Medicine and Health Commons^™

Implementing Social Determinants Of Health Data Collection In A Large Urban Pediatric Hospital Setting, Stormee Williams, Kristina Hill, Barry Owen, Forest Melton

Research

No abstract provided.

The Impact Of Waiting Times On Patient Satisfaction And Patient Care At A Tertiary Health Care Institution In Kenya: A Cross-Sectional Study, Soud Seif Soud

Master of Internal Medicine

Introduction: Patients spend significant time waiting for care. This often influences patient satisfaction, perceived quality and access to care, and utilisation of various healthcare services. Waiting time and resulting implications remain understudied in low- and middleincome countries like Kenya. This study aimed to describe the impacts of waiting times on patient satisfaction and care at a tertiary healthcare institution in Kenya.

Method: We conducted a prospective cross-sectional study between March 2023 and July 2023 at the Emergency Room (ER) at Aga Khan University Hospital, Nairobi. Data was collected through a structured questionnaire, looking at demographics and patient wait …

Identifying Youth Appeals In Alcohol Alternative Social Media Content Through Framing, Melina Oneal

West Chester University Master’s Theses

Proposed regulations for alcohol advertising prevent beverage companies from targeting people under the legal drinking age. However, similar regulations for alcohol alternative beverages are less explored, which could allow alcohol alternative products to create awareness for alcoholic beverages among youth. Alcohol alternatives beverages, including no-alcohol and low-alcohol products, are increasing in popularity and can function as compliments to alcoholic products to decrease the total alcohol volume consumed or as substitutes for alcoholic products. Framing theory can be operationalized through the Content Appealing to Youth Index, an index of content elements found in research literature to be appealing to youth, to …

Autopathography Across Media: Trauma And Fluid Embodied Subjectivity, He (Kristen) Shen

Honors Theses

Illness memoirs with first-person point of view have gained more attention in recent years among medical sociologists and anthropologists. Different from traditional “case histories”written by doctors that are in danger of ignoring patients’ voices, autopathograhical works delineate narrators’ transformative experiences of persons to patients, emphasizing the importance of gaining social understanding of illness. Focusing on three works within the category of autopathography across genres and media forms in the late 1950s and contemporary periods, The Cancer Journals (1980) written by Audre Lorde, The Collected Schizophrenias (2019) written by Esmé Weijun Wang, and The Diving Bell and the Butterfly (2007) directed …

Representation In Healthcare Matters: Perspectives On Inadequate Physician Diversity And Its Potential Impact On Minority Patients, Madison Andrews

Sociology Honors Papers

Disparities in access to healthcare among U.S. racial and ethnic groups, including access to quality services, have existed for centuries (Gibbons, 2005), leading to inequality in health outcomes as race/ethnicity intersects with gender and socioeconomic status (Wellons et al., 2009; Yan et al., 2023). Patients from minority communities face disadvantages due to the lack of diversity amongst physicians, including communication barriers, lack of trust, lesser rapport, and lower level of comfort with doctors who are non-representative of patients’ demographics (Ha & Longnecker, 2010; Lopez et al., 2023; Maldonado et al., 2014; Weech-Maldonado et al., 2003). It is important, then, to …

Health Consequences Of Racial Disparity In Access To Abortion: A Systematic Review, Lacy M. Frye, Calvin Odhiambo

University of South Carolina Upstate Student Research Journal

Prior to the 2022 Dobbs decision, Black women already experienced negative maternal health outcomes at an alarmingly disparate rate in comparison to White women. Given that the Dobbs decision emboldens state power to enforce abortion restrictions or protections, there has been significant strides made in both directions. Nonetheless, within states where reproductive rights have been significantly eroded, the heightened abortion restrictions may compound the limited access that Black women previously had before Dobbs. This, in turn will exacerbate the already disparate negative maternal outcomes that Black women experience. However, research on the relationship between the lack of access to abortion …

Recovery Capital In A Justice-Involved Population: An Asset-Based Approach To Recovery And Community Reentry, Evan Joseph Batty

Theses and Dissertations--Sociology

The burden of the opioid epidemic demands further efforts to facilitate recovery, particularly for disadvantaged populations and those recently released from prison. After community reentry, individuals face a period of vulnerability as they adjust to new roles and responsibilities to meet their basic needs. Prison-based substance use disorder treatment (SUD Tx) programs provide support to help prepare individuals with SUD for their release and facilitate successful recovery goals after community reentry. This dissertation has three aims: (1) further the understanding of potential barriers and facilitators of recovery after community reentry, (2) assess how prison-levels of recovery capital influence recovery outcomes …

