Matching Items (13)
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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
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
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Description
The 2017 Atlantic hurricane season is considered as one of the costliest in U.S. history. In the case of the archipelago of Puerto Rico, 3.2 million people were without energy, approximately a third of the residents were without municipal water services, houses and larger infrastructures were severely damaged among other

The 2017 Atlantic hurricane season is considered as one of the costliest in U.S. history. In the case of the archipelago of Puerto Rico, 3.2 million people were without energy, approximately a third of the residents were without municipal water services, houses and larger infrastructures were severely damaged among other challenges. While both the local and federal government have been highlighted to be inefficient to meet resident’s needs, the people took the streets to assist family, neighbors as well as to collaborate with non-profits and faith-based groups. These organizational efforts allowed the supply of water, food, clothes, and emotional support in areas with the most needs. In light of this knowledge, this dissertation focuses on two main areas: (1) communities’ capacities to absorb and adapt in the wake of a disaster (2) how households addressed large-scale water infrastructure failure. I investigate resilience in the communities of Corcovada, Anasco and Mariana, Humacao, and water insecurity in the municipalities of Anasco, Rincon, and Mayaguez. I do this through a mixed-methods approach including semi-structured interviews, participant observations, and an open-ended structured protocol with egocentric network elicitation. I engage with the literature on social capital, water sharing, social networks in disaster context, autogestion (self-management) and informality to examine the dynamics occurring in response and recovery efforts. The three sub-study mixed-method dissertation examines: 1) how social capital in low-income communities can support resilience, 2) the role of social networks and water sharing to cope with water insecurity in the wake of Hurricane Maria, 3) autogestion (self-management) at the household and community level and how does it fit with both the larger political economic dynamics in the archipelago as well as the post-disaster context. The results have theoretical and practical implications for future hurricane planning in Puerto Rico and for other sites at high disaster risk around the world.
ContributorsRoque, Anais Delilah (Author) / Wutich, Amber (Thesis advisor) / Jepson, Wendy (Thesis advisor) / Brewis, Alexandra (Committee member) / Arizona State University (Publisher)
Created2021
Food insecurity and food assistance program participation in the U.S.: One year into the COVID-19 pandemic
Description

Beginning in March 2020, the COVID-19 pandemic triggered a sudden and severe economic downturn and led to disruptions in domestic and international food systems and supply chains. Over the first few months of the pandemic, in the United States, many stores had empty shelves, bars and restaurants closed, and children

Beginning in March 2020, the COVID-19 pandemic triggered a sudden and severe economic downturn and led to disruptions in domestic and international food systems and supply chains. Over the first few months of the pandemic, in the United States, many stores had empty shelves, bars and restaurants closed, and children could no longer go to school. The unemployment rate increased from 3.5% in February 2020 to 14.8% in April 2020, leading to economic instability for many households. As a result, household food insecurity, defined as having limited or inconsistent access to nutritious and affordable food, increased rapidly.

During the first months of 2021, vaccinations began rolling out, more individuals returned to in-person work, children to schools, and restrictions were gradually phased out. Unemployment has decreased since the April 2020 peak to 5.4% in July 2021, but remains above pre-pandemic levels. This brief describes the prevalence of household food insecurity, job disruptions, and food-related behaviors as reported by a nationally representative sample of 1,643 U.S. adults, both in the year prior to the COVID-19 pandemic (March 2019 – March 2020) and during the first four months of 2021 (January – April 2021), a period representing approximately one year since the onset of the pandemic.

Created2021-08