Community Psychology Commons^™

Access To The Healthcare System For Acb People Living In Waterloo Region, Ontario: A Racial And Socio-Ecological Examination, Tiyondah Fante-Coleman

Theses and Dissertations (Comprehensive)

Little research has investigated the barriers and facilitators to accessing healthcare for African, Caribbean, and Black people in Canada. This thesis identifies barriers and facilitators using a socio-ecological framework in two papers. Five focus groups were held with 22 ACB participants in Waterloo, Ontario. Thematic analysis guidelines informed the analysis of focus group data. The first paper identified barriers at the social (racism and employment, immigrant status) and institutional (wait times, out-of-pocket expenses) levels. Community connections was the sole facilitator at the social level. The second paper identified four barriers at the interpersonal level: physicians’ style of care, lack of …

Long-Term Effects Of A Universal Program On Child Welfare Youth's Psychosocial Outcomes, Alexis Gilmer, Colleen Loomis

Theses and Dissertations (Comprehensive)

The present project conducted two studies to better understand the impacts of former involvement with the child welfare system on young adults’ psychosocial outcomes at ages 18 and 30. In the first study (N = 598, M_age = 18.47 years) participants who were involved with child welfare during youth had higher rates of depression than those not involved in care. Using a quasi-experimental design, we hypothesized that participation in a universal community program would moderate the relationship between child welfare system involvement and negative outcomes; the hypothesis was not supported. The second study explored trends ten years later …

Exploring Profiles Of Lgbtq Social Wellbeing In Waterloo Region, Canada, Kendra Hardy

Theses and Dissertations (Comprehensive)

Literature on the wellbeing of lesbian, gay, bisexual, transgender, and queer (LGBTQ) people has predominantly examined the negative experiences associated with LGBTQ identity; however, a growing body of literature explores the positive wellbeing of LGBTQ people. The present study examines social wellbeing as the connections across six elements identified in previous literature: discrimination, sense of safety, outness, social support, sense of belonging, and community acceptance. Latent profile analyses (LPA), a person-centered approach, was used to explore these elements of social wellbeing with cisgender LGBQ (n = 406) and transgender (n = 110) participants from a sample of LGBTQ …

Bridging The Gaps In Bringing In The Bystander: An Intersectional Approach To Campus-Based Sexual Violence Prevention, Anne E. Rudzinski

Theses and Dissertations (Comprehensive)

This paper draws upon pilot-test data from an intersectional approach to a sexual violence prevention program on university campuses. While many programs have been created to address the sexual violence epidemic, many focus heavily on white, heterosexual, and cisgender scenarios. This research utilizes the Bringing in the Bystander® workshop, a community-based prevention initiative focused on preventing sexual violence through inspiring students to intervene in pro-social ways. In this analysis, the program maintained the same pedagogical structure, but contained a wider variety of narratives designed to include stories and scenarios about contexts relevant to the experiences of LGBTQ+ and racialized students. …

Youth-Adult Community Partnerships: Student Voice And Choice In Addressing Racism, Sarah Ranco

Theses and Dissertations (Comprehensive)

Researchers have documented many benefits of youth engagement, however there is a need for more systematic research on participation in different contexts. This study has investigated how a youth-adult partnership addressed racism within a high school, as well as the experiences of participants during this process. This project was a case study of a school-based, youth-adult partnership consisting of eight (N = 8) participants. Five participants were students in Grades 11 and 12, two were school/school board staff, and one was the author; I directly participated in the partnership as a facilitator. Qualitative data were collected through field notes, interviews …

Social Support, Discrimination, And Self-Esteem In Lgbtq+ High School And Post-Secondary Students, Kirstie Taylor

Theses and Dissertations (Comprehensive)

LGBTQ+ (lesbian, gay, bisexual, transgender, queer, plus) people are at a disadvantage compared to their heterosexual and cisgender (non-transgender) counterparts. LGBTQ+ people are likely to be discriminated against based on their gender or sexual identities. Drawing on data from the OutLook Study in Waterloo Region, Ontario, Canada, this paper examines discrimination and social support among high school and post-secondary students, and how they are related to self-esteem. Using t-tests, we found that transgender students in high school reported significantly higher levels of direct transphobia and of victimization compared to transgender post-secondary students. Using multiple linear regressions, we found indirect homophobia …

Changing The Narrative Of Social Determinants Of Health: Messaging For Ontarians, Emily Churchill

Theses and Dissertations (Comprehensive)

Social determinants of health (SDOH) are conditions in which people live, such as physical environment or political context, which impact health. In Canada, SDOH are the greatest determinants of life expectancy. Despite evidence that broader social structural factors are key determinants of health, a majority of the public Ontario hold an individualistic view of health and do not see the government as having a role in decreasing health inequities. It is imperative to address the gap between public opinion and existing evidence as governmental policy will have the greatest effect on decreasing health inequities caused by SDOH. This thesis is …