Salvation And Sweet Rolls: An Examination Of Mormon Diet Books, Rachel Noorda

English Faculty Publications and Presentations

Religious diet books highlight the overlap between religious and diet cultures. This article examines the intersection of Mormonism, diet culture, and fatphobia through an analysis of Mormon diet books published between 1990 and 2015. The study explores how Mormon diet books leverage the Word of Wisdom (the LDS health code) to promote weight loss and reinforce religious obedience. By framing dietary compliance as a spiritual mandate, these texts link physical health and body size to moral and spiritual worthiness. This conflation of body and spirit, rooted in Mormon theology, amplifies fatphobia by promoting thinness as a sign of obedience and …

Humor Matters: An Adapted Multiple Case Study Exploring Music Therapists’ Perspectives Of Humor With Older Adults, Caleb M. Posey

Theses and Dissertations--Music

Humor is a ubiquitous human experience and a skill retained in older adulthood. It is also an integral but elusive therapeutic tool with numerous benefits and risks to well-being. Therapeutic humor – the application of humor to client well-being – is an emerging area of study. However, scant music therapy literature on humor is available. The purpose of this qualitative thesis was to explore the use and function of humor in music therapy with older adults from the perspectives of experienced music therapists. There were three research questions: (1) how do music therapists describe their use of humor with older …

Social Determinants Of Health: Evaluation Using Rates Of Vision Screening And Follow-Up Examinations, Madeline Dyer

Williams Honors College, Honors Research Projects

Vision care is essential to the quality of life of young children, impacting them over the course of their lives. Social Determinants of Health (SDOH) affect the likelihood of a child having access to appropriate care specified by the Bright Futures. The aim of this study was to assess the impact of SDOH on the completion of vision screening and the rate of follow-up with an eye care provider when applicable. In addition, rates of instrument-based vision screening and recommended ophthalmology follow-up were compared with COI, a metric assessing the quality of resources available and the conditions that matter for …

What Are Munster Technological University Students’ Experiences Of Menstruation And Reusable Period Products?, Kate Dolan Crowley

Theses

This study examines the attitudes of students in Munster Technological University (MTU) towards menstruation and period products. It is estimated that in Ireland, between 53,000 and 85,000 Irish menstruators may be at risk of period poverty (Government of Ireland, 2021). There is also evidence to suggest that some students have experienced period poverty (Ministry of Education, 2023; Brinkley and Niebuhr, 2022; Munro et. al., 2021). Period poverty has an impact on the physical, mental, and social well-being of menstruators, ultimately affecting their quality of life.

A mixed-method study was undertaken, consisting of questionnaires (n=319) and one-toone semi-structured interviews (n=10) to …

Determining The Differences Of Racial Microaggressions Faced By Multiracial Versus Monoracial Minority Patients Within Healthcare Settings, Elizabeth S. Ommi

Honors Undergraduate Theses

This study examines the disadvantages that multiracial patients face when seeking healthcare in the United States in comparison to the disadvantages encountered by monoracial minority patients. Specifically, this study mainly focuses on the impacts of racial microaggressions within such medical settings. This was explored using a critical discourse analysis, analyzing discourse presented from past research published from 2014 to 2023. Discourse was collected based on its relevancy to the given topic and was analyzed to identify general disadvantages presented for each subpopulation. It was found that multiracial patients face different disadvantages when receiving medical care in comparison to monoracial minority …

Self-Perception Of Mental Health, Covid-19 And Associated Sociodemographic-Contextual Factors In Latin America, Pablo Roa, Guillermo Rosas, Gloria Isabel Niño-Cruz, Sergio Mauricio Moreno-López, Juliana Mejía-Grueso, Haney Aguirre-Loaiza, Javiera Alarcón-Aguilar, Rodrigo Reis, Adriano Akira Ferreira Hino, Fernando López, Deborah Salvo, Andrea Ramírez-Varela

Faculty, Staff and Student Publications

This study aimed to estimate the prevalence of alterations in self-perceived mental health during the COVID-19 pandemic and their associated factors in four Latin American countries. This is a cross-sectional study based on data collected from adults in 2021 through the Collaborative Response COVID-19 Survey by the MacDonnell Academy at Washington University in St. Louis (United States). The sample was composed of 8,125 individuals from Brazil, Colombia, Mexico, and Chile. A generalized linear model for a binary outcome variable with a logistic link and fixed country effects was used. There were 2,336 (28.75%) individuals who considered having suffered alterations in …

Colonial Drivers And Cultural Protectors Of Brain Health Among Indigenous Peoples Internationally, Rita Henderson, Joyla A Furlano, Shayla Scott Claringbold, Ashley Cornect-Benoit, Anh Ly, Jennifer Walker, Lisa Zaretsky, Pamela Roach

