Дисертації: "Culture of health promotion"

1

Douchand, Brown Sandra Elaine. "Health Promotion Behaviors among African American Women." Scholarly Repository, 2009. http://scholarlyrepository.miami.edu/oa_dissertations/205.

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The purpose of this research was to examine and describe the relationships among health status, marital status, income level, education level, age, and body mass index (BMI) with the added influence of spirituality on the health promotion behaviors of African American women, living in South Florida. The sample consisted of 137 women, 18 to 64 years of age, who were born in the United States and whose parents were born in the United States. Each participant completed a demographic questionnaire, the Health-Promoting Lifestyle Profile II (HPLP II), the Short Form-36 Health survey (SF-36), and the Spiritual Well-Being Scale (SWBS). Descriptive and inferential statistics with an alpha level of .05 were used for data analysis. Statistically significant findings were (1) a positive relationship between health promotion behaviors and formal education, (2) a positive relationship between health promotion behaviors and spirituality (existential well-being), and (3) a negative relationship between health promotion behaviors and number of children. In the regression model, the five sets of variables together accounted for 25.5% of the variance in overall health promotion behaviors of African American women F (15, 121) = 2.768, p < .01. The health promotion behaviors of African American women were not significantly affected by health status, marital status or BMI. Of the five demographic variables entered in the model, only number of children and education made statistically significant, unique contributions to health promotion behaviors. A sense of life satisfaction and purpose (existential well-being) made an additional, statistically significant, unique contribution to health promotion behaviors among African American women. The unique contribution of religious well-being was trivial. Therefore, formal education, number of children, and spirituality (existential well-being) may be used as predictors of health promotion behaviors among African American women, based on the results of this study. Culturally appropriate and relevant interventions used to encourage and educate African American women to increase physical activity, and decrease caloric intake are critical to mitigate the high rate of morbidity and mortality that African American women experience from CVD.

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2

Keenan, Linda Marie. "African American Race and Culture and Patients' Perceptions of Diabetes Health Education." ScholarWorks, 2011. http://scholarworks.waldenu.edu/dissertations/1182.

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African Americans diagnosed with diabetes are less likely to self-manage diabetes-specific modifiable risk factors. As a result, utilization of healthcare services occurs at a greater rate than other racial groups, and thereby incurs higher than expected healthcare costs. This ethnographic study explored the elements of diabetes educational material African Americans in a large city in the southern part of the United States found most useful to facilitate self-management of their disease. Bandura's self-efficacy theory provided the theoretical framework. Research questions addressed the preferred educational content, layout of material, and methods for educational delivery and caregiver support. A purposive sample of 30 African Americans with diabetes who had engaged in diabetes education classes participated in this study. Data were collected through in-depth personal interviews, which were inductively coded and then categorized around emergent themes. A key finding of this study is that participants preferred group learning formats, but perceived educational material to be confusing and difficult to understand. They also expressed some preferences for the use of color, pictures, and presentation of graphical information that may provide the basis for a revision of educational materials. Interestingly, participants indicated a tendency to seek out church members rather than family for support. The positive social change implications of this study include recommendations to healthcare professionals to adopt educational curricula that reflect cultural nuances and needs of target populations in order to support better health outcomes for at-risk populations and cost efficiency improvements.

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3

Duffy, Lynne. "HIV/AIDS in context: The culture of health promotion among Ndau women in rural Zimbabwe." ScholarWorks, 2002. http://scholarworks.waldenu.edu/hodgkinson/9.

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This ethnographic study explored factors that facilitate or hinder women's participation in health promotion and HIV prevention in the Mt. Selinda area of rural Zimbabwe. Rates of HIV and AIDS in Zimbabwe are among the highest in the world and increasing most quickly among young females. A purposeful convenience sample of 11 Ndau women (key participants) was interviewed twice. Seventeen key informants and four focus groups offered further perspectives. The resulting narrative presents a picture of Ndau women's existence that is difficult and oppressive. Females are socialized early to be workers and mothers within a context of limited voice, subservience, violence, and economic powerlessness. Application of a health promotion framework reinforced the reality that these women are generally unable to use measures for HIV prevention. Socio-cultural and economic factors of gender inequality were analyzed through an ecological approach, showing that cultural beliefs and practices, along with national and international forces, support and sustain gender inequality. If there is to be change in the AIDS crisis, the study's findings suggest that HIV prevention strategies should be integrated within a participatory community development model that includes opportunities for both men and women to carry out gender analysis. While health professionals must understand and be sensitive to culture and context, existing unjust and inequitable structures at all levels of society must be examined and challenged.

