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- All Subjects: campus health
- All Subjects: Random Block
- Creators: Borror, Connie M.
- Creators: LeMaster, Benny
The pseudo-Bayesian approach can be applied to the problem of optimal design construction under dependent observations. Often, correlation between observations exists due to restrictions on randomization. Several techniques for optimal design construction are proposed in the case of the conditional response distribution being a natural exponential family member but with a normally distributed block effect . The reviewed pseudo-Bayesian approach is compared to an approach based on substituting the marginal likelihood with the joint likelihood and an approach based on projections of the score function (often called quasi-likelihood). These approaches are compared for several models with normal, Poisson, and binomial conditional response distributions via the true determinant of the expected Fisher information matrix where the dispersion of the random blocks is considered a nuisance parameter. A case study using the developed methods is performed.
The joint and quasi-likelihood methods are then extended to address the case when the magnitude of random block dispersion is of concern. Again, a simulation study over several models is performed, followed by a case study when the conditional response distribution is a Poisson distribution.
The purpose of this study is to examine the social and communicative barriers LGBTQIA+ students face when seeking healthcare at campus health and counseling services at Arizona State University. Social barriers relate to experiences and internalizations of societal stigma experienced by sexual and gender minority individuals as well as the anticipation of such events. Communication between patient and provider was assessed as a potential barrier with respect to perceived provider LGBTQIA+ competency. This study applies the minority stress model, considering experiences of everyday stigma and minority stress as a predictor of healthcare utilization among sexual and gender minority students. The findings suggest a small but substantial correlation between minority stress and healthcare use with 23.7% of respondents delaying or not receiving one or more types of care due to fear of stigma or discrimination. Additionally, communication findings indicate a lack of standardization of LGBTQIA+ competent care with experiences varying greatly between respondents.