Medicine and Health Commons^™

Infertility: The Hidden Burden, Sally G El Mahdy

Archived Theses and Dissertations

No abstract provided.

Medicalized Childbirth In The United States: Origins, Outcomes, And Opposition, Martelia L. Henson

Theses, Dissertations and Capstones

This study focuses on childbirth in the United States as a medical event, specifically concentrating on the historical development of medicalized birth and the cultural and social ramifications of this transformation. The main objective is to apply various aspects of social movement theory and movement dynamics to the rise of obstetric medicine as it is documented in the existing body of childbirth literature, in order to achieve a greater understanding of the appropriation of American childbirth practices by the medical profession. Also included is a discussion of various birth reform movements that have attempted, and are attempting, to challenge the …

Meeting The Sexual Health Needs Of Men Who Have Sex With Men In Senegal, Cheikh Ibrahima Niang, Moustapha Diagne, Youssoupha Niang, Amadou Moreau, Dominique Gomis, Maye Diouf, Karim Seck, Abdoulaye Sidibe Wade, Placide Tapsoba, Christopher Castle

HIV and AIDS

A study conducted in Dakar, Senegal by researchers from the National AIDS Council, Cheikh Anta Diop University, and the Horizons program obtained information on the needs, behaviors, knowledge, and attitudes of men who have sex with men (MSM). This study offers important insights into the sexuality of MSM, their vulnerability to STI/HIV, and the role of violence and stigma in their lives. The results also highlight the lack of sexual health services and information available to cover the specific needs of MSM. The results of this study were summarized during a meeting held in April 2001 in Dakar and raised …

Hiv/Aids Prevention Guidance For Reproductive Health Professionals In Developing-Country Settings, Helen Epstein, Daniel Whelan, Janneke Van De Wijgert, Purnima Mane, Suman Mehta

HIV and AIDS

While the integration of information, technologies, and services to respond to HIV/AIDS may seem closely related, there are a variety of issues that continue to create obstacles to integration. Among these are the stigmatizing nature of HIV infection and AIDS and discrimination faced by those who are infected or perceived to be infected; sexual practices and identities that remain socially unacceptable; gender roles and relations that make it difficult for women and men to access information, services, and technologies on HIV prevention; reluctance to recognize the special needs of young people; and barriers to service delivery created by broader economic, …

Parental And Peer Influences On Adolescent Drinking: The Relative Impact Of Attachment And Opportunity, Lizabeth A. Crawford, Katherine B. Novak

Scholarship and Professional Work - LAS

The purpose of this paper was to assess the relative effects of parents and peers on adolescent alcohol use via mechanisms of attachment and opportunity. Panel data from the second and third waves of the National Education Longitudinal Survey (NELS:88) were used to examine the relationship between multiple measures of peer and parent-child relations reflecting these concepts and alcohol use among high-school students. Overall, our results indicated that peers are more influential than parents in shaping adolescents’ patterns of alcohol consumption and that unstructured peer interaction is an especially powerful predictor of adolescent alcohol use and binge drinking. Our findings …

Physician-Related Determinants Of Cervical Cancer Screening Among Caribbean Women In Toronto, Ilene Hyman, Punam Mony Singh, Marta Meana, Usha George, Lilian M. Wells, Donna E. Stewart

Psychology Faculty Research

BACKGROUND: Minority women in Canada are less likely to be screened for cervical cancer than their counterparts in the general population, despite the fact that the proportion of these women who consult a general practitioner about their health each year is similar to minority women. This study examined the physician and practice characteristics associated with Pap testing and perceived barriers to Pap testing of family physicians serving the Caribbean community of Toronto.

METHODS: A mail-back questionnaire was sent to Toronto family physicians practicing in neighborhoods with a high proportion of Caribbean Canadians.

RESULTS: Although 79.7% of the 64 participating physicians …

Chaotic Patterns Of Restraining Power: The Dynamics Of Personal Decision Making In A Long-Term Care Facility, Sandra Loucks Campbell

Theses and Dissertations (Comprehensive)

This is a study of personal decision-making dynamics at multiple levels in an Ontario Home for the Aged, including managers, staff leaders, direct care workers, non-direct care workers and residents. Personnel dyadic units of differential decision-making power were postulated: managers/staff leaders, staff leaders/direct care workers and direct care workers/residents. Weber's bureaucracy, other organizational power literature and chaos theory provide the theoretical frame. Staff completed a self administered questionnaire package which included variants of the Staff Involvement in Decision Making scale (Kruzich, 1989), open-ended and demographic questions. Residents were assisted in completing a similar, but shorter, questionnaire. Cognitively impaired residents' decision …

Binge Drinking And Salutogenesis: Sense Of Coherence, Stress, Religiousness And Spirituality, Jeanne C . Debruyn

Dissertations

No abstract provided.

