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  • 1. McGaughey, Anthony Muscle-Strengthening Exercise and Sleep Among a Sample of College Aged Students

    Doctor of Philosophy, Miami University, 2024, Educational Leadership

    Physical activity, such as muscle-strengthening, and sleep are important health behaviors. Yet many Americans do not meet recommendations for either. Additional research is needed to understand the relationship between muscle-strengthening and sleep. While research has examined the intention behavior gap for sleep behaviors and muscle-strengthening behaviors independently, rarely are they examined together. The Reasoned Action Approach (RAA) is applied more often to physical activity than to muscle-strengthening, and additional research is needed to examine the intention-behavior gap for muscle-strengthening specifically. This study uses The RAA as its theoretical foundation to explore the relationship between muscle-strengthening exercise and sleep in a sample of college aged students. Three hundred fifty-three students participated in this study. A logistic regression analysis was performed to investigate the effects of muscle-strengthening intention (independent variable: 3 dimensions, collapsed into a single metric) on the likelihood of meeting muscle-strengthening guidelines (7 muscle groups twice weekly/ binary response variable). As theorized in the RAA, Perceived Behavioral Control (PBC) for muscle-strengthening will be considered as a moderator variable in the analysis. A chi-square was used to compare meeting muscle-strengthening guidelines and meeting sleep recommendations. This study found in model 1 that intentions accounts for 18.7% of the variance of meeting muscle-strengthening guidelines. In model 2, neither gender (p = .470), PBC (p = .687), nor the interaction effect of PBC x intentions (p = .911) were statistically significant. Thus, no moderation effects were observed. Additionally, this study found no significant differences in meeting muscle-strengthening guidelines between people who meet sleep recommendations and people who do not meet sleep recommendations. This research expands the literature on the RAA and muscle-strengthening by examinin (open full item for complete abstract)

    Committee: Sherrill Sellers (Advisor); William Boone (Committee Member); Darrell Davis (Committee Member); Sherrill Sellers (Advisor); Helaine Alessio (Committee Member) Subjects: Health; Health Education; Public Health; Public Health Education
  • 2. Aaron, Heather Lead Poisoning in Children: A Preventable Disease

    Ed.D., Antioch University, 2024, Education

    Children lead poisoning disease causes irreversible neurological damage in children (Centers for Disease Control and Prevention [CDC], 2022). The effects are lifelong for the children poisoned and their families. A major cause of childhood lead poisoning is the ingestion of peeling paint in old homes. Leaded paint was banned by the federal government in 1978 (Mayo Clinic, 2022). Leaded paint is mostly found in dwellings constructed before 1978. The purpose of this study is to identify barriers, social justice parameters, and solutions to and for the eradication of childhood lead poisoning in Connecticut. The methodology used was a qualitative interview design with a cross section of professionals working in the community in Connecticut. Key findings were the lack of education on childhood lead poisoning in community and the lack of state and federal enforcement to landlords and property owners for requiring remediation. The implication of this research is far reaching in bringing the knowledge of the impact of lead poisoning to the community. The data will allow for advocacy, accountability, and transparency in the delivery of services for children who are being poisoned in environments they cannot control. This dissertation is available in open access at AURA (https://aura.antioch.edu) and Ohio LINK ETD Center (https://etd.ohiolink.edu).

    Committee: Gary Delanoeye Ed.D. (Committee Chair); Lesley Jackson Ph.D. (Committee Member); Emiliano Gonzalez Ph.D. (Committee Member) Subjects: Environmental Health; Environmental Justice; Health; Health Education; Public Health; Public Health Education; Public Policy
  • 3. Wilson, Samantha Medical Sexism and the Effect on Female Cardiology

