Medicine and Health Commons^™

Three Essays On Social Health Insurance In Developing Countries: The Case Study Of Ghana, Stephen Ofori Abrokwah

Dissertations

More than 2 billion people live in developing countries with health systems constrained by inequitable access and inadequate funding. The World Health Organization estimates that more than 150 million of these people suffer financial breakdown every year having to make unexpected out-of-pocket expenditures for emergency care.

To improve health and reduce the financial burden on households, a number of developing countries, including Ghana, Colombia, and Peru, have recently introduced social health insurance programs which are heavily subsidized. The dissertation is a collection of three essays looking at how individual health care choices changed as a result of the availability of …

Associations Among Indicators Of Depression In Medicaid-Eligible Community-Dwelling Older Adults, Elizabeth A. Byma, Charles W. Given, Barbara A. Given

University Faculty Publications and Creative Works

Purpose: The purpose of this research was to examine associations among 2 separate Minimum Data Set-Home Care (MDS-HC) depression measures (the Depression Rating Scale [DRS] and medical diagnosis of depression) with billed antidepressant medications in Medicaid paid claim files. Design and Methods: The sample for this cross-sectional research included 3,041 Medicaid-eligible older adult participants in a Home and Community Based Waiver Program and used data from the MDS-HC, Version 1 and Medicaid Paid Claim Files. Sensitivity and specificity analyses, receiver operating characteristic (ROC) curve analysis, and t tests were utilized. Results: DRS scoring indicated that 15.4% of participants had behaviors …

The Problem With Adhd: Researchers' Constructions And Parents' Accounts, Bora Pajo, David Cohen Dr.

All Faculty and Staff Scholarship

An enduring controversy over the nature of ADHD complicates parents’ decisions regarding children likely to be diagnosed with the condition. Using a fallibilist perspective, this review examines how researchers construe ADHD and acknowledge the controversy. From a systematic literature search of empirical reports using parents of ADHD-diagnosed children as primary informants, 36 reports published between 1996 and 2008 (corresponding to 30 studies) were selected. Data on the studies’ characteristics and methodologies, definitions of ADHD, and extent of the acknowledgment of the ADHD controversy were extracted, as were data on a wide range of parental concerns and experiences. Researchers in 27 …

Health Disparities As We Age: A Life Course Comparison Of Canadian Early Boomers With Pre-Boomers, Susan Mcdaniel, Amber Gazso, Hugh Mccague, Ryan Barnhart

Population Change and Lifecourse Strategic Knowledge Cluster Discussion Paper Series/ Un Réseau stratégique de connaissances Changements de population et parcours de vie Document de travail

Despite a large and growing research literature documenting health disparities by socio-economic status (SES) and income inequalities, research on how these relationships play out moving from mid to later life is meager. Even less is known about how the early Baby Boom cohort compares with the Pre-Boomer cohort as they age in a period of accelerating inequalities, where the wealthy are becoming wealthier and the incomes of those in the middle and at the bottom are stagnating. In this paper, we follow individuals in two cohorts, those born 1947-1951 and those born 1932-36 over the period covering eight cycles of …

Factors Influencing Access To Healthcare Services, Melissa Delia

Independent Study Project (ISP) Collection

Following several political upheavals, the country of Madagascar has become one of the poorest countries in the world. This level of poverty affects many aspects of life, especially access to healthcare services. The availability of both allopathic and traditional healthcare to the impoverished citizens of Madagascar was examined through discussions, interviews, and journal articles. It was found that although both the allopathic and traditional medicinal systems do not charge their patients for general consultations and care, there is a high cost for pharmaceutical medications in the allopathic system. These medications are sometimes too expensive for many Malagasy patients to afford. …

Preventative Care And Culture, Anna Wagman

Independent Study Project (ISP) Collection

This paper explores the intersection between culture and health. The similarities and differences between methods for preventative medicine employed by traditional and allopathic systems are discussed. These ostensibly disparate systems, in reality, display many parallels in regards to their delivery. The effects of industrial progress, and therefore cultural change, on the health of the inhabitants of rapidly urbanizing African cities are examined. Historical information from studies of Great Britain, the first area to undergo a full industrial revolution is also drawn on. These analyses essentially predict the societal issues that come with urbanization, such as the amalgamation of preexisting pollutants …

A Preliminary Study Of Perception And Coping Mechanism Of Breast Cancer Patients In An Iranian City, Ali A. Moqaddas, Fatemeh Adjdari, Akbar Aghajanian