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4

Chen, Jason I. "The Influence of Campus Culture on Mental Health Help-Seeking Intentions." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4809.

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Mental health issues are widespread on college campuses. However, the majority of these individuals do not seek help. Prior research suggests many factors which may be related to mental health help-seeking including age, gender, and prior treatment experience. There has however been little work considering the context of the college campus on mental health help-seeking, specifically the influence of campus culture. Accounting for the context of mental health help-seeking may help to determine which social groups have the greatest influence on mental health treatment processes. The purpose of this study was to explore the relationship between perceived peer, student body, and faculty/administrator perspectives on different aspects influencing mental health help-seeking including attitudes towards treatment, stigma, and treatment barriers. Two hundred and twelve participants were recruited for the study. Data supported mediation for personal attitudes and barriers for the relationship between campus culture variables and mental health help-seeking. Implications for campus mental health policy efforts and directions for future studies are discussed.

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5

Frankis, Jamie Scott. "Health promotion within a public sex environment : exploring sexual cultures, health and behaviours." Thesis, Glasgow Caledonian University, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.554312.

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This thesis collects together six peer review papers which i) examine the sexual (health) behaviours of men who 'cruise' public sex environments (PSEs) to engage in sex with men and ii) evaluate sexual health outreach conducted therein. It is based partly upon a year long, mixed methods evaluation of the 'Street Outreach Service', which provides sexual health promotion to men who have sex with men within one large PSE in southern England. The first chapter introduces this work, demonstrating the interrelationship of the submitted publications through a critical analysis. Chapter two presents our systematic review of quantitative PSE literature which, while suggesting high sexual health risks within PSEs, revealed serious methodological shortcomings of the established evidence base. Next, three quantitative data driven papers are presented which detail the results of our in situ PSE survey, which demonstrated far greater methodological rigour than previous quantitative research. In chapter three, the sexual risk behaviours, HIV testing and infection rates of PSE users are examined. High HIV testing and prevalence were found, along with patterns of sexual risk taking which highlighted the importance of in situ targeted HIV prevention. Chapter four considers the wider sexual health of PSE users focusing on their experiences of STIs other than HIV. Our study suggested that whilst PSEs do not represent centres of endemic STI transmission, users' sub-optimal STI clinic attendance and frequent sexual contacts may mask undiagnosed infection. Evaluating an established health promotion intervention precludes the generation of baseline data necessary for randomised controlled trial evaluation. Consequently, chapter five investigates the value of 'contact efficacy' to evaluate ongoing service provision where no baseline data exist, employing one-off, cross-sectional survey data. Contact efficacy provided a useful means to assess this established health intervention, though since causality cannot be inferred from the design, triangulation of results with other evaluative methodologies was recommended. Indeed, by bringing together survey, interview and systematic review data, this thesis demonstrates value of such triangulation. However quantifying the frequency of PSE sexual acts only confirms that behavioral risks occur. A more critical sexual health psychology argues that, in order to develop culturally appropriate health interventions, we need to understand both the social organisation in which such risks occur and the opportunities to negotiate sexual interactions therein. Therefore, the final two papers within this thesis focus on experiential aspects of PSE- based sexual health promotion, to explore the value of sexual cultures theory in understanding PSE behaviours and in situ health promotion. In chapter six, our systematic review of qualitative PSE research argues that a generic, shared PSE sexual culture emerges from the literature, across locations, countries and decades, due to the importance of concealment and common structural constraints upon PSEs sex. However, differences in local geography and facilities may transform key features of this, resulting in specific, local sexual cultures emerging for individual locales. The closing chapter analyses interviews with outreach workers, volunteers and PSE users to explore how respecting these local sexual cultures is central to the success of innovative in situ PSE sexual health promotion. In conclusion, the central argument of this thesis is that whilst PSEs likely represent sites of increased STI transmission through high partner availability and disassortative sexual mixing, sexual health outreach therein must respect the local sexual cultures for acceptability and success. Moreover, this work demonstrates the importance of, and strengthens the evidence base for, targeted PSE-based sexual health promotion.

