Theses and Dissertations
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- All Subjects: Children
Significant health inequalities exist between different castes and ethnic communities in India, and identifying the roots of these inequalities is of interest to public health research and policy. Research on caste-based health inequalities in India has historically focused on general, government-defined categories, such as “Scheduled Castes,” “Scheduled Tribes,” and “Other Backward Classes.” This method obscures the diversity of experiences, indicators of well-being, and health outcomes between castes, tribes, and other communities in the “scheduled” category. This study analyzes data on 699,686 women from 4,260 castes, tribes and communities in the 2015-2016 Demographic and Health Survey of India to: (1) examine the diversity within and overlap between general, government-defined community categories in both wealth, infant mortality, and education, and (2) analyze how infant mortality is related to community category membership and socioeconomic status (measured using highest level of education and household wealth). While there are significant differences between general, government-defined community categories (e.g., scheduled caste, backward class) in both wealth and infant mortality, the vast majority of variation between communities occurs within these categories. Moreover, when other socioeconomic factors like wealth and education are taken into account, the difference between general, government-defined categories reduces or disappears. These findings suggest that focusing on measures of education and wealth at the household level, rather than general caste categories, may more accurately target those individuals and households most at risk for poor health outcomes. Further research is needed to explain the mechanisms by which discrimination affects health in these populations, and to identify sources of resilience, which may inform more effective policies.
In this study I present and analyze the cases of nine participants who attended an after-school care program at a homeless shelter for families in the southwestern United States. Participants were 8 to 12 years old and represented diverse ethnicities and genders. Data were gathered over a period of two to eight months, depending on participant, via interviews, music and art making, and observations. Research questions in this study included: What are the relationships, as experienced in, through, and around music, in the lives of children experiencing homelessness; and, What do music experiences tell us about the lives of children experiencing homelessness?
Some children experienced fractured music relationships and could not continue to engage with music in comparison to their lives before homelessness. Some children continued to make music regularly before and during their shelter stay. A few children discovered new connections through music interactions at the shelter and hoped to engage with music in new ways in their new homes. Multiple children faced barriers to music making in their respective school music programs. Children preferred to engage in music consistent with current popular culture, accessed through the radio, smart phone, and computer. Use of hands-on activities that fostered active engagement engendered the most participation and connection to music.
Recommendations include examination of current procedures and practices to ensure alignment with the McKinney-Vento Homeless Act federal mandate, development of a supportive environment to foster social and emotional growth, facilitating communication with parents, and the inclusion of music from the child’s background in the classroom repertoire. Performance and interactive music opportunities can mitigate the effects of homelessness and restore a sense of dignity, relationship, and autonomy. All stakeholders in the wellbeing of children should include conversations about student experience of homelessness in current dialogue on educational policy and practice.