsistencies and promote safe pain management. Of interest, this study examined the association between race/ethnicity and health insurance payer type with pediatric opioid and non-opioid ordering in an inpatient hospital setting. Statistical analyses were performed with cross-sectional inpatient …

An Analysis Of The Factors That Impact Medicaid Recipient Tobacco Quit Rates, Raegan Winder

Schultz-Werth Award Papers

Background and Objectives: Tobacco use is the leading preventable cause of disability and disease in the United States. Individuals of low socioeconomic status are more likely to use tobacco, suffer from tobacco related illness, and fail to quit or stay quit. Medicaid recipients enrolled in the South Dakota QuitLine have significantly lower quit rates than participants who aren’t enrolled in Medicaid. The purpose of this paper is to review the factors that impact Medicaid recipients’ ability to quit or stay quit.
Methods: Tobacco use and demographic data were collected at enrollment and seven months post-enrollment using standardized assessments for 16,323 …

Contextualizing The Health Of U.S. Farmworkers, Gabrielle Hyde

Undergraduate Theses, Capstones, and Recitals

Farmworkers often exist in vulnerable social and occupational positions that make accessing health care a challenge. This literature review seeks to outline the health of U.S. farmworkers in the context of these vulnerabilities through a review of the existing literature. It provides a short background to understand how we have become reliant on immigration to feed our nation and to give a snapshot of where these farmworkers come from and what their health concerns are. A key topic in this literature review is the social context of these health burdens including the attitudes of providers, farmworker’s perceptions of their own …

The Relationship Between Perceived Neighborhood Disorder And Type 2 Diabetes Risk Across Different Racial/Ethnic Groups, Min Yu, Jennifer N. Robinette

Student Scholar Symposium Abstracts and Posters

Approximately 32 million Americans have Type 2 Diabetes and that number is growing rapidly. Type 2 Diabetes is sensitive to environmental factors, and higher prevalence rates are often observed in disordered neighborhoods (i.e., those with more trash and vandalism). Through discriminatory practices such as redlining, racially restrictive covenants, urban renewal, and gentrification, marginalized racial/ethnic groups are more likely to live in disordered neighborhoods compared to non-Hispanic Whites. These disparities may also contribute to similar disparities in Type 2 Diabetes rates. Yet, research indicates that there may be racial/ethnic differences in the interpretation of neighborhood disorder as a threat to health …

Racial/Ethnic Differences In The Benefit Of Social Networks On Anxiety Symptoms, Melissa Vargas Calderon, Jennifer Robinette

Student Scholar Symposium Abstracts and Posters

Anxiety is a pressing health concern, affecting 40 million adults in the United States every year. Interestingly, communities of color have lower rates of anxiety disorders relative to Non-Hispanic Whites, despite on average experiencing more lifetime adversity characteristic of members of marginalized groups, such as low socioeconomic status and discrimination. Research indicates that contact with one’s social network, particularly large, closely knit ones among Hispanics, are protective factors against anxiety. However, empirical investigations of racial/ethnic differences in the benefits of social networks on anxiety are lacking. Data from the Health and Retirement Study (HRS), a nationally representative sample of adults …

Recovering From Substance Abuse In Arkansas: The Accessibility And Affordability Of Drug Treatment Programs, Whitney King

Graduate Theses and Dissertations

This thesis is going to examine how people recover from drug addiction and see if there are any similarities due to their socioeconomic statuses at the time of recovery. This research addresses the following questions: How accessible and affordable are drug addiction recovery programs and rehabilitation facilities in Arkansas for mid- to low-income individuals? What are the social costs for people who can’t obtain drug rehabilitation services? The goal of this research is to explore whether there is a lack of affordable recovery programs in the state of Arkansas. This project utilizes survey responses as well as in-depth interviews with …

Examining Spatial Inequality In Covid-19 Positivity Rates Across New York City Zip Codes, Tse-Chuan Yang, Seulki Kim, Yunhan Zhao, Seung-Won Emily Choi