Faculty, Staff and Student Publications

Despite relatively higher rates of dementia among Indigenous populations internationally, research into drivers of disparities in brain health and cognitive function has tended to focus on modifiable risk factors over cultural understandings and contextual determinants. By seeking to characterize social and cultural factors that shape brain health and cognition in Indigenous populations, this mini scoping review expands prevailing schools of thought to include Indigenous knowledge systems. This reveals important gaps in culturally aligned care. It also reclaims horizons for research important to Indigenous Peoples that have garnered diminished attention in biomedical approaches. Twenty-three sources were included for data extraction. This …

Effects Of Language Differences On Healthcare Barriers Experienced By Arab Americans, Abigail Yazdiya

Honors Undergraduate Theses

This study analyzes the effects of language differences on healthcare services for Arab Americans. The research specifically investigates the subpopulation of ESL (English Second Language)/bilingual Arab Americans, in order to learn about the effect of a lack of interpretation services and therefore the use of family translators on healthcare treatment. There has been a lack of research on this growing population in the United States. Language barriers can hinder the already difficult process of healthcare. These barriers, combined with other barriers, such as cultural factors, can negatively affect healthcare treatment and outcomes. This study uses surveys to reach people in …

An Organic Inquiry Into Teacher Experiences Of Self-Healing, Alison Davis

Antioch University Dissertations & Theses

This dissertation engages the spiritually-inspired methodology of organic inquiry to investigate how teachers practice self-healing in order to become available to students. Self-healing is a vital part of freeing up the teacher’s perceptive capacities to more deeply and fully attend to the needs of students. Self-healing work includes a variety of practices and modalities, including spiritual ones, in order to work through trauma, adversity, dis-ease, stress, and one-sidedness. Research shows that self-healing, especially in regards to mindfulness and meditation, equips teachers to confront compassion fatigue, secondary trauma, burnout, illness, and more. There is also ample evidence that training one’s attention …

A Qualitative Description Of Graduate Students’ Perceived Decline In Physical Activity From Undergraduate School, Kristin Jett, Bryce T. Daniels, Max Brigance, Jessica L. Passarelli, Erin Howie Hickey

Health, Human Performance and Recreation Faculty Publications and Presentations

Many university students, especially graduate students, are experiencing poor physical and psychological health. Thus, universities are initiating programs like Exercise is Medicine-On Campus (EIM-OC) to promote positive physical activity behavior to improve physical and mental health for primarily undergraduate university students. However, the influences on physical activity when transitioning from an undergraduate to a graduate student are unknown. To explore perceptions of if and how the physical activity levels of graduate students changed from their time as undergraduate students while considering environmental and lifestyle factors. METHODS: Using a qualitative, phenomenological research design, a convenience sample of current graduate students enrolled …

The Unequal Distribution Of Social Risk For Black Men Across The Life-Span. A Novel Framework., Waleed Y. Sami

Adultspan Journal

This conceptual overview offers a comprehensive overview of systemic pathways that negatively impact the mental health of Black Men throughout their lives. Our argument highlights the importance for counselors and mental health professionals to utilize a thorough social risk assessment that considers these pathways in order to effectively address the mental health needs of Black Men while fostering positive working relationships. This overview strongly advocates for the use of context and structural determinants when evaluating mental health symptoms. Without an appropriate understanding of social risk and determinants, counselors may inadvertently perpetuate disparities by decontextualizing symptomology, and reproducing racist discourse.

Moral Injury, Identity Dissonance, And Reintegration: A Compendium Of Reintegration And Survey Of United States Military Veterans, Thomas Hodges

Doctor of International Conflict Management Dissertations

How do military moral injuries affect reintegration? All service members leave the military eventually, but reintegration can be challenging, bringing changes in career, family life, and friendships, potentially prompting a loss of purpose, drive, and connection. Service members may also struggle with a crisis of identity upon separating from the military, feeling their military identity is incompatible with civilian life. While these difficulties are common for service members in reintegration, they may be worsened by moral injury, the adverse biological, social, psychological, and spiritual effects of experiencing an event that deeply offends a person’s sense of right and wrong. People …

The Public Performativity Of Trust, Lynette Hammond Gerido

Faculty Scholarship

Building trust between academic medical centers and certain communities they depend on in the research process is hard, particularly when those communities consist of minoritized or historically marginalized populations. Some believe that engagement activities like the creation of advisory boards, town halls, or a research workforce that looks more like community members will establish or reestablish trust between academic medical centers and racialized communities. However, without systematic approaches to dismantle racism, those well-intended actions become public performativity, and trust building will fail. In this essay, we draw upon foundational ethical principles of trust, distrust, and trust building; apply the concept …