Matching Items (15)
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Description
There is an enormous unmet need for services, education, and outreach to improve women’s breast health. Healthcare systems and insurance systems vary widely around the world, and this may play an important role in understanding variability in women’s breast health knowledge and behavior globally. The goal of this study is

There is an enormous unmet need for services, education, and outreach to improve women’s breast health. Healthcare systems and insurance systems vary widely around the world, and this may play an important role in understanding variability in women’s breast health knowledge and behavior globally. The goal of this study is to determine how varying healthcare systems in three countries (Japan, Paraguay, US) affect a woman’s likelihood of seeing a physician in regard to their breasts. For example, Japan is a clear example of a region that provides universal health insurance to its citizens. The government takes responsibility in giving accessible and equitable healthcare to its entire population (Zhang & Oyama, 2016). On the other hand, a country such as Paraguay is composed of both public and private sectors. In order for citizens to gain insurance, one would have to either be formally employed or choose to pay out-of-pocket for hospital visits (“Paraguay”, 2017). A country such as the United States does not have universal health insurance. However, it does have a mix of public and private sectors, meaning there is little to no coverage for its citizens. To accommodate for this, the United States came up with the Affordable Care Act, which extends coverage to the uninsured. Although the United States might be a country that spends more on healthcare than any other nation, there are residents that still lack healthcare (De Lew, Greenberg & Kinchen, 1992). This study, then, compares women’s breast health knowledge and behavior in Japan, Paraguay, and the US. Other variables, which are also considered in this study, that might affect this include wealth level, education, having general awareness of breast cancer, having regular health checks, and having some breast education. Using statistical analysis of breast check rates of women in Japan, Paraguay, and the United States, this research found that women sampled in Asunción, Paraguay check their breasts more often than either women sampled from Scottsdale, U.S. or Osaka, Japan. It was also found that women sampled from Paraguay were more confident in detecting changes in their breast compared to women sampled from the Japan or the US. Finally, it was noted that women sampled from Japan were least likely to partake in seeing a doctor in concern of changes in their breasts compared to women sampled from the other two research locations. These findings have relevance for the implementation of advocacy and public education about breast health.
ContributorsKumar, Navneet Surjit (Co-author) / Kumar, Navneet (Co-author) / Wutich, Amber (Thesis director) / Brewis, Alexandra (Committee member) / School of Human Evolution & Social Change (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Description
On September 20, 2017, Hurricane Maria made landfall in Puerto Rico, triggering widespread catastrophic damage to the island. Aside from the extensive physical devastation that Hurricane Maria wielded, it also exacerbated larger underlying economic instabilities and public health challenges that the island has faced. Among these were compromised access to

On September 20, 2017, Hurricane Maria made landfall in Puerto Rico, triggering widespread catastrophic damage to the island. Aside from the extensive physical devastation that Hurricane Maria wielded, it also exacerbated larger underlying economic instabilities and public health challenges that the island has faced. Among these were compromised access to safe, clean drinking water and nutritious foods. While studies have primarily focused on the mortality count, health and food-behaviors post-Hurricane Maria have been rarely investigated. Documenting what Puerto Ricans drank following the natural disaster is necessary to identify changes in their consumption patterns as well as to understand how weather-related shocks influence these changes. The aim of this study was to examine sociodemographic factors associated with the consumption of sugar-sweetened beverages (SSBs) and fruit juice among a sample of Puerto Rican adults after Hurricane Maria. The data analyzed for this thesis project was derived from a larger, multi-year, academic research project known as the Global Ethnohydrology Study (GES). An improved understanding of SSB and fruit juice consumption patterns can inform effective public health interventions to reduce consumption across the island. Collecting valid, descriptive post-Hurricane Maria data would greatly help identify areas of public health need in addition to promote further studies on the risk factors to chronic diseases within the island’s context by comparing the health status situation before and after Hurricane Maria (Mattei et al., 2018). Thus, gaining insight into Puerto Ricans’ beverage consumption patterns in relation to sociodemographic and behavioral factors serves as a promising line of research with potential to help public health officials mitigate post-disaster situations and take clinically relevant action.
ContributorsLedesma, Daniela (Author) / Brewis, Alexandra (Thesis director) / Wutich, Amber (Committee member) / Dean, W.P. Carey School of Business (Contributor) / School of Human Evolution & Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Description
Research has been conducted analyzing factors that affect mental health in regions that suffer from water insecurity and water scarcity. Amber Wutich and Alexandra Brewis (2019) explain the effects that water scarcity has on mental health and how chronic worry can trigger depression, stress, anxiety and in extreme cases this