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6

Larsson, Madelene. "Formal Female Mentoring Relationship as Health Promotion." Licentiate thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-55263.

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The transition from adolescence to adulthood can bring with it mental health problems, resulting in reduced mental well-being among young women and an increasing public health issue. Perceived mental health problems can be a major obstacle to personal development and opportunities for becoming established in society. Thus, promotive interventions are needed. The overall aim of this thesis was to explore women’s experience of mentoring relationships as health promotion from the perspectives of both parties in the dyad: the young woman transitioning from adolescence to adulthood (the protégé), and her ten-year-older female mentor. This thesis used a practice-based approach to investigate a group of participants involved in a Swedish non-governmental organization, the Girls Zone. Data collection was conducted including interviews (n = 5) and surveys (n = 52) with female protégés, and interviews with female mentors (n = 12). Study I explored the characteristics of the female protégés and the development of the mentoring relationship, and used mixed methods. Study II, which investigated mentors’ initial motives and the organizational context which enabled the mentors’ engagement, used an explorative qualitative method. This thesis showed that female mentoring relationships seem to have potential to be a health-promoting intervention. A variety of young women were attracted to the mentoring program, and mentorships in line with the perspectives of relational-cultural theory could meet the relationship needs expressed by the female protégés. Further, mentors’ motivations for engaging as mentors were linked to the fulfillment of basic psychological needs for autonomy, competence, and relatedness, in accordance with the perspective of self-determination theory.

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7

Keenan, Linda Marie. "African American Race and Culture and Patients' Perceptions of Diabetes Health Education." ScholarWorks, 2014. https://scholarworks.waldenu.edu/dissertations/148.

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African Americans diagnosed with diabetes are less likely to self-manage diabetes-specific modifiable risk factors. As a result, utilization of healthcare services occurs at a greater rate than other racial groups, and thereby incurs higher than expected healthcare costs. This ethnographic study explored the elements of diabetes educational material African Americans in a large city in the southern part of the United States found most useful to facilitate self-management of their disease. Bandura's self-efficacy theory provided the theoretical framework. Research questions addressed the preferred educational content, layout of material, and methods for educational delivery and caregiver support. A purposive sample of 30 African Americans with diabetes who had engaged in diabetes education classes participated in this study. Data were collected through in-depth personal interviews, which were inductively coded and then categorized around emergent themes. A key finding of this study is that participants preferred group learning formats, but perceived educational material to be confusing and difficult to understand. They also expressed some preferences for the use of color, pictures, and presentation of graphical information that may provide the basis for a revision of educational materials. Interestingly, participants indicated a tendency to seek out church members rather than family for support. The positive social change implications of this study include recommendations to healthcare professionals to adopt educational curricula that reflect cultural nuances and needs of target populations in order to support better health outcomes for at-risk populations and cost efficiency improvements.

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8

Olafsdottir, Steingerdur. "The role of organizational culture in employees´ work-life balance as an aspect of health." Thesis, Nordic School of Public Health NHV, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3179.

