Medicine and Health Commons^™

Evaluating Variables Of Patient Experience And The Correlation With Design, Dyutima Jha, Amy Keller Frye, Jennifer Schlimgen

Patient Experience Journal

The objective of this paper was to understand the variables of patient experience by analyzing recent and relevant evidence and to identify design solutions within the hospital environment that positively impact those variables. A systematic review of literature published from 2008-present was conducted to identify variables that contribute to patient experience benefits. Identified variables were documented and categorized into a design, organizational, and outcome variable matrix. Interviews were conducted with professionals from healthcare institutions, architecture firms and organizations committed to improving the patient experience. Data from healthcare facilities, with high patient experience scores, was also examined to derive effective design …

High School Student Concussion Recovery Program: Teacher Involvement In Student Academic Transitions To Classroom And To Sports, Brittany Diego

Scholarly and Creative Works Conference (2015 - 2021)

Many symptoms of concussions can greatly interfere with the cognitive abilities and skills students use in school. Although students may have similar symptoms, they experience concussions differently. Students returning to the classroom from a concussion often have different needs and abilities.

Research shows that a formal, individualized protocol to treat suspected concussions, both academically and physically, is vital to the successful recovery of each student. Much research is available on concussions for professional athletes, specifically related to recovery and returning to their sport. However, there is little research about high school students regarding concussions. Concussion recovery programs for high school …

Experiences Of Former Participants In Teen Advocates For Sexual Health (Tash), Celeste Nicholas

Dissertations

This qualitative study explores the experiences of former participants in a Planned Parenthood youth development and sex education program, Teen Advocates for Sexual Health (TASH). Phenomenologically-based interviews centered the question, “What did it mean to participate in TASH?” Chapter 1 introduces the study context and synthesizes foundational literature from the fields of sex education, public health, critical pedagogy, civic engagement, youth development, and youth organizing. Chapters 2-4 each contain complete manuscripts, representing three complementary analytic approaches to a common data set and inviting multiple audiences. Chapter 2 addresses sex educators in describing TASH’s “rights-based” sex education model. Research questions included: …

Birth Weight As Destiny? How Parental Investment Reinforces The Birth Weight Educational Gap, Leah Gillion

Journal of Social, Behavioral, and Health Sciences

Through numerous studies, scholars have come to view birth weight as having a lasting impact on educational outcomes. Normal birth weight is associated with greater educational attainment; however, much of the literature ignores the role of parental investment. Using data from the Fragile Families Child Well-Being Study, it was found that birth endowments alone do not produce varying levels of cognitive development, but these birth endowments do lead parents to make different choices for their children, choices that potentially exacerbate the educational divide. Children with normal birth weight receive more parental investment from birth to age 3 than children with …

A Review Of 57 Zone: A Social Media Network For Tb Consultation And Communication In Kunming, China, India Medaris

Independent Study Project (ISP) Collection

Yunnan, a predominantly agricultural province in southwest China, is a province with a high rate of both tuberculosis (TB) and multi-drug resistant tuberculosis (MDR TB), with nearly 25,000 cases of pulmonary TB reported each year. Former TB/MDR TB patients in Yunnan, with the support of Family Health International 360 NGO (FHI) are trying to combat this problem. They have created a social media network for TB consultation and communication, 57 Zone, where TB patients can talk about their medication, adverse drug effects, and nutrition and psychosocial concerns. The goal of this study was the look at what aspects of the …

El Suma Qamaña: La Convivencia En Relación A La Salud Según La Gente Aymara De Arica, Codpa, Y Putre / El Suma Qamaña: Coexistence In Relation To Health According To The Aymara People Of Arica, Codpa, And Putre, Alison Ogawa

Independent Study Project (ISP) Collection

Suma qamaña, comúnmente conocido como buen vivir o convivir bien, es un concepto andino relacionado con la manera en que la gente entiende la vida y conceptualiza la salud. Es un modelo de armonía en que se busca un equilibrio con todas las cosas, incluida la comunidad, la naturaleza, la espiritualidad, la familia, el cuerpo, y la mente. Esta investigación busca responder a la pregunta ¿Cómo se entiende y vive la salud en el marco del concepto del buen vivir de la gente aymara de Arica, Codpa, y Putre? También, intenta explicar el concepto del buen vivir o suma qamaña, …

