Department of Physiological & Technological Nursing
http://hdl.handle.net/10675.2/875
2024-03-26T02:41:21ZAssociations Between Social Determinants of Health and Net Stress
http://hdl.handle.net/10675.2/624130
Associations Between Social Determinants of Health and Net Stress
Lassiter, Debbie Jo
Stress is known to cause dire physical and mental health outcomes. Extant stress research has lacked a subjective rapid screening tool for further evaluation of high risk individuals. Net stress is a new construct developed in this study as the calculation of an individual’s perceived average stress level compared with their perceived healthy stress level. Measuring net stress provides an additional construct to identify health disparities among individuals at potential risk for mental and physical illness. The two aims were first to develop the net stress construct and secondly to examine and evaluate the relationships between net stress and Social Determinants of Health (SDoH) domain variables from the 2018 Stress in AmericaTM survey developed by APA and The Harris Poll survey and analytics group. The five SDoH domains developed by Healthy People 2020 were Neighborhood and Built Environment, Health and Health Care, Social and Community Context, Education, and Economic Stability. The methods included an exploratory, secondary analysis which included multiple regression to test whether net stress would respond predictably as a valid, new construct within the sample from the survey (N = 3,091). Net stress was regressed on the groups of variables for each domain, then on a model with all variables to determine if there were substantial differences in how net stress responded. Conclusions for this study were that four of the five domains, excepting Education, had substantial associations (0.25 standard deviation) with net stress. Using slightly less restrictive criteria, net stress was associated with variables from all five SDoH domains. Results were that net stress responded as a valid, new construct within this analysis. This study found that individuals with the following circumstances had substantially higher net stress levels: larger household size up to eight residents, single parent family structure, having no insurance, having a low perceived health level, being of bisexual orientation, being female, and having low household income. The Economic Stability domain impacted all other domains. Implications for future research, healthcare practice, nursing theory, and policy were discussed.
2021-12-01T00:00:00ZBelief in Research, Religious Coping, and Willingness to Participate in Clinical Trials among African Americans with Hematologic Malignancies
http://hdl.handle.net/10675.2/624129
Belief in Research, Religious Coping, and Willingness to Participate in Clinical Trials among African Americans with Hematologic Malignancies
Petty, Marjorie Elizabeth
African Americans (AAs) are disproportionately affected by certain types of hematologic malignancies. Despite the efforts of investigators, AAs with hematologic malignancies remain grossly underrepresented in cancer clinical trials. Few studies have evaluated the underrepresentation of this subgroup of patients in the context of their willingness to participate in clinical trials. Yet, willingness to participate in cancer clinical trials among AAs with solid tumors is well documented. The aims of the present study were to determine if a relationship exists between belief in research and willingness to participate in clinical trials and determine if religious coping moderates the relationship between belief in research and willingness to participate in clinical trials. To address the aims, data on religious coping were captured at one time-point using the validated Brief RCOPE scale and also using researcher-generated questions that addressed beliefs associated with research and willingness to participate in cancer clinical trials. The results reported here show there was no statistical difference between belief in research and willingness to participate in clinical trials, and religious coping did not moderate the effect of belief in research on willingness to participate in clinical trials. Statistically significant differences were found between education and belief in research. Participants with less than a high school education had lower belief in research scores than those with some college education, who showed higher belief in research scores. These findings provide preliminary results that suggest future studies are warranted in the study of AAs' beliefs in research. Such studies may contribute to the development of educational interventions to improve the recruitment of AAs with hematologic malignancies into the therapeutic clinical trials for these diseases, with a particular emphasis on educational interventions for those AAs with less than high school education. The study highlights the need for researchers to develop tailored educational approaches on cancer clinical trials for AAs with less than high school education. Such considerations may improve patients’ decision-making and access to novel therapies that could benefit the individual and others. Furthermore, researchers need to assess religious coping methods and develop tailored religious coping strategies that can be implemented into the clinical setting for AAs with hematologic malignancies. Tailored religious coping strategies could improve patient wellness and minimize the consequences of maladaptive religious coping (Pargament et al., 2011) among AAs with hematologic malignancies.
