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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

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
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Description
Catastrophe events occur rather infrequently, but upon their occurrence, can lead to colossal losses for insurance companies. Due to their size and volatility, catastrophe losses are often treated separately from other insurance losses. In fact, many property and casualty insurance companies feature a department or team which focuses solely on

Catastrophe events occur rather infrequently, but upon their occurrence, can lead to colossal losses for insurance companies. Due to their size and volatility, catastrophe losses are often treated separately from other insurance losses. In fact, many property and casualty insurance companies feature a department or team which focuses solely on modeling catastrophes. Setting reserves for catastrophe losses is difficult due to their unpredictable and often long-tailed nature. Determining loss development factors (LDFs) to estimate the ultimate loss amounts for catastrophe events is one method for setting reserves. In an attempt to aid Company XYZ set more accurate reserves, the research conducted focuses on estimating LDFs for catastrophes which have already occurred and have been settled. Furthermore, the research describes the process used to build a linear model in R to estimate LDFs for Company XYZ's closed catastrophe claims from 2001 \u2014 2016. This linear model was used to predict a catastrophe's LDFs based on the age in weeks of the catastrophe during the first year. Back testing was also performed, as was the comparison between the estimated ultimate losses and actual losses. Future research consideration was proposed.
ContributorsSwoverland, Robert Bo (Author) / Milovanovic, Jelena (Thesis director) / Zicarelli, John (Committee member) / School of Mathematical and Statistical Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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Description
Elections in the United States are highly decentralized with vast powers given to the states to control laws surrounding voter registration, primary procedures, and polling places even in elections of federal officials. There are many individual factors that predict a person's likelihood of voting including race, education, and age. Historically

Elections in the United States are highly decentralized with vast powers given to the states to control laws surrounding voter registration, primary procedures, and polling places even in elections of federal officials. There are many individual factors that predict a person's likelihood of voting including race, education, and age. Historically disenfranchised groups are still disproportionately affected by restrictive voter registration and ID laws which can suppress their turnout. Less understood is how election-day polling place accessibility affects turnout. Absentee and early voting increase accessibility for all voters, but 47 states still rely on election-day polling places. I study how the geographic allocation of polling places and the number of voters assigned to each (polling place load) in Maricopa County, Arizona has affected turnout in primary and general elections between 2006 and 2016 while controlling for the demographics of voting precincts. This represents a significant data problem; voting precincts changed three times during the time studied and polling places themselves can change every election. To aid in analysis, I created a visualization that allows for the exploration of polling place load, precinct demographics, and polling place accessibility metrics in a map view of the county. I find through a spatial regression model that increasing the load on a polling place can decrease the election-day turnout and prohibitively large distances to the polling place have a similar effect. The effect is more pronounced during general elections and is present at varying levels during each of the 12 elections studied. Finally, I discuss how early voting options appear to have little positive effect on overall turnout and may in fact decrease it.
ContributorsHansen, Brett Joseph (Author) / Maciejewski, Ross (Thesis director) / Grubesic, Anthony (Committee member) / Economics Program in CLAS (Contributor) / School of Mathematical and Statistical Sciences (Contributor) / Computer Science and Engineering Program (Contributor) / Barrett, The Honors College (Contributor)
Created2017-12
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Description
The growing Hispanic population in Phoenix, Arizona frequently lacks financial resources which may limit their access to health care. The goal of this study was to identify the ideal factors in a health insurance plan for the Hispanic/Latino population in Phoenix, AZ. A survey was designed to gather information regarding

The growing Hispanic population in Phoenix, Arizona frequently lacks financial resources which may limit their access to health care. The goal of this study was to identify the ideal factors in a health insurance plan for the Hispanic/Latino population in Phoenix, AZ. A survey was designed to gather information regarding demographics, health insurance, preferences, and affordability. The survey was completed by 260 participants. Several multivariate regressions were run using SAS Statistical Software. The final model generated explained 4.48% of the variation in the data set. It showed that an individual who identified as Hispanic/Latino was 8.2% less likely to have health insurance. In addition, an individual who identified as a US Citizen was 23% more likely to have health insurance. To improve access and enrollment among the Hispanic/Latino population, further investigation is needed to identify relevant communication techniques that increase enrollment among this high-risk community.
ContributorsToo, Rachel Yun-May (Author) / Whisner, Corrie (Thesis director) / Calvin, Samantha (Committee member) / Cook, Aaron (Committee member) / Economics Program in CLAS (Contributor) / School of Molecular Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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Description
Food deserts are defined as regions with low average income, low accessibility to grocery stores, and high adverse health outcomes. Food deserts have thus become an important area of public health research, and many actions are being taken across the country to "solve" the variety of problems food deserts represent.