Update - November 2001, Loma Linda University Center For Christian Bioethics

Update

In this issue:

[ Too Risky for Research? ]
-- Human Research with Vulnerable Humans
-- Why Did Jesus Die?

-- Earn a Master's degree from Loma Linda University
-- Center for Christian Bioethics News & Events

Effects Of Professional Interpreter Services On The Utilization Of Health Care Services Of Different Language/Cultural Groups, Amanda Fleming Petrik

Dissertations and Theses

Immigration has affected the number of U.S. residents who speak little or no English. These residents have limited English proficiency. Research studies have indicated discrepancies in medical interpretation and medical care. However, differences in health care between the language/ cultural groups are rarely recognized as health discrepancies.

This research project is a quasi-experimental design, testing differences between the four major language groups in the greater Portland, Oregon area. These four major language/cultural groups speak Chinese, Vietnamese, Spanish and Russian.

A secondary data analysis was used to compare the differences in utilization of emergency room services, routine services, and urgent care …

An Analysis Of The Changing Forces Behind Health Insurance Coverage Of Homebirth, Christina Anne Gasbarro

Dissertations and Theses

The expansion of managed care, which is premised on containing costs while maintaining market share, represents a radical transformation of the U.S. health care system. A central question for medical sociologists is to determine how the changes brought by managed care influence health insurance and health care options. In evaluating the impacts of managed care, obstetrics is a particularly important site of study. Part of this agenda involves gathering baseline data on a specific transformation in obstetrics practice new to the managed care scene: the emergence of health insurance coverage for the option of home birth. The research project detailed …

Perceived Drinking Norms, Attention To Social Comparison Information, And Alcohol Use Among College Students, Katherine B. Novak, Lizabeth A. Crawford

Scholarship and Professional Work - LAS

Numerous studies indicate that normative campus drinking practices are important in determining college undergraduates’ use and abuse of alcohol. The purpose of this paper was to extend this literature by assessing the extent to which a dispositional susceptibility to peer influence, measured using the Attention to Social Comparison Information subscale (Lennox & Wolfe, 1984), moderates this relationships. Consistent with prior research, the perception that alcohol use and abuse are common campus activities was associated with high levels of drinking across students. Attention to social comparison information also had a direct positive effect on alcohol consumption among the undergraduates surveyed. Moreover, …

Review Of: Health And Disease In Human History (Robert I. Rotberg Ed.), Terry Cromwell

RISK: Health, Safety & Environment (1990-2002)

Review of the book: Health and Disease in Human History: A Journal of Interdisciplinary History Reader (Robert I. Rotberg ed., MIT Press 2000). ISBN 0- 262-18207-6 [345 pp. $25.00 Paper, 5 Cambridge Street, Cambridge, MA 02142].

Transitions To Adulthood In The Context Of Aids In South Africa: Report Of Wave I, Naomi Rutenberg, Cathrien Kehus-Alons, Lisanne Brown, Kate Macintyre, Anthea Dallimore, Carol E. Kaufman

HIV and AIDS

This is a prospective study of reproductive behavior and sexual health of adolescents in South Africa as well as their education and employment experiences, family and environmental conditions, and other factors in their lives that may influence their sexual behavior and choices. This report is designed to inform educators, policymakers, and the public in South Africa and beyond of the initial findings of the study, with the ultimate goal of helping to design and refine policies and programs that will improve opportunities and capacities of adolescents and may contribute to changing behaviors and choices. The report focuses on describing the …

Prevention Of Trafficking And The Care And Support Of Trafficked Persons In The Context Of An Emerging Hiv/Aids Epidemic In Nepal, Celine Daly

HIV and AIDS

This study is a collaborative effort between the Asia Foundation (Kathmandu) and the Horizons project of the Population Council (New Delhi) to document the current intervention models and community-based study of human trafficking in the context of an emerging HIV/AIDS epidemic in Nepal. To address the human rights component of trafficking, the three components of this study focus on the rights and needs of trafficked persons as well as those who are vulnerable to trafficking. An analysis and assessment of the effectiveness of laws, policies, and interventions in the apprehension, prosecution, and conviction of alleged traffickers is not included in …

Hiv And Partner Violence: Implications For Hiv Voluntary Counseling And Testing Programs In Dar Es Salaam, Tanzania, Suzanne Maman, Jessie K. Mbwambo, Margaret Hogan, Gad P. Kilonzo, Michael D. Sweat, Ellen Weiss

