Major themes emerging from the data included illness perception, support, and the process of medication adherence. Acceptance of the diabetes diagnosis was imperative for medication adherence. Stigmatization of diabetes was salient in the recruitment process and as it related to mechanisms for adherence. Furthermore, many informants were not aware of a family history of diabetes before their own diagnosis. Four gendered emerging typologies were identified, which further illuminated major themes. Moreover, an eight-step process of medication adherence model is discussed. The researcher was able to identify culturally compatible strategies that may be extended to those struggling with medication adherence. The implications section suggests a set of strategies that healthcare providers can present to people with diabetes in order to increase medication adherence.
Historically, first-generation college students (FGCS), students whose parents have not attended college nor earned a degree, are more likely to have lower college retention rates and are less likely to complete their academic programs in a timely manner. Despite this, there are many FGCS who do succeed and it is imperative to learn what fuels their success. The theoretical perspectives that framed this study included: hidden curricula, resiliency theory and community cultural wealth. Drawing from these perspectives, this qualitative research study consisted of a 10-week photo-elicitation facilitation and reflection group in which participants identified aspects of the hidden curricula encountered in the university that were challenging in their educational journeys and guided them in identifying the sources of strength (i.e. protective factors) that they channeled to overcome those challenges. The participants for this study were selected using a stratified purposeful sampling approach. The participants identified as Latina, low-income FGCS who were on good academic standing and majored in two of the largest academic units at Arizona State University's Tempe campus- the College of Liberal Arts and Sciences and the Fulton College of Engineering. This study used participants’ testimonios (critical, reflexive narratives), photo-elicitation images, student journal responses, focus group dialogue and Facebook group posts to better understand the resiliency of Latina, low-income FGCS at ASU. Using grounded theory analysis, this study revealed the following,
Latina, low-income FGCS:
- Primarily define and develop their academic resiliency outside of the classroom and use social capital connections with peers and aspirational capital connections to their future to be successful inside the classroom.
- Are heavily driven to succeed in the university setting because of their family's support and because they view their presence in college as a unique opportunity that they are grateful for.
- Operationalize their academic resiliency through a combination of hard work and sacrifice, as well as an active implementation of resilience tactics.
- Are motivated to pass on their resiliency capital to other students like them and perceive their pursuit of a college education as a transformative action for themselves, their families and their communities.
Between October 2016 and February 2018, DHS reported separating 1,768 children from their parents in what they called “a long-standing policy”. From July 2017 to October 2017, the Trump administration implemented a pilot program in El Paso. Federal prosecutors criminally charged adults who crossed the border from New Mexico to West Texas. Forced family separation has long-lasting consequences on the health of immigrant youth and their families even as they become integrated into US society. In addition, policies like the zero-tolerance policy on illegal criminal entry and practices such as the exclusion and criminalization of immigrants perpetuate the image of an immigrant's subordinate position in the States. <br/>The zero tolerance policy has significant impacts on immigrants’ mental health, educational attainment, legal vulnerability, and physical health. While research typically focuses on the impacts of family separation on the child, the separation affects the entire family unit leading to feelings of helplessness and cultural disruption. Additionally, the topic of family separation during migration is well-studied, there is a lack of literature on forced family separation and long-lasting impacts post-reunification especially through a lens of resiliency.This paper seeks to examine how the zero-tolerance policy impacts Central American immigrant youth and their families and the limited support systems available. The family separation policy ignited protests across the country. Across the nation there was outrage of “kids in cages,” Central American children being taken from their families and placed into overcrowded facilities, left to sleep under tinfoil-like sheets in fenced areas. <br/>I argue that the zero tolerance policy is one of a long line of racist immigration policies that negatively impacts immigrant youth and their families. The effects of family separation seep into various dimensions of immigrants' lives, further complicating their adjustment to life in the US. Continued support for families who have been separated is critical to combat the adverse effects of harmful and racist immigration policies. Because the effects of family separation are multidimensional, I advocate for a holistic approach that addresses the various ways the effects spillover into daily life. This paper relies on the concept of resiliency versus a victim narrative, situating agency with the immigrant, and viewing immigration as an autonomous action. A resiliency framework acknowledges and appreciates immigrant youth's resourcefulness, strategic agency, and ability to subvert dominant norms and overcome barriers.