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Organizational culture defines how employees should behave in a given set of circumstances. The purpose of this study involved analyzing the organizational culture of an Icelandic software consultancy company in relation to employees´ work-life balance as an aspect of health, and explaining the process for creating and sustaining a supportive work-life culture. Achieving this purpose required answers to several research questions, What are the components of the existing organizational culture? What is the managers´ role in creating and sustaining this organizational culture? What are the challenges in sustaining this organizational culture? This case study used both quantitative and qualitative methods, and four data sources for triangulation purposes. The methodological approaches included a questionnaire-based survey, completed by 72 employees (90%); semi-structured interviews with eight employees; observations conducted during two separate weeks; and document analysis of various documents dating back a maximum of two years. The results suggest that the case organization´s culture was work-life supportive, i.e., the organization supported and valued employees´ integration of work and private life. The components of the existing organizational culture were defined as: fun, ambition, flexibility, international character, openness, cooperation, informality, flat organizational structure, responsibility, trust, understanding, support, and pride. The managers´ role in creating and sustaining this culture involved availability, supportiveness, understanding, trusting, and giving feedback. Among the main challenges in sustaining the culture was the growth of the organization, which could affect considerably the informal culture. Description of the components of the case organization’s existing culture includes description of the culture’s enablers, according to the purpose of explaining how a supportive work-life culture can be created and sustained.

ISBN 978-91-85721-57-3

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9

Jeffries, Fiona Margaret. "Health promotion and Hutterite cultural change, individual and group change processes." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1996. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/mq21912.pdf.

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10

Stone, Katherine Lorraine, and Katherine Lorraine Stone. "Toward a Culturally-Specific Model of Health Promotion: An Analysis of the Effects of Hispanic Culture on Cervical Cancer Prevention." Thesis, The University of Arizona, 2017. http://hdl.handle.net/10150/625172.

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In the United States, cervical cancer presents a significant health risk to Hispanic women, who are one and a half times more likely to develop the disease than White women and 1.35 times more likely to die from it. Many factors contribute to this disparity, including socioeconomic status and access to care, but Hispanic cultural values also frequently influence women's susceptibility to cervical cancer. Familial relations, fatalism, spirituality, and acculturation among immigrants can all affect whether Hispanic women engage in HPV vaccination to prevent cervical cancer or in Pap testing that may reduce cervical cancer mortality through early detection. Several types of interventions show promise in reducing cervical cancer disparities among Hispanic women. Improving cultural competence among physicians, facilitating cooperation between health care providers and patients, and using culturally-sensitive techniques to educate the community about cervical cancer prevention may empower Hispanic women to seek HPV vaccinations and Pap tests at greater rates. Additionally, providing greater access to self-testing for HPV can help overcome socioeconomic and cultural barriers that prevent many Hispanic women from utilizing preventive care for cervical cancer.

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11

Carvalho, Jani de Oliveira. "Cultura organizacional de um hospital privado do norte do país: perceção dos enfermeiros." Bachelor's thesis, [s.n.], 2021. http://hdl.handle.net/10284/10483.

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Projeto de Graduação apresentado à Universidade Fernando Pessoa para obtenção do grau de Licenciada em Enfermagem
A Cultura Organizacional (CO) determina diversas dimensões da instituição, desde o comportamento dos trabalhadores, dos gestores e da própria instituição, até as estratégias, objetivos, relações de trabalho, organização do trabalho e o método de gestão adotado. Está relacionado com inúmeras variáveis, como o prazer e sofrimento no trabalho, satisfação e motivação, saúde e qualidade de vida no trabalho. Neste contexto o estudo da CO é primordial, uma vez que esta exerce influência sobre diversos aspetos que vão desde o comportamento de seus profissionais e gestores até ao desempenho organizacional. O objetivo desta investigação é conhecer a perceção dos enfermeiros acerca da CO do hospital onde exercem as suas funções. É um estudo descritivo, analítico e transversal, com uma abordagem quantitativa, numa população representada por 45 enfermeiros de um Hospital Privado do norte do país. O instrumento de colheita de dados foi o questionário FOCUS (First Organizational Culture Unified Search), validado e adaptado à população portuguesa por Neves (2000). Os dados foram tratados recorrendo a estatística descritiva e apresentados sobre a forma de tabelas. Os resultados obtidos para além de caracterizar a população sociodemográfica, permitiu verificar que os enfermeiros têm mais perceção pela Cultura Regras e a Cultura Apoio, enquanto a Cultura Objetivos e a Cultura Inovação é a menos percecionada. Os resultados permitem-nos concluir a necessidade de uma maior atenção institucional para os domínios críticos (Cultura Inovação e Objetivos) objetivando-se a necessidade de implementação de medidas que contribuam para a satisfação, motivação, saúde e qualidade de vida dos enfermeiros no seu local de trabalho.
The Organizational Culture (OC) determines several dimensions of the institution, from the behavior of the workers, managers and the institution itself, to the strategies, objectives, work relationships, work organization and the management method adopted. It is related to numerous variables, such as pleasure and suffering at work; satisfaction and motivation; quality of life at work. In this context, the study of OC is essential, as it influences in several aspects such as the behavior of the professionals and managers to organizational performance. The objective of this investigation is to know the nurses perception about OC at the hospital where they perform their functions. It is a descriptive, analytical and cross-sectional study, with a quantitative approach, in a population represented by 45 nurses from a Private Hospital in the north of the country. The data collection instrument was the FOCUS (First Organizational Culture Unified Search) questionnaire, validated and adapted to the Portuguese population by Neves (2000). Data were treated using descriptive statistics and presented in the form of tables. The results obtained, in addition to characterizing the sociodemographic population, allowed us to verify that nurses have a greater perception of the Rules Culture and the Support Culture, while the Objectives Culture and the Innovation Culture is the least perceived. The results allow us to conclude the need for greater institutional attention to the critical domains (Culture, Innovation and Objectives) and the institution should implement measures that contribute to nurses satisfaction, motivation, health and quality of life in their workplace.
N/A