Food deserts are defined as regions with low average income, low accessibility to grocery stores, and high adverse health outcomes. Food deserts have thus become an important area of public health research, and many actions are being taken across the country to "solve" the variety of problems food deserts represent. Despite the many solutions promoted to improve food security, healthy food access, and health outcomes among individuals living in food desert areas, not all activities have been critically assessed for their potential for sustained impact. Further, little research has been conducted in the state of Arizona regarding food-related ‘assets’ available to employ in solutions to food desert problems. This analysis gives a glimpse into the complex nature of food deserts, which are impacted by a variety of factors, from economics to public policy to culture. It further provides a current assessment of available assets for potential use in ameliorating the negative impacts of food deserts on Arizona citizens. A graphical asset mapping analysis offers specific consideration of farmers markets and food hubs to possibly aid food deserts in the state.
ContributorsYanamandra, Meghana (Author) / Wharton, Christopher (Christopher Mack), 1977- (Thesis advisor) / Maienschein, Jane (Thesis advisor) / Ellison, Karin (Committee member) / Arizona State University (Publisher)
Created2015
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Description
More than 90 million Americans suffer from low health literacy levels that can lead to detrimental health practices. One of the greatest issues stemming from low health literacy is the misuse of medication, which results in 125,000 deaths per year and close to $200 billion dollars in health care funds

More than 90 million Americans suffer from low health literacy levels that can lead to detrimental health practices. One of the greatest issues stemming from low health literacy is the misuse of medication, which results in 125,000 deaths per year and close to $200 billion dollars in health care funds (Ngoh 2009). With their implementation into neighborhood settings and consequently the everyday lives of individuals, pharmacies show potential in being great assets towards increasing health literacy on an individual and societal level. However, pharmacists must first be made aware of the opportunities and challenges that exist concerning this effort. Through a three step literature review and corresponding comparative analysis, the results of this study show that pharmacists should focus on four main areas: overall assessment of health literacy in a pharmacy setting, individualization and tailoring of health/ medication plans, development of verbal and written communication tools, and the pharmacist-patient relationship. Each area presents a set of opportunities and challenges that must be accounted for in order to design more effective initiatives and tools in the pharmacists' aim to increase health literacy.
ContributorsMergens, Rianna Lynn (Author) / Robert, Jason Scott (Thesis director) / Maienschein, Jane (Committee member) / Kinzig, Ann (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor)
Created2013-05
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Description
Planned Parenthood, one of the United States' largest providers of reproductive health services, has campaigned for decades to secure women's reproductive rights in the political sphere. However, few scholars have written on the social and political history that preceded the general religious and Republican hostility toward the organization in the

Planned Parenthood, one of the United States' largest providers of reproductive health services, has campaigned for decades to secure women's reproductive rights in the political sphere. However, few scholars have written on the social and political history that preceded the general religious and Republican hostility toward the organization in the twenty-first century. Through Planned Parenthood's growth in the mid-twentieth century, both political parties and many religious organizations pushed for family planning and access to contraception as solutions to population growth and poverty. Arizona was used as a case study to examine the broader context of the shift in the ideas of political parties and religious organizations surrounding the reproductive rights movement from the start of the twentieth century until the 1980s. The historical trajectory of the shifting religious and political support for Planned Parenthood Arizona was demonstrated using both a literature review and archival research. Throughout the early 1900s, Republicans advocated for limited governmental intrusion into citizens' lives, which extended to women's reproduction, where contraception was seen as a private decision between a woman and her doctor. That changed in the late twentieth century when religious concerns exacerbated the political discussion following the legalization of abortion in 1973 and the appointment of Ronald Regan in 1981, one of the first outspoken pro-life presidents. Planned Parenthood faced increasing criticism from religious organizations and the Republican Party. The social and political history surrounding Planned Parenthood Arizona illustrates the interplay between politics and the reproductive rights movement throughout the twentieth century. The contextualization of major historical events during the development of Planned Parenthood Arizona gives insight into the current political and religious beliefs regarding the reproductive rights movement.
ContributorsNunez-Eddy, Claudia Margarita (Author) / Maienschein, Jane (Thesis director) / O'Neil, Erica (Committee member) / Abboud, Alexis (Committee member) / School of Life Sciences (Contributor) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description

