Medicine and Health Commons^™

The Social Determinants Of Diabetes And Coronary Heart Disease In South Asian American Immigrants, Mishal Ayaz

Electronic Theses and Dissertations

An astounding 20% of South Asian Americans have diabetes (Matthews and Zachariah 2008). Conventional risk factors for coronary heart disease includes: age older than 65, sedentary lifestyle, cigarette smoking, hypertension, elevated low-density lipoprotein (LDL), cholesterol, and type 2 diabetes, all factors beyond health care (italicized for emphasis) (Mathews and Zachariah 2008). But conventional risk factors alone are not sufficient to predict the alarmingly high rates of coronary heart disease (“CHD”) for South Asian Americans. In fact, the only conventional risk factor more prevalent in this community than others is diabetes. So, the question remains, what factors are contributing to the …

Nebraska Risk And Protective Factor Student Survey Results For 2021. Profile Report: State Of Nebraska, Bureau Of Sociological Research

Nebraska Student Health and Risk Prevention Surveillance System (SHARP)

No abstract provided.

Impact Of 9/11-Induced Adverse Experiences On The Mental Health Of Latino Americans And The Role Of Religious Service Attendance, Soyoung Kwon, Yongsok Kim, Jiyoung Moon Dr.

The Journal of Sociology & Social Welfare

Much research has documented the mental health consequences of the terrorist attacks of September 11, 2001; however, little is known about how the 9/11 attacks affect the mental health of Latino Americans. This study uses a nationally representative sample of Latino Americans (N = 2,346) from the National Latino and Asian American Study (NLAAS) to examine the relationships between 9/11-induced negative life experiences and mental disorders. The former includes losing a job, reducing family income, feeling less safe and secure, discrimination, loss of optimism, and inability to cope with things. For the latter, mental disorders may exhibit as psychological distress, …

Survey Deficiencies As Quality Indicators In Oregon Assisted Living Communities, Ozcan Tunalilar, Sunny C. Lin, Paula C. Carder

Institute on Aging Publications

Background and Objectives License inspection data have commonly been used as a quality measure for nursing homes but has not yet been used to assess the quality of assisted living/residential care (AL/RC) communities. Drawing on resource dependency theory, we test the hypothesis that structural and environmental characteristics influence AL/RC quality as measured by deficiency citations (“deficiencies”) issued during license inspections.

Research Design and Methods Using data from 526 licensed AL/RC communities in Oregon that received a license inspection visit between 2008 and 2016, we examined the prevalence of deficiencies by type and year. We estimated regression models to identify structural …

Efficacy As Safety: Dominant Cultural Assumptions And The Assessment Of Contraceptive Risk, Andrea Bertotti, Emily S. Mann, Skye A. Miner

Sociology & Criminology Faculty Research

To reduce rates of unintended pregnancy, medical and public health associations endorse a contraceptive counseling model that ranks birth control methods by failure rate. This tiered model outlines all forms of birth control but recommends long-acting reversible contraceptives (LARC) to eliminate user error and increase continuation. Our critical discourse analysis of gynecology textbooks and medical recommendations examines how gendered and neoliberal ideas influence risk assessments underlying the tiered contraceptive counseling model. Specifically, we explore how embodied, lifestyle, and medical risks are constructed to prioritize contraceptive failure over adverse side effects and reproductive autonomy. We find that the tiered model's focus …

Neither “Post-War” Nor Post-Pregnancy Paranoia: How America’S War On Drugs Continues To Perpetuate Disparate Incarceration Outcomes For Pregnant, Substance-Involved Offenders, Becca S. Zimmerman

Pitzer Senior Theses

This thesis investigates the unique interactions between pregnancy, substance involvement, and race as they relate to the War on Drugs and the hyper-incarceration of women. Using ordinary least square regression analyses and data from the Bureau of Justice Statistics’ 2016 Survey of Prison Inmates, I examine if (and how) pregnancy status, drug use, race, and their interactions influence two length of incarceration outcomes: sentence length and amount of time spent in jail between arrest and imprisonment. The results collectively indicate that pregnancy decreases length of incarceration outcomes for those offenders who are not substance-involved but not evenhandedly -- benefitting white …

Does Medical Racism Influence Medical Mistrust In The Black Community?, Danielle Forrest

Honors Undergraduate Theses

Mistrust in the medical field can be generated through experiences of racism and discrimination during interactions with members of the medical community. Black and African American individuals find themselves facing increased rates of morbidity including heart disease, and diabetes, and increased rates of mortality as compared to White individuals yet are treated less frequently and to a lesser extent. This thesis examines the mistrust black people have towards the medical field, as well as differences within the black community in terms of experiences with medical racism. In order to collect this information, I created a survey that enquires about race …