Department of Sociology: Faculty Publications

We aim to understand the spatial inequality in Coronavirus disease 2019 (COVID-19) positivity rates across New York City (NYC) ZIP codes. Applying Bayesian spatial negative binomial models to a ZIP-code level dataset (N = 177) as of May 31st, 2020, we find that (1) the racial/ethnic minority groups are associated with COVID-19 positivity rates; (2) the percentages of remote workers are negatively associated with positivity rates, whereas older population and household size show a positive association; and (3) while ZIP codes in the Bronx and Queens have higher COVID-19 positivity rates, the strongest spatial effects are clustered in Brooklyn and …

The Effect Of Chronic Alcohol Consumption On Exercise-Induced Muscle Damage In Young Men, Emma Hamilton, Grant Hilliard

Honors Theses

PURPOSE: To investigate the effects of chronic alcohol consumption on exercise-induced muscle damage of the knee extensors in young men. METHODS: Twenty-one males (age 21.9 ± 1.1 yr; weight 183.4 ± 27.6 lbs; height 174.0 ± 13.1 cm) performed 100 maximal eccentric contractions at 30°/sec of the knee extensors using their non-dominant leg. The isometric and isokinetic muscle strengths (60°/sec and 180°/sec) were measured pre-exercise and immediately, 24 h, 48 h, 72 h, 96 h, and 120 h post-exercise. Muscle soreness and plasma creatine kinase (CK) activity were measured pre-exercise and 24 h, 48 h, 72 h, 96 h, and …

276— Poverty And Pathogens In 19th Century Rochester, New York; Poorhouses And Other Public Housing, Tyler Haug

GREAT Day Posters

Legislation in the early 19th century resulted in the construction of public housing in the form of poorhouses and orphanages by many states to provide housing for those in need (Huddleson 2012). Reports on the conditions of these facilities within New York State show that many of them lacked adequate sources of water for washing, proper ventilation, and sanitary conditions for the inmates (Stuhler 2013). These conditions, along with crowding in many of the facilities led to the increased spread of pathogen borne diseases such as measles, typhoid fever, tuberculosis (consumption), and pneumonia. By analyzing the death records from patients …

Mental Health Support And Advocacy For Undergraduate Bgsu Students In Wood County, Oh, Robert Lince

Honors Projects

In the midst of the COVID-19 pandemic, mental health has been a topic receiving significant focus on college campuses across the United States. Thus, it is important for all undergraduate college students to understand the available organizations and facilities that will provide the most quality and effective mental health care. With BGSU undergraduates already facing academic and social pressures, in addition to the financial and other hardships brought on by the pandemic, it is imperative that students are aware of resources both on campus and in the local community so that their needs can be met appropriately and in a …

Measuring Food Consumption Within A Foodrx Program, Katie Howell

Honors Theses

This pilot study set out to assess food consumption measures within the Charleston FoodRx program. Assessments made through this investigation aim to improve the Charleston program as well as provide suggestions for future programs. Charleston FoodRx provides enrolled households with fruits and vegetables in a supply intended to last for two weeks. These goals combine social and pharmaceutical science, by addressing barriers in food environment and insecurity, nutritional health, and preventative treatment. Though the idea behind FoodRx has existed prior to recent pilot programs, research behind FoodRx and its possible integration within the healthcare system lack published and replicable research …

The Impact Of Covid-19 On The Nutritional Patterns Of School-Aged U.S. Children, Abigail Prendergast

Honors Projects

This study aims to evaluate the nutritional impact the COVID-19 pandemic has had on children within the U.S. by assessing how children’s nutritional patterns have changed due to the COVID-19 pandemic, determining how these changes are impacted by participation in school federal nutrition assistance programs, and exploring additional food-related barriers the COVID-19 pandemic has created for families. A cross-sectional survey of American parents was used to evaluate changes to their children’s nutritional patterns. Data was collected through an electronic survey administered through the Qualtrics platform. Participants were recruited through Facebook advertisements and the distribution of electronic survey links. The COVID-19 …

Remembering Postpartum Depression In Later Life: An Interpretative Phenomenological Analysis, Walker Ladd Phd