Sociology Department Faculty Working Papers

The life expectancy of women in Iran has increased in the last quarter of the 20th century. On the other hand obesity has increased during the first decade of the 21th century for both adult males and females but particularly for females. These trends are contemporary with a growing incidence of breast cancer among women in urban areas. Casual observation has shown that organized and systematic coping support and mechanism for women with breast cancer disease has expanded much less than the treatment technology, leaving surviving women in ambiguity and fear of unknown. The analysis of qualitative data from a …

Cardiovascular Health: Associations With Race-Ethnicity, Nativity, And Education In A Diverse, Population-Based Sample Of Californians, Georgiana Bostean, Christian K. Roberts, Catherine M. Crespi, Michael Prelip, Anne Peters, Thomas R. Belin, William J. Mccarthy

Sociology Faculty Articles and Research

Purpose—This study examined how race-ethnicity, nativity, and education interact to influence disparities in cardiovascular (CV) health, a new concept defined by the American Heart Association (AHA). We assessed whether race-ethnicity and nativity disparities in CV health vary by education, and whether the foreign-born differ in CV health from their US-born race-ethnic counterparts with comparable education.

Methods—We used data from the 2009 California Health Interview Survey to determine the prevalence of optimal CV health metrics (based on selected AHA guidelines) among adults ages 25 and over (n = 42,014). We examined the interaction between education and ethnicity-nativity, comparing predicted …

I'M A Patient, Not A Problem: An Exploration Into The Roles Assigned In The Doctor-Patient Relationship, Monica C. Stewart

Honors Theses and Capstones

No abstract provided.

Bullying Among School-Aged Children, Alfreada Brown-Kelly

Sociology & Criminal Justice Theses & Dissertations

This thesis investigates the relationship between gender, race and strains. Using data collected from the 2005-2006 Health Behavior in School-Aged Children, the study examined children's outlooks and experiences relating to an extensive range of health related activities and lifestyles. Specifically, this study examined the ways in which males and females bully and if black students bully more than white students. Furthermore, the study examined race and gender differences in bullying, and the impact of strains on these relationships. It was found that both race and gender are significant predictors of bullying when controlling for measures of strains and other demographic …

The Effect Of Prenatal And Postnatal Care On Childhood Obesity, Michael M. O. Seipel, Kevin Shafer

Faculty Publications

Childhood obesity continues to be a major public health problem in the United States. If this problem is unresolved, some children will be at risk for disorders such as type 2 diabetes, high blood pressure, and cancer and will become a high economic and social burden for society. Using the National Longitudinal Survey of Youth, Child and Young Adult sample (N = 6,643), this study examined the relationship between the effect of pre- and postnatal characteristics and obesity. The findings of this study show that the probability of childhood obesity can be lessened if pregnant women do not smoke and …

A Longitudinal Examination Of Risk And Protective Factors Associated With Drug Use And Unsafe Sex Among Young African American Females, Dexter R. Voisin

Faculty Scholarship

This study prospectively examined associations among multiple theoretically informed risk (e.g., depression, sexual sensation seeking, and risky peers norms) and protective factors (e.g., social support, STI knowledge, and refusal to have sex self efficacy) on unsafe sex among 715 African American adolescent females aged 15-21 who participated in an STI/HIV prevention intervention. Generalized estimating equation models were used to assess associations between baseline characteristics and sexual risk over a 12-month follow-up period. Overall risk in this population was high: at baseline, nearly a third of women reported sex under the influence of alcohol or substances; ≥ 2 partners for vaginal …

Public Opinion And The Oregon Death With Dignity Act, Peggy Jo Ann Sandeen

Dissertations and Theses

Oregon voters legalized physician-assisted death in 1997 by passing the Oregon Death with Dignity Act. This law allowed terminally ill, mentally competent adult residents of the state to legally obtain a physician's prescription to hasten death under narrow sets of circumstances. The purpose of this study was twofold: to examine contemporary patterns of support for the law in Oregon and to explore how opinions have changed over time on the issue. This study examined patterns of public support among a random sample of registered Oregon voters for the state's death with dignity law, using a mixed mode (mail, online, and …

Does Selective Migration Explain The Hispanic Paradox?: A Comparative Analysis Of Mexicans In The U.S. And Mexico, Georgiana Bostean

