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This study investigates how the patient-provider relationship between lesbian, gay, and bisexual women and their healthcare providers influences their access to, utilization of, and experiences within healthcare environments. Nineteen participants, ages 18 to 34, were recruited using convenience and snowball sampling. Interviews were conducted inquiring about their health history and

This study investigates how the patient-provider relationship between lesbian, gay, and bisexual women and their healthcare providers influences their access to, utilization of, and experiences within healthcare environments. Nineteen participants, ages 18 to 34, were recruited using convenience and snowball sampling. Interviews were conducted inquiring about their health history and their experiences within the healthcare system in the context of their sexual orientation. The data collected from these interviews was used to create an analysis of the healthcare experiences of those who identify as queer. Although the original intention of the project was to chronicle the experiences of LGB women specifically, there were four non-binary gender respondents who contributed interviews. In an effort to not privilege any orientation over another, the respondents were collectively referred to as queer, given the inclusive and an encompassing nature of the term. The general conclusion of this study is that respondents most often experienced heterosexism rather than outright homophobia when accessing healthcare. If heterosexism was present within the healthcare setting, it made respondents feel uncomfortable with their providers and less likely to inform them of their sexuality even if it was medically relevant to their health outcomes. Gender, race, and,socioeconomic differences also had an effect on the patient-provider relationship. Non-binary respondents acknowledged the need for inclusion of more gender options outside of male or female on the reporting forms often seen in medical offices. By doing so, medical professionals are acknowledging their awareness and knowledge of people outside of the binary gender system, thus improving the experience of these patients. While race and socioeconomic status were less relevant to the context of this study, it was found that these factors have an affect on the patient-provider relationship. There are many suggestions for providers to improve the experiences of queer patients within the healthcare setting. This includes nonverbal indications of acknowledgement and acceptance, such as signs in the office that indicate it to be a queer friendly space. This will help in eliminating the fear and miscommunication that can often happen when a queer patient sees a practitioner for the first time. In addition, better education on medically relevant topics to queer patients, is necessary in order to eliminate disparities in health outcomes. This is particularly evident in trans health, where specialized education is necessary in order to decrease poor health outcomes in trans patients. Future directions of this study necessitate a closer look on how race and socioeconomic status have an effect on a queer patient's relationship with their provider.
Created2016-05
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Description
In 2012, President Obama presented an executive order, Deferred Action for Childhood Arrivals (DACA), which primarily defers the deportation of unauthorized immigrants who are under the age of 31 and who arrived to the US before the age 16, among other things. This study examines the impact DACA has had

In 2012, President Obama presented an executive order, Deferred Action for Childhood Arrivals (DACA), which primarily defers the deportation of unauthorized immigrants who are under the age of 31 and who arrived to the US before the age 16, among other things. This study examines the impact DACA has had on the identity formation, interfamilial relationships, and future plans of 15 Mexican-origin adults (18-27 years old, 47% female) who were approved for DACA in Arizona. Participants were recruited using flyers and the snowball sampling method. Interviews were conducted using a semi-structured interview guide by a bilingual, culturally competent interviewer. The interviews were recorded and then a transcript-based pragmatic, thematic analysis of the interviews was conducted. Findings show that participants who arrive to the U.S. at a younger age (under 5) identify as American, while those who arrive at an older age (over 8) do not feel like they can identify as an American because they spent more time in Mexico and are more attached to their home culture. Physical characteristics also played a factor in whether or not participants felt like they could identify as American. Participants describe their financial responsibility in their families increasing since receiving DACA. They also describe how they are now seen as role models to other undocumented youth in their families. Despite the uncertain future of DACA, these participants continued to have ambitious goals such as becoming lawyers and working at robotics companies. Future studies should include larger sample sizes and formally test theories of identity.
ContributorsLopez, Alejandra (Author) / Diaz McConnell, Eileen (Thesis director) / Martinez, Airin (Committee member) / School of Social Transformation (Contributor) / School of Transborder Studies (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
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Description
Social support for Mexican-origin adolescent mothers can benefit mental health. Currently, there is little research on specific dimensions of social support and how they change during the beginning years of parenthood, and even less focusing on the influence each dimension has on adolescent mothers' mental health. This study sought to

Social support for Mexican-origin adolescent mothers can benefit mental health. Currently, there is little research on specific dimensions of social support and how they change during the beginning years of parenthood, and even less focusing on the influence each dimension has on adolescent mothers' mental health. This study sought to fill such gaps through the analysis of data from the Supporting MAMI Project at Arizona State University. First, the current study assessed perceptions of emotional, instrumental, and companionship support received from mother figures by Mexican-origin adolescent mothers (N = 204; Mean age at Wave 1 = 16.24, SD = .99) across five years through descriptive statistics and univariate latent growth models. Second, the study assessed the strength of the impact that each dimension of social support had on mental health across six years via conditional growth models. Findings indicated that each dimension of social support shifted in a bi-linear spline shape from Wave 1 to Wave 6, with growth parameters' significance varying for each dimension of support. Each dimension of support was significantly related to depressive symptoms at Wave 6, with varying degrees of influence across growth parameters. Implications for future research and practice are discussed.
ContributorsWendelberger, Bailey Joan (Author) / Umaña-Taylor, Adriana (Thesis director) / Vega, Sujey (Committee member) / School of Social Transformation (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
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Description
Mass media has played a central role in the construction of "illegal" immigration as a crisis, despite demographic trends suggesting otherwise, resulting in public concern and extreme policies. Additional coverage by local news has brought the issue closer to home, leading state legislatures to action. This project analyzes trends in