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 …

Women In Community Corrections In New York City: Hiv Infection And Risks, Nabila El-Bassel, Phillip Marotta, Stacey Shaw, Mingway Chang, Xin Ma, D Goddard-Eckrich, Tim Hunt, Karen Johnson, Sharun Goodwin, Maria Almonte, Louisa Gilbert

Faculty Publications

Although the incidence of HIV among women on probation, parole and alternatives to incarceration programs is significant to public health, drivers of this concentrated epidemic among women under community corrections remain understudied. This study examined prevalence of HIV and sexually transmitted infections and the associations between substance use, sociodemographic factors and the prevalence of biologically-confirmed HIV and other sexually transmitted infections among a sample of 337 substance-using women recruited from community correction sites in New York City. Prevalence of HIV was 13% and sexually transmitted infections was 26% (Chlamydia, trachomatis and Neisseria gonorrhea). After adjusting for covariates, HIVpositive women were …

Long-Term Care Needs In The Context Of Poverty And Population Aging: The Case Of Older Persons In Myanmar, Bussarawan Puk Teerawichitchainan, John Knodel

Research Collection School of Social Sciences

Myanmar is one of the poorest and least healthy Asian countries. Policy makers have only begun to discuss the implications of population aging for health system. There is no policy in place to provide long-term care (LTC). Family has been the mainstay of support for elderly with LTC needs. Myanmar’s demographic transitions will soon challenge the current form of family-caregiving for frail elderly. We analyze Myanmar’s first national aging survey to understand LTC needs and the roles that families play in LTC. We examine prevalence in older-aged disability. Subsequently, we assess the likelihood of receiving care and the composition of …

Power To The Period: The Role Of Menstruation In Nepal’S Formal Workplace, Johannah Mitchell

Independent Study Project (ISP) Collection

Within the greater context of Nepal, menstruation is a topic that has long-held significance as a taboo topic due to religious and cultural connotations. However, over the past five years, there has been a push in Nepali schools to acknowledge menstruation and menstrual hygiene management as legitimate aspects of health curriculums. This is a great step forward for the country, but also begs the question of whether this educational movement is being recognized in other areas of society, such as the formal workplace. Through discussion with various individuals- from government officers to healthcare employees- this research examines attitudes towards menstruation, …

Supermarket Savvy: An Analysis Of Psychological Exploitation Within Grocery Stores, Calvin Brinkworth

Independent Study Project (ISP) Collection

As obesity rates continue to climb around the world, an increased effort is needed to explore all means of prevention and intervention. Although previous research has examined the effectiveness of strategies like nutritional education, little research has been conducted surrounding the interplay of psychology and marketing within the context of grocery stores. As such, this paper examines the presence of psychological manipulation within grocery stores and the influence is has upon product choice, and ultimately consumption. Several key variables have been taken into account for this analysis, including store layout, location, product placement, packaging, and others, to provide a holistic …

Access To Information And Services Regarding Maternal Health And Healthcare Within Tribal Communities Around Udaipur, Rajasthan, Arista Jhanjee

Independent Study Project (ISP) Collection

The following study seeks to investigate access to antenatal and delivery-related services and information among women residing in rural, tribal communities around Udaipur, Rajasthan, and to analyze determinants that affect such access. More specifically, it seeks to evaluate one determinant in particular: that of association with and use of the services provided by the nonprofit organization Seva Mandir, which works with rural communities throughout southern Rajasthan in order to facilitate the improvement of health and development activities and outcomes. Methods used for the collection of the data upon which the study draws were qualitative: interviews were conducted with 27 women …

El Estudio Del Viejismo En La Ciudad Autónoma De Buenos Aires Desde La Perspectiva De Los Adultos Mayores Con Diferentes Coberturas De Salud \ The Study Of Ageism In The Autonomous City Of Buenos Aires From The Perspective Of Older Adults With Different Health Coverage, Tara Tardino

Independent Study Project (ISP) Collection

Argentina is a country with that has a growing population of older adults as the life expectancy continues to increase. Because the population of older people continues to grow, ageism is a topic of concern. Ageism, or discrimination against older people because of their age, can affect one’s mental health, one’s auto-perception of identity and abilities, one’s relationship with his or her doctor, and can contribute to maltreatment and abuse. In this present research I explored how older adults in the Autonomous City of Buenos Aires perceive stereotypes of older people in society, how these stereotypes can lead to discrimination, …

