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- Creators: Arizona State University
Description
Postpartum depression has been described as one of the most common complications related to childbirth (Beck, 2008). To understand better the theoretical underpinnings of the disorder, the current study used a vulnerability-stress conceptualization to develop a theoretical model of postpartum depression. The predictive model was tested on 144 mothers with infants under 12-months of age using structural equation modeling. Four alternative models were also tested. A variation of the original theoretical model was found to have the best fit. Consistent with past research, this model indicated that need for approval, relationship conflict, and maternal-efficacy directly predicted postpartum depressive symptoms. Need for approval also moderated the relation between maternal-efficacy and postpartum depressive symptoms, so that this relation was stronger for mothers with high need of approval than for mothers with low need for approval. The role of these risk factors, particularly negative maternal perceptions and cognitions, is highlighted in relation to developing clinical interventions to treat postpartum depression. Limitations of this study are discussed and suggestions are made for future models to be tested through empirical research.
ContributorsHassert, Silva (Author) / Kurpius, Sharon R (Thesis advisor) / Arizona State University (Publisher)
Created2014
Description
Nearly seven decades ago, the US government established grants to the states for family planning and acknowledged the importance of enabling all women to plan and space their pregnancies, regardless of personal income. Since then, publicly-funded family planning services have empowered millions of women, men, and adolescents to achieve their childbearing goals. Despite the recognized importance of subsidized family planning, services remain funded in a piecemeal fashion. Since the 1940s there have been numerous federal funding sources for family planning, including the Title V Maternal and Child Health Services Program, Office of Economic Opportunity grants, Title XX Social Services Program, Title X Family Planning Program, Medicaid, and the State Children’s Health Insurance Program, alongside state and local support. Spending guidelines allow states varying degrees of flexibility regarding allocation, to best serve the local population. With nearly two billion dollars spent annually on subsidized family planning, criticism often arises surrounding effective local program spending and state politics influencing grant allocation. Political tension regarding the amount of control states should have in managing federal funding is exacerbated in the context of family planning, which has become increasingly controversial among social conservatives in the twenty-first century. This thesis examines how Arizona’s political, geographic, cultural, and ethnic landscape shaped the state management of federal family planning funding since the early twentieth century. Using an extensive literature review, archival research, and oral history interviews, this thesis demonstrates the unique way Arizona state agencies and nonprofits collaborated to maximize the use of federal family planning grants, effectively reaching the most residents possible. That partnership allowed Arizona providers to reduce geographic barriers to family planning in a rural, frontier state. The social and political history surrounding the use of federal family planning funds in Arizona demonstrates the important role states have in efficient, effective, and equitable state implementation of national resources in successfully reaching local populations. The contextualization of government funding of family planning provides insight into recent attempts to defund abortion providers like Planned Parenthood, cut the Title X Family Planning Program, and restructure Medicaid in the twenty-first century.
ContributorsNunez-Eddy, Claudia (Author) / Maienschein, Jane (Thesis advisor) / Hurlbut, James (Committee member) / O'Neil, Erica (Committee member) / Arizona State University (Publisher)
Created2018
Description
Although discrimination is implicated in ethnic health disparities, social support may buffer against its negative effects on health. This study investigated whether prenatal maternal discrimination and social support would predict postpartum cortisol in low-income Hispanic women and infants. Among infants whose mothers reported high discrimination, low maternal social support was associated with high infant cortisol (ß= -0.293, p= 0.03). This provides evidence for the social buffering hypothesis.
