Methods: Social and cultural barriers influencing endometriosis reporting and management in LMICs were examined through a systematic literature review. Online databases yielded a list of relevant studies. Then, use of MAXQDA, a qualitative data analysis software program, helped to extract and code specific text segments from each study that pertain to the research topic. In-context analysis of coded segments revealed the most common trends, which were organized into broader themes.
Results: Findings demonstrated that social and cultural ideas regarding vaginal bleeding influenced the lack of disease reporting and management of endometriosis in LMICs. Socioeconomic challenges include a lack of hygiene and sanitation measures and education regarding menstruation and vaginal bleeding. Also, many diseases associated with the abnormal vaginal bleeding are often disregarded and not prioritized in clinical settings. It also became clear that cultural taboos regarding menstruation and vaginal bleeding often create feelings of anxiety and fear in women and girls throughout communities in LMICs. However, further research is needed to examine the ways in which women in those communities treat symptoms of irregular vaginal bleeding related to endometriosis.
Conclusions: Socioeconomic, gender, and sex-related factors may influence the ways in which endometriosis is reported and treated and may affect the way the related diseases are understood. Evidence-based policies using a culturally competent understanding of abnormal vaginal bleeding in LMICs may help positively affect the reproductive health of women and girls in such areas.
This project is an exploration of a K-3 Early Childhood Center and the Roosevelt School District’s progress towards the Farm to School movement and focuses on the transformations and strategic partnerships required to maintain gardens as an educational resource over the long term. Martin Luther King Jr. Early Childhood Center is a Title 1 elementary school in South Mountain Village, Phoenix and is the primary research location for this study. South Mountain Village contains a series of urban food deserts which are low-income regions without adequate access to fresh, affordable, and healthy food options. The baseline for the school garden’s integration status was measured through the usage and adaptation of the Garden Resources Education and Environmental Nexus (GREEN) tool for well-integrated school gardens. The school has existing partnerships with the University of Arizona Co-operative Extension, and Farm at South Mountain to help establish their school garden and organize a series of educational field trips centered around sustainable agricultural practices. As a part of this Culminating Experience, I also worked with the Sustainability Teachers Academy to create, plan and execute Sustainability and School Gardening workshop on March 11-12 for teachers, and members of the Farm to School Network across Arizona. The end goal of this project and workshop is to create a framework to cultivate and sustain critical partnerships for farms and schools interested in being a part of the Farm-to-School program in the Phoenix Metropolitan Area.
A city based on tourism, military installations, agriculture, and home to the first landing of Jamestown colonists, Virginia Beach boasts 28 miles of coastline along the Chesapeake Bay and Atlantic Ocean. Comparable to other beaches worldwide, the utter volume of visitors has taken its toll on the city, resulting in unsightly destruction and pollution. It is not unusual to read or hear about marine animals dying from eating or being trapped by waste that is deposited into oceans, or how oil spills are harmful to marine mammals, birds, and fish; yet somehow, it is uncommon to come upon the mentioning of butt litter, the most frequently littered item on Earth. Cigarette butts are strewn about the Virginia Beach boardwalk, resort strip, and the beach. In 2014, Clean Virginia Waterways collected more than 47,600 butts along streams, rivers, bays, and coastlines (CVW, 2015). With no smoking restrictions on the beach (or boardwalk,) tourists and local beachgoers alike frequently discard their butts on the sand and face no known consequences. Small but mighty, both smoked and unsmoked butts have severe impacts on waterways, economies, air quality, and public health. An economic analysis found that cities the size of San Francisco spend, on average, between $500,000 and $6 million annually to keep their beaches, streets, and parks clear of cigarette litter (Schneider et al., 2011).
This paper examines strategies to:
1. Drastically reduce butt litter within the city - Disposable/pocket ashtrays, additional butt/ash receptacles. 2. Increase community awareness on the economic impacts of litter - Organized cleanups, advertisements /marketing, partnerships with local NGOs.
3. Enhance citations and alternative penalties for those who discard their butts on the sand.
Additionally, this paper aims to discuss the potential implementation of a beach-wide smoking ban.
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.