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12

Ukoha, Dorothy Ebere. "Female Genital Mutilation/Circumcision: Culture and Sexual Health in Igbo Women in Dallas-Fort Worth, Texas." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1944.

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Female genital mutilation (FGM) is practiced primarily in many African countries as well as some in Asia and the Arab Peninsula; however, it also takes place elsewhere around the globe among those who migrate from countries to which it is indigenous. This study was designed (a) to investigate the prevalence of FGM among the Igbo women in the Dallas-Fort Worth (DFW) area in Texas and (b) to understand the factors that support the continuation of the practice and the effects on women's sexual health. Using a quantitative approach to examine a variety of social variables aligning with the ecological framework, survey data obtained from a sample of 139 Igbo women living in the DFW area were analyzed using a multivariate analysis. Results of the study demonstrated a decreasing prevalence of FGM from maternal incidence (46%), to second generation incidence (31.3%), and future intention for FGM (25%). Nearly half of the responding participants felt the practice was required by their religion, but over 65% felt the practice should be discontinued. Results supported a high incidence of dangerous complications to women's sexual health with the continued practice of FGM. Significant social influences associated with future intention for FGM among the population were found at the micro- and exosystem ecological levels. The findings of this research provide important information on current prevalence and health effects of FGM in Igbo women living in the DFW area. Understanding the reasons behind the culture of FGM will assist public health professionals in designing appropriate culturally-specific intervention strategies that will help to eliminate inappropriate and unsafe practices associated with FGM.

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13

Kerekovska, Albena Georgieva. "Strengthening cross-cultural policy transfer : the case of international health promotion and tobacco control." Thesis, University of South Wales, 2004. https://pure.southwales.ac.uk/en/studentthesis/strengthening-crosscultural-policy-transfer(a40d8e36-1a07-4b7a-a731-e9f7d6ce07b2).html.