    Doctor of Education , University of Dayton, 2024, Educational Administration

    Cardiovascular disease continues to be the number one killer of women in America, yet barriers to lifesaving healthcare increase (Centers for Disease Control and Prevention, 2022). Incidence of sexism in medicine proves to be a leading cause of these barriers including underrepresentation of female patients in crucial research studies, lack of understanding and education of female specific cardiac symptoms, and the underutilization of advanced diagnostic imaging tests for female patients who could produce suboptimal results in lesser diagnostic testing causing misdiagnosis. Feminist critical theories were used to challenge the gender gap within the medical field and research along with the communities of practice theory, showing how embedded sexism to the medical field creates an unconscious social learning upholding norms. Practical action research was used to conduct this study due to the direct connection between testing and diagnosis of patients, having the potential to make an impact on patient care on a larger scale. Research was conducted utilizing HIPAA compliant cardiology patient data obtained to observe the ordering patterns of physicians within cardiology practices. An anonymous Physicians' Knowledge of PET Eligibility and Symptoms for Female Patients scale survey was used to collect data from practicing cardiologists to view opinions, attitudes, and education around female specific cardiac symptoms. This data was analyzed using Chi-square tests to understand the relationship between various factors such as qualifying ICD-10 (diagnosis) codes, sex of the patient, and qualification for a cardiac PET scan. The results show that there was no significant relationship between sex and if the patient qualified for a cardiac PET scan, showing that physicians have a lack of understanding of the incredible benefits of cardiac PET for female patients, who are exceptional candidates for PET due to attenuation artifacts. Results also show a positive statistical rela (open full item for complete abstract)

    Committee: Meredith Wronowski (Committee Chair) Subjects: Gender; Gender Studies; Health; Health Care; Health Care Management; Health Education; Health Sciences; Medical Ethics; Medical Imaging; Medicine; Public Health; Public Health Education
  • 4. Marsh, Zachary Exploring Human Immunodeficiency Virus (HIV) Stigma in Men Who Have Sex With Men (MSM) From a Critical Perspective

    Masters of Science in Kinesiology and Health, Miami University, 2024, Kinesiology, Nutrition, and Health

    The purpose of this study was to determine themes on the experiences and insights of Human Immunodeficiency Virus (HIV) stigma and queer stigma in men who have sex with men (MSM) aged 18-35 in a Freirean problem-posing education approach through a focus group. This project used a qualitative descriptive approach in thematic analysis. This study involved a focus group using Freirean education methods of coding, naming, and praxis to help the participants achieve critical consciousness and self-actualization on how to combat HIV stigma in their personal lives, and help those around them, as well as the greater MSM community. The transcript was coded via Dedoose qualitative software and underwent thematic analysis to get a better understanding of the research question. Based on previous research done on critical pedagogy and community capacity building in public health, it is expected that utilizing critical approaches more in public health on health behaviors and outcomes that involve systemic processes such as stigma can be empowering and effective in health education and promotion on a wide range of issues.

    Committee: Paul Branscum (Advisor); Darren Cosgrove (Committee Member); Kyle Timmerman (Committee Member); Brandy Reeves-Doyle (Committee Member) Subjects: Gender Studies; Health; Health Education; Public Health; Public Health Education
  • 5. Onyenaka, Adaola Enhancing Patient Equity for Pediatric Patients in the Emergency Department

    Doctor of Healthcare Administration (D.H.A.), Franklin University, 2024, Health Programs

    The United States pediatric population is unique in that the epidemiological trends differ from those seen in the adult population. When discussing the pediatric emergency department (ED), this is typically a setting with high patient flow which requires swift diagnoses and treatment. Ideally, all patients should have equal opportunity to receive their highest possible level of quality healthcare, regardless of social determinants of health (SDOH) such as patient race/ethnic background, preferred spoken language, socioeconomic status, and insurance status. This is essentially the concept of health equity. The goal is to provide responsible and ethical healthcare to patients. If healthcare delivery is disproportionate, this may result in the overcrowding of EDs, delays in patient care, economic burden on the healthcare system, and increased morbidity and mortality. Some scholars have claimed that both individual and systemic biases have resulted in inequitable healthcare delivery. The following research study investigated health equity in the United States pediatric ED via the following question: What government and organizational policy changes can be made to enhance ED pediatric patient equity by utilizing first-hand information from ED physicians? The selected methodology for this research was qualitative and utilized in-depth semi-structured interviews of 15 pediatric ED physicians via Franklin University's Zoom platform. ATLAS.ti software was used to assist in identifying key themes and sub-themes from the code transcriptions.

