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The Beck Depression Inventory II (BDI-II) and the Patient Health Questionnaire 9 (PHQ-9) are highly valid depressive testing tools used to measure the symptom profile of depression globally and in South Asia, respectively (Steer et al., 1998; Kroenke et al, 2001). Even though the South Asian population comprises only

The Beck Depression Inventory II (BDI-II) and the Patient Health Questionnaire 9 (PHQ-9) are highly valid depressive testing tools used to measure the symptom profile of depression globally and in South Asia, respectively (Steer et al., 1998; Kroenke et al, 2001). Even though the South Asian population comprises only 23% of the world’s population, it represents one-fifth of the world’s mental health disorders (Ogbo et al., 2018). Although this population is highly affected by mental disorders, there is a lack of culturally relevant research on specific subsections of the South Asian population.<br/><br/>As such, the goal of this study is to investigate the differences in the symptom profile of depression in native and immigrant South Asian populations. We investigated the role of collective self-esteem and perceived discrimination on mental health. <br/><br/>For the purpose of this study, participants were asked a series of questions about their depressive symptoms, self-esteem and perceived discrimination using various depressive screening measures, a self-esteem scale, and a perceived discrimination scale.<br/><br/>We found that immigrants demonstrated higher depressive symptoms than Native South Asians as immigration was viewed as a stressor. First-generation and second-generation South Asian immigrants identified equally with somatic and psychological symptoms. These symptoms were positively correlated with perceived discrimination, and collective self-esteem was shown to increase the likelihood of these symptoms.<br/><br/>This being said, the results from this study may be generalized only to South Asian immigrants who come from highly educated and high-income households. Since seeking professional help and being aware of one’s mental health is vital for wellbeing, the results from this study may spark the interest in an open communication about mental health within the South Asian immigrant community as well as aid in the restructuring of a highly reliable and valid measurement to be specific to a culture.

ContributorsMurthy, Nithara (Co-author) / Swaminathan, Manasa (Co-author) / Vogel, Joanne (Thesis director) / Kwan, Sau (Committee member) / Department of Psychology (Contributor) / School of Human Evolution & Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Abstract HIV: An Evolutionary Perspective Arthur J. Stepp; April 2001 Human Immuno-deficiency Virus (HIV) poses a significant threat to global health. Despite the fact that the number of cases of HIV is growing exponentially, there is no known cure for the disease and little understanding of its mechanism of pathogenesis.

Abstract HIV: An Evolutionary Perspective Arthur J. Stepp; April 2001 Human Immuno-deficiency Virus (HIV) poses a significant threat to global health. Despite the fact that the number of cases of HIV is growing exponentially, there is no known cure for the disease and little understanding of its mechanism of pathogenesis. An application of an evolutionary perspective understanding may provide new insight into how natural selection acts upon HIV to increase its level of virulence, and also HIV's pathogenesis. By applying the replication rate hypothesis theory developed by Paul Eward in 1994 to epidemiological evidence from Africa, it becomes clear that as the replication rate of the virus increases, the mutation rate increases simultaneously. People who have been infected for the longest amounts of time tend to have more virulent, powerful strains of HIV as the virus has gone through more replications and has thus developed more powerful mutations that tend to advance to AIDS more quickly. This has important implications for the best approach to combatting the spread of the virus, because it means that preventing unprotected contact with people with highly mutated strains of the virus will greatly reduce the virus's virulence. Thus, the reduction of unprotected sexual contact and needle-borne transmission will pay extra dividends, as highly virulent strains of HIV will be better contained.
ContributorsStepp, Arthur (Author) / Burke, William (Thesis director) / Schmidt, Jean (Committee member) / Barrett, The Honors College (Contributor)
Created2001-05
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2015 marks the deadline for the UN Millennium Development Goal 5 to reduce global maternal mortality rate (MMR) by 75% since 1990. As of 2015, MMR has only been reduced by 45%. Many international organizations claim that more medically trained midwives can meet global maternal health care needs. This study