HIV and AIDS

This study explored the links between HIV infection, serostatus disclosure, and partner violence among women attending a VCT clinic in Dar es Salaam, Tanzania. Men and women both perceive HIV testing as a way to plan for the future but are motivated to undergo testing by a number of different individual, relationship, and environmental factors. The women in our study described more barriers to HIV testing than did men, and women who have communicated with their partners about VCT before seeking services are significantly more likely to share their HIV test results than those who have not talked with their …

The Case For Microbicides: A Global Priority, Kathy Attawell

HIV and AIDS

The HIV/AIDS epidemic continues to spread, undermining development, reversing health gains, and exacerbating poverty. It will be some time before a vaccine is available and accessible, thus there is an urgent need to identify additional prevention options, in particular a method that women control, which could save millions of lives. This report from the Population Council and International Family Health presents the case for microbicides—products used vaginally to prevent infection from HIV and other STIs in women and their sexual partners—and discusses recent progress and developments, outstanding challenges, and the action required to ensure that products will be made available …

Medicine And Health Care In Later Medieval Europe: Hospitals, Public Health,, And Minority Medical Practitioners In English And German Cities, 1250-1450, Anna Terry

Inquiry: The University of Arkansas Undergraduate Research Journal

Hospitals and individual caregivers helped meet the physical and psychological needs of medieval people, just as they do today. My overall objective is to explain social and individual responses to disease within the context of Christian theology and the urban community, focusing on England and Germany in the period between 1250 and 1450. First I investigate social responses to disease, including hospitals and public health ordinances. Christianity mandated the care of the afflicted, yet physical and mental illness was associated with sin and divine punishment. Urban authorities often attempted to deal with plague outbreaks by imposing quarantines and strict regulations …

Nutritional Food And Health Education With Instructive Lessons In The Community School Of La Rinconada, Cantón Ibarra, Province Of Imbabura, Olga Maria Gómez Chirán

Theses and Dissertations

The general objective of this work was to offer nutritional food and health education using instructive lessons that were prepared based on the diagnostic of knowledge among teachers and children in the School of La Rinconada. The study is descriptive-cross performed from October 2000 to June 2001. The universe of study is 100% of teachers and children attending schools in the communities of La Rinconada and Cuambo, totaling 104. The considered variables are diet, nutrition, and health-related topics. These variables contemplate the elementary education plan of study, besides providing training to students and teachers. Because the project was developed primarily …

Eating, Nutrition And Of Health Diagnostic Of The Elementary Schools Of The Communities Of Guambo And The Rinconada, Province Of Imbabura 2002-2001, Ruth Muriel

Theses and Dissertations

The rural communities of the province of Imbabura present multiple problems of environmental, educational, and economic kind. Previous studies show that the rural communities of the Ecuadorian population present serious problems of health and nutrition, among those that excel are: poliparasitosis, respiratory infections and diarrheal, malnutrition, deficiency of micro nutrients, sanitary deficiency, scarce economic resources and low level of instruction. All these factors have caused a decrease in the productive capacity of the country and affected their level of development. In addition, delay exists in size in the students, which leads to a decrease in the capacity for physical work, …

Benin: Diríjase A Los Hombres Para Aumentar El Uso De Los Servicios De Salud, Frontiers In Reproductive Health

Reproductive Health

Después del inicio de las reformas del sector salud en 1994, el gobierno de Benin creó el Proyecto de Salud Familiar Integral, conocido localmente como PROSAF. Este proyecto opera en la región de Borgou, bajo el patrocinio de la Agencia de los Estados Unidos para el Desarrollo Internacional. Dicha región es en su mayoría rural y en ella se observan los problemas de salud más severos del país. Los gerentes de PROSAF deseaban entender por qué la gente no estaba utilizando los servicios a pesar de tener una salud deficiente, por lo que solicitaron al Centro Africano de Investigación en …

Black Women's Health: A Content Analysis Of The Journal Of The American Medical Association, The American Journal Of Public Health, And The New England Journal Of Medicine (1989-1998), Tonia Marie Burkett

Dissertations and Theses

According to the National Vital Statistics Report (1998), Black women age 45-64 are ten times more likely than white women of the same age to die from diseases of the heart. They are five times more likely to die from diabetes. The goal of this study was to examine how articles published in leading medical journals between 1989 and 1998 accounted for such differences in health outcomes among Black and white women.