Using Social Media To Engage Toronto Communities For Resiliency And Stress Planning, Martha Ta

Theses and Dissertations (Comprehensive)

As Toronto’s low-income areas grow, the city’s neighbourhoods experience a segregation by low- and high-income, contributing to chronic stress as environmental determinants and leading to negative health outcomes and chronic diseases. This study identified Crescent Town as one of the Toronto neighbourhoods with potentially high levels of chronic emotional stress through an analysis of emotions indicated by Tweets, as well as triangulation with administrative data describing relevant neighbourhood indicators. Crescent Town community members (n=23) were engaged using concept mapping to identify existing neighbourhood stressors and assets and empowered to strategize solutions. The ten-cluster solution created with six clusters describing neighbourhood …

Older Adults’ Social Networks And The Role Of A Telephone Helpline Program, Harmanpreet (Preet) Chauhan

Theses and Dissertations (Comprehensive)

Over the past century, advances in health care, higher levels of education, and improved living conditions have resulted in increased human life expectancy. However, with longer life expectancy comes potential challenges to quality of life, as individuals may face numerous transitions in older age: children leaving home, employment to retirement, or physical declines possibly leading to lack of mobility. As a result, older adults may experience social isolation and difficulty in building new relationships. This is problematic, as lack of social connection is a strong predictor of lower physical and mental health (Fiori & Jager, 2012; Fiori, Smith, & Antonucci, …

Health Equity Through Spatial Justice: A Critical Phenomenology Of Urban Trail Makers, Arvin Simon

Electronic Theses and Dissertations

Research has increasingly demonstrated that race, class and place are powerful predictors of health and social justice. This study was conducted to identify the lived experiences of individuals who were hired and trained as part of a green job program that created trails within a city park in Pittsburgh’s Mount Washington Community. This program has historically hired individuals who were formerly incarcerated, many of whom identify as African American. We explored the personal and social experiences of working in nature to better appreciate the intersections of race, class and environment in an urban community. This current study is based on …

Speaking From Places: A Phenomenological Deconstructive Study Of Children’S Places, Child-Centric Methods, And Politics., Sugandh Dixit

Electronic Theses and Dissertations

This dissertation adopts an innovative phenomenological and deconstructive methodology to create a child-centric research process sensitive to facilitating, integrating, and representing children’s voices in designing their school playground. The study developed and employed two novel child-centric methods, an Embedded Walk and a Communal Child-Map Project in order to integrate parents’ and children’s experiences of the school spaces the authorities planned to renovate. Both methods reveal and complicate the socio-political dynamics that structure children’s, parents’, and researchers’ stances towards children’s places and worlds. During the Embedded Walk, children led their parents through their play spaces and they collaboratively documented the childrens’ …

Self-Compassion And Cultural Values: A Cross-Cultural Study Of Self-Compassion Using A Multitrait-Multimethod (Mtmm) Analytical Procedure, Jesus Montero-Marin, Willem Kuyken, Catherine Crane, Jenny Gu, Ruth A. Baer, Aida A. Al-Awamleh, Satoshi Akutsu, Claudio Araya-Véliz, Nima Ghorbani, Zhuo Job Chen, Min-Sun Kim, Michail Mantzios, Danilo N. Rolim Dos Santos, Luiz C. Serramo López, Ahmed A. Teleb, P. J. Watson, Ayano Yamaguchi, Eunjoo Yang, Javier García-Campayo

Psychology Faculty Publications

Self-compassion is natural, trainable and multi-faceted human capacity. To date there has been little research into the role of culture in influencing the conceptual structure of the underlying construct, the relative importance of different facets of self-compassion, nor its relationships to cultural values. This study employed a cross-cultural design, with 4,124 participants from 11 purposively sampled datasets drawn from different countries. We aimed to assess the relevance of positive and negative items when building the self-compassion construct, the convergence among the self-compassion components, and the possible influence of cultural values. Each dataset comprised undergraduate students who completed the “Self-Compassion Scale” …

Gettysburg Social Sciences Review Fall 2018

Gettysburg Social Sciences Review

No abstract provided.