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The study refers to the issue of cross-cultural transfer of internationally initiated health promotion and tobacco control policies. It explores the process of cross-cultural policy transfer, analyses the difficulties, proposes methods to overcome them, and tests the approach in Bulgaria. Generally focused on international health promotion policies as a broad area of study, the work particularly concentrates on tobacco control policies as a more concrete and specific subject of investigation. Completion of a short piece of cross-national comparative policy transfer research, based on two case studies - the UK as a donor of policy and Bulgaria as a recipient location - is used to assist designing an empirical investigation that develops and tests an approach for strengthening the process of cross-cultural transfer. The Hofstede Model of National Cultures is used as a guiding tool to describe and classify the different cultures of the two countries, and to assess the cultural constraints and possibilities for transfer. The results confirm the hypothesis that through contextual interpretation of international health promotion policy language, and its specification to the cultural patterns of Bulgaria, we can increase the acceptability and assure greater effectiveness in communicating those health promotion messages. The findings indicate the need for culturally specific language interpretation and adaptation of global policies if they are to become understandable and applicable to specific cultural contexts. They help to address the question: "How can the main concepts and issues inherent in western developed health promotion policies be translated into the language of countries having different cultural patterns?" The main theme of this research has not been explored so far in Bulgaria and it is also a rather new topic for international policy research. The findings might assist the process of improving cross-cultural policy formulation and help to overcome the difficulties in cross-cultural policy transfer. The study takes into account the dynamic developments within Bulgaria as it prepares for European integration as a pre-Accession country; and its findings could assist in negotiations within public health policy. The work could also have some major applications on a wider policy basis. It might also be of particular importance for countries not in the western group within Europe and which are socio-culturally different. Some implications can also be considered for the process of accession to the EU. The Union is now expanding and is challenged by great cultural diversity, both across Europe and within the individual states. Accession countries like Bulgaria have to adapt now to international and European policies and principles, which cannot be directly translated into the language of many countries. The methodology developed here should assist the adaptation of international policy items into a language that is culturally specific for the country and the sub-national levels, and thus improve the implementation of European policies in particular localities.

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14

Williams, Julie. "Intersections Between Violence and Health Promotion Among Indigenous Women Living in Canada." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/39152.

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Violence against Indigenous women is a major public health concern worldwide and Canada is no exception. Multiple forms of violence inform the broader context of violence against Indigenous women. Nurses are likely to encounter Indigenous women in a variety of settings, but evidence suggests that nurses may lack understandings of violence. This thesis explored the following question: How does extant qualitative research conducted in Canada, contribute to understanding the health and wellbeing of First Nations, Métis and Inuit (Indigenous) women who have experienced violence? During the development of this thesis, significant gaps were highlighted including underrepresentation of Inuit women in the literature, limited focus on health promotion, and lack of methodological approaches to systematic reviews that were participatory and inclusive of the community. Therefore, a secondary aim of this thesis was to privilege perspectives of Inuit women and their communities, by developing a study protocol for a collaborative and community centered approach to reviewing and assessing the extant literature. A configurative and inductive approach based on thematic synthesis was used to systematically search, retrieve, analyze and synthesize extant literature. Post-colonial feminist theory and intersectionality were used as theoretical lenses to emphasize intersections between multiple forms of violence and locate the problem within the broader context of colonization and oppression. Sixteen studies were included in this review, fifteen qualitative and one mixed methods study. Four themes with subthemes emerged based on analysis and synthesis of findings in the included studies: 1) ruptured connections between family and home, 2) that emptiness… my spirit being removed, 3) seeking help and feeling unheard, and 4) a core no one can touch. These themes represent interconnected pathways that influenced health among Indigenous women, and have implications for healthy public policy, clinical practice, and nursing education.

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15

Hommens, Ekaterini [Verfasser], Gisela [Akademischer Betreuer] Welz, Gisela [Gutachter] Welz, and Meike [Gutachter] Wolf. "School culture and health promotion: An anthropological study in the Republic of Cyprus / Ekaterini Hommens ; Gutachter: Gisela Welz, Meike Wolf ; Betreuer: Gisela Welz." Frankfurt am Main : Universitätsbibliothek Johann Christian Senckenberg, 2020. http://d-nb.info/1204129983/34.

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16

Moyer, Deirdre Lynnett. "Racial and Cultural Etiology of Body Satisfaction Among Obese, Young Adult Women." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6250.