2015 marks the deadline for the UN Millennium Development Goal 5 to reduce global maternal mortality rate (MMR) by 75% since 1990. As of 2015, MMR has only been reduced by 45%. Many international organizations claim that more medically trained midwives can meet global maternal health care needs. This study investigates two major questions. What is the role of midwives in diverse international maternal healthcare contexts? How do midwives in these different contexts define their roles and the barriers to providing the best care for women? From May to August 2015, I conducted over 70 interviews with midwives in Netherlands, Sweden, Rwanda, Bangladesh, Australia and Guatemala, interviewing between 6 and 13 midwives from each country. The majority of midwives defined their roles as supporting women's individual capacities and power through normal birth, and knowing when to refer when high-risk complications arise. Although thematic barriers vary by country, midwives in all countries believed that maternal healthcare can be improved by increased collaboration between midwives and other health care professionals, better access to culturally appropriate services, and greater public awareness of the role of midwives.
ContributorsCarson, Anna Elizabeth (Author) / Hruschka, Daniel (Thesis director) / Maupin, Jonathan (Committee member) / School of International Letters and Cultures (Contributor) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
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Background: Latinos represent 40.8% of the population in Phoenix (U.S. Census Bureau Population Division, 2010). South Phoenix, also known as the South Mountain Village, defined in geographical terms as area zip codes 85040 and 85042; is a predominantly Latino community comprised of mixed citizenship status households. During the 2010 United

Background: Latinos represent 40.8% of the population in Phoenix (U.S. Census Bureau Population Division, 2010). South Phoenix, also known as the South Mountain Village, defined in geographical terms as area zip codes 85040 and 85042; is a predominantly Latino community comprised of mixed citizenship status households. During the 2010 United States Census 60.3% of the population in South Phoenix identified as Latino, 25.75% of the total population was foreign born. Of the foreign born population, 88.95% were of Latin American origin (United States Census Bureau, 2007-2011 American Community Survey). Understanding how Latino immigrants perceive differences in health between their communities in country of origin and communities in the United States is largely unknown. Irrespective of political positions, understanding how Latino immigrants perceive personal health and the health of their communities is of interest to inform public policy and implement needed interventions in the
public health sphere.
Methods: Semi-structured interviews were collected from 55 adults from the South Phoenix community between November 2009 and September 2010. Interviews were digitally recorded with participant permission and transcribed. Of those collected, 48 transcribed interviews were analyzed using a codebook designed by the researcher. Percent agreement evaluated inter-rater reliability.Results: Latino immigrants in South Phoenix largely agree that health quality is heavily dependent on personal responsibility and not an intrinsic attribute of a given place. Emotional contentedness and distress, both factors of mental health, are impacted by cross-cultural differences between Latino and U.S. culture systems.
Conclusions: As people’s personal perceptions of differences in health are complex concepts influenced by personal backgrounds, culture, and beliefs, attempting to demark a side of the border as ‘healthier’ than the other using personal perceptions is overly simplified and misses central concepts. Instead, exploration of individual variables impacting health allowed this study to gain a more nuanced understanding in how people determine quality of both personal and environmental health. While Latino migrants in South Phoenix largely agree that health is based on personal responsibility and choices, many nonetheless experience higher levels of contentedness and emotional health in their country of origin.
ContributorsGray, Laurel (Author) / Wutich, Amber (Thesis director) / Quiroga, S. Seline (Committee member) / Nelson, Margaret (Committee member) / Slade, B. Alexandra (Committee member) / Barrett, The Honors College (Contributor) / College of Liberal Arts and Sciences (Contributor)
Created2013-05
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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

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
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“Recite (read)! In the name of your lord who has created all that exists” (1:96 Qur‟an). “Iqra” was the first word revealed to the Prophet of Islam (PBUH). The word “iqra” is an imperative verb in Arabic, and in the context of the verse it is commanding the Prophet (PBUH)