Research has been conducted analyzing factors that affect mental health in regions that suffer from water insecurity and water scarcity. Amber Wutich and Alexandra Brewis (2019) explain the effects that water scarcity has on mental health and how chronic worry can trigger depression, stress, anxiety and in extreme cases this can lead to suicidal thoughts. Bina Agarwal (2000) analyzes gender roles in relation to water insecurity where women express more signs of anxiety and worry due to the limited options they have when seeking water outside their household. There are limited studies done on water insecurity at a household level which limit an understanding of possible coping mechanisms along with additional factors that affect mental health. In this study, surveys are conducted in the city of San Juan Del Rio, Queretaro in Mexico where residents have been affected by massive flooding’s. Additionally, residents in Mexico not only suffer from water scarcity but also from poor water infrastructure, constant water outages, shortages, and contaminated water supply. Respondents answers (n=23) regarding the amount of worry, household size, being head of household, and gender was used to conduct paired sample statistical tests where associations were determined. Associations relating to the amount of worry resulted in the idea that residents in San Juan Del Rio because they consistently struggle with water shortages, have developed a coping strategy to deal with water outages and therefore, show fewer signs of worry when faced with a household water situation. In consideration, surveys conducted in surrounding towns and in a rural setting can provide additional information regarding how poverty is related to mental health and water scarcity along with a deeper understanding of possible coping strategies at a household level.
ContributorsRamirez Arellanes, Andrea (Author) / Wutich, Amber (Thesis director) / Brewis, Alexandra (Committee member) / School of Human Evolution & Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description

Background

The transition from the home to college is a phase in which emerging adults shift toward more unhealthy eating and physical activity patterns, higher body mass indices, thus increasing risk of overweight/obesity. Currently, little is understood about how changing friendship networks shape weight gain behaviors. This paper describes the

Background

The transition from the home to college is a phase in which emerging adults shift toward more unhealthy eating and physical activity patterns, higher body mass indices, thus increasing risk of overweight/obesity. Currently, little is understood about how changing friendship networks shape weight gain behaviors. This paper describes the recruitment, data collection, and data analytic protocols for the SPARC (Social impact of Physical Activity and nutRition in College) study, a longitudinal examination of the mechanisms by which friends and friendship networks influence nutrition and physical activity behaviors and weight gain in the transition to college life.

Methods

The SPARC study aims to follow 1450 university freshmen from a large university over an academic year, collecting data on multiple aspects of friends and friendship networks. Integrating multiple types of data related to student lives, ecological momentary assessments (EMAs) are administered via a cell phone application, devilSPARC. EMAs collected in four 1-week periods (a total of 4 EMA waves) are integrated with linked data from web-based surveys and anthropometric measurements conducted at four times points (for a total of eight data collection periods including EMAs, separated by ~1 month). University databases will provide student card data, allowing integration of both time-dated data on food purchasing, use of physical activity venues, and geographical information system (GIS) locations of these activities relative to other students in their social networks.

Discussion

Findings are intended to guide the development of more effective interventions to enhance behaviors among college students that protect against weight gain during college.

ContributorsBruening, Meg (Author) / Ohri-Vachaspati, Punam (Author) / Brewis, Alexandra (Author) / Laska, Melissa (Author) / Todd, Michael (Author) / Hruschka, Daniel (Author) / Schaefer, David (Author) / Whisner, Corrie M (Author) / Dunton, Genevieve (Author)
Created2016-08-30
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Description

The impact of undergraduate research experiences (UREs) is supported by evidence from physical and life science fields, especially when student-apprentices work in traditional laboratories. Within social sciences specifically, some excellent student outcomes associated with UREs adhere to non–lab-based modalities like course-based research experiences (CUREs). Here, the authors evaluate the laboratory-based undergraduate research experiences (LUREs) as a potentially valuable

The impact of undergraduate research experiences (UREs) is supported by evidence from physical and life science fields, especially when student-apprentices work in traditional laboratories. Within social sciences specifically, some excellent student outcomes associated with UREs adhere to non–lab-based modalities like course-based research experiences (CUREs). Here, the authors evaluate the laboratory-based undergraduate research experiences (LUREs) as a potentially valuable approach for incorporating social science undergraduates in research. Using comparative analysis of survey data from students completing three types of social science-based UREs (n = 235), individual research experiences (IREs), CUREs, or LUREs, students perceived gains overall regardless of the type of experience, with some indication that LUREs are the most effective.

