Medicine and Health Commons^™

The Notebook: An Accidental Alzheimer's Awareness Campaign, Danielle Waldron

Annual Undergraduate Conference on Health and Society

My paper examines and critiques the portrayal of Alzheimer¹s disease in the popular film, The Notebook. Based off of a Nicholas Sparks novel, The Notebook uses Alzheimer¹s disease as a vehicle to relay a love story, but in doing so, presents a distorted picture of Alzheimer¹s disease to its audience. My paper compares the responsibilities of family caregivers of Alzheimer¹s patients in today¹s world with the unrealistic family caregiver, Noah, depicted on screen. My paper also explores and exposes inconsistencies between the attractive nursing home experience presented on screen and the less than ideal treatment patients experience in long term …

Is Gaining, Losing Or Keeping A Self-Identified Fertility Problem Associated With Changes In Self-Esteem?, Elizabeth A. Richardson

Department of Sociology: Dissertations, Theses, and Student Research

Because motherhood is an expected and valued identity in the United States, becoming a mother should lead to an increase in self-esteem and perceiving a problem becoming a mother should lead to a decrease in self-esteem. Little research has examined the combined experience of both identifying with a fertility problem and becoming a mother or not over time. Guided by identity theory framework, this study uses two waves of data from the National Survey of Fertility Barriers (NSFB) to examine how change and stability in motherhood status and perceived fertility barrier status is associated with changes in self-esteem among women …

Employment And Economic Development In Southern Nevada, Jennifer Pharr, Courtney Coughenour, Shawn Gerstenberger

Nevada Journal of Public Health

Wealth influences a person’s health. People who are higher on the socioeconomic scale tend to have better health outcomes. To improve the health of a community, it is important to understand the employment opportunities of the people living in the community.

Southern Nevada’s economy was hit hard between 2008 and 2012. Unemployment rates in the region exceeded national and peer regions between during this time period. Construction; leisure and hospitality; trade, transportation and utilities; and professional and business service sectors experienced the greatest job loss during the recession. The Education and Health Services sectors did not experience a decrease in …

Healthcare Access And Health Outcomes In Southern Nevada, Jennifer Pharr, Courtney Coughenour, Shawn Gerstenberger

Nevada Journal of Public Health

In a publication from the Robert Woods Johnson Foundation, it was recognized that a person’s zip code was a more important predictor of health than their genetic code. Where we live influences not only our access to health care, but other health indicators as well. Clark County has a low primary care physician to population ratio compared to other counties in Nevada and in the US. Clark County also has highest rates of uninsured in the Mountain West and among the highest in the nation.

Southern Nevada fared worse than other Mountain West Metropolitan areas in health indicators and preventative …

Demographic Makeup And Population Projections For Southern Nevada: Understanding The Emerging Healthcare Needs In Our Community, Jennifer Pharr, Courtney Coughenour, Shawn Gerstenberger

Nevada Journal of Public Health

Even with a leveling-off of population growth from 2008 to 2011, Southern Nevada had one of the fastest growing populations in the nation over the past decade. While population growth is projected to increase for the next ten years, the rate of growth will be slower than in the past decade. The Hispanic population, as a percentage of the total population, is projected to surpass the White population somewhere near the year 2030. The Southern Nevada population is aging, as the median age in the region increased between 2000 and 2010. The 65+ age group is projected to increase as …

Communicating In Complex Situations: A Normative Approach To Hiv-Related Talk Among Parents Who Are Hiv+, Laura L. Edwards, Erin Donovan-Kicken, Janet S. Reis

University Author Recognition Bibliography: 2014

Parents with HIV/AIDS are confronted with unique challenges when discussing HIV-related information with their children. Strategies for navigating these challenges effectively have not been systematically examined. In this study, we conducted in-depth interviews with 76 parents with HIV/AIDS who had children ages 10–18 years. Guided by O'Keefe and Delia's definition of a complex communication situation and Goldsmith's normative approach to interpersonal communication, we examined parents’ goals for discussing HIV-related information, factors that made conversations challenging, and instances where these conversational purposes conflicted with one another. Our data reveal the following parent–adolescent communication predicaments: relaying safety information about HIV while minimizing …

