ASU Electronic Theses and Dissertations
This collection includes most of the ASU Theses and Dissertations from 2011 to present. ASU Theses and Dissertations are available in downloadable PDF format; however, a small percentage of items are under embargo. Information about the dissertations/theses includes degree information, committee members, an abstract, supporting data or media.
In addition to the electronic theses found in the ASU Digital Repository, ASU Theses and Dissertations can be found in the ASU Library Catalog.
Dissertations and Theses granted by Arizona State University are archived and made available through a joint effort of the ASU Graduate College and the ASU Libraries. For more information or questions about this collection contact or visit the Digital Repository ETD Library Guide or contact the ASU Graduate College at gradformat@asu.edu.
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- All Subjects: Counseling psychology
Description
A high percentage of Native Hawaiian and other Pacific Islander (NHPI) adults (37.4%) aged 18 and older did not see a doctor in the past year. This is the highest percentage among all racial groups. Furthermore, approximately one in eight NHPI adults (12%) are uninsured, a rate that is markedly higher than Whites. Federal reports historically struggle to capture data that could explain these phenomena. Hence, NHPI are insufficiently and incompletely represented in health statistics, access health services at lower rates, and are insured at lower rates than other racial and ethnic minority groups. This has implications for perpetuating adverse mental health conditions and mental health disparities that are prevalent in this community (e.g., depression, anxiety, alcohol use disorder, and tobacco use), particularly following the global COVID-19 pandemic. The overarching goal of this research is to improve and broaden understanding of novel multi-level health determinants causing low mental health care service utilization rates of NHPIs, a presently understudied health disparity for Native Hawaiians and other Pacific Islanders in the U.S. Design: A closed access, cross-sectional Internet survey was used to collect data. Participants were recruited with announcements distributed nationwide via email to NHPI organizations, associations, and networks across the United States and social media. The sample included 395 NHPI adults aged 18 and older. Analysis: Latent profile analysis (LPA) were conducted using Mplus 8 statistical software to examine whether different conceptually meaningful profiles of NHPI Islanders emerge based on hypothesized health determinants measuring Symptom Distress (Perceived Health Status, Depression/Anxiety, and Perceived Stress), Protective Factors (Pacific Cultural Efficacy, Religious Centrality and Embeddedness, Pacific Connectedness and Belonging, and Perceived Societal Wellbeing) and Health Attitudes (Medical Mistrust and Service Provider Preferences [i.e., Traditional/Native Healer vs Medical Doctor/Nurse]) while accounting for demographic covariates (e.g., education, income, and insurance status). Results supported a four-profile model solution, where four distinct groups (named “Very Low Symptomatic,” “Low Symptomatic,” “Moderate Symptomatic,” and “High Symptomatic”) of participants demonstrated varying levels of symptom distress, endorsement of protective factors, and health attitudes. Furthermore, planned mental health care utilization was analyzed as an outcome variable, demonstrating varying levels of planned mental health service utilization across the four profiles. Significance: Findings may inform public policy and healthcare professionals about how to meaningfully engage NHPI communities in culturally competent mental health care services.
ContributorsMarsiglia, Steven Sasa (Author) / Dillon, Frank R (Thesis advisor) / Yellow Horse, Aggie J (Committee member) / Truong, Nancy N (Committee member) / Arizona State University (Publisher)
Created2024
Description
Despite the growing nonbinary population and their unique experiences, nonbinary people of color specific research remains scarce as most studies were done with predominantly white samples and failed to disaggregate transgender men and transgender women from nonbinary people. While parental acceptance and support (PAS) serve as protective factors for distal and proximal stressors-induced negative mental health outcomes among TNB youth, more research is needed to examine whether PAS play a role in nonbinary young adults of color’s mental health. Additionally, PAS may lead nonbinary young adults to internalize negative messages toward their gender identity, impacting mental health. This study aimed to examine whether PAS received by nonbinary young adults of color vary by race, whether PAS are associated with depression and suicidality, and whether these associations are mediated by internalized nonbinary negativity (INN) among nonbinary adults of color. Cross-sectional data from 174 nonbinary young adults of color were analyzed. Only parental support (PS) but not parental acceptance (PA) differed across racial groups. PAS were found to be negatively associated with depression and suicidality, but INN did not mediate the association between PS and negative mental health outcomes. Findings of this study reiterate the mental health disparities seen within the nonbinary community and serve as a call for attention to the effects of PAS in the lives of nonbinary young adults of color. Future research should inquire about the cultural values that influence PAS, ways to cultivate PAS among parents using existing cultural strengths, and the benefits of helping nonbinary young adults of color to maintain integral social support from parents.
ContributorsWong, Finneas (Author) / Matsuno, Em (Thesis advisor) / Ahn, Lydia (Committee member) / Randall, Ashley (Committee member) / Arizona State University (Publisher)
Created2024
Description
Research examining the psychosocial correlates of mental and behavioral health among Latinx populations during the COVID-19 pandemic is limited. This is problematic given that Latinx communities in the U.S. find themselves at the intersection of worse COVID-19-related mortality, mental health distress, and health outcomes. These COVID-19 related disparities came at a time when U.S. Latinxs were already experiencing a disproportionate burden of mental health and substance use disease. Health disparities research has largely focused on Latinxs as a monolithic group, yet in doing so, the intersectionality of race, ethnicity, and socioeconomic status on health are overlooked. It is critical to understand the mental health needs of Latinxs in light of the current COVID-19 pandemic as well as the challenges and potential barriers to services experienced by these communities to better meet their unique needs. Therefore, Study 1 aimed to investigate differences on pandemic-related stressors along economic, emotional, and physical domains, psychological distress, and substance use, based on Latinx ethnicity. The second aim of Study 1 was to identify the most significant pandemic-related stressors and challenges faced by specific Latinx subgroups. Study 2 built off of the results from Study 1. Specifically, Study 2 investigated the association between pandemic-related economic, emotional, and physical stressors examined in Study 1 to various health and mental health outcomes including, psychological distress, alcohol use, and drug use, reported during the pandemic by different Latinx ethnic groups.
ContributorsFlorez, Jennifer Elizabeth (Author) / Capielo-Rosario, Cristalís (Thesis advisor) / Dillon, Frank (Committee member) / Truong, Nancy (Committee member) / Arizona State University (Publisher)
Created2024