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- Creators: Barrett, The Honors College
Description
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.
ContributorsRajan, Sindhu (Co-author) / Bradley, Arianna (Co-author) / Larson, Michelle (Co-author) / Alvarado, Aimee (Co-author) / Ingram-Waters, Mary (Thesis director) / Arnold, Michelle (Committee member) / School of Molecular Sciences (Contributor) / School of Social Transformation (Contributor) / T. Denny Sanford School of Social and Family Dynamics (Contributor) / College of Public Service and Community Solutions (Contributor) / School of Human Evolution and Social Change (Contributor) / School of Historical, Philosophical and Religious Studies (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
Prior to the legalization and regulation of abortion and contraception in the late twentieth century, women could not readily access safe birth control, abortion, and other reproductive health options at clinics and doctor's offices. Thus, women sought out alternative means to control their reproduction that were often illegal, unreliable, and unsafe, often because they were provided by untrained reproductive health care providers. The untrained providers who performed unregulated reproductive health services during the 1800s through the mid 1900s were often referred to as "female physicians," despite not having any formal medical background. Those providers filled a demand to serve women who were not able to tend to unwanted pregnancies and other reproductive issues on their own, but their role in the history of women's health has not been well understood. I have investigated the following questions: (1) How have women sought alternative non-medical approaches to managing reproduction, and (2) what historical patterns and situations can we see showing that non-medically trained people were active in the reproductive lives of women throughout the 19th and 20th centuries in the US? To study this, I have engaged in historical review methods to trace the evolution of reproductive health care providers and educators. Specifically, I have examined historically active people, organizations, and events that involved women seeking alternative care and how the state of women's health care effected women's medical outcome. Through my investigation, I found a large number and variety of non-medical providers and approaches to women's reproductive health solutions due to an unmet need for reproductive healthcare and restrictive laws. Women obtained concocted birth control pills, illegal abortions, home-brewed menopause relief treatments, and learned how to give self cervical examinations from non-medical providers. In response to the rigidity of the male dominated medical field, non-medical forces intervened and women's healthcare evolved beyond the traditional male physician's office into supportive healthcare groups like Planned Parenthood. My findings are relevant in the ongoing political debates surrounding issues like contraception and abortion access. By demonstrating the struggle for sound standard of care for non-medical reproductive health care providers during the nineteenth and early twentieth century, this project emphasizes what the standards of reproductive health care for abortion and contraception might be like if the organizations that made them so readily available, like Planned Parenthood, were defunded or criminalized in our modern setting.
ContributorsHorwitz, Rainey Frances (Author) / Maienschein, Jane (Thesis director) / Abboud, Alexis (Committee member) / Abboud, Carolina (Committee member) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
Abstract: This project will examine the shifts in government abortion policy of Spain since World War II, in efforts to answer the causal question :Why has Spain so dramatically reversed its abortion law mandates from one of the most liberal in Europe to one of the most restrictive? Spain's abortion policy is unique due to opposing forces between the Catholic Church and the socialist government and its universal health care policy. One must examine other historical and social factors to understand this policy. The purpose of this project is to understand how has the abortion policy of Spain (regarding its criminalization of women who receive abortion as well as those who perform them) changed over the last fifty years (approximately since the end of World War II). It will also examine what roles factors such as religion, culture, gender equality, and politics played in the development of these statures. Finally, the study will research the main groups that have been involved in this issue in the last fifty years and what their arguments are to support their opinions. Methods used to investigate this policy and its history of the criminalization of abortion policy in Spain since World War II will include a combination of literature review, government document review, and field research in Spain.
ContributorsRubin, Arielle Eliz (Author) / Simpson, Brooks (Thesis director) / Maienschein, Jane (Committee member) / Barrett, The Honors College (Contributor) / School of Historical, Philosophical and Religious Studies (Contributor) / School of International Letters and Cultures (Contributor)
Created2014-05
Description
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
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
Commodifying the Womb: Ethical Concerns of Assisted Reproductive Technologies through a Marxist Lens
Description
Whether legal, banned or unregulated, states and nations are reconsidering the morality and legality of the practice of surrogacy. Though many advocate for the absolute right to this practice, there are serious ethical concerns about the practice of surrogacy. Using critical theory, this thesis examines the relationships between the systems and people who have fostered a space where assisted reproductive technologies (ARTs) thrive. A theoretical analysis of Karl Marx and his literature on women and reproduction adds more comprehensive depth to the last four decades of literature on surrogacy. I respond to Marx and contemporary researchers with a recommendation: surrogacy should be regulated (and not necessarily banned) across states and nations. I also suggest that future discussions should point to market-inalienability as a tool to guide discussion on the state of surrogacy. I argue surrogacy is synonymous with purchasing children. If we are able to have clearer conversations about the ways in which children are treated as commodities, then we can start to understand the ways in which other forms of conception and childbearing practices are also problematic and exploitative.