    Committee: David Meckstroth (Committee Chair); Karen Lankisch (Committee Member); John Suozzi (Committee Member) Subjects: Epidemiology; Ethics; Gender Studies; Health; Health Care; Health Care Management; Language; Literacy; Medical Ethics; Medical Imaging; Medicine; Mental Health; Native American Studies; Public Health; Public Health Education
  • 6. Reymore, Erica Examining the use of periodization within mental skills training

    Master of Science, Miami University, 2024, Sport Leadership and Management

    Periodization is an effective training strategy commonly implemented in physical training to help promote the likelihood of achieving peak performance (Bompa, 1999; Bompa & Buzzichelli, 2015). Periodization can be applied to mental skills training to further help maximize one's potential. The research for understanding if periodization is being applied to mental skills training is limited. Thus, the goal of the current study was to explore the use of periodization amongst current mental performance consultants. To do so, participants (n = 105) completed a survey at one time point that asked about their understanding of periodization and if they applied periodization to their mental skills training. Additionally, the survey asked about their education and if they were a Certified Mental Performance Consultant (CMPC). Chi-square goodness-of-fit tests and qualitative methods indicated that education and CMPC status are associated with participants' use of periodization.

    Committee: Christine Pacewicz (Advisor); Jordan Goffena (Committee Member); Robin Vealey (Committee Member) Subjects: Educational Psychology; Kinesiology; Psychology; Public Health Education; Sports Management
  • 7. Sall, Houley Examining Health Differences among Immigrant Children Currently in Foster Care Compared to Non-immigrant Children in Foster Care and Non-immigrant Children Never in Foster Care

    MPH, University of Cincinnati, 2024, Medicine: Global Health

    Background: This thesis examines the health differences experienced by immigrant youth in foster care by comparing them to non-immigrant youth in foster care and non-immigrant youth who have never been in foster care. The introduction gives a lot of contexts while drawing attention to the complicated relationships among immigrant status, health outcomes, and foster care experience. The purpose of this study is to examine these connections and find possible explanations for the observed variations in health outcomes, recognizing the significance of these dynamics. Methods: Descriptive and bivariate statistical methods such as chi-square and Fisher's exact tests are used to conduct a comprehensive comparison analysis. Multiple health indicators were statistically evaluated in this study using this analytical approach. These indicators included rates of sexually transmitted infections (STIs), physical and sexual abuse, mental health disorders, chronic diseases, substance use, and pregnancy. The study included three cohorts. Using this strategy, the health outcomes of immigrant and non-immigrant foster children were compared. Results: Multiple statistical analyses, including chi-square and Fisher's exact tests, confirmed a statistically significant difference among the health indicators of the three cohorts analyzed in the study. Compared to their non-immigrant counterparts, immigrant children in foster care were more likely to experience mental health concerns, substance use, chronic conditions, physical and sexual abuse, STIs, and pregnancy. Immigrant children in foster care face distinct challenges and dangers, as shown by the results. In general, the most favorable results were seen in children who were neither immigrants nor foster children. Discussion: Observed health inequalities faced by immigrant children in foster care are likely the result of social, economic, and environmental elements that influence health equity. Immigrant children in (open full item for complete abstract)

    Committee: Sarah Beal Ph.D. (Committee Member); Michelle Burbage Ph.D. (Committee Chair) Subjects: Public Health Education
  • 8. Hicks, Catherine Mutual Thriving and Liberal Individualism: Prolegomena to an Ecofeminist Cookbook for Ethical Human Enhancement

    Master of Arts, The Ohio State University, 2024, Bioethics

    As technologies are developed and implemented at increasingly faster rates, an ethical assessment of human enhancement theory is warranted for the creation and efficacy of public health policy and medical practices. I will begin this assessment with a critique of one popular approach to ethical enhancement through the work of Allen Buchanan, who advocates for an ethics of development based on distributive justice, then I offer an ecofeminist ethics of care as an alternative way forward for the field of healthcare. At the root of an ethics of care is the concept of the human as a socially and ecologically embedded being, with shared dependencies and vulnerabilities. I will explore the implications of such a framing of humanity for the enhancement debate through the works of Chris J. Cuomo and Val Plumwood, then examine in vitro fertilization as a case study for the applicability of ecofeminist theory. In the end, I argue for a collaborative pursuit, despite the differences between these ethical methods, and call for further research in applying an ethics of care in the clinical enhancement setting.