Keywords: African American, hematologic malignancies, cancer clinical trial
2021-12-01T00:00:00ZSocial Determinants of Health Associated with Parental Hesitancy and Teen Human Papillomavirus Immunization
http://hdl.handle.net/10675.2/624114
Social Determinants of Health Associated with Parental Hesitancy and Teen Human Papillomavirus Immunization
Lee, Seth
Background: Human Papillomavirus (HPV) is the most prevalent sexually transmitted
infection in the United States. HPV-preventive vaccination of teens may be blocked by
parental hesitancy, related to negative social determinants of health in the community.
Parental hesitancy is one of the most significant barriers to increasing teen HPV vaccine
uptake. Aims: The first aim was to determine associations among social determinants of
health domain variables and parent-reported vaccine hesitancy of HPV immunization.
The second aim was to determine the model that best explains how social determinants
of health affect parental vaccine hesitancy of HPV immunization for each of the five
reasons not to vaccinate. Methods: This quantitative retrospective study used logistic
regression to examine relationships among parent-reported reasons not to vaccinate
teens and selected social determinants of health variables utilizing the Centers for
Disease Control and Prevention National Immunization Survey-Teen 2018. Variable
selection was guided by the Social Determinants of Health Framework, categorized into
five key domains: economic stability, education, social and community context, health
and healthcare, and neighborhood and built environment (N = 7480). Results: Bivariate
associations emerged across reasons not to vaccinate; the most frequent associations
included variables such as the education level of a teen's mother and language of the
survey interview. Models from multivariable regression with backward elimination
indicated that key issues within the domains of education, health and healthcare, and
social and community context were associated with parental hesitancy of HPV
immunization. Conclusion: Stakeholders should focus on key issues within the domains
of education, health and healthcare, and social and community context when designing policy and providing HPV immunization to teens. Taken holistically, key issues within the
domains of education, health and healthcare, and social and community context are
more likely to lead to vaccine hesitancy based on the findings in this study and require
an approach tailored to the needs of the community and its residents. More research is
needed to verify these results.
This record is embargoed until 06/24/2022.
2021-08-01T00:00:00ZCassandra Radical Feminist Nurses Network: Feminism, Nursing, and a History for the Present
http://hdl.handle.net/10675.2/623716
Cassandra Radical Feminist Nurses Network: Feminism, Nursing, and a History for the Present
Dillard-Wright, Jessica Susan
As the last light of the Equal Rights Amendment (ERA) faded in 1982, a group of radical feminist nurses coalesced around their shared outrage at nursing’s disciplinary failure to engage deeply with feminist causes. The 1982 American Nurses Convention coincided with this last gasp of the ERA, held in a hotel in Washington, D.C. where thousands of nurses, overwhelmingly women, converged for professional development and camaraderie. And although the city outside the hotel roiled in protest, the Convention unfurled with nary a mention of the constitutional amendment that would secure legal equality irrespective of gender. Incensed by this omission, and with nursing’s general resistance to political engagement, these radical nurses descended on the hotel bar and began organizing what would become Cassandra Radical Feminist Nurses Network. Cassandra Radical Feminist Nurses Network (“CASSANDRA” hereafter, in the convention established by the organization in their Newsjournal) was an activist network active from 1982 until 1991. This study used historical research methods to document CASSANDRA’s legacy while unpacking the complex interrelationship between nursing and feminism. This includes examining the influences of race, gender, and sexuality, influences that shapes normative understandings of nursing from its Victorian origins to the present. CASSANDRA was unusual in its overt affiliation as a nurses’ organization with a radical feminist allegiance during an era when feminism and nursing were frequently at odds. As a decentralized, radical feminist “web,” the aim of CASSANDRA was to “create and develop a group that would truly provide an open forum for feminist nurses from all walks of life and how to avoid the usual male-oriented hierarchy and rigidity of most national organizations” (LaGodna, 1982, p. 1). In unfurling the nuances of gender and sexuality that CASSANDRA navigated, it is clear that the work of CASSANDRA envisioned a radical space for collective resistance and connection, reflecting the normative expectations in nursing that stemmed from nursing’s Victorian imaginary. Even while CASSANDRA’s work around gender and sexuality was bold and transgressive, their engagement with race was poorly articulated. Because of this, the organization’s work reinforced white normativity. Ultimately, like mythological Cassandra, CASSNADRA would eventually quiet to a whisper. What understanding the thrums of CASSANDRA, of nursing’s rich and complex history can do is provide a clear view of nursing’s disciplinary history. This is a fundamental prerequisite for a more just, equitable nursing future.
Record is embargoed until 12/31/2025
2020-12-01T00:00:00Z