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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Description
Operating within the framework of a public health model that emphasizes the prevention of health concerns through the identification of risk and protective factors, this study approaches the health disparities Latinxs face from a strength-based stance through the promotion of sport and exercise participation. The purpose of this study is to understand the factors that promote sport and exercise participation within a Latinx college student sample using cross-sectional data from the Healthy Minds Study (HMS) from cohort years 2016 through 2020. It was hypothesized that psychosocial-cultural predictors (i.e., sense of belonging, discrimination, depression, anxiety, and positive mental health) would predict Latinx college students’ participation in (1) sports and (2) exercise while accounting for established factors such as demographic (gender, financial hardship, US-born status) and academic (i.e., GPA, academic persistence) variables. Further, the study incorporated an exploratory approach to further examine gender-based differences in (1) sport and (2) exercise participation rates among the aforementioned study variables. Preliminary analyses using chi-squared analyses, point bi-serial correlations, and group differences using t-tests were conducted. The main analyses conducted using logistic regression indicated that psychosocial cultural variables predict (1) sport and (2) exercise participation while accounting for demographic and academic variables. However, the classification accuracy for sport participation with the addition of psychosocial-cultural variables was not compelling so individual predictors were not analyzed. For exercise participation, gender, financial hardship, sense of belonging, discrimination and positive mental health were the only individual, significant factors. Further, in terms of gender differences, it appears that financial hardship, GPA, and discrimination uniquely affect Latinx women. Implications for academic institutions, coaches/fitness instructors, and clinicians are further discussed.
ContributorsSandoval Martinez, Alejandra (Author) / Tran, Alisia (Giac-Thao) (Thesis advisor) / Dillon, Frank (Committee member) / Lopez, Vera (Committee member) / Arizona State University (Publisher)
Created2023
Description
Every year an alarming number of deaths for the Black community are a result of disparities and inequalities in health outcomes. While literature has largely focused on social determinants of heath (e.g., economic, environmental, biological, and behavioral structures) as contributing factors to disparate health outcomes for Black people, literature on medical mistrust has been on the rise. Medical mistrust is defined as the belief that health care entities and providers act against a patient's best interest and well-being, and is associated with lower rates of service utilization, inadequate management of health conditions, lower levels of involvement in research, and treatment nonadherence. Only recently has patient-centered care been examined as a construct that may reduce the negative effects of medical mistrust. This study examined Black identifying patients (N = 174) across gender and their reported levels of medical mistrust, and if the perception of a patient-centered health care environment would moderate the association. The findings indicated that Black females, compared to Black males, endorsed higher levels of medical mistrust that may be indicative of intersectional influences. While there were significant effects of gender and perceived patient-centered care on medical mistrust, perceived patient-centered care was not found to significantly moderate the relationship between gender identity and medical mistrust. This may be indicative of the varying degrees of medical maladies that may be stronger determinants of perceived patient-centered care, despite gender or other demographic characteristics. Implications for practice and future research on the intersectional influences on medical mistrust and perceived patient-centered care in the Black communities are discussed.
ContributorsMatthews, Tianna (Author) / Warner, Cheryl (Thesis advisor) / Randall, Ashley K (Committee member) / Dillon, Frank (Committee member) / Arizona State University (Publisher)
Created2021