Mass media has played a central role in the construction of "illegal" immigration as a crisis, despite demographic trends suggesting otherwise, resulting in public concern and extreme policies. Additional coverage by local news has brought the issue closer to home, leading state legislatures to action. This project analyzes trends in a 10 year period in local news articles and state-level legislation about undocumented immigration in Arizona and Alabama. The representation of immigration as a threat has consequences for the lives of immigrants and what it means to be an American.
ContributorsGultz, Chrisanne Marie (Author) / Menjivar, Cecilia (Thesis director) / Doty, Roxanne (Committee member) / Diaz McConnell, Eileen (Committee member) / Barrett, The Honors College (Contributor) / School of Social Transformation (Contributor) / School of Politics and Global Studies (Contributor) / School of Historical, Philosophical and Religious Studies (Contributor)
Created2014-05
Description
This paper reflects on the processes and outcomes of a multimedia storytelling project on undocumented, queer individuals in Phoenix. It weaves these stories into theories of intersectionality and social movements to give them context. Extensive research has been done on the separate experiences of undocumented immigration and queerness, but little

This paper reflects on the processes and outcomes of a multimedia storytelling project on undocumented, queer individuals in Phoenix. It weaves these stories into theories of intersectionality and social movements to give them context. Extensive research has been done on the separate experiences of undocumented immigration and queerness, but little research can as of yet be found on the intersection of both. Participants in this project stand at this intersection, and their stories demonstrate how the UndocuQueer experience brings unique challenges, and thus cannot be solely constructed by existing groups and norms. The web-based project can be found at: http://undoqmented.businesscatalyst.com/
ContributorsCline, Annika Susanne (Author) / Grzanka, Patrick (Thesis director) / Cheng, Wendy (Committee member) / Barrett, The Honors College (Contributor) / Walter Cronkite School of Journalism and Mass Communication (Contributor) / School of Social Transformation (Contributor)
Created2014-05
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This research explores the unique and complicated experiences of women living with Von Willebrand Disease (VWD). VWD occurs with quantitative or qualitative deficiencies in Von Willebrand Factor—a key protein involved in blood clotting. While VWD affects men and women, women often suffer harsher complications because of menstruation, childbirth, and other

This research explores the unique and complicated experiences of women living with Von Willebrand Disease (VWD). VWD occurs with quantitative or qualitative deficiencies in Von Willebrand Factor—a key protein involved in blood clotting. While VWD affects men and women, women often suffer harsher complications because of menstruation, childbirth, and other women’s health issues. Using online VWD support groups, this research recognizes and attempts to understand the common experiences of women with VWD. Availability of Care, Motherhood, Community and Sisterhood, Girlhood, Sexual Health and Reproductive Health, and Stigma were the six common themes found within these online support groups. Women in these groups corroborate the current understandings of women-specific experiences with VWD: particularly, heavy menstruation, postpartum hemorrhaging, diagnostic difficulties, treatment complications, and implications of an overall lower quality of life. However, these women also report VWD-induced complications with sexual health, mental health, care when trying to conceive, misinterpretations of bruising, constraints on healthcare availability, and the stigma associated with heavy menstruation. These findings address gaps in the literature and identify new areas for further research. Ideally, these conclusions will provide educational materials for healthcare professionals, government legislatures, and families to better support women and girls with VWD.
Keywords: Von Willebrand disease, women’s health, sexual health, mental health, reproductive health, phenomenology, and stigma
ContributorsReynolds, Aubrey Bryanna (Author) / Haskin, Jennifer (Thesis director) / Gemelli, Marcella (Committee member) / School of Social Transformation (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
Description
This honors thesis is a combination of analytical and creative endeavors. The research portion of the project examines contemporary transgender issues, including social, emotional, and cultural concerns. Most notably, the research focuses on the relationship between social support and mental health. These findings suggest that children who fail to receive

This honors thesis is a combination of analytical and creative endeavors. The research portion of the project examines contemporary transgender issues, including social, emotional, and cultural concerns. Most notably, the research focuses on the relationship between social support and mental health. These findings suggest that children who fail to receive adequate support are liable to face severe developmental and emotional consequences. The accumulation of this research ultimately serves as the foundation and justification for the creative work, which is presented as a children's book directed at transgender and gender non-confirming youths.
ContributorsBellon, Kyana JeRay (Author) / Nelson, Margaret (Thesis director) / Barca, Lisa (Committee member) / School of Social Transformation (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
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This study examines how a 2013 Arizona law on shared parenting would affect living arrangements, and thus mental health measures. There were two hypotheses. According to the Law Change Hypothesis, it was hypothesized that parenting time in Arizona would be more equal following the 2013 Arizona law change while there