ContributorsJewell, Shannon Linda (Author) / Luecken, Linda (Thesis director) / Presson, Clark (Committee member) / Gonzales, Nancy (Committee member) / Barrett, The Honors College (Contributor) / T. Denny Sanford School of Social and Family Dynamics (Contributor) / Department of Psychology (Contributor)
Created2013-05
Description
While abortion is a vital reproductive right, its absence is not the only threat to bodily autonomy. This thesis utilizes a reproductive justice lens to showcase how religion and politics have contributed to centering a ‘choice’ binary that limits a more nuanced understanding of reproductive freedom. This has led to the dominance of the abortion narrative, which overshadows discussions on other forms of reproductive healthcare. Religion and politics have also cultivated a pro-birth – rather than pro-life – approach to women’s reproductive health. This is particularly true in Oklahoma, where no previous research has been conducted on women’s broader reproductive healthcare experiences – consequently, this research turns to women and amplifies their voices to better understand the current state of reproductive healthcare. Participant survey responses were analyzed in the areas of contraception, abortion, prenatal care, and postnatal care. A t-test shows that there is not a statistically significant difference in care quality between birth and non-birth categories. However, the analysis of variance (ANOVA) test results do reveal that prenatal care in Oklahoma is rated much more highly than other forms of reproductive healthcare, and with much less variation than ratings in other categories. Additional findings reveal that more pain management is needed during intrauterine device (IUD) insertion, that finances are a major barrier to all forms of reproductive healthcare, and that sterilization is much more difficult to obtain than any other form of contraception. The study concludes that the experiences of respondents are reflective of a pro-birth approach to reproduction and motherhood. Findings from this research broaden existing scholarship on reproductive health and justice by contributing new knowledge that is relevant to women inside and outside of Oklahoma. The study recommends that additional research should be conducted to improve women’s reproductive healthcare in Oklahoma and beyond, particularly in a post-Roe world.
ContributorsStewart, Alexandra Noelle (Author) / Goksel, Nisa (Thesis advisor) / Comstock, Audrey (Thesis advisor) / Funk, Kendall (Committee member) / Arizona State University (Publisher)
Created2022
Description
In the last 200 years, advancements in science and technology have made understanding female sexual function and the female body more feasible; however, many women throughout the US still lack fundamental understanding of the reproductive system in the twenty-first century. Many factors contribute to the lack of knowledge and misconceptions that women still have. Discussing sexual health tends to make some people uncomfortable and this study aims to investigate what aspects of somewhat recent US history in women’s health care may have led to that discomfort. This thesis examines the question: what are some of the factors that shaped women’s reproductive medicine in the US from the mid 1800s and throughout the 1900s and what influence could the past have had on how women and their physicians understand female sexuality in medicine and how physicians diagnose their female patients in the twenty-first century. A literature review of primary source medical texts written at the end of the 1800s provides insight about patterns among physicians at the time and their medical practice with female patients. Factors like gendered expectations in medical practice, misconceptions about the female body and behaviors, and issues of morality in sex medicine all contributed to women lacking understanding of sex female reproductive functions. Other factors like a physician’s role throughout history and non-medical reproductive health providers and solutions likely also influenced the reproductive medicine women received. Examining the patterns of the past provides some insight into some of the outdated and gendered practices still exhibited in healthcare. Expanding sexual education programs, encouraging discussion about sex and reproductive health, and checking gendered implicit bias in reproductive healthcare could help eliminate echoes of hysteria ideology in the twenty-first century medicine.
ContributorsHorwitz, Rainey (Author) / Maienschein, Jane (Thesis advisor) / Hurlbut, Ben (Committee member) / Ellison, Karin (Committee member) / Arizona State University (Publisher)
Created2019
Description
The goal of this project was to create a quasi experimental study using an education module that teaches evidence-based practice methods. The theoretical frameworks used to create the educational content were the self-efficacy theory and the Health Belief Model. The evaluation methods used are based on the Kirkpatrick four level model. An education module was created to be culturally and regionally relevant to South Sudan and Malawi. The education module was designed to be part of the SolarSPELL Health: Nursing and Midwifery Library. This was done by performing a literature review, curating resources, creating the educational materials, creating learning scenarios, curating relevant belief scales, and integrating the content into the SolarSPELL Health: Nursing and Midwifery Library. The on ground implementation of the materials was not a part of this project, but instead is planned for future research. This project creates a foundation from which SolarSPELL Health can implement the resources at a future date. In the long term, the goal of implementing the experiment is to improve maternal mental and physical health outcomes in South Sudan and Malawi, both of which have extremely high rates of maternal mortality and morbidity.
ContributorsRaymond, Courtney (Author) / Ross, Heather (Thesis advisor) / Hosman, Laura (Committee member) / Pepin, Susan (Committee member) / Arizona State University (Publisher)
Created2021