Theses and dissertations

This collection includes both ASU Theses and Dissertations, submitted by graduate students, and the Barrett, Honors College theses submitted by undergraduate students. 

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Pueblo Health: Examining Indigenous Concepts of Well-Being and How Perceptions Have Shifted to Health Today

Description
Indigenous Pueblo conceptualization of living well today has shifted mainly due to Federal policies that forced Pueblo people to conform to western way of living moving away from a lifestyle that embraced holistic practices. Native people cannot escape how Western society has shaped the concept of health however, the voices…

Indigenous Pueblo conceptualization of living well today has shifted mainly due to Federal policies that forced Pueblo people to conform to western way of living moving away from a lifestyle that embraced holistic practices. Native people cannot escape how Western society has shaped the concept of health however, the voices of the Pueblo people and others working in health, acknowledged that Indigenous philosophies, beliefs and practices need to be part of Native health conversations today. My discussion problematizes Native health characterized today as typically represented through the biomedical perspective with the primary focus being the body. Such a limiting perspective dismisses the importance of Indigenous philosophies that embraces broader concepts of well-being to include holistic elements of physical, mental, emotional and spiritual well-being. This study examines the shift in perceptions seeking input from patient and medical providers regarding their interactions, particularly communications in a healthcare setting. Pueblo patients defined what was important in their communications with their health provider. Likewise, health providers referred to their experiences providing healthcare to Native patients to describe what is important to know when treating a Pueblo patient. Patients identified family (without specific medical family histories disclosed), knowledge/beliefs that were or were not associated to the patient’s culture, as well as community and family dynamics (that did not delve into traditional medicine or sacred ceremonial activities) as important for their provider to know. The results from the research study highlights the need to examine Native American cultural diversity education in healthcare including advancing improvements in the training of medical providers.
ContributorsNaseyowma, Elizabeth J (Author) / Lomawaima, K. Tsianina (Thesis advisor) / Sumida-Huaman, Elizabeth (Thesis advisor) / Lavoie, Josée (Committee member) / Arizona State University (Publisher)
Created2020
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Ethnic Discrimination, Socioeconomic Status, and Health in India

Description

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…

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.
ContributorsClauss, Colleen (Author) / Hruschka, Daniel (Thesis director) / Davis, Mary (Committee member) / Barrett, The Honors College (Contributor) / School of Human Evolution & Social Change (Contributor) / Department of Psychology (Contributor)
Created2022-05