The Qualitative Report

Postpartum depression (PPD) occurs in as many as 1 in 7 women (Gavin et al., 2005). PPD remains underdiagnosed and largely untreated, contributing to high societal costs and increased maternal mortality. Despite the wealth of research reporting the adverse effects of PPD on childbearing women and their offspring, little is known about how women who have experienced PPD describe or interpret the meaning of the experience in later life. I conducted semi-structured interviews with a purposive sample of 10 women self-identifying as having had PPD a minimum of 13 years in the past. Using interpretative phenomenological analysis (IPA) I identified …

What Does It Mean To Be Never Married In Later Life? Application Of Phenomenology In An Aging Study, Arya Hamedanchi, Nasibeh Zanjari, Hamid Reza Khankeh, Yadollah Abolfathi Momtaz

The Qualitative Report

The growth of the aging population and the increase of age at marriage will result in a rise in the number of never-married people in the future, although there is not sufficient qualitative evidence on this emerging phenomenon. The present study aimed to explore the lived experience of never-married older adults. The lived experiences of 12 never-married older adults were collected using an in-depth interview. The hermeneutics method of Van Manen was used for identification, description, and interpretation of emergent themes. Reflection on the lived experiences of the participants uncovered six themes, including: feeling of independence, combating loneliness, moving up …

War Against Covid-19: How Is National Identification Linked With The Adoption Of Disease-Preventive Behaviors In China And The United States?, Hoi-Wing Chan, Xue Wang, Shi-Jiang Zuo, Connie Pui-Yee Chiu, Li Liu, Daphne W. Yiu, Ying-Yi Hong

Research Collection Lee Kong Chian School Of Business

Fighting the COVID‐19 pandemic requires large numbers of citizens to adopt disease‐preventive practices. We contend that national identification can mobilize and motivate people to engage in preventive behaviors to protect the collective, which in return would heighten national identification further. To test these reciprocal links, we conducted studies in two countries with diverse national tactics toward curbing the pandemic: (1) a two‐wave longitudinal survey in China (Study 1, N = 1200), where a national goal to fight COVID‐19 was clearly set, and (2) a five‐wave longitudinal survey in the United States (Study 2, N = 1001), where the national leader, …

Moving Past The Binary: Transgender And Gender Non-Conforming Students’ Experiences Of And Perspectives On College Campus Fitness Centers, Rachel E. Petterson

Honors Projects

Transgender and gender non-conforming (TGNC) people face various mental and physical health disparities. Despite this, spaces related to health and wellness are not always inclusive. Similarly, college campuses are often not as inclusive or accommodating as they should be. This study looks at the experiences of TGNC students at campus fitness centers. Through both quantitative and qualitative data gathered through an online survey, it aims to better understand the following: the presence of inclusive facilities; the perceived importance of facility variables; use of campus fitness facilities by TGNC students; what improvements they would like to see; and how any of …

Examining Factors Associated With Bcg And Poliomyelitis Vaccination Coverage In Tanzanian And Kenyan Children Aged 12 To 23 Months Using Dhs Surveys, Ognyan Simeonov

Independent Study Project (ISP) Collection

The rapid spread of infectious diseases in eastern Africa has made vaccination a major health factor in the region. This study aims to evaluate the factors affecting vaccination coverage with the BCG and Poliomyelitis vaccines in Tanzanian and Kenyan children aged 12 to 23 months. In May 2021, we collected data from the Demographic and Health Surveys (DHS) from 2014-2016 for Kenya and Tanzania and evaluated how different variables such as the sex of the child, maternal age, maternal educational level, availability of health facilities, access to electricity in the household, and birth order affect the vaccination coverage. We used …

Barriers To Relational Continuity Of Care For Undergraduate College Students In Southeastern South Dakota, Laura E. Nelson

Honors Thesis

In health care, the patient’s relationship with his or her provider serves as a foundation upon which health care decisions are guided and health outcomes are addressed. Relational continuity of care refers to the presence of a sustained (long-term) relationship between a primary care provider (PCP) and a patient. Such continuity of care has been linked with improved health outcomes, reduced mortality, lower health care costs, increased patient satisfaction, and increased delivery of preventative services. Relational continuity of care tends to be low amongst young adults, especially college students. The reasons for this – and the salient barriers to relational …