    Committee: Martin Fitzgerald (Committee Chair); Donal O'Mathuna (Committee Member); Dana Howard (Committee Member) Subjects: Biomedical Research; Ethics; Health; Health Care; Medical Ethics; Medicine; Philosophy; Public Health; Public Health Education; Public Policy
  • 9. McMullen, Cindy Women Doctoral Students' Experience: A Mixed-Method Approach

    Doctor of Education , University of Dayton, 2024, Educational Administration

    Women face unique challenges in pursuing a doctorate, with potential barriers including Imposter Phenomenon (IP) and Multidimensional Perfectionism (MP). Intersectionality can intensify these feelings for Women of Color. Additionally, societal and organizational barriers hinder women's advancement to leadership roles, perpetuating stereotypes and microaggressions. This mixed-method action research aims to explore the experiences of female doctoral students through interviews and surveys, examining the impact of IP and MP on their performance and attitude through the lens of social constructionism. Many women face significant psychological obstacles that create invisible barriers to achieving their full potential. Mentoring can help reduce these issues and create a more productive environment.

    Committee: Clair Liddon (Committee Chair) Subjects: Adult Education; Behavioral Psychology; Gender; Higher Education; Public Health Education
  • 10. White, André The Underground Railroad Critical Race Theory, Oppression, and the Fight for Equitable Treatment in the North Carolina Healthcare System: A Critical Phenomenological Study

    Doctor of Education , University of Dayton, 2023, Educational Administration

    This study was a qualitative participatory action research study that focused on the lived experiences of Black women who received prenatal care and gave birth in the state of North Carolina. The study was meant to investigate and address the racism and implicit biases these women experienced from the medical community they encountered, and the often-unintended consequences of those actions and mindsets. A cohort of Black women who received prenatal care and gave birth in the state of North Carolina was assembled to help provide qualitative data for the study through sharing their lived experiences. The women were interviewed using a peer-to-peer method. The Aaron J. White Foundation (AJWF), a Black owned, 501c(3) non-profit organization, will use this study to help create a comprehensive action plan to offer healthcare and healthy living education and resources to Black women and other marginalized communities in North Carolina. This study will add to the existing body of knowledge and offer replicability to like-minded researchers with similar capacity and resources.

    Committee: Aaliyah Baker (Committee Chair); Alicia Hatcher (Committee Member); Mary Ziskin (Committee Member) Subjects: Gender; Gender Studies; Health Education; History; Public Health; Public Health Education; Science Education; World History
  • 11. Johnson, Christen The MONROE Method: A Methodology on Navigating Race, Oppression, and Equity in Medical Education through Physician Cultural Responsibility

    Ed.D., Antioch University, 2023, Education

    Many forms of oppression create barriers for health care, further health disparities, and impact the wellness of physicians. As health disparities, caused by the social determinants of health, complicate the practice of medicine, physicians' risk of burnout increases. The practice of Physician Cultural Responsibility provides a means to overcome health disparities and support physicians while embracing the intersectionality of the populations they serve. Incorporation of Physician Cultural Responsibility into physician professional identity is essential for the practice to be life-long. As there is no standardized curriculum to address teaching the practice of Physician Cultural Responsibility, this study aims to evaluate a proposed curriculum for the adoption of Physician Cultural Responsibility into students' physician professional identity, student experience, and knowledge transfer. Through the transformative research paradigm and transformative learning theory, a mixed-methods study of deidentified qualitative and quantitative data was performed using MaxQDA and SPSS (α = 0.05) analytical software. Results suggest successful adoption of Physician Cultural Responsibility in physician identity development, successful knowledge transfer, as well as improvements in collaboration, belonging, and support in student experiences with within in first year medical students. This curriculum offers best practices for a methodology to address the inequities of practice in cultural competency education requirements within medical education. This includes inclusive and culturally responsive pedagogy aimed at supporting the students' development of skills that improve the patient-physician connection with all patients, limit the impact of personal biases on medical practice, and dismantle the social categorization of medicine. The practice of Physician Cultural Responsibility and it's adoption in physician professional identity yields an opportunity to cre (open full item for complete abstract)

    Committee: Lesley Jackson Ph.D. (Committee Chair); Tony Kashani Ph.D. (Committee Member); Warren Jones M.D., F.A.A.F.P. (Committee Member) Subjects: Curricula; Curriculum Development; Education; Health Care; Higher Education; Medical Ethics; Medicine; Minority and Ethnic Groups; Multicultural Education; Public Health Education
  • 12. Odems, Dorian Manifestations of Anti-Black Gendered Racism: Pregnant and Birthing While Black in the United States

