Matching Items (4)
Filtering by
- All Subjects: homelessness
- Creators: Gaughan, Monica
Description
Obesity in Hispanic youth has reached alarmingly high levels, increasing the risk of type 2 diabetes, hyperlipidemia, hypertension, and cardiovascular disease. In Mexican American children ages 6-11 years, 41.7% are overweight and obese, 24.7% are obese and 19.6% have a Body Mass Index (BMI) greater than the 97th percentile. While personal, behavioral, and environmental factors contribute to these high rates, emerging literature suggests acculturation, self-efficacy and social support are key influences. The one-group, pre- and post-test, quasi-experimental design used a community-based participatory research (CBPR) method to test the feasibility, acceptability, and preliminary efficacy of the 8-week intervention. Social Cognitive Theory (SCT) was used to guide the design. Measurements included an analysis of recruitment, retention, participant satisfaction, observation of intervention sessions, paired t-tests, effect sizes, and bivariate correlations between study variables (acculturation, nutrition and physical activity [PA] knowledge, attitude and behaviors, perceived confidence and social support) and outcome variables (BMI z-score, waist circumference and BP percentile) Findings showed the SSLN program was feasible and acceptable. Participants (n = 16) reported that the curriculum was fun and they learned about nutrition and PA. The retention rate was 94%. The preliminary effects on adolescent nutrition and PA behaviors showed mixed results with small-to-medium effect sizes for nutrition knowledge and attitude, PA and sedentary behavior. Correlation analysis among acculturation and study variables was not significant. Positive associations were found between perceived confidence in eating and nutrition attitude (r = .61, p < .05) and nutrition behavior (r = .62, p < .05), perceived confidence in exercise and nutrition behavior (r = .66, p < .05), social support from family for exercise and PA behavior (r = .67, p < .01) and social support from friends for exercise and PA behavior (r = .56, p < .05). These findings suggest a culturally specific healthy eating and activity program for adolescents was feasible and acceptable and warrants further investigation, since it may fill a gap in existing obesity programs designed for Hispanic youth. The positive correlations suggest further testing of the theoretical model.
ContributorsStevens, Carol (Author) / Gance-Cleveland, Bonnie (Thesis advisor) / Komnenich, Pauline (Committee member) / Shaibi, Gabriel (Committee member) / Arcoleo, Kimberly (Committee member) / Arizona State University (Publisher)
Created2011
Description
Since underserved individuals do not have a steady supply of food, this study explored whether their standards of what they view as healthy differs from individuals who can afford a basic living that includes food and shelter. Data collection from surveys provided information to see whether the struggles of obtaining food affects what is perceived as healthy, and whether there is a difference in dietary habits, perception of body image, and self-esteem. Homeless individuals displayed that they were more aware than non-homeless individuals that the food they were consuming was unhealthy. They were also less satisfied with their daily food diet, as most of them wished that they ate greater quantities of certain foods. Their daily food intake did confirm that they consumed more unhealthy food that lacked nutrition compared to non-homeless individuals. They also generally believed that thicker body images were healthier and more attractive compared to non-homeless people who thought that thinner body images were healthier and attractive. Homeless people also generally ranked lower on the body image scale than the image they thought was most desirable and healthy. This revealed a lack of satisfaction with their own current body. Additionally, the self-efficacy score displayed that homeless individuals generally scored lower for their self-esteem level compared to non-homeless people. This demonstrated that their daily struggles and lifestyle impacts their emotions and overall confidence.
ContributorsAhir, Khushbu (Author) / Gaughan, Monica (Thesis director) / Hackman, Joseph (Committee member) / School of Human Evolution and Social Change (Contributor) / School of Molecular Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
Homelessness has a history of existing as a misunderstood condition involving stereotypes, stigmas and assumptions. In fact, the combination of acute-care medical professionals with patients of chronic illness and chronic homelessness can lead to incongruity of attitudes. These mindsets have the potential to affect the care homeless individuals receive in the emergency department (ED) and impact their intentions to seek medical help in the future (Ugarriza & Fallon, 1994, pp. 26). Furthermore, homeless individuals account for 54.5% of all ED visits in the United States (Kushel et al., 2002). The author conducted a qualitative descriptive study of 10 in-person interviews with homeless individuals in the downtown Phoenix, AZ area. The objective was to determine homeless individuals' perceptions of welcomeness and unwelcomeness by emergency department staff. Findings support significantly unwelcome experiences in the ED and negative perceptions of ED staff through repeating concepts of dehumanization, dismissal, stereotypes and discrimination. Further research is needed to create interventions for improving perceptions of ED staff, promoting health and preventing illness in the homeless population, and reducing ED visits by homeless individuals.
ContributorsLeander, Lauren (Author) / Stevens, Carol (Committee member) / Kleinlein, Shirley (Committee member) / McNulty, Julie (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2014-05
Description
The purpose of this report is to review the current literature concerning management of the COVID-19 pandemic in homeless populations, and to use it to analyze the specific interventions established in Maricopa County—such as those aimed at education, vaccination and testing, and maintaining continuity of care. In doing so, I hope to illustrate the unique challenges faced by people experiencing homelessness, provide context for disparities in health outcome, and inform action for both the ongoing pandemic and future outbreaks
ContributorsNewell, James (Author) / Gaughan, Monica (Thesis director) / Hruschka, Daniel (Committee member) / Barrett, The Honors College (Contributor) / School of Human Evolution & Social Change (Contributor) / School of Life Sciences (Contributor) / Watts College of Public Service & Community Solut (Contributor)
Created2022-05