ContributorsRuth, Alissa (Author) / Brewis, Alexandra (Author) / Beresford, Melissa (Author) / Smith, Michael E. (Author) / Stojanowski, Christopher (Author) / Wutich, Amber (Author)
Created2023-11-13
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Description

U.S. border colonias, otherwise known as Disadvantaged Unincorporated Communities, are rural settlements along the U.S. Mexico border with substandard housing conditions. Colonia residents often face inadequate access to necessities such as appropriate shelter, septic and sewer systems, and potable water. Water insecurity in colonias poses a particularly difficult challenge for

U.S. border colonias, otherwise known as Disadvantaged Unincorporated Communities, are rural settlements along the U.S. Mexico border with substandard housing conditions. Colonia residents often face inadequate access to necessities such as appropriate shelter, septic and sewer systems, and potable water. Water insecurity in colonias poses a particularly difficult challenge for residents who require clean water not only for consumption, but also household use in sanitation and hygienic practices. As of 2015, an estimated 30% of over five million US colonia residents lack access to clean drinking water, resulting in health complications and unsanitary living conditions. Preliminary health data collected indicates that due to water insecurity, colonia residents are more likely to contract gastrointestinal disease, be exposed to carcinogenic compounds from contaminated water, and experience psychosocial distress. Yet more comprehensive research needs to be conducted to understand the full breadth of the public health issue. A scoping review on water insecurity in colonias has not been completed before and could be beneficial in informing policymakers and other stakeholders on the severity of the situation while advising possible solutions.

ContributorsZheng, Madeleine (Author) / Wutich, Amber (Thesis director) / Brewis, Alexandra (Committee member) / Kavouras, Stavros (Committee member) / Barrett, The Honors College (Contributor) / School of Molecular Sciences (Contributor) / School of International Letters and Cultures (Contributor)
Created2021-12
Food Assistance Program Participation among US Household during COVID-19 Pandemic
Description

In the face of the coronavirus (COVID-19) pandemic, food assistance programs adapted quickly and in unprecedented ways to meet the challenges of high unemployment, disruptions in the food supply, and school closures. Supported by US Department of Agriculture’s COVID-19 program-specific waivers, some programs relaxed their eligibility criteria, while others improvised

In the face of the coronavirus (COVID-19) pandemic, food assistance programs adapted quickly and in unprecedented ways to meet the challenges of high unemployment, disruptions in the food supply, and school closures. Supported by US Department of Agriculture’s COVID-19 program-specific waivers, some programs relaxed their eligibility criteria, while others improvised on delivery modalities or temporarily increased benefits.1 To examine food assistance program participation and participant experiences during the first few months of the pandemic, we collected online survey data in July 2020 from a sample of over 1,500 U.S. households, representative of the US population. This brief summarizes participation in key food assistance programs, namely, the Supplemental Nutrition Assistance Program (SNAP), the Special Supplemental Program for Women Infants and Children (WIC), School Food Programs, as well as emergency food assistance provided through Food Pantries

Created2020-11
Description
Women in developing countries suffer greatly when they are menstruating. With a lack of education provided and a lack of resources, they are unable to get the care they truly need. This makes them more vulnerable to developing easily preventable diseases. In areas of India, it is extremely difficult to gain access to

Women in developing countries suffer greatly when they are menstruating. With a lack of education provided and a lack of resources, they are unable to get the care they truly need. This makes them more vulnerable to developing easily preventable diseases. In areas of India, it is extremely difficult to gain access to safe water that ensures a woman’s hygiene is adequate. Through the Culture, Health, and Environmental Lab (CHElab) in the School of Human Evolution and Social Change at Arizona State University, researchers were able to conduct face-to-face interviews in Pakistan, India, and Bangladesh. The women who took part in the study described their experience regarding water insecurity and limited resources as “humiliating and deeply distressing” (CHEl, 2021). Cultural and environmental factors are key in analyzing the true difficulties the women are experiencing with inadequate water and menstruation products. The cultural factors that have been highlighted are age, religion, and the family which they live with. Specifically relating to water insecurity, the focus is on where they get the water from and what difficulties they face. By analyzing the data provided for the women in India, it is imperative to understand their difficulties.
ContributorsNaik, Yashvi (Author) / Brewis, Alexandra (Thesis director) / Choudhary, Neetu (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor) / Dean, W.P. Carey School of Business (Contributor)
Created2024-05
Description

En la zona metropolitana de Phoenix, el calor urbano está afectando la salud, la seguridad y la economía y se espera que estos impactos empeoren con el tiempo. Se prevé que el número de días por encima de 110˚F aumentará más del doble para el 2060. En mayo de 2017,