    Doctor of Philosophy, University of Toledo, 2023, Health Education

    Introduction: Increasing evidence demonstrates that the Black reproducing community in the U.S. has to navigate anti-Black gendered racism, in and out of the healthcare setting, during the perinatal period. This dissertation conducts an independent qualitative and quantitative secondary analysis of the Giving Voice to Mothers (GVtM) survey dataset to examine and explain Black women's care experiences of anti-Black gendered racism during the provision of perinatal care. There is a lack of research utilizing Black women-defined theories to examine their experiences. This dissertation is grounded in three conceptual frameworks that encapsulate the lived experience of Black women and birthing people during the perinatal period. Purpose: Study One will aim to evaluate a relationship between obstetric racism, other forms of structural racism, and Black pregnant and birthing persons' concerns about their individual and community's experiences of pregnancy and giving birth. Study Two is a qualitative text analysis that will use obstetric racism and the Black Birthing Bill of Rights as a conceptual framework to describe pregnancy, birthing, and postpartum care experiences among Black women and birthing people in the United States. Methods: Both studies are a secondary data analysis of the Giving Voice to Mothers (GVtM) survey dataset. GVtM is the first U.S. study to use indicators created by service users to describe pregnancy and birthing care among those who had a community or hospital birth. Both studies exclusively analyzed data from respondents identifying as Black women, which comprised 14% of the total sample (N=380). After removing missing variables, Study One yielded a sample size of n=260. Descriptive analyses and logistic regression models were conducted to explore how concern about pregnancy and birth for themselves and the Black reproducing community varies based on exposure to mistreatment or pressure during care and within the context of structural raci (open full item for complete abstract)

    Committee: Erica Czaja (Committee Chair); Saraswathi Vedam (Committee Member); Na'Tasha Evans (Committee Member); Barbara Saltzman (Committee Member); Karen A. Scott (Committee Member) Subjects: Health Education; Health Sciences; Public Health; Public Health Education
  • 13. Mike-Simko, Monica Perspectives of Respiratory Therapists on Trust in Healthcare Leadership Amid the COVID-19 Pandemic

    Doctor of Education (Educational Leadership), Youngstown State University, 2023, Department of Teacher Education and Leadership Studies

    The COVID-19 pandemic created massive amounts of stress for frontline healthcare providers. The purpose of this study was to examine perspectives of respiratory therapists, student respiratory therapists, and respiratory therapy managers on trust in leadership during the COVID-19 pandemic. The United States' healthcare and government systems were not prepared for the burden caused by the SARS-CoV-2 virus. High levels of prolonged stress, along with significant amounts of death, can cause burnout and moral injury for frontline healthcare providers. Healthcare leaders must provide effective communication, support, and proper amounts of personal protective equipment to help diminish the effects of burnout and moral injury. This study used Q-methodology, which is a mixed-methods research design, that included 203 staff respiratory therapists, student respiratory therapists, and respiratory therapy managers in the state of Ohio who worked the frontlines, or managed respiratory therapists working the frontlines, during the COVID-19 pandemic. Five distinct groups emerged from perspectives of participants: I'll be There for You, Won't You Please, Please Help Me?, I'll Get You There, What's Going On?, and Show Must Go On. The quality of the leader has profound effect on participants' perspective of how their institution handled the COVID-19 pandemic. The more daily contact and communication with their leaders, the less guilt the participants felt during the COVID-19 pandemic. Harold Kelley's covariation model conceptualizes the entity and circumstance of the COVID-19 pandemic by sharing perceptions of frontline respiratory therapists. Though the United States government considers the COVID-19 pandemic over, frontline respiratory therapists will endure the effects of the COVID-19 virus for years to come.

