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Bridging social capital describes the diffusion of information across networks built between individuals of different social identities. This project aims to understand if the bridging ties of economic connectedness (EC), measured by data from Facebook friends and calculated as the average share of high socioeconomic status friends that an individual

Bridging social capital describes the diffusion of information across networks built between individuals of different social identities. This project aims to understand if the bridging ties of economic connectedness (EC), measured by data from Facebook friends and calculated as the average share of high socioeconomic status friends that an individual from a low socioeconomic status has, can be a predictor of variations in COVID-19 infection risk across Arizona ZIP code tabulation areas (ZCTAs). Economic connectedness values across Arizona ZCTAs was examined in addition to the correlation of EC to various social and demographic factors such as age, sex, race and ethnicity, educational background, income, and health insurance coverage. A multiple linear regression model was conducted to examine the association of EC to biweekly COVID-19 growth rate from October 2020 to November 2021, and to examine the longitudinal trends in the association between these two factors. The study found that the bridging ties of economic connectedness has a significant effect size comparable to that of other demographic features, and has implications in being used to identify vulnerabilities and health disparities in communities during the pandemic.

ContributorsBoby, Maria (Author) / Oh, Hyunsung (Thesis director) / Marsiglia, Flavio (Committee member) / Liu, Li (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor) / School of Human Evolution & Social Change (Contributor) / School of Social Work (Contributor)
Created2023-05
Description

Our thesis revolved around the Maryvale community and was centered by a Photovoice project that was a Youth Participatory Action Research method. Being a project led by the youth we continued their stories and expanded off of the topics that we discussed in our Photovoice meetings. In our thesis podcast

Our thesis revolved around the Maryvale community and was centered by a Photovoice project that was a Youth Participatory Action Research method. Being a project led by the youth we continued their stories and expanded off of the topics that we discussed in our Photovoice meetings. In our thesis podcast we discussed the expectation and reality of moving to a new country, the colorism our community as well as other communities face, and the health disparities that are present within underrepresented communities. We were able to expand on these topics and tie it back to the conversations we had with each other four years prior to doing our podcast and how little or how much these topics have changed and evolved.

ContributorsMedina Rios, Kimberly (Author) / Ruiz Xicale, Wendy (Co-author) / Elizalde, Manuel (Co-author) / Reed, Lauren (Thesis director) / Mullady, Allison (Committee member) / Barrett, The Honors College (Contributor) / School of Human Evolution & Social Change (Contributor) / School of Life Sciences (Contributor)
Created2023-05
ContributorsMedina Rios, Kimberly (Author) / Ruiz Xicale, Wendy (Co-author) / Elizalde, Manuel (Co-author) / Reed, Lauren (Thesis director) / Mullady, Allison (Committee member) / Barrett, The Honors College (Contributor) / School of Human Evolution & Social Change (Contributor) / School of Life Sciences (Contributor)
Created2023-05
ContributorsMedina Rios, Kimberly (Author) / Ruiz Xicale, Wendy (Co-author) / Elizalde, Manuel (Co-author) / Reed, Lauren (Thesis director) / Mullady, Allison (Committee member) / Barrett, The Honors College (Contributor) / School of Human Evolution & Social Change (Contributor) / School of Life Sciences (Contributor)
Created2023-05
Description

This thesis addresses the global and national health landscape of disparities to provide insight into the social factors such as education, socioeconomic status, and environment that impact marginalized groups. A positive correlation between race, residency, and lower socioeconomic status among global and national landscapes was made with oral health disparities

This thesis addresses the global and national health landscape of disparities to provide insight into the social factors such as education, socioeconomic status, and environment that impact marginalized groups. A positive correlation between race, residency, and lower socioeconomic status among global and national landscapes was made with oral health disparities demonstrating poorer health outcomes among these groups. Through a multistep approach this thesis aimed to provide solutions to contribute to the efforts of developing effective policies and interventions that aim to promote oral health equity.

ContributorsSmith, Abriana (Author) / Lynch, John (Thesis director) / Carlsen-Landy, Beverly (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor) / School of Human Evolution & Social Change (Contributor)
Created2023-05
ContributorsMedina Rios, Kimberly (Author) / Ruiz Xicale, Wendy (Co-author) / Elizalde, Manuel (Co-author) / Reed, Lauren (Thesis director) / Mullady, Allison (Committee member) / Barrett, The Honors College (Contributor) / School of Human Evolution & Social Change (Contributor) / School of Life Sciences (Contributor)
Created2023-05
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Description

For most women, pregnancy is the period in which they will have more interaction with the healthcare field than any other period in their lives. The quality and accessibility of obstetric care varies greatly throughout the United States, and health disparities in this field have the largest impact on African

For most women, pregnancy is the period in which they will have more interaction with the healthcare field than any other period in their lives. The quality and accessibility of obstetric care varies greatly throughout the United States, and health disparities in this field have the largest impact on African American women. Black mothers in the U.S. are three to four times more likely than white mothers to die as a result of pregnancy related complications. The increased risk of maternal morbidity and mortality seen in the African American population is largely due to preventable causes. This thesis project includes three case studies which analyze the most prevalent and preventable sources of health disparity affecting Black mothers: preeclampsia, hemorrhage, and cesarean section. Possible solutions to each of these disparities are explored on an individual, institutional, and societal scale.

