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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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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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Populations in the United States and globally struggle to receive equal and affordable access to healthcare, this is no secret. However there are several minority and underprivileged groups within the population that experience disproportionate quality of healthcare when compared to their cis-gendered heterosexual counterparts.
Individuals that align and identify themselves as

Populations in the United States and globally struggle to receive equal and affordable access to healthcare, this is no secret. However there are several minority and underprivileged groups within the population that experience disproportionate quality of healthcare when compared to their cis-gendered heterosexual counterparts.
Individuals that align and identify themselves as part of the Lesbian, Gay, Bisexual, Transgender, Queer/Questioning (LGBTQ+) Community, often face discrimination and bias from within the healthcare system that prevent them from receiving adequate patient knowledge, tailored and beneficial healthcare, as well as social support when seeking treatment for conditions that may at times, be more persistent within the community. Examples of these holes within the healthcare system include a lack of culturally competent and appropriate care for those in the community, access to affordable treatments, and other unique health needs.
Consequently, as a minority group these members face social and environmental factors that contribute to their overall wellbeing and health, and therefore training and education need to be implemented for future and current healthcare providers to assess, recognize and acknowledge these varying factors and how they contribute to a patient’s overall wellbeing.
ContributorsRandell, Arianna Nicole (Author) / Kizer, Elizabeth (Thesis director) / Don, Rachael (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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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