    Committee: Karen Larwin PhD (Committee Chair); Sal Sanders PhD (Committee Member); Kelly Colwell EdD (Committee Member) Subjects: American History; Behavioral Sciences; Communication; Continuing Education; Cultural Resources Management; Demographics; Education; Educational Leadership; Environmental Health; Health Care; Health Care Management; Health Sciences; Higher Education; Higher Education Administration; Management; Medical Ethics; Medicine; Organizational Behavior; Pathology; Personal Relationships; Philosophy of Science; Public Health; Public Health Education; Social Research; World History
  • 14. DeVine Rinehart, Tamara Developing the Personal and the Professional Addressing Teacher Attrition Through Self-Care & Leisure Programming

    Doctor of Education , University of Dayton, 2023, Educational Administration

    This multi-case study explored the well-being of six former preK-12 teachers during and after teaching. Using the framework of self-care, the purpose of this research was to investigate how teachers' health, well-being, resilience, and other internal characteristics intersect with external factors of teaching and schools; accelerating teacher stress, burnout, and attrition. The major themes revealed included ineffectiveness and difficulty in early teaching careers; negative impacts/barriers to effective teaching and self-care; Covid impacts on teaching; school violence impacts on teaching; positive affirming experiences in post-teaching life, and finally issues/suggested policy changes. To address these negative impacts on teachers and the school community, leisure programming is presented as a pathway to personal development, to be paired alongside professional development.

    Committee: Davin Carr-Chellman (Committee Chair); Thomas Oldenski (Committee Member); Katy Marre (Committee Member) Subjects: Education; Education Policy; Educational Leadership; Educational Sociology; Health; Occupational Health; Organizational Behavior; Public Health Education; Recreation; Teacher Education; Teaching
  • 15. Kovach, Sophia Examining Adult Sexual Assault Among College Students with Disabilities

    Masters of Science in Kinesiology and Health, Miami University, 2023, Kinesiology, Nutrition, and Health

    Sexual assault is a public health crisis on college campuses. On average, one in five female undergraduates will experience sexual assault while in college. Students with disabilities (SWDs) are at a much greater risk for sexual assault. Using SPSS statistics, the project aimed to examine the prevalence of sexual assault in SWDs and how alcohol, a known cofactor for abuse, affects the likelihood of victimization. Data came from the on-campus Student Health Survey of a medium-sized university. The data showed that SWDs were twice as likely to experience sexual assault compared to students without disabilities. Both men and women with disabilities were more likely to experience sexual assault and more severe sexual assault than individuals without disabilities. SWDs also had more problems associated with alcohol and higher motivation to drink than students without disabilities. SWDs are experiencing a public health crisis in which they are not on the radar of their universities or college campuses. They need to receive more support than what they are currently getting. Future research should evaluate preexisting methods of sexual assault awareness and education to see how these resources could better serve this demographic.

    Committee: Rose Marie Ward (Advisor); Kimberly Hamlin (Committee Member); Carolyn Slotten (Committee Member) Subjects: Public Health; Public Health Education
  • 16. Sova, Ashley Burnout and Compassion Fatigue Among Birth and Postpartum Doulas

    Doctor of Education , University of Dayton, 2023, Educational Administration

    As the demand for doula care increases on an international level, doulas are reporting significant burnout and compassion fatigue. This affects doulas' abilities to provide care, negatively impacts their quality of life, and can even be career-ending. A phenomenological interview approach sought to create deep understanding and meaningful insight into the doulas' personal and professional lives. The interviews indicated the need for systemic overhaul so that doulas can create sustainable and financially stable careers in the field. The results showed that there are various stakeholders charged with improving the profession. These findings helped to shape a multi-layered action plan that provided guidelines and suggestions for internal and external supports and resources for doulas.

    Committee: Ricardo Garcia PhD (Advisor); David Dolph PhD (Committee Member); Joanna Robinson PhD (Committee Member) Subjects: Educational Leadership; Individual and Family Studies; Organizational Behavior; Public Health Education; Social Research
  • 17. Vanderbeke, Marianne My Mom Gave Me a Book: A Critical Review of Evangelical Literature about Puberty, Sexuality, and Gender Roles and their Role in Conversations about Sex Education

    Master of Arts (MA), Bowling Green State University, 2023, Media and Communication

