Medicine and Health Commons^™

Success Among Incarcerated Mothers Seeking Treatment For Opioid Use Disorder, Brinna Desai

Honors Undergraduate Theses

Opioid use disorder (OUD) is a type of substance use disorder characterized by repeated use of opioid drugs. These drugs are known to be rapidly addictive with severe withdrawal symptoms, making death due to overdose a rising concern. In this study, we took a closer look at a specific population of women, all of whom had children and were incarcerated for opioid use. Our goal was to better understand the factors that would impact success among this group seeking medication-assisted treatment for OUD. We developed a set of questions focused on a variety of factors including stigma surrounding the disorder, …

Critical Perspectives On Produce Prescription Programs & Us Federal Nutrition Policy, Alanna K. Higgins

Graduate Theses, Dissertations, and Problem Reports (ETD)

Produce prescription programs, interventions operating at the intersection of food access and public health, are steadily increasing in number across the United States since 2010. I leverage key informant interviews, participant observations, and event ethnographies to form a four-year institutional ethnography of the implementation of produce prescriptions within West Virginia alongside a legal-policy archaeology methodology to understand how produce prescriptions have been institutionalized and funded within the US Farm Bill. While much of produce prescription program growth is attributed to an expansion of federal funding starting in 2014, this dissertation demonstrates that these programs and the federal legislation which has …

Associations Between Patient-Provider Trust And Hiv Care Continuum Outcomes, James Caldwell

Electronic Theses and Dissertations, 2020-2023

The current research examines trust as a component of the Healthcare Relationship Scale (HCR) using data from the Medical Monitoring Project (MMP), a program designed by the Centers for Disease Control and Prevention (CDC). This dataset focuses on the experiences and needs of people living with HIV (PLWH). We examined how relationships between people living with HIV and their HIV providers may be associated with two distinct variable groups: (1) socio-demographic characteristics, such as age, gender, race, education and poverty status; and (2) patient health as it relates to the continuum of care, such as patient-rated general health, adherence to …

Cost Of Care For Asylum Seekers And Refugees Entering The United States: The Case Of Volunteer Medical Providers In El Paso, Texas, Rigoberto I Delgado, Manuel De La Rosa, Marlon A Picado, Lisa Ayoub-Rodriguez, Celia E Gonzalez, Leopold Gemoets

Faculty, Staff and Student Publications

BACKGROUND: Between October 2018, and February 2020, the United States saw an unprecedented increase in the number of asylum seekers and refugees arriving unexpectedly at international crossings along the US-Mexico Border. Many of these migrants needed proper medical attention, and consequently created significant pressure on local health systems. In El Paso, Texas, volunteer clinicians, collaborating closely with religious organizations and non-governmental organizations, provided outpatient medical care for the new arrivals; the county hospital provided in-patient care at local tax payers' expense. The objective of this study was to estimate costs of healthcare services offered by these volunteers in order to …

Cesarean Skin-To-Skin Contact: Who Gets The Experience In The Operating Room?, Jessica S. Junk-Wilson

Graduate Theses/Dissertations

For the past decade, skin-to-skin contact immediately after birth has been the general recommendation for all births, as there is evidence that it provides many benefits for mothers and infants. Yet, research has shown that immediate skin-to-skin contact is not the standard practice after most Cesarean births. This study assessed access, incidence, and circumstances surrounding Cesarean skin-to-skin contact (CSSC) in the operating room and examined influencing maternal characteristics of age, education, race, and number of births via a survey of 2327 people. Women who experienced a Cesarean section birth in the past 10 years were recruited through Facebook groups for …

Sense Of Support: The Impact Of Healthcare Encounters On The Breastfeeding Experiences Of African American Mothers, Olivia M. Rauls

Honors Undergraduate Theses

Although many studies have found a substantial racial disparity in infant feeding habits, the factors contributing to this unique disparity and potential solutions remain unknown. The general importance of social interactions and medical interventions in successful breastfeeding has been studied, but little research addresses the specific experiences of breastfeeding Black mothers interacting with their medical providers. This paper examines the perspectives of Black women with breastfed infants on their encounters with healthcare providers during prenatal, perinatal, and postnatal periods. Using qualitative data from 22 in-depth interviews addressing infant feeding decisions and experiences, this paper analyzes the link between healthcare interactions …

Dementia Care Among Somali Elders, Emmanuel Asante Opoku

All Graduate Theses, Dissertations, and Other Capstone Projects

Caring for persons with dementia is demanding and complicated since there is “no one-size-fits all formula for dementia care. The care needs to be modified to fit the various stages of the condition and each family's unique situation. Racial and ethnic differences place unique demand on all the forms of dementia care; in-home care (IHC), long-term care (LTC), adult day centers(ADC), short term care (STC) and hospice care (HC).