Sociology Faculty Articles and Research

Latino immigrants, particularly Mexican, have some health advantages over U.S.-born Mexicans and Whites. Because of their lower socioeconomic status, this phenomenon has been called the epidemiologic “Hispanic Paradox.” While cultural theories have dominated explanations for the Paradox, the role of selective migration has been inadequately addressed. This study is among the few to combine Mexican and U.S. data to examine health selectivity in activity limitation, self-rated health, and chronic conditions among Mexican immigrants, ages 18 and over. Drawing on theories of selective migration, this study tested the “healthy migrant” and “salmon-bias” hypotheses by comparing the health of Mexican immigrants in …

Homeless Youths’ Hiv Risk Behaviors With Strangers: Investigating The Importance Of Social Networks, Kimberly A. Tyler

Department of Sociology: Faculty Publications

The purpose of this study was to examine the relationship between homeless youths’ HIV risk behaviors with strangers and risk and protective characteristics of their social networks. Data were from the Social Network and Homeless Youth Project. A total of 249 youth aged 14 to 21 years were interviewed over 15 months in three Midwestern cities in the United States using a systematic sampling strategy. Multivariate results revealed that homeless youth with a greater average number of network members who engaged in more drug risk behaviors and who pressured them into precarious behaviors at least once were more likely to …

Regional Response Planning For At-Risk, Vulnerable, Or 'Special' Populations, Janet Cites

South Dakota Demography Conference

No abstract provided.

Commodified Risk: Masculinity And Male Sex Work In New Orleans, Eduardo Piqueiras

LSU New Orleans Theses and Dissertations

In this research I examine the complexity of male sexuality and masculinity among male sex workers in New Orleans. Despite danger to their health and social standing, men engage in risky sexual behavior with other men for both business and pleasure. These behaviors may stem from the thrill of risk itself, or from other causes such as unexplored sexual inhibitions on the part of the male sex workers or their clients. Focusing on male sex workers, this ethnographic study explores why male sex workers engage in work that is high risk and potentially very dangerous. It examines the world of …

The Effects Of Emotion And Message Framing On College Binge Drinking, Monica Broughton

Psychology Student Scholarship

The purpose of this study was to find an effective way of portraying binge drinking information to college students, hopefully changing their drinking behavior. A 2(Loss vs. Gain frame) X 2(Anger vs. Fearful prime) X 2(Time 1 vs. Time 2 Alcohol Consumption) was used to assess change in participants' alcohol intake. It was hypothesized that the fearful/loss condition as well as the anger/gain condition would be the most effective in decreasing participants' alcohol consumption.

History And Hope: The International Humanitarian Reader, Kevin M. Cahill, M.D.

Institute of International Humanitarian Affairs

History and Hope: The International Humanitarian Reader provides a better understanding—both within and outside academia—of the multifaceted demands posed by humanitarian assistance programs. The Reader is a compilation of the most important chapters in the twelve-volume International Humanitarian Affairs book series published by Fordham University Press. Each selected chapter has been edited and updated. In addition, the series editor, Kevin M. Cahill, M.D., has written, among other chapters, an introductory essay explaining the academic evolution of the discipline of humanitarian assistance. It focuses on the “Fordham Experience”: its Institute of International Humanitarian Affairs (IIHA) has developed practical programs for training …

An Ehealth System Supporting Palliative Care For Patients With Non-Small Cell Lung Cancer: A Randomized Trial, David H. Gustafson, Lori L. Dubenske, Kang Namkoong, Robert Hawkins, Ming-Yuan Chih, Amy K. Atwood, Roberta Johnson, Abhik Bhattacharya, Cindy L. Carmack, Anne M. Traynor, Toby C. Campbell, Mary K. Buss, Ramaswamy Govindan, Joan H. Schiller, James F. Cleary

Community & Leadership Development Faculty Publications

BACKGROUND: In this study, the authors examined the effectiveness of an online support system (Comprehensive Health Enhancement Support System [CHESS]) versus the Internet in relieving physical symptom distress in patients with non-small cell lung cancer (NSCLC).

METHODS: In total, 285 informal caregiver-patient dyads were assigned randomly to receive, for up to 25 months, standard care plus training on and access to either use of the Internet and a list of Internet sites about lung cancer (the Internet arm) or CHESS (the CHESS arm). Caregivers agreed to use CHESS or the Internet and to complete bimonthly surveys; for patients, these tasks …