The explanatory content of the articles was analyzed and coded according to four types of attributions: genetic/biological, cultural/behavioral, structural/socioeconomic and alternative. Each type of explanation derives from different …

Gender Differences In Sexual Behaviors And Factors Associated With Nonuse Of Condoms Among Homeless And Runaway Youths, Duncan A. Mackeller, Linda A. Valleroy, John P. Hoffmann, Donna Glebatis, Marlene Lalota, William Mcfarland, Johnny Westerholm, Robert S. Janssen

Faculty Publications

Few studies have examined gender-specific factors associated with the nonuse of condoms among homeless and runaway youths (HRYs)–a population at high risk for HIV infection. In this article, we evaluate these factors and explore gender differences in background experiences, psychosocial functioning, and risk behaviors among HRYs from four U.S. metropolitan areas. Of 879 sexually active HRYs sampled, approximately 70% reported unprotected sexual intercourse during a 6-month period, and nearly a quarter reported never using condoms in the same period. Among males and females, having only one sex partner in the previous 6 months had the strongest association with nonuse of …

Effects Of Language Interpretation Services On Medical Visit Patterns Of Patients With Limited English Proficiency, Anita Marie Kay

Dissertations and Theses

Due largely to immigration, a growing proportion of the U.S. population does not speak English well enough to communicate with medical providers. Many research studies have described ways in which language differences can compromise health care quality and access for language minority groups, but professional interpreter services are rarely provided due to costs of services and to increasing cultural and linguistic diversity among patients with limited English proficiency (LEP). Some researchers have argued that costs of interpreter services could be offset through enabling LEP patients to maintain better health and use health services more cost-effectively, such as obtaining care in …

Coping With Chronic Fatigue, Susan Lynne Jensen

Dissertations

The purpose of this study was to examine sense of coherence in those individuals diagnosed with chronic fatigue syndrome (CFS), and to explore its relationship to age, gender, work status, duration of illness, fatigue and functional ability/ disability in this population.

This study used a combined methods approach, using both qualitative and quantitative methods. A sample of thirty individuals diagnosed with chronic fatigue syndrome was surveyed by means of a self-administered questionnaire, including Antonovsky’s 13-item shortened Sense of Coherence (SOC) scale. A subset of 12 participants participated in the qualitative portion of the study, and answered specific questions regarding their …

Invitation: To Edna Saffy And Grady Johnson From Charles N. Khan, Iii And Ron Pollack. July 26, 2000, Familiesusa The Voice For Health Care Consumers

Saffy Collection - All Textual Materials

HIAA Families USA: The Voice for Health Care Consumers Event held at McCormick & Schmidt's Seafood Restaurant from 12:00 pm to 2:00pm on Monday, August 14, 2000.

Medical Students And Their Attitudes Toward Abortion: An Assessment Of Which Factors Influence Medical Students' Willingness Or Unwillingness To Perform Abortions, Katherine M. Krupa

Sociology & Criminal Justice Theses & Dissertations

The purpose of this research is to determine which factors, if any, influence medical students' willingness or unwillingness to perform abortions. Ample research has been conducted evaluating both the general population's and college students' attitudes toward abortion; however, limited research has been collected on medical students. The present research study attempts to fill this void. The following research questions will be reviewed and evaluated throughout the current study: (1) What personal factors if any influence medical students' willingness or unwillingness to terminate a pregnancy; (2) Are medical students willing to perform abortions for the reasons that women are requesting them; …

The Effects Of Role-Taking And Embarrassability On Undergraduate Drinking: Some Unanticipated Findings, Lizabeth A. Crawford, Katherine B. Novak

Scholarship and Professional Work - LAS

This paper focuses on the relationship between role-taking, affect, and alcohol use among college undergraduates. Role-taking is the process through which people anticipate the perspectives—expectations, evaluations, and behaviors—of others (Mead, 1934). Reflexive role-taking (i.e.,viewing oneself through the eyes of others) was significantly related to four distinct types of embarrassment. However, in opposition to our hypotheses, embarrassment resulting from becoming the center of others’ attentions was the only form of embarrassability significantly related to undergraduate drinking. Moreover, it was those students least susceptible to this type of embarrassment who were the most likely to be drinkers. While role-taking, in general, was …

Social Factors Related To Recovery After Hip Fracture, Debra Lindstrom Hazel

Dissertations

Objectives. The relationship between social variables and performance of instrumental activities of daily living (IADL) was examined in participants three to nine months after they experienced a hip fracture. All participants were over the age of 60 and living in their own homes before and after their hip fractures.

Method. This study employed both qualitative and quantitative methods. There were 19 participants in the quantitative portion of the study that compared three subjectively rated questionnaires with an objectively rated IADL scale. The independent variable, subjective scales were: (1) Antonovsky’s “Orientation to Life” Scale, which measures the sense of coherence, (2) …

Constructionist Perspectives On Body Weight: A Critical Review Essay, Natalie C. Boero

Faculty Publications, Sociology

No abstract provided.