    Generations of women in the Evangelical Church have embodied narratives passed from mother to daughter, from church leadership, and through their religious communities. These narratives, including those of women's subservience and deserving of suffering endured from spouses, church leaders, and others, have origins in the earliest days of church history. In this thesis I examine how such narratives are embedded in books on pubertal guidance targeted to mothers and daughters in Evangelical Christian communities. Building on Fish's work on interpretive communities, Gramsci's conceptualization of hegemony, Foucault theorizing on power, and an interdisciplinary literature on the interaction between religion, culture, and politics, I interrogate themes of puberty, sexual function, gender roles, consent, and gender-based violence addressed in books on pubertal guidance, and how these books contribute to or reinforce evangelical Christian doctrinal narratives on gender and sexuality. Through a methodological approach using grounded theory, narrative inquiry, autoethnography, and textual analysis, findings indicate Evangelical Christian culture creates an interpretive community which drives only acceptable interpretation of religious texts (primarily the Bible), gender norms, and patriarchal power dynamics. Themes emerging from the texts analyzed, including Complementarianism, submission, purity, modesty, inadequacy, and silencing, have deep consequences not only for women and girls in Evangelical Christian communities, but for society at large as the legislative push for adherence to Evangelical Christian doctrinal ideologies work to remove access to basic human rights for people who do not adhere them. Misinformation, incomplete information, and hegemonic narratives serve to perpetuate gender inequality and have broad effects on women's and girls' mental, emotional, and physical health. In light of the most recent intrusions by Christian Nationalists into the legislative (open full item for complete abstract)

    Committee: Lara Martin Lengel Ph.D. (Committee Chair); Clayton` Rosati Ph.D. (Committee Member); Lisa Hanasono Ph.D. (Committee Member) Subjects: American History; American Studies; Behavioral Psychology; Bible; Biblical Studies; Biographies; Communication; Divinity; Education; Ethics; Families and Family Life; Gender; Gender Studies; Health; Health Care; Health Education; History; Individual and Family Studies; Mass Communications; Mass Media; Pastoral Counseling; Personal Relationships; Philosophy; Public Health; Public Health Education; Public Policy; Religion; Religious Congregations; Religious Education; Religious History; Rhetoric; Social Research; Social Structure; Sociology; Spirituality; Theology; Womens Studies
  • 18. Karikari, LaDreka Your Voice is My Favorite Sound: Lived Experiences of Royal Sapphires Members and Teachers at Regal Academy

    Doctor of Education , University of Dayton, 2023, Educational Administration

    Safety, security, freedom of expression, love, and support are critical components for adolescent youth that encourage growth and development. This study explored how Black girls make sense of their educational experiences while partnering with school staff through the RoyalSapphires program. Children must be in relationships with well- intended caring adults to facilitate adolescent growth and leadership. This study included a focus group with school administrators in charge of the curriculum for the afterschool program; members participated in semi-structured interviews and focus groups with members of RoyalSapphires. The findings suggest that members felt safe with the coordinators of RoyalSapphires, which was critical in sharing and learning through the afterschool program. Additionally, participants enjoyed these curated spaces dedicated to girls being in fellowship with each other. Finally, the time spent with RoyalSapphires was a source of validation and joy at the end of the school day. The program coordinators outlined their intentions to create a welcoming program for members facilitated by adults with their best interests at heart. The themes from this study were instrumental in creating an action plan grounded in creating a curriculum designed with the needs of participants at the forefront and led by a 3–5-member advisor board. The advisory board will seek representatives who are trailblazers in education, business, and leadership domains to create programming to share with middle school administrators to pilot this afterschool curriculum in their location. Using Yosso's (2005) six types of Community of Cultural Wealth as an asset framework when working with students from marginalized backgrounds, the curriculum will be instrumental in creating practical programming relevant to participants while providing assessment throughout the program. Ultimately, this afterschool curriculum seeks to partner with Black girls to enhance their skills (open full item for complete abstract)

    Committee: Elizabeth Essex Ph. D. (Committee Chair); Lauren Mims Ph. D. (Committee Member); Matthew Witenstein Ph. D. (Committee Co-Chair) Subjects: Academic Guidance Counseling; African American Studies; African Americans; African History; African Literature; African Studies; American History; American Studies; Behavioral Psychology; Black History; Black Studies; Communication; Cultural Anthropology; Cultural Resources Management; Curricula; Curriculum Development; Demographics; Education; Educational Evaluation; Educational Leadership; Educational Psychology; Educational Sociology; Elementary Education; Experimental Psychology; Experiments; Families and Family Life; Gender; Gender Studies; Higher Education; Higher Education Administration; Inservice Training; Mass Communications; Peace Studies; Political Science; Psychobiology; Psychology; Public Administration; Public Health; Public Health Education; Public Policy; School Administration; School Counseling; Secondary Education; Social Psychology; Social Research; Social Structure; Social Work; Sociology; Womens Studies
  • 19. Grier, T'Keyah Mental Health, Sexual Health, Health Seeking Behaviors, and Substance-Related Risk Behaviors Among Black College Students in the U.S.