ContributorsLopez, Sarah (Author) / Lynch, John (Thesis director) / Young, Alexander (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor) / College of Integrative Sciences and Arts (Contributor)
Created2021-12
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Description
In Arizona black women have a preterm birth rate of 40% higher than any other women. Black women in Maricopa County have the highest incidence of low birthweight and preterm birth. Preterm birth has been linked to cerebral palsy, blindness, cognitive difficulties, and ultimately, infant mortality. Preterm birth is

In Arizona black women have a preterm birth rate of 40% higher than any other women. Black women in Maricopa County have the highest incidence of low birthweight and preterm birth. Preterm birth has been linked to cerebral palsy, blindness, cognitive difficulties, and ultimately, infant mortality. Preterm birth is defined by the World Health Organization as delivery of an infant before 37 weeks of gestation. Low birth weight is defined as 1500g or less with extremely low birthweight being 1000g or less. Infants with low birth weight contribute disproportionately to infant mortality. Chronic, toxic stress is a heavy contributor to the racial health disparity of preterm birth and low birth weight. Chronic stress may affect preterm birth by dysregulating the hypothalamic-pituitary-adrenal axis, altering the release of cortisol, leading to altered immune function, thus increasing infection and inflammation response (Giuregescu et. al). Studies have shown racial injustice is related to inflammatory stress response. This stress is exacerbated by the long history of injustice and neglect in healthcare due to implicit bias. Recommendations for improvement of this disparity includes cultural competency training for all healthcare professionals and mindfulness yoga training paired with Focused Support Groups for pregnant women for reducing racial stress.
ContributorsOfori, Shana (Author) / Reddy, Swapna (Thesis director) / Cox, Deborah J. (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
FCU4Health is an adaption of an evidence-based program to address the pediatric obesity epidemic in the United States. Qualitative interviews were conducted with nine program providers to understand possible cultural variation in family engagement with the program. Interviews were coded to develop a scheme that identifies themes among the coordinators’

FCU4Health is an adaption of an evidence-based program to address the pediatric obesity epidemic in the United States. Qualitative interviews were conducted with nine program providers to understand possible cultural variation in family engagement with the program. Interviews were coded to develop a scheme that identifies themes among the coordinators’ experiences through a grounded theory approach, narrowing the scope of topics discussed to create a specific theoretical framework that integrates categories of coordinator experiences. Results showed that the prioritization of what families’ needs are and what resources/parenting modules coordinators utilize followed Maslow's hierarchy of needs, putting child health and safety at the forefront. Barriers to family engagement with the program and with coordinator recommendations are largely cross-cultural and socioeconomic in nature due to not having enough time to follow-through with work/family obligations. However, there were some specific cultural groups such as Latino multigenerational families and immigration status that did pose similar barriers across multiple families that allowed for more generalized themes for those particular cultural groups. Other individualized case studies presented by coordinators showed nuances in barriers to resource utilization between cultural groups at the familial level. In addition, multiple coordinators stated that their most successful resources in engaging families have come with resources that have collaborations with other organizations. In order to address the barriers to accessing health-related services for low-income families that are disproportionately individuals of minority cultural groups, it is vital to have cross-sector collaboration as a mindset towards finding effective and all-encompassing resources for these vulnerable individuals. The non-profit, public, and private sector each have unique strengths that can contribute to reducing health disparities for those suffering with pediatric obesity.
ContributorsThompson, Adam Richard (Co-author) / Berkel, Cady (Thesis director) / Gutierrez, Veronica (Committee member) / Department of Psychology (Contributor) / Watts College of Public Service & Community Solut (Contributor) / College of Integrative Sciences and Arts (Contributor) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Description
Arizona children covered by AHCCCS experience increased poor oral health outcomes in comparison to their higher-income counterparts despite receiving comprehensive dental service coverage under the state Medicaid program. The dental health disparities consistently present among this population allude that other barriers are in place preventing pediatric AHCCCS recipients from accessing

Arizona children covered by AHCCCS experience increased poor oral health outcomes in comparison to their higher-income counterparts despite receiving comprehensive dental service coverage under the state Medicaid program. The dental health disparities consistently present among this population allude that other barriers are in place preventing pediatric AHCCCS recipients from accessing guaranteed dental care. This thesis addresses the gaps faced by AHCCCS recipients in utilizing dental insurance coverage on behalf of provider availability in proximity and time. A “secret shopper” study was executed to reveal the accessibility barriers experienced by AHCCCS patients in comparison to privately insured patients and the adequacy of AHCCCS contracted providers in maintaining availability for this population. Based on the collected data, AHCCCS patients generally experience increased lengths of time until the next available appointment in comparison to the privately insured, suggesting that despite AHCCCS contracting, there are not currently adequate protective standards ensuring that child AHCCCS patients receive equitable opportunity for good dental health. Furthermore, this study revealed the significant obstructions to accessing dental care for rural Arizonans covered by AHCCCS, as four separate counties were notably found to not have a single AHCCCS provider. State policy must evolve to better support this demographic in achieving equitable oral health, working towards the relief of social determinants oppressing the wellbeing of lower-income families regarding distance to contracted practices and provider availability for the population of AHCCCS recipients.
ContributorsZiegler, Madison Brooke (Author) / Reddy, Swapna (Thesis director) / Speer, Matthew (Committee member) / School of International Letters and Cultures (Contributor) / School of Human Evolution & Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05