The Ideology Of Baby-Mama Phenomenon: Assessing Knowledge And Perceptions Among Young People From Educational Institutions, Opeyemi S. Adeojo, Daniel Egerson, Gabriel Mewiya, Rowland Edet

Department of Sociology: Faculty Publications

This study investigated the knowledge and perception of the ideology of baby-mama concept among the youths. Particularly, this paper assessed the knowledge of the concept of baby mama among youths and also their opinion on the acceptability of this style of family structure. The study employed a qualitative approach through an in-depth interview research method. Forty respondents between the ages of 16 and 40 years were selected across three educational institutions in Oyo state, south-west Nigeria. The participants of the study voluntarily agreed to participate in the research and everything said during the course of the interview was transcribed and …

Rural/Urban Differences In The Predictors Of Opioid Prescribing Rates Among Medicare Part D Beneficiaries 65 Years Of Age And Older, Carla Shoff, Tse-Chuan Yang, Seulki Kim

Department of Sociology: Faculty Publications

Purpose: While research has been done comparing rural/urban differences in opioid prescribing to the disabled Medicare Part D population, research on opioid prescribing among the aged Medicare Part D population is lacking. This study aims to fill this gap by exploring the predictors of opioid prescribing to aged Medicare Part D beneficiaries and investigating whether these predictors vary across rural and urban areas. Methods: This is an analysis of ZIP Codes in the continental United States (18,126 ZIP Codes) utilizing 2017 data from Centers for Medicare & Medicaid Services. The analytic approach includes aspatial descriptive analysis, exploratory spatial analysis with …

Face Masking Violations, Policing, And Covid-19 Death Rates: A Spatial Analysis In New York City Zip Codes, Tse-Chuan Yang, Seulki Kim, Stephen A. Matthews

Department of Sociology: Faculty Publications

The use of face masks during a pandemic and compliance with state and local mandates has been a divisive issue in the United States. We document variation in face masking violation rates involving police enforcement in New York City and examine the association between police-enforced face masking violations and COVID-19-related death rates. We assemble a Zone Improvement Plan (ZIP) code–level data set from the New York City Open Data, Department of Health, and the American Community Survey (2014–2018). We use maps to demonstrate the spatial patterning of police-enforced face masking violation rates and COVID-19-related death rates. Using a Bayesian spatial …

Attitudes About Paid Parental Leave: Cross-National Comparisons And The Significance Of Gendered Expectations, Family Strains, And Extant Leave Offerings, Chris Knoester, Qi Li, Richard J. Petts

Department of Sociology: Faculty Publications

Using data on paid parental leave preferences from 35,488 adults situated within 26 different OECD countries, and multilevel modeling, this study examines public opinions about the provision of paid parental leave, some government funding of leave offerings, and preferred lengths of leave offerings. We consider how attitudes may be similar or different across social contexts and then focus upon the extent to which gender, gendered parenting role attitudes, family strains, and country-level institutionalized leave offerings are associated with leave preferences. The findings indicate that the vast majority of respondents are in favor of rather widespread and generous paid parental leave …

Health Disparities By Sexual Orientation Components In The United States, Julia Kay Wolf

Graduate Theses, Dissertations, and Problem Reports (ETD)

Fundamental cause theory encourages researchers to consider broad social conditions that put people at risk of individual-level health-related risks that can lead to health disparities between social groups. Stigma has recently been proposed as a fundamental cause of health disparities as it influences multiple disease outcomes, affects access to resources, and is consistently related to health inequities across historical and geographical contexts. Minority stress theory describes how sexual minorities endure excess stressors in the form of prejudice and discrimination due to their stigmatized status. Considering both frameworks, I explore how stigmatized sexual orientation minority respondents compare to their sexual majority …

Other People’S Families: How Social Ties Shape Entrance Into The Medical Profession, Lillian Sims

Theses and Dissertations--Educational Policy Studies and Evaluation

Not enough members of low-income, rural, and minoritized populations are successfully prepared for and recruited into medical school, exacerbating issues of unequal access to healthcare and limiting access to the profession. While a multitude of factors contribute to this problem, early social exposure to others in a field can act as a key contributor to career interest and a key advantage for entering the profession. Meanwhile, students without early social exposure to healthcare may take unconventional paths to medical school or may struggle to fit into the unique culture of medicine when they do enter training, especially if they belong …

Easy Money: Examining Social Disorganization, Urbanization, Healthcare Fraud, And Community Health In America., Wilmer Alvarez Irizarry