“Recite (read)! In the name of your lord who has created all that exists” (1:96 Qur‟an). “Iqra” was the first word revealed to the Prophet of Islam (PBUH). The word “iqra” is an imperative verb in Arabic, and in the context of the verse it is commanding the Prophet (PBUH) to recite. This fact carries great significance as it was the first command given to the Muslims (Ibn Kathir). Muslims believe the Qur'an is in its original form and language, Arabic. Arabic is considered to be in inexhaustible language due to its vast vocabulary and root-based origin (Humza Yusuf). Each root is typically based on three letters, which are conjugated in different ways to creating individual words. Any word in the Qur'an can be traced back to a root word, thus enhancing the meaning of each carefully chosen phrase (Ibn Kathir). The word “al-Qur'an”, means, the book that is recited, therefore, it is fitting that the first verse revealed pertains to its recital. According to history the majority of civilizations were built off scripture or books. The Greeks had Homer, the Egyptians had hieroglyphics, the Christians had the Bible, and the Hebrews had the Torah. Interestingly enough, the Pre-Islamic Arabs were an ancient civilization with no book; the Qur'an was the first book in Arabic history. This was earthshattering for the Arabs of the time, as it was something new and went against the tradition, however, the revelation of the Qur'an proved to be the most influential occurrence in the Arab history. The Qur'an is a literary masterpiece, flaunting its superior style forming moving and powerful verses. The layout of the Qur'an is quite simple, as it contains thirty parts, called ajzaa (juz singular), which altogether make up 114 chapters, called surahs (Humza Yusuf). The beginning surahs are longer, and the verses are lengthy, while the latter surahs are much shorter and the verses are succinct and direct (Qur'an al Kareem). Each verse is known as an “ayah, ayaat (pl)” directly translated to mean a “sign” or a “miracle” in the Arabic language. There are over 6,600 ayaat in the Qur'an, ranging from some just one or two words, while others are hundreds of words. Each surah, has a general theme, and each surah is given at least one title, while a few surahs have more than one title (Humza Yusuf).
ContributorsShakoor, Momin (Author) / Ali, Souad T. (Thesis director) / Gallab, Abdullahi (Committee member) / Risha, Sarah (Committee member) / Barrett, The Honors College (Contributor) / College of Liberal Arts and Sciences (Contributor)
Created2012-12
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Understanding more about the similarities and differences in cultural perceptions of climate change-related disease causation can better inform culturally specific public health measures. Using interviews conducted with 685 adults in eight diverse global locations ranging from Fiji and China to England and Phoenix, Arizona, this study explores climate change-disease beliefs

Understanding more about the similarities and differences in cultural perceptions of climate change-related disease causation can better inform culturally specific public health measures. Using interviews conducted with 685 adults in eight diverse global locations ranging from Fiji and China to England and Phoenix, Arizona, this study explores climate change-disease beliefs within and across diverse cultures and comparisons between cultural and scientific models. A cultural consensus analysis was employed to identify a "culturally correct" model for each study site. Next, a scientific model was generated based on current scientific consensus regarding climate change- disease connections. Using the Quadratic Assignment Procedure (QAP), we determined the amount of correlation shared between the scientific model and each cultural model. The analysis revealed a high level of intercorrelation between the models of English speaking, economically developed sites such as Phoenix, Arizona. Additionally, cultural models from the non-English speaking sites were highly intercorrelated with one another. Overall, the English speaking sites tended to have more complex models with a greater density of causal links. Cultural models from the English speaking sites also demonstrated high levels of correlation with the scientific model. In comparison, the cultural models from the non-English speaking sites exhibited little correlation with the scientific model. Based on these findings, we suggest that cultural beliefs related to climate change-related disease causation may be influenced by complex local factors. For example, differences in education and media influences along with localized differences in climate change impacts may, in part, contribute to divergences between the cultural models.
Created2014-05
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This study investigated the potential efficacy of HEAL International's prevention education program in inducing health behavior change in HIV/AIDS, malaria, and communicable disease to children in grade levels ranging from primary school to secondary school. The health education program was aimed at changing health behavior by increasing knowledge. This increase