Adolescent Perceptions Of Health Through Photovoice In Cato Manor, South Africa, Renee Lamoreau

Independent Study Project (ISP) Collection

This study will investigate how youth in Cato Manor perceive health in their community using photovoice as the primary methodology. Photovoice is a participatory action research method that gives participants the power to answer research questions through imagery. Participants take pictures in response to a question or prompt, and then describe a self-­‐selected number of pictures using the SHOWED process. This study will employ this methodology to answer the following questions: What objects, people, and events do youth associate with health? How do youth in Cato Manor define health and sickness? The following report will summarize the social and physical …

Citizenship Documentation Requirement For Medical Eligibility: Effects On Oregon Children, Brigit A. Hatch, Jennifer E. Devoe, Jodi A. Lapidus, Matthew J. Carlson, Bill J. Wright

Sociology Faculty Publications and Presentations

BACKGROUND AND OBJECTIVES: The Deficit Reduction Act (DRA) of 2005 mandated Medicaid beneficiaries to document citizenship. Using a prospective cohort (n=104,375), we aimed to (1) determine characteristics of affected children, (2) describe effects on health insurance coverage and access to needed health care, and (3) model the causal relationship between this new policy, known determinants of health care access, and receipt of needed health care.

METHODS: We identified a stratified random sample of children shortly after the DRA was implemented and used state records and surveys to compare three groups: children denied Medicaid for inability to document citizenship, children denied …

Impersonal Trust In Versus Dependence On Fda, Amanda C. Meyer

Masters Theses

This study emerged following an examination of the work by Susan Shapiro (1987) delineating the construct of impersonal trust, and Shapiro's analysis of trust was applied to an understanding of the impersonal trust relationship which Americans have with Food and Drug Administration (FDA). Few fields outside of organizational studies have undertaken efforts to operationalize impersonal trust and to distinguish it from other related constructs, so this exploratory study assessed whether variables associated with interpersonal trust as outlined by Meyer and Ward (2009) were also associated with impersonal trust in FDA. This study further examined whether measures of impersonal trust could …

Mainecare Stage A Health Homes Year 1 Report: Implementation Findings And Baseline Analysis, Kimberley S. Fox Mpa, Carolyn E. Gray Mph, Katherine Rosingana, Deborah A. Thayer Mba

Population Health & Health Policy

In January 2013, Maine established Health Homes under federal authority pursuant to Section 2703 of the Affordable Care Act to improve care coordination for MaineCare members with chronic conditions. Stage A of the Health Homes initiative focuses on members with complex medical chronic conditions. Stage B, planned for early 2014, will focus on persons with severe and persistent mental health conditions and children with serious emotional disturbances. The Stage A demonstration builds off the State’s existing Maine multi-payer Patient Centered Medical Home (PCMH) Pilot project and Maine’s Medicare Advanced Primary Care Practice (MAPCP) Demonstration by providing add-on payments to primary …

Research Brief: "Melanoma Incidence Rates Among Whites In The U.S. Military", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about a comparison of melanoma incidence rates between white active-duty military members and the general population in the U.S. In policy and practice, health practitioners should promote skin cancer screenings for active duty service members, older personnel, and veterans; the DoD should look to prevent exposure to melanoma risk factors, such as retiring equipment containing harmful PCBs and providing protective clothing and sunscreen for military personnel who are at risk for developing melanoma. Suggestions for future research include analyzing the increase in melanoma incidence rates among younger male military personnel, analyzing the varying risk factors among the …

“Obesity Is A Disease”: Examining The Self-Regulatory Impact Of This Public-Health Message, Crystal L. Hoyt, Jeni L. Burnette, Lisa Auster-Gussman

Jepson School of Leadership Studies articles, book chapters and other publications