Electronic Theses and Dissertations, 2020-2023

In the past 40 years, the health of citizens in the United States has changed significantly. The population of the United States managed to get sicker and die slower across the prior four decades. Adding to this complexity is the fact that illnesses and health behaviors in the United States are also not equally distributed by race, class, gender, or other social factors. These facts do not only reflect level of the disease and illness in the United States, but also the disparities that exist within them and the sociomedical factors that impact health. Despite costing American taxpayers between $120 …

Estimating The Impacts Of Acculturation On The Health Of Immigrants In The United States, Tingting He

Electronic Theses and Dissertations

The growth in the immigration population in the U.S. has transformed American demographic profile and has led to magnification in health disparities in the United States. The main purpose of this dissertation is to examine the relationship between acculturation and health behavior, mental health outcomes, and access to health care service among immigrants in the U.S. Relying on the acculturation framework, the dissertation intends to increase the understanding of health disparities and health patterns among immigrants. The dissertation utilizes the secondary data from National Health Interview Survey (NHIS) data to examine the effects of acculturation on health of immigrants. Measures …

Dialogic Identity Construction: The Influence Of Latinx Women's Identities In Their Health Information Management Practice, Maria A. Caban Alizondo

Antioch University Dissertations & Theses

The purpose of this qualitative research was to study the experiences of Latinx women who lead in health information management in the United States. Latinx health information management professionals are faced with everchanging workplace dynamics and biases in which they are repeatedly reminded of their individual and ethnic differences that require them to construct and co-construct new facets to their identities in social contexts. By grounding this work in narrative inquiry and viewing identities critically, space is given for delving deeper into the specifics of how gender, ethnicity, culture, and class influenced Latinx women’s leadership practice. Interviews offered the opportunity …

Spatial Non‑Stationarity In Opioid Prescribing Rates: Evidence From Older Medicare Part D Beneficiaries, Seulki Kim, Carla Shoff, Tse-Chuan Yang

Department of Sociology: Faculty Publications

Previous research that examined spatial patterns of opioid prescribing rates and factors associated with them has mainly relied on a global modeling perspective, overlooking the potential spatial non-stationarity embedded in these associations. In this study, we investigate whether there are spatially non-stationary associations between opioid prescribing rates and key characteristics of older Medicare Part D beneficiaries and their prescribers using several data sources from the Centers for Medicare and Medicaid Services. All measures are aggregated to the ZIP code level, and a total sample size of 18,126 ZIP codes is included in the analyses. Our descriptive results from geographically weighted …

Pictorial Health Warnings On Cigarette Packs: Compliance And Public Understanding Among Adults In Malacca, Peninsular Malaysia, Ainun Mardhiah Meor Amir Hamzah

Student Works (2020-2029)

Pictorial health warnings (PHWs) on cigarette packs, is one of the tobacco-free initiatives, targeting smokers and non-smokers. Since its implementation in Malaysia in 2009, little is known whether the PHWs on Malaysian cigarette packs comply with the PHW indicators, and well-understood by the public. Objectives: This study compared the prevalence of legal and illicit cigarettes in Malacca and the compliance level of PHWs with the Malaysian law and Framework Convention on Tobacco Control (FCTC) requirements between cigarette’s brands and variants, its legal status, types of Point of Sales (POS), and locations; also explored the public’s understanding and recommendations to improve …

Intellectual Property As A Determinant Of Health, Ana Santos Rutschman

All Faculty Scholarship

Public health literature has long recognized the existence of determinants of health, a set of socio-economic conditions that affect health risks and health outcomes across the world. The World Health Organization defines these determinants as “forces and systems” consisting of “factors combin[ing] together to affect the health of individuals and communities.” Frameworks relying on determinants of health have been widely adopted by countries in the global South and North alike, as well as international institutional players, several of which are direct or indirect players in transnational intellectual property (IP) policymaking. Issues raised by the implementation of IP policies, however, are …

Estimated Glomerular Filtration Rate And The Racial Multiplier: Clinical Implications And Current Attitudes, Brittney A. Spooner

Honors Theses and Capstones

Chronic kidney disease (CKD) is associated with high morbidity and mortality and has high and increasing incidence worldwide. CKD is characterized by a reduction in glomerular filtration rate (GFR), but as GFR is difficult to measure directly, estimated glomerular filtration rate (eGFR) equations have been created to measure serum creatinine levels as a function of GFR. Some eGFR equations contain a racial multiplier that increases the eGFR of black patients, causing a spurious increase in reported kidney function. This study included a literature search that collected information on the rationale behind the multipliers usage and a survey that gathered information …