En la zona metropolitana de Phoenix, el calor urbano está afectando la salud, la seguridad y la economía y se espera que estos impactos empeoren con el tiempo. Se prevé que el número de días por encima de 110˚F aumentará más del doble para el 2060. En mayo de 2017, The Nature Conservancy, el Departamento de Salud Pública del condado de Maricopa, Central Arizona Conservation Alliance, la Red de Investigación en Sostenibilidad sobre la Resiliencia Urbana a Eventos Extremos, el Centro de Investigación del Clima Urbano de Arizona State University y el Center for Whole Communities lanzaron un proceso participativo de planificación de acciones contra el calor para identificar tanto estrategias de mitigación como de adaptación a fin de reducir directamente el calor y mejorar la capacidad de los residentes para lidiar con el calor. Las organizaciones comunitarias con relaciones existentes en tres vecindarios seleccionados para la planificación de acciones contra el calor se unieron más tarde al equipo del proyecto: Phoenix Revitalization Corporation, RAILMesa y Puente Movement. Más allá de construir un plan de acción comunitario contra el calor y completar proyectos de demostración, este proceso participativo fue diseñado para desarrollar conciencia, iniciativa y cohesión social en las comunidades subrepresentadas. Asimismo el proceso de planificación de acciones contra el calor fue diseñado para servir como modelo para esfuerzos futuros de resiliencia al calor y crear una visión local, contextual y culturalmente apropiada de un futuro más seguro y saludable. El método iterativo de planificación y participación utilizado por el equipo del proyecto fortaleció las relaciones dentro y entre los vecindarios, las organizaciones comunitarias, los responsables de la toma de decisiones y el equipo núcleo, y combinó la sabiduría de la narración de historias y la evidencia científica para comprender mejor los desafíos actuales y futuros que enfrentan los residentes durante eventos de calor extremo. Como resultado de tres talleres en cada comunidad, los residentes presentaron ideas que quieren ver implementadas para aumentar su comodidad y seguridad térmica durante los días de calor extremo.

Como se muestra a continuación, las ideas de los residentes se interceptaron en torno a conceptos similares, pero las soluciones específicas variaron entre los vecindarios. Por ejemplo, a todos los vecindarios les gustaría agregar sombra a sus corredores peatonales, pero variaron las preferencias para la ubicación de las mejoras para dar sombra. Algunos vecindarios priorizaron las rutas de transporte público, otros priorizaron las rutas utilizadas por los niños en su camino a la escuela y otros quieren paradas de descanso con sombra en lugares clave. Surgieron cuatro temas estratégicos generales en los tres vecindarios: promover y educar; mejorar la comodidad/capacidad de afrontamiento; mejorar la seguridad; fortalecer la capacidad. Estos temas señalan que existen serios desafíos de seguridad contra el calor en la vida diaria de los residentes y que la comunidad, los negocios y los sectores responsables de la toma de decisión deben abordar esos desafíos.

Los elementos del plan de acción contra el calor están diseñados para incorporarse a otros esfuerzos para aliviar el calor, crear ciudades resilientes al clima y brindar salud y seguridad pública. Los socios de implementación del plan de acción contra el calor provienen de la región de la zona metropolitana de Phoenix, y se brindan recomendaciones para apoyar la transformación a una ciudad más fresca.

Para ampliar la escala de este enfoque, los miembros del equipo del proyecto recomiendan a) compromiso continuo e inversiones en estos vecindarios para implementar el cambio señalado como vital por los residentes, b) repetir el proceso de planificación de acción contra el calor con líderes comunitarios en otros vecindarios, y c) trabajar con las ciudades, los planificadores urbanos y otras partes interesadas para institucionalizar este proceso, apoyando las políticas y el uso de las métricas propuestas para crear comunidades más frescas.

ContributorsMesserschmidt, Maggie (Contributor) / Guardaro, Melissa (Contributor) / White, Jessica R. (Contributor) / Berisha, Vjollca (Contributor) / Hondula, David M. (Contributor) / Feagan, Mathieu (Contributor) / Grimm, Nancy (Contributor) / Beule, Stacie (Contributor) / Perea, Masavi (Contributor) / Ramirez, Maricruz (Contributor) / Olivas, Eva (Contributor) / Bueno, Jessica (Contributor) / Crummey, David (Contributor) / Winkle, Ryan (Contributor) / Rothballer, Kristin (Contributor) / Mocine-McQueen, Julian (Contributor) / Maurer, Maria (Artist) / Coseo, Paul (Artist) / Crank, Peter J (Designer) / Broadbent, Ashley (Designer) / McCauley, Lisa (Designer) / Nature's Cooling Systems Project (Contributor) / Nature Conservancy (U.S.) (Contributor) / Phoenix Revitalization Corporation (Contributor) / Puente Movement (Contributor) / Maricopa County (Ariz.). Department of Public Health (Contributor) / Central Arizona Conservation Alliance (Contributor) / Arizona State University. Urban Climate Research Center (Contributor) / Arizona State University. Urban Resilience to Extremes Sustainability Research Network (Contributor) / Center for Whole Communities (Contributor) / RAILmesa (Contributor) / Vitalyst Health Foundation (Funder)
Created2022