In the current work, we examined the impact of the American Medical Association’s recent classification of obesity as a disease on weight-management processes. Across three experimental studies, we highlighted the potential hidden costs associated with labeling obesity as a disease, showing that this message, presented in an actual New York Times article, undermined beneficial weight-loss self-regulatory processes. A disease-based, relative to an information-based, weight-management message weakened the importance placed on health-focused dieting and reduced concerns about weight among obese individuals—the very people whom such public-health messages are targeting. Further, the decreased concern about weight predicted higher-calorie food choices. In addition, …

The Deserving And Undeserving: Examining Ontario's New Strategy For Organ And Tissue Donation, Colleen M. Connors

Social Justice and Community Engagement

The medical marvel of organ and tissue transplantation has spurred new questions about the divisible body and its potential for commodification, dividing the world into unequal populations —receivers and donors. Efforts to foster equilibrium in the supply and demand of transplantable organs have led many to argue for market-based solutions; however the role of privilege has often been made invisible in these discussions, exacerbating pre-existing global inequalities. This paper acknowledges Canadian patient engagement in systems of organ trafficking, and explores the current strategy enacted by Trillium Gift of Life Network (TGLN) to improve organ and tissue donation and transplantation (OTDT) …

Talking About Public Health: An Analysis Of A Municipal Public Health Twitter Feed, Olivia E. Kozela

Sociology Major Research Papers

Social media has become an increasingly popular tool used by experts and laypeople alike to obtain, share, and create health information. Public health authorities have also begun to use web 2.0 platforms to share information and foster engagement with the public. Existing public health research about Twitter has explored its uses as a tool of health promotion, however communication on the Twitter platform has not yet been explored from a critical public health perspective. The purpose of this study is to analyze how talk about public health occurs online via Twitter. Using both content and discourse analysis of communication on …

A Five-Step Process For Interactive Parent–Adolescent Communication About Hiv Prevention: Advice From Parents Living With Hiv/Aids, Laura L. Edwards, Janet S. Reis

University Author Recognition Bibliography: 2014

The authors investigated how parents living with HIV/AIDS communicate about HIV prevention with their 10- to 18-year-old children. Semistructured interviews with 76 mothers and fathers were analyzed for (a) their experiences discussing HIV prevention with adolescents and (b) advice for other parents about how to best broach HIV-related topics. Interactive conversations were regarded as particularly effective. A five-step process for interactive communication emerged as a result of these discussions. Parents emphasized that adolescents should have a “voice” and a “choice” in HIV-related talks. Health care professionals can facilitate adolescent sexual health by encouraging parents to actively involve their children in …

The Dual Burden Of Malnutrition: Quetzaltenango, Guatemala, Nisha Punatar, Robert C. Morrow

GW Research Days 2014

No abstract provided.

Guardian Engagement, Rachel Baywal, Jessica Carag, Laura Johns, John-Hanson Machado, Sarah Rothenberg, Indira Singh, Christie Toolin, Meghana Vijaysimha

ISCOPES Posters and Presentations

No abstract provided.

Senior Wellness: Young At Heart, Feda Al Sanonah, Joshua Bagley, Morgan Byrne, Erin Capina, Mamta Chaudhari, Nesreen Gusbi, Ghazal Kango, Sarah Kehl, Ashley Mills, Shaunak Mulani, Erin Prendergast

ISCOPES Posters and Presentations

No abstract provided.

Veterans History Project Learning Community, Haley Brightman, Regina Desantis, Cristal Magana, Linda Nguyen, Onize Oniwon, Matt Shupler, Patrick Zornow

ISCOPES Posters and Presentations

No abstract provided.

Helping The Community From The Bottom Up: Distributing Diapers To The Williamsburg Community, Constance A. Hull, Caroline Kelsey

VA Engage Journal

There is a great need for a sustainable supply of clean diapers for low-income residents of Williamsburg since this region is without a diaper bank. Being unable to afford diapers can have a myriad of negative consequences from being unable to send children to child care to increased health risks involved in leaving a baby in a soiled diaper. Our model of a diaper bank differs from most because we mail diapers directly to families, eliminating transportation needs. We hope to partner with community agencies and The College of William & Mary to expand our services and create a more …