ContributorsGrabowski, Hannah Kathleen (Author) / Brian, Jennifer (Thesis director) / Suk, Mina (Committee member) / School of Social Transformation (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
This paper analyzes the epidemiology of the disease 'hysteria', once thought to be a uniquely female disorder affecting a woman's physical and mental states. As early as Ancient Egypt, a woman's reproductive system was a topic of pointed interest, later leading to conclusions on how the womb may 'wander' and how the mental state of any woman with hysteria must be treated with care. The progression of its diagnosis builds upon collective opinion, culminating in modern stigmas and stereotypes. I will define the parameters that transformed female hysteria from Ancient Egyptian gynecology to the modern day taboos of female sexuality, all through the lens that a woman's biology is radically different and perhaps inferior to that of a man's. I will trace this tragic domino effect within Ancient Egyptian and Greek societies, introduce the sway of Christianity during the Middle Ages, extrapolate on the social expectations of the Victorian Era, and finally culminate with the lasting effects that this classification of hysteria had on both 20th and 21st century women. I will then include a discussion on how, due to historical assurances of the fragility of a woman, there is now an implicit assumption that women are subject to being overwhelmed by their emotions more so than men. I will mention social studies which analyze gender norms in modern Western society to provide context for the apparent struggles of women attempting to break glass ceilings in politics, science, the arts, literature, and the military and frequently failing due to the expectations of their sex. Following this, I will speak on how derogatory speech directed at women, through interpersonal communication and mass media, conditions future generations to generalize women as being nothing more than an inherently "delicate sex". I will then speak on an implicit association survey that I created and distributed to my peers to measure whether or not there is still a strong association between women and immaturity, childishness, and an emotionally unpredictable pattern of behavior. The stereotypic labeling of women as suffering from hysteria, or any offshoot of insanity, has stained the manner by which women as a sex are appraised. Consequently, it has forged a defensive need to "prove" self-worth in almost all professional arenas if women are to be taken seriously in male dominated fields. I believe that the classification and influence of hysteria played a critical role in shaping modern gender bias and normalizing demeaning treatment of women due to their allegedly inherent female traits. I will conclude through highlighting the efforts of female activist groups and the surge of women's marches in the fall of 2016 and early 2017. The response demanded by women's marches today preaches equality of the sexes and a chance to right the wrongs of their hysterical history.
ContributorsBailey, Brianna Lyne (Author) / Green, Monica (Thesis director) / Barca, Lisa (Committee member) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
Description
Menstruation has been characterized as powerful, magical, and mysterious. Historically, it was believed menstrual blood could cure leprosy, warts, birthmarks, gout, goiter, hemorrhoids, epilepsy, worms, and headaches. Menstrual blood was used as a love charm and as a means to ward off river demons or evil spirits, and could be used to honor a god (DeLaney, Lupton, & Toth, 1988, pp.8-9). Contemporary studies reveal that women around the world continue to celebrate their power to create. The World Health Organization studied attitudes of women of all socioeconomic classes in 10 countries (Egypt, India, Indonesia, Jamaica, Pakistan, Philippines, United Kingdom, United States, Yugoslavia, Mexico, Korea) and found that most women saw menstruation as a positive event (DeLaney et al., 1988, p. 14). In a similar study, Mexican-American women perceived menstruation positively, as a process that "cleans" the body (DeLaney et al., 1988, p. 14).
ContributorsAzmat, Alia (Author) / Burleson, Mary (Thesis director) / Roberts, Nicole (Committee member) / Trevathan, Wenda (Committee member) / Barrett, The Honors College (Contributor) / School of Human Evolution and Social Change (Contributor)
Created2012-12
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
Contraceptive methods are vital in maintaining women’s health and preventing unintended pregnancy. When a woman uses a method that reflects her personal preferences and lifestyle, the chances of low adoption and misuse decreases. The research aim of this project is to develop a web-based decision aid tailored to college women that assists in the selection of contraceptive methods. For this reason, My Contraceptive Choice (MCC) is built using the gaps identified in existing resources provided by Planned Parenthood and Bedsider, along with feedback from a university student focus group. The tool is a short quiz that is followed by two pages of information and resources for a variety of different contraceptive methods commonly used by college women. The evaluation phase of this project includes simulated test cases, a Google Forms survey, and a second focus group to assess the tool for accuracy and usability. From the survey, 130 of the 150 (80.7%) responses believe that the recommendations provided can help them select a birth control method. Furthermore, 136 of the 150 (90.0%) responses believe that the layout of the tool made it easy to navigate. The second focus group feedback suggests that the MCC tool is perceived to be accurate, usable, and useful to the college population. Participants believe that the MCC tool performs better overall compared to the Planned Parenthood quiz in creating a customized recommendation and Bedsider in overall usability. The test cases reveal that there are further improvements that could be made to create a more accurate recommendation to the user. In conclusion, the new MCC tool accomplishes the aim of creating a beneficial resource to college women in assisting with the birth control selection process.
ContributorsRedman, Molly (Author) / Wang, Dongwen (Thesis director) / Brian, Jennifer (Committee member) / College of Health Solutions (Contributor) / Department of Information Systems (Contributor) / School of Mathematical and Statistical Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
Understanding the Connection Between Iraqi Culture & Iraqi American Women's Health Seeking Behaviors
Description
The term “Iraqi American” defines any person of Iraqi origin who is residing in the United States. From 1960 until 2014, Iraq experienced numerous armed conflicts and international sanctions. As a result, a great surge of Iraqis migrated out of the country to seek refuge elsewhere. The United States alone currently houses about 400,000+ persons of Iraqi descent, many of whom identify as its citizens. Despite that, Iraqi Americans remain severely understudied. Therefore, this study aims to understand the cultural barriers Iraqi American women face while seeking healthcare in the United States, and how these barriers can impact their behaviors. I collected data via semi-structured interviews with eight Iraqi American women. In this study, I identified five major themes that contributed to women’s healthcare seeking behaviors: societal/familial pressures, staying “pure,” shame associated with performing medical procedures, taboo surrounding discussions of female health conditions, and issues regarding being in the presence of male doctors. Many of these themes involved cultural stigmas and pointed to potential pathways to destigmatize women’s healthcare in the community. This study acts as an initiative to understanding Iraqi Americans better and lays groundwork for further research.
ContributorsRahee, Hajer (Author) / Hruschka, Daniel (Thesis director) / Drake, Alexandria (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor) / School of Human Evolution & Social Change (Contributor)
Created2023-05