Education is known for being powerful in reducing poverty, improving health, promoting healthier economies, and providing peaceful and productive opportunities for young people worldwide. It’s a key to success that has been threatened in the state of Arizona through low funding, teacher shortages, and a lack of resources. Inadequate learning

Education is known for being powerful in reducing poverty, improving health, promoting healthier economies, and providing peaceful and productive opportunities for young people worldwide. It’s a key to success that has been threatened in the state of Arizona through low funding, teacher shortages, and a lack of resources. Inadequate learning environments further educational inequalities and hinder academic achievement among students. In finding a solution, the objectives of education policy in Arizona are analyzed from an economic and equity standpoint.

ContributorsHernandez Martinez, Chelsea (Author) / Bizuneh, Abyssinia (Co-author) / Bolosan, Kaleo (Co-author) / O'Connor, Brendan (Thesis director) / Garcia, David (Committee member) / Barrett, The Honors College (Contributor) / Economics Program in CLAS (Contributor) / School of Criminology and Criminal Justice (Contributor) / Division of Teacher Preparation (Contributor) / School of Transborder Studies (Contributor)
Created2023-05
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Description
AARP estimates that 90% of seniors wish to remain in their homes during retirement. Seniors need assistance as they age, historically they have received assistance from either family members, nursing homes, or Continuing Care Retirement Communities. For seniors not wanting any of these options, there has been very few alternatives.

AARP estimates that 90% of seniors wish to remain in their homes during retirement. Seniors need assistance as they age, historically they have received assistance from either family members, nursing homes, or Continuing Care Retirement Communities. For seniors not wanting any of these options, there has been very few alternatives. Now, the emergence of the continuing care at home program is providing hope for a different method of elder care moving forward. CCaH programs offer services such as: skilled nursing care, care coordination, emergency response systems, aid with personal and health care, and transportation. Such services allow seniors to continue to live in their own home with assistance as their health deteriorates over time. Currently, only 30 CCaH programs exist. With the growth of the elderly population in the coming years, this model seems poised for growth.
ContributorsSturm, Brendan (Author) / Milovanovic, Jelena (Thesis director) / Hassett, Matthew (Committee member) / School of Mathematical and Statistical Sciences (Contributor) / Economics Program in CLAS (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Greenhouse gas emissions (GHG) continue to contribute heavily to global warming. It is estimated that the international community has only until 2050 to eliminate total carbon emissions or risk irreversible climate change. Arizona, despite its vast solar energy resources, is particularly behind in the global transition to carbon-free energy. This

Greenhouse gas emissions (GHG) continue to contribute heavily to global warming. It is estimated that the international community has only until 2050 to eliminate total carbon emissions or risk irreversible climate change. Arizona, despite its vast solar energy resources, is particularly behind in the global transition to carbon-free energy. This paper looks to explore issues that may be preventing Arizona from an efficient transition to carbon-free generation technologies. Identifiable factors include outdated state energy generation standards, lack of oversight and accountability of Arizona’s electricity industry regulatory body, and the ability for regulated utilities to take advantage of “dark money” campaign contributions. Various recommendations for mitigating the factors preventing Arizona from a carbon-free future are presented. Possibilities such as modernizing state energy generation standards, increasing oversight and accountability of Arizona’s electricity industry regulatory body, and potential market restructuring which would do away with the traditional regulated utility framework are explored. The goal is to inform readers of the issues plaguing the Arizona energy industry and recommend potential solutions moving forward.
ContributorsWaller, Troy (Author) / Sheriff, Glenn (Thesis director) / Rule, Troy (Committee member) / Economics Program in CLAS (Contributor) / Dean, W.P. Carey School of Business (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2020-12