Being Transgender And Seeking Healthcare In The World’S Most Liberal City, Nicole Sharpe

Independent Study Project (ISP) Collection

The right to the highest form of healthcare is one of the most essential rights a person should have. It should be accessible to all human beings, and it appears this is not the case when it comes from the transgender population in the Netherlands and the U.S. In addition to transitional health care needs like hormonal treatment and surgery, transgender people require the same variety of general health care needs as many other groups of individuals. When obstacles create stigma within health care providing facilities, transgender individuals may be less inclined or discouraged to seek the care they need. …

Identificando Los Limites Del Acceso A La Salud Reproductiva: Un Análisis Sobre Las Experiencias Vividas Por Las Mujeres Guaraníes Con Los Servicios De La Salud Reproductiva En La Villa 31 De Buenos Aires, Amelia Mitchell

Independent Study Project (ISP) Collection

In order to serve the ‘public’, public health services must be accessible to everyone, without discrimination based on race, gender, social class, or geographic location, among other facets of identity. Reproductive health services, in particular, are a key service that must be adequately supplied in order to guarantee the health and wellbeing of a population. Reproductive healthcare not only allows individuals to decide if and when they wish to have a child, it also contributes to cancer prevention and the detrimental effects of sexually transmitted diseases. This investigation examines the experiences of Guaraní women that live within “Villa 31” of …

Stress Buffer Or Identity Threat?: Negative Media Portrayal, Public And Private Religious Involvement, And Mental Health In A National Sample Of Us Adults, Samuel Stroope, Mark H. Walker, Aaron B. Franzen

Faculty Publications

Guided by the stress process tradition, complex links between religion and mental health have received growing attention from researchers. This study gauges individuals’ public and private religiosity, uses a novel measure of environmental stress—negative media portrayal of religion—and presents two divergent hypotheses: (1) religiosity as stress-exacerbating attachment to valued identities producing mental health vulnerability to threat and (2) religiosity as stress-buffering social psychological resource. To assess these hypotheses, we analyze three mental health outcomes (generalized anxiety, social anxiety, and general mental health problems) in national U.S. data from 2010 (N = 1,714). Our findings align with the stress-buffering perspective. Results …

Smoking Trends Among U.S. Latinos, 1998–2013: The Impact Of Immigrant Arrival Cohort, Georgiana Bostean, Annie Ro, Nancy L. Fleischer

Sociology Faculty Articles and Research

Few studies examine nativity disparities in smoking in the U.S., thus a major gap remains in understanding whether immigrant Latinos’ smoking prevalence is stable, converging, or diverging, compared with U.S.-born Latinos. This study aimed to disentangle the roles of period changes, duration of U.S. residence, and immigrant arrival cohort in explaining the gap in smoking prevalence between foreign-born and U.S.-born Latinos. Using repeated cross-sectional data spanning 1998–2013 (U.S. National Health Interview Survey), regressions predicted current smoking among foreign-born and U.S.-born Latino men and women (n = 12,492). We contrasted findings from conventional regression analyses that simply include period and duration …

Creating Healthy Communities Across Minnesota: Investing In Integrated Health Care, Leah Jacobson, Nicole Lidstrom, Jenna Lipovetz, Jamie Schuller

Master of Social Work Student Policy Advocacy Briefs

In Minnesota, behavioral health homes have become an efficient resource for individu­als on Medical Assistance to receive integrated behavioral and primary health care under the Patient Protection and Affordable Care Act. The rising popularity of behav­ioral health homes in Minnesota introduced the concept of integrated medical care with a patient's primary care physician as the "home-base". Figure 1 illustrates the inte­grated approach that supports the patient and their family, provides care that covers an entire continuum of care with a comprehensive care team focused on the whole person, is accessible with short waiting times, and is committed to quality and …

Time To Stand Up For Female Vets: Improving Access To Vegerans Administration Health Services For Female Veterans Who Experience Military Sexual Trauma, Rhonda Haugstad, Dana Miller, Michelle Remold

Master of Social Work Student Policy Advocacy Briefs

Military Sexual Trauma (MST), is defined as sexual assault and/or sexual harassment experienced while serving in the United States military. The process of obtaining Department of Veterans Affairs (VA) benefits are difficult for individuals that suffer from MST. MST survivors are faced with delays and numerous barriers in accessing services, including discrimination in seeking compensation. Statistical data from the Department of Defense (DOD) is reviewed highlighting the high rates of sexual assault in the military and addresses concerns about the long-term implications for survivors of MST.