This paper aimed to study how Somali elders think and interact with dementia care services, from in-home care to hospice care. Some recommendations to study this issue is to do a …

A Technology-Based, Mixed Methods Approach To Examining The Psychosocial Determinants Of Maternal Health Disparities, Hannah M. Ming

Theses and Dissertations

Background: Exposure to racism and discrimination in the U.S. increases Black women’s risk for experiencing maternal health disparities. Additionally, racism and discrimination affect maternal psychosocial well-being, creating evidence for a biopsychosocial relationship between racism and maternal health outcomes. However, current research does not define the psychosocial Black maternal self well. Given the dynamic relationship between racism, psychosocial well-being, and Black maternal health outcomes, research must comprehensively examine the Black maternal self. The operationalization of a comprehensive construct for Black maternal psychosocial well-being can improve understanding of the relationship between racism, psychosocial well-being, and Black maternal health outcomes.

Purpose: …

Morality-Based Messaging? An Examination Of State Health Departments’ Facebook Posts In Advertising Covid-19 Vaccines, Kylee R. Casner

Honors Theses and Capstones

COVID-19 vaccination is an important public health tool in curbing the COVID-19 pandemic, but vaccination rates in the U.S. are inadequate for reaching herd immunity, leaving public health officials to develop strategies to increase vaccination rates. The field of public health has historically used stigmatizing messaging to encourage health behaviors. Through a content analysis COVID-19 Facebook posts made by the Alabama Public Health, Mississippi State Department of Health, Rhode Island Department of Health, and Vermont Department of Health, this study explores the types of messaging used to influence COVID-19 vaccination behavior and looks to determine if stigmatization of non-vaccination is …

Covid, Inequalities And Health: A Sociological Analysis About The Resilience Found In Unique Student Life Experiences, Sarah Da Silva

Electronic Theses and Dissertations, 2020-2023

This study demonstrates how adversity during the covid pandemic has impacted the lives of diverse college students. Specifically, this study analyzes students' perspectives on how they respond through resilience to daily academic, financial, and social stressors impacting their health during the pandemic. For this study, the research questions are: 1) what themes and forms of coping emerge among marginalized racially, ethnically diverse U.S. college students about their mental health and daily life experiences exacerbated by the covid pandemic? 2) And to what do experiences with stressors in combination with the covid pandemic reveal about the mental health of marginalized groups …

The Impact Of Emotional Support On Identity In Breast Cancer Survivors, Sakinah Dewji

Honors Undergraduate Theses

The purpose of this study is to determine the impact that breast cancer has on identity and how emotional support affects identity formation in women after cancer diagnosis and treatment. While there is much research on the medical treatment of breast cancer and the impact it has on women, there is a gap in research on the identity construction of women who have gone through breast cancer and the impact of emotional support for them during and after treatment. This is an important aspect of research as demonstrated by the rising number of women diagnosed with breast cancer each year. …

‘Doing’ Hypertension: Experiential Knowledge And Practice In The Self-Management Of ‘High Blood’ In The Philippines, Gideon Lasco, Alicia Renedo, Jhaki A. Mendoza, Maureen L. Seguin, Benjamin Palafox, Lia M. Palileo-Villanueva, Dina Balabanova, Martin Mckee

Development Studies Faculty Publications

Patients’ embodied experiences do not always correspond to the biomedical concepts of particular diseases. Drawing from year-long fieldwork in the Philippines that involved semi-structured interviews, focus group discussions and digital diaries, we examine how individuals ‘do’ hypertension through their embodied experiences and the knowledge and practice that emerge from them. Drawing inspiration from Annemarie Mol’s work on the notion of ‘multiplicity’ of disease, our analysis was informed by a commitment to privileging patients’ embodied experiences and the multiple ontologies of hypertension. We find that for patients diagnosed with hypertension in the Philippines, symptoms enact illness; patients rely on their …

The Program To Reduce Implicit Bias In Carroll Hospital Center Using The Implicit Association Test, Katherine E. Traynor

Capstone Showcase

Natural brain processes make all individuals susceptible to unconscious bias; however, stressful, fearful, or anger-evoking situations as well as the negative influence of media and social surroundings increase the risk of holding obstructive bias, and there is a greater risk of being negatively impacted by this phenomenon when belonging to a minority population (Rose & Flores, 2020). As a result, high rates of infant mortality (10.2 deaths per 1,000 live births for the Non-Hispanic Black population compared to 4.1 in the White population) and cardiovascular related diseases (190.0 cases per 1,000 in the Non-Hispanic Black population compared to 161.3 in …

Adult-Onset And Adolescent-Limited Suicidal Ideation: A Developmental Approach To Suicide, Brent Teasdale, Michelle N. Harris, Mindy Bradley, Suraiya H. Shammi, Jerreed D. Ivanich

The Journal of Sociology & Social Welfare

Suicidal thoughts and actions have typically been studied from an eventsbased perspective. Some emerging studies, however, have begun to examine suicide and related behaviors through a longitudinal perspective, specifically focusing on establishing trajectories of suicidal behavior. In general, this work produces three-class trajectories of suicide attempts among adolescents, including groups such as: (1) no or low suicidal behavior; (2) moderate suicidal behavior; and (3) high suicidal behavior. Less is known about potential trajectory patterns of suicidal ideation associated with later stages of the life course. Moreover, identifying a low-, moderate-, and high-risk group does not inform the developmental processes that …