This study investigated the potential efficacy of HEAL International's prevention education program in inducing health behavior change in HIV/AIDS, malaria, and communicable disease to children in grade levels ranging from primary school to secondary school. The health education program was aimed at changing health behavior by increasing knowledge. This increase in knowledge was analyzed as a modifying factor in the Health Belief Model suggesting that knowledge, along with five other modifying factors, are directly responsible for an individual's health perceptions. These health perceptions ultimately result in an individual's health behavior. As a result, it is argued that an increase in knowledge can lead to health behavior change so long as it is coupled with a strong theoretical framework. Administering pre-evaluations at the beginning of the program, post evaluations at the end of the program, and a second post evaluation again two months later completed the evaluation. It was hypothesized that if there was a significant difference between the percent of correct answers at the pre-evaluation compared the second post-evaluation then there is evidence that HEAL's health education program is, or at least has the potential to, create sustainable health behavior change. A paired samples t-test was completed on the data and showed a statistically significant difference between the percent of correct answers at pre-evaluation and the percent of correct answers at second post-evaluation. These results indicated that the number of students with a comprehensive knowledge of the subjects that HEAL taught during the program had increased. It was concluded that the results of the study indicate evidence that HEAL's program has the potential to deliver sustainable health behavior change but that it will be more quantifiable once HEAL is able to adopt a theoretical framework on which to base future programs.
ContributorsWright, Mia Christina (Author) / Jacobs, Bertram (Thesis director) / Salamone, Damien (Committee member) / Ayers, Stephanie (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor) / School of Life Sciences (Contributor)
Created2014-05
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The Affordable Care Act, or Obamacare, was signed into law with the goals of providing quality and affordable health care to every American, but there is concern that not enough young adults are gaining health insurance. Some believe it is because of the "young invincible" mentality of being healthy enough

The Affordable Care Act, or Obamacare, was signed into law with the goals of providing quality and affordable health care to every American, but there is concern that not enough young adults are gaining health insurance. Some believe it is because of the "young invincible" mentality of being healthy enough to not need health insurance, and others claim that the cost of health care is the main reason behind low enrollment rates in young adults. However, young adults may not be obtaining insurance because of a lack of understanding and awareness concerning the ACA. Do young adults understand how the ACA functions, and does this understanding (or lack thereof) determine their opinions towards it? In order to research this question, students at Arizona State University were given the opportunity to complete a survey and interview detailing their knowledge of Obamacare and how they felt about the health care law. Results indicated that though many respondents supported the law, respondents did not feel like they had enough information to understand the health care law, affecting their knowledge of it. These findings imply that in order for the ACA to be considered successful among young adults, awareness and education of the law must increase in order for young people to feel like they have an adequate understanding of it.
Created2015-05
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The purpose of this study is to analyze what barriers of care exist within the Senor de los Milagros community in Trujillo, Peru and how these barriers to care can identify shortcomings in the public healthcare system. This study is a collaboration of field research and outside literature. The research

The purpose of this study is to analyze what barriers of care exist within the Senor de los Milagros community in Trujillo, Peru and how these barriers to care can identify shortcomings in the public healthcare system. This study is a collaboration of field research and outside literature. The research conducted was done via structured interviews with 15 participants, all promotoras (mothers of the community) and their husbands in the Senor de los Milagros community of Trujillo, Peru. Summaries and quotes from these interviews were uploaded and quantified to identify common barriers to care derived from socioeconomic and cultural determinants . Although this was on the main focus of the study, observations and conversations with healthcare staff and patients showed that the two most specific barriers found when data was analyzed were the wait times of public sector facilities and quality of care within these facilities. These barriers to care did not stop the promotoras from seeking care at MINSA facilities, but it does pose the questions as to how it affects healthcare-seeking behaviors and if this affects long-term healthcare outcomes.
ContributorsDragon, Jordan Elizabeth (Author) / Maupin, Jonathan (Thesis director) / Marsteller, Sara (Committee member) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05