Many female veteran survivors of MST are struggling to access needed services covered by …

Anticipated Support From Children And Later-Life Health In The United States And China, Cheng Cheng

Research Collection School of Social Sciences

Past research has shown that anticipated support, the belief that someone will provide support if needed, benefits health. Few studies considered whether the relationship between anticipated support and health depends on the source of such support. This project addresses this gap and examines how anticipated support from children is related to older parents' health and whether such support can be replaced by anticipated support from other relatives and friends. Ordered logit and negative binomial regression models with lagged health outcomes were estimated using nationally representative data from the 2010 and 2012 Health and Retirement Study and the 2011 and 2013 …

A Study Of Nature Versus Nurture While Diagnosing Anxiety Or Conduct Disorders In Adolescents, Austin Laura Schnur

Social Sciences

No abstract provided.

The Role Of Government In Cases Of Faith Based Child Medical Neglect, Megan Jacobson

Scholarly Horizons: University of Minnesota, Morris Undergraduate Journal

In the United States, parental rights have been defined by a strong liberal conception of individual rights, giving parents huge leeway in determining how their children are raised. In this paper, I examine one extreme example of parental rights gone wrong: faith based child medical neglect, a phenomenon that occurs when parents turn to faith healing for their children instead of standard medical care, resulting in the child’s death. First, I show how liberal theory has failed to address key questions regarding the limits of both parental and child rights as they apply to faith healing. Then I apply the …

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, …

Research Brief: "Age, Race, And Cardiovascular Outcomes In African American Veterans", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study builds on previous research that shows increased risk of cardiovascular disorders among African Americans, and applies that research to African American veterans who receive care at the VHA. For policy and practice, this study suggests various ways that African American veterans can lower their risk of cardiovascular disorders, as well as ways that the VHA can improve the health of veterans. Suggestions for future research include having a larger sample of female veterans, analysis of the factors that contribute to African Americans' higher risk of cardiovascular disorders, and differences in access to health care among African American veterans.

Comprehensive Neighborhood Portraits And Child Asthma Disparities Introduction, Ashley W. Kranjac, Rachel T. Kimbro, Justin T. Denney, Kristin M. Osiecki, Brady S. Moffett, Keila N. Lopez

Sociology Faculty Articles and Research

Objectives Previous research has established links between child, family, and neighborhood disadvantages and child asthma. We add to this literature by first characterizing neighborhoods in Houston, TX by demographic, economic, and air quality characteristics to establish differences in pediatric asthma diagnoses across neighborhoods. Second, we identify the relative risk of social, economic, and environmental risk factors for child asthma diagnoses. Methods We geocoded and linked electronic pediatric medical records to neighborhood-level social and economic indicators. Using latent profile modeling techniques, we identified Advantaged, Middle-class, and Disadvantaged neighborhoods. We then used a modified version of the Blinder-Oaxaca regression decomposition method to …

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 …

Smoking Selectivity Among Mexican Immigrants To The United States Using Binational Data, 1999–2012, Nancy L. Fleischer, Annie Ro, Georgiana Bostean

Sociology Faculty Articles and Research

Mexican immigrants have lower smoking rates than US-born Mexicans, which some scholars attribute to health selection—that individuals who migrate are healthier and have better health behaviors than their non-migrant counterparts. Few studies have examined smoking selectivity using binational data and none have assessed whether selectivity remains constant over time. This study combined binational data from the US and Mexico to examine: 1) the extent to which recent Mexican immigrants (< 10 years) in the US are selected with regard to cigarette smoking compared to non-migrants in Mexico, and 2) whether smoking selectivity varied between 2000 and 2012—a period of declining tobacco use in Mexico and the US. We combined repeated cross-sectional US data (n = 10.901) on adult (ages 20–64) Mexican immigrants and US-born Mexicans from the 1999/2000 and 2011/2012 National Health Interview Survey, and repeated cross-sectional Mexican data on non-migrants (n …