    PhD, University of Cincinnati, 2023, Education, Criminal Justice, and Human Services: Health Education

    Study One: Purpose. Describe the sexual behaviors, health seeking behaviors, and substance-related risk behaviors of Black college students, identify differences in sexual and health seeking behaviors of Black college students by demographic factors, and identify the substance-related risk factors associated with the sexual health behaviors of Black college students. Methods. Secondary data analysis of the National College Health Assessment survey conducted by the American College Health Association. Participants were delimited to Black undergraduate college students aged 18 to 24 (n = 2,980). Results. A majority of participants (n = 2,184, 78.4%) had never been tested for HIV and there were a few participants (n = 75, 2.5%) that had reported that they're taking PrEP. Less than one percent of participants (n = 18, 0.6%) had been diagnosed with genital herpes, 0.2% (n = 7) had been diagnosed with Hepatitis B or C, and 0.4% (n = 11) had been diagnosed with HIV/AIDS. Chi-square analysis showed that men were more likely to report having 4 to 10 partners over the past 12 months. Kruskal-Wallis tests showed that 1st year undergraduate students, 18- to 19-year-olds, and participants not in a relationship had a higher average of frequent condom use during vaginal intercourse over the past 30 days. Spearman correlation tests showed negative associations with the last time participants had oral and vaginal intercourse and tobacco and cannabis risk. Conclusions. Additional research that focuses solely on the sexual, health seeking, and substance-related behaviors of Black individuals is needed to better understand the disproportionate rates of STDs and HIV observed. Study Two: Purpose. Describe the overall mental health, substance-related risk factors, and health seeking behaviors of Black college students, identify substance-related risk factors associated with the loneliness and well-being of Black college students, and identify differences in substance-related risk (open full item for complete abstract)

    Committee: Liliana Rojas-Guyler Ph.D. (Committee Chair); Rebecca Vidourek Ph.D. (Committee Member); Keith King Ph.D. (Committee Member) Subjects: Public Health Education
  • 20. Ohneck, Mallory The Impact of School Health Services in an Urban School District

    Doctor of Philosophy, University of Toledo, 2023, Health Education

    Introduction: Schools are an important place for our nation's youth to learn how to be prepared for their future to be productive members of society. Schools not only provide a place for students to gain the knowledge and skills needed for adulthood, but it is also a place where they can access resources to improve their health and well-being (Kolbe, 2019). Schools play an integral role in providing access to health promotion opportunities so students can be healthy and ready to learn (Kolbe, 2019). Health and education professionals have been working for decades to develop programs and collaborations that simultaneously improve the health and education of students since both sectors have come to realize that healthy students learn better, and people with more education live longer and healthier lives (Basch, 2011; Kolbe, 2015; Kolbe, 2019). Purpose: This manuscript-based dissertation includes two separate studies. The first study was a cost-benefit analysis to determine the return on investment of increasing school health services in an urban school district from 28 rotating school nurses covering 40 K-8 elementary schools to 40 nurses, one for each building. The second study used a longitudinal retrospective matched cohort design to examine if students who had a comprehensive eye exam and received glasses had a change in their standardized test scores compared to matched pairs. Methods: (Study 1) Through a partnership with a healthcare system, the urban school district received funding, resulting in hiring school nurses to cover all K-8 elementary schools. Researchers compared the cost of nursing services to the savings in teacher, secretary, principal, and parent productivity, reduced medical procedure costs, and grants the nurses managed. (Study 2) The study utilized a longitudinal retrospective matched cohort design with the baseline school year being 2014-2015 and ending with the 2017-2018 school year. Matched pairs were identified based on demographics (open full item for complete abstract)

    Committee: Joseph Dake (Committee Chair); Tavis Glassman (Committee Member); Susan Telljohann (Committee Member); Erin Maughan (Committee Member) Subjects: Education; Public Health; Public Health Education