A Proportionality-Based Framework For Government Regulation Of Digital Tracing Apps In Times Of Emergency, Sharon Bassan

Dickinson Law Review (2017-Present)

Times of emergency present an inherent conflict between the public interest and the preservation of individual rights. Such times require granting emergency powers to the government on behalf of the public interest and relaxing safeguards against government actions that infringe rights. The lack of theoretical framework to assess governmental decisions in times of emergency leads to a polarized and politicized discourse about potential policies, and often, to public distrust and lack of compliance.

Such a discourse was evident regarding Digital Tracing Apps (“DTAs”), which are apps installed on cellular phones to alert users that they were exposed to people who …

Pain That Only She Must Bear: On The Invisibility Of Women In Judicial Abortion Rhetoric, Francesca Laguardia

Department of Justice Studies Faculty Scholarship and Creative Works

The graphic and bodily facts of a legal question of rights are relevant to the courts, particularly in questions that directly implicate physical bodies and pain, such as right to die cases, or what level of search may be allowable and when. However, in the case of abortion, or more specifically the bodily ramifications of pregnancy and childbirth, this detail is conspicuously absent. This article, relying on a content analysis of over 220 legal opinions on abortion rights, documents this absence of rhetoric. Particularly in the context of other discussions of pain and physical health risks in these very same …

Awareness And Knowledge Of Aging And Hiv-Associated Neurocognitive Disorder: Service User And Provider Perspectives And Experiences In Southern Nevada, Renato M. Liboro, Brandon Ranuschio, Sherry Bell, Jenna Despres, Trinity Puno, Aruna Sedere, Nadia Sheik Yosef, Esmeralda Villalobos, Janelle Wackens, Lianne Barnes

Psychology Faculty Research

This community report presents the findings and analysis of a survey that was part of the quantitative stage of a mixed-method Community-Based Participatory Research (CBPR) project dedicated to examine the awareness and knowledge of racially and ethnically diverse, middle-aged and older people living with HIV/AIDS, and their healthcare and service providers from Southern Nevada, on aging, brain health, HIV/AIDS, and the condition known as HIV-Associated Neurocognitive Disorder. The CBPR project was conducted in collaboration with community partners such as the LGBTQIA+ Community Center of Southern Nevada, Southern Nevada Health District’s Ryan White Program, Community Counseling Center of Southern Nevada, and …

Rural Parent's Experiences Of Stress And Resilience During The Covid-19 Pandemic And School Closure, Emily Wilson, Jungwon Eum, Yuenjung Joo, Martinique A. Sealy, Jentry Stoneman Barrett, Gwen C. Nugent, Joan M. Carraher, Angela G. Hinrichs

Department of Child, Youth, and Family Studies: Faculty Publications

The COVID-19 pandemic has generated social and economic disruptions, resulting in cascading effects on the health and well- being of global citizens. However, little research has focused on how COVID-19 has affected rural regions, despite rurality being a critical factor for understanding community impact and response to the pandemic. The purpose of this phenomenological study was to explore the experiences of rural Nebraskan parents with young children during the COVID-19 pandemic and school shutdown, and the strategies they used to support their families during that time. We conducted individual and group interviews with 22 white, non-Hispanic mothers living in rural …

Social And Biological Determinants Of Pregnancy-Related Mortality And Morbidity In A Rural, Underserved Population, Anna Hansen

Theses and Dissertations--Sociology

Cases of severe maternal morbidity (SMM) and pregnancy-related mortality (PRM) are increasing in the US. Research concerning SMM and PRM has neglected women in Central Appalachia; a largely rural, health-disparate population. The aims of this study are two-fold: (1) Examine patient-level and place-based predictors of SMM/PRM via hierarchical logistic regression modeling, and (2) Elucidate Appalachian healthcare patients’ and providers’ experiences with SMM/PRM, perceptions of contributing factors, and insights on points of intervention.

This study uses a mixed methods approach guided by the WHO’s conceptual framework for action on social determinants of health to identify determinants of SMM and PRM among …

An Examination Of Three Transitional Events In The Substance Misuse Trajectories Of Women With Criminal Legal System Involvement, Martha Tillson

Theses and Dissertations--Sociology

Research has consistently demonstrated that criminal legal system (CLS)-involved women are distinct from men in initiation and course of drug use, with important differences on biological, environmental, and sociocultural levels. Thus, the unique pathways and transitions into and out of drug use for women with CLS involvement are critical to consider from a research perspective, but also from a need to develop and support evidence-based, women-centered services in correctional contexts. This dissertation project uses a three-paper format to investigate three aims: (1) to understand CLS-involved women’s initiations to injection drug use and their experiences providing injection initiation assistance (IIA) to …