This study examines how a 2013 Arizona law on shared parenting would affect living arrangements, and thus mental health measures. There were two hypotheses. According to the Law Change Hypothesis, it was hypothesized that parenting time in Arizona would be more equal following the 2013 Arizona law change while there would be no change in parenting time in other states following the 2013 Arizona law change. It was further hypothesized that child mental health would be better after the law change in Arizona with no change being seen in other states. Results of this study were almost completely inconsistent with the hypothesis. According to the Law Reflect Hypothesis, the law is actually reflecting the behavior of the community and their thoughts on equal parenting time becoming more favorable, and therefore a change towards more equal parenting time would be found prior to 2013 in Arizona with no change seen in other states. Furthermore, as the Arizona community’s behavior changed, child mental health would be better with no change being seen in other states. Regressions found that a small change toward more equal parenting and closeness with father was prior to 2013 for Arizona students, compared to out-of-state students, although it did not find that the year of divorce resulted in less anxiety, stress, and depression. This partially agrees with past research that the 2013 law is working as intended, even if it started working earlier than we thought. This does not agree with previous research stating there is a connection between equal parenting and better mental health. This is important because this study questions the efficacy of an important and controversial policy. If future studies are consistent with this one, the effectiveness of the Arizona 2013 law change on mental health will need to be further evaluated.

ContributorsTselos, Zoe Rebecca (Author) / Fabricius, William (Thesis director) / Corbin, William (Committee member) / Spinrad, Tracy (Committee member) / Department of Psychology (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / School of Social Transformation (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Policy trends show that pregnant women have been detained in ICE facilities since as early as 2015. As the laws and policies have continued to shift, pregnant women have become more exposed to being detained. Executive Order 13768 made by former President Donald Trump effectively removed all protections against being

Policy trends show that pregnant women have been detained in ICE facilities since as early as 2015. As the laws and policies have continued to shift, pregnant women have become more exposed to being detained. Executive Order 13768 made by former President Donald Trump effectively removed all protections against being detained for pregnant women. While the previous policy exempted pregnant women from being detained aside from in extraordinary cases, this executive order puts women at increased risk of being detained while pregnant. The Trump Administration's goal of protecting the American people and promoting national security puts women in a position in which their health status is no longer seen as a detention exemption. There is almost no published work on this topic. It is extremely under-researched and there is an urgent need for more academic, legal, and medical research on the impacts of detaining pregnant women. This paper functions to fill a very pressing research gap in order to highlight the experiences of pregnant women in detention centers and the health outcomes they face as a result of their status as detainees. I argue that detaining pregnant women is a form of gendered violence as it puts them at increased risk of maternal health complications, such as preterm birth, low birth weight, and more. While more women migrate to the United States, the laws and policies regarding detaining pregnant women are often contradictory and it is difficult to ascertain the true number of pregnant women in detention centers. In this paper, I examine the preceding factors to female migration, the climate of detention in the United States, the policies regarding pregnancy, and the outcomes that women experience.

ContributorsNabaty, Samantha Fadi (Author) / Wheatley, Abby (Thesis director) / Cotton, Cassandra (Committee member) / School of Human Evolution & Social Change (Contributor) / School of Social Transformation (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Pediatric anxiety disorders are highly prevalent and while pharmacological intervention seems to be an effective treatment, the validity of reported adverse side effects remains unclear. <br/><br/>Objective: To analyze the nature of evidence regarding adverse side effects in the pharmacological treatment of pediatric anxiety disorders. <br/><br/>Approach: A search using Google Scholar,

Pediatric anxiety disorders are highly prevalent and while pharmacological intervention seems to be an effective treatment, the validity of reported adverse side effects remains unclear. <br/><br/>Objective: To analyze the nature of evidence regarding adverse side effects in the pharmacological treatment of pediatric anxiety disorders. <br/><br/>Approach: A search using Google Scholar, PubMed, and PsychInfo was conducted for meta-analyses of pharmacological treatment of pediatric anxiety disorders as well as randomized controlled trials. The focus was on adverse events.<br/><br/>Results and Conclusion: Reportings of a limited number of adverse events were found among resources available to clinician and patient informed sources to inform pharmacological treatment of pediatric anxiety disorders. Only a small fraction of adverse side effects were found in the research literature. This finding raises concerns about making informed decisions to treat pediatric anxiety disorders with pharmacotherapy.

ContributorsMartin, Mark (Co-author) / Reyes, Trevin (Co-author) / Whooley, Max (Co-author) / Pina, Armando (Thesis director) / Benoit, Renee (Committee member) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05