Characterizing Young Adult Exposure And Engagement With Social Media Tobacco And Nicotine Product Marketing And Messaging, Stephanie L. Clendennen

Dissertations and Theses (Open Access)

Tobacco use remains a critical public health issue in the United States. Young adults are disproportionately affected by high rates of tobacco use and heavily targeted by tobacco marketing. Social media has become an important source of exposure to tobacco and nicotine product marketing and messaging for young adults. This dissertation examined the prevalence and socio-environmental characteristics associated with young adults’ exposure to and engagement with tobacco-related social media (paper 1); the prospective associations between young adults’ exposure and engagement and tobacco and nicotine product use (paper 2); and young adults’ experiences with tobacco and nicotine product messaging on social …

Identifying Risk Factors Associated With Cardiovascular Disease Risk In Lesbians, Sofia S. Velazquez

Dissertations and Theses (Open Access)

Cardiovascular disease (CVD) is the leading cause of female deaths in the United States (1). While women, in general, are at risk for CVD, current research indicates that sexual minority women (i.e. lesbians and bisexual women [SMW]) may be at greater risk for CVD than heterosexual women. This heightened risk potentially stems from an increased prevalence of traditional CVD risk factors in SMW, creating health disparities between SMW and their heterosexual counterparts (2). Further research into this high-risk population is needed, in order to minimize these disparities.

The purpose of this study was to establish differences in the prevalence of …

Hemoglobin A1c Improvements And Better Diabetes-Specific Quality Of Life Among Participants Completing Diabetes Self-Management Programs: A Nested Cohort Study, Abhinav Khanna

Dissertations and Theses (Open Access)

Background: Numerous primary care innovations emphasize patient-centered processes of care. Within the context of these innovations, greater understanding is needed of the relationship between improvements in clinical endpoints and patient-centered outcomes. To address this gap, we evaluated the association between glycosylated hemoglobin (HbA1c) and diabetes-specific quality of life among patients completing diabetes self-management programs.

Methods: We conducted a retrospective cohort study nested within a randomized comparative effectiveness trial of diabetes self-management interventions in 75 diabetic patients. Multiple linear regression models were developed to examine the relationship between change in HbA1c from baseline to one-year follow-up and Diabetes-39 (a diabetes-specific quality …

Relationship Between Nursing Safety Culture And Patient Perception Of Safety In Inpatient Units Of An Academic Specialty Hospital, Miguel Angel Lozano Garcia

Dissertations and Theses (Open Access)

The objective of this research was to analyze the relationship between nursing safety work culture in inpatient nursing units of a specialty academic hospital and their patients’ perception of safety using quantitative and qualitative methods. The aim of the quantitative study was to quantitatively evaluate whether nursing safety culture, as measured on the Hospital Survey on Patient Safety Culture (HSOPS) safety questions of the institutional employee opinion survey, was associated with patients’ perception of safety during their inpatient care, as measured by responses on the inpatient Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The aim of the …

Factors Contributing To Lower Cancer Screening Utilization In A Sub-Sample Of United Way 2-1-1 Callers, Jason M. Rhoton

Dissertations and Theses (Open Access)

This dissertation was a secondary analysis of data from a Cancer Prevention Research Institute of Texas (CPRIT)-funded [grant # PP100077 & PP120086] cancer-control intervention with The University of Texas Health Science Center at Houston (UTHealth) School of Public Health and United Way 2-1-1. The aims of the three dissertation papers were addressed by examining a sub-sample of 2-1-1 callers that were drawn from the parent study baseline data. Participants were required to need at least once cancer prevention service to be included in the parent study and dissertation analyses. This dissertation was a cross-sectional analysis of de-identified data examining the …

Sex-Specific Effects And Gene-Sex Interactions In Serum Metabolome Levels: The Atherosclerosis Risk In Communities Study, Zhe Wang

Dissertations and Theses (Open Access)

Metabolomic signatures associated with complex disease have been identified. Metabolomic profiling and the integration of genomic data have proven to be powerful tools to investigate genetic effects underlying intermediate phenotype levels and may facilitate improved understanding of pathophysiologic processes of disease. However, most published studies did not consider sex as an effect modifier, analyze sex-specific effects, nor gene by sex interactions. One reason can be incomplete knowledge of the power of statistical methods used in a given dataset.

I first investigated sex-specific genetic effects by performing sex-stratified exome-wide association studies for 271 chromatography-mass spectrometry measured metabolites in the Atherosclerosis Risk …

Relating Rsv Genetic Diversity To Global Transmission Dynamics, Rebecca J. Fisk

Dissertations and Theses (Open Access)

Many studies of Respiratory Syncytial Virus (RSV) have relied on analyses of the Major Surface Glycoprotein G gene (G gene). Global transmission patterns have not been well studied due to lack of systematic global surveillance efforts. This study used phylogenetic analysis of full genome data, categorized by geo-region, to determine the sources of RSV A and B infection in Chile and Houston, Texas. Additionally, disease severity studies have generally focused on outcomes associated with a single genotype. In this study we developed a statistical phylogenetic approach to explore the relationship between tree topology and disease severity. Disease severity data included …