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Obesity, a public health issue in the United States, has been linked to numerous chronic diseases. A gap exists in the literature related to racial and cultural etiology of body satisfaction for obese women. The purpose of this qualitative phenomenological study was to describe the racial and cultural etiology of body satisfaction for obese Black women and White women residing in a rural area of the state of North Carolina. Social comparison theory provided the theoretical underpinning for this examination. The central research question was how do obese, young adult Black women and White women describe their perceptions about and experiences of the racial and cultural etiology of their body satisfaction. One-on-one interviews were used to collect data from 6 obese young adult women (3 Black women and 3 White women) between the ages of 18 and 29 years residing in a rural area of North Carolina. Braun and Clarke's 6-phase method for thematic analysis was used to analyze the data. Six themes emerged from the data analysis: (a) Black participants viewed the media through a lens of body positivity, (b) White women related media influences as confrontation with the media, (c) Black women related peer influences to include shaming and denial, (d) White women viewed peer influences as including negative comparisons and positive examples, (e) Black women related family influences to include normalizing obesity, and (f) White women related family influences as including one welcoming the outcast. The results of the study foster positive social change, as deeper understanding of racial and cultural differences regarding body satisfaction of Black women and White women could lead to positive body image and greater body satisfaction among these groups.

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17

Sällinen, Iida, and Siiri Järvinen. "Employer branding & Wellness syndromet : Kan employer branding om friskvård verka som en isolerande faktor?" Thesis, Uppsala universitet, Företagsekonomiska institutionen, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-298207.

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The purpose of this study was to examine in what way a strong employer branding of health promotion can have an effect on the ways individuals can experience isolation and stress. In this survey we have used the theories of health promotion, organizational culture, isolation and stress in an analysis of the possible situation caused by strong employer branding of health promotion. We have used these theories in analysis with the purpose to answer the following questions: How does a strong employer branding of health promotion influence those employees who, for some reasons, don’t take advantage of organizations’ health promotion programs and activities? Could those, who don’t take advantage of health activities, become isolated in a company? The method of research that was used in this study is a qualitative analysis; we used semi structured interviews and open e-mail correspondences. The material was collected from nine different organizations as the response from ten interviews. The result of the analysis show that is possible for an individual to experience isolation and stress as a result of an organization’s employer branding on health promotion. At the same time these individuals can experience that they are indirectly obligated to consider their everyday actions from the health promotion perspective, which we have assumed to be a result of the possible punishments and rewards from their leaders. The conclusion is consequently that a strong employer branding can affect an individual’s social situation within an organization, but it is problematic to see in which scale. The result has revealed that employer branding of health promotion is a possible cause for isolation and stress.

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18

Montgomery-Andersen, Ruth. "Faces of Childbirth : The Culture of Birth and the Health of the Greenlandic Perinatal Family." Doctoral thesis, Nordic School of Public Health NHV, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3781.

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INTRODUCTION. This dissertation concerns childbirth and its position within the Greenlandic society. It takes a world relational view to health promotion during, focusing on the perinatal family and the importance of the mothers, the child, their families and the local community as equal pieces of a whole. AIM. The aim of the dissertation is to present new concepts and knowledge concerning the health of the perinatal family in Greenland. It looks holistically at the place of birth with focus on the issue of support of the perinatal family. It seeks to present the perinatal family and its position within the Greenlandic society. It links the changes in health policy with the concepts of family, attitude and community structure. It draws on statistical, historical, anthropological and cultural data within the context of the Greenlandic perinatal family. METHOD AND MATERIAL. The dissertation is comprised of four studies and uses multidisciplinary methods. Over an eight-year period from 2003 to 2011, narrative interviews and focus groups were collected at four sites in Greenland: Nuuk, Ilulissat, Sisimiut and Tasiilaq. Data included seven focus groups with 35 participants, supplemented with 18 individual interviews of mothers, fathers and Culture Bearers, as well as two literature studies. The mode of conducting focus groups and interviews was based on the principles in the Helsinki Declaration. RESULTS. The perinatal family’s concepts of safety are often connected directly to access to family and community. Family is perceived as security, and lack of family support and network as insecurity. The concept of family and community is culturally specific and connected to the immediate family, extended family and kin. There is a cultural room for birth in Greenland, where the health of the perinatal family lies in their ability to strengthen the bonds within family, kinship and community networks. The mothers of the study perceived themselves as the bearers of their children; the fathers considered themselves to be the artisans and caregivers for their family; the community, including the extended family, deemed an important support network for the families. CONCLUSION. It is important to understand the link that exists between traditional and cultural properties and the health of the child within the family. These are elements of the eco cultural pathways that are already integrated within the family interactions and could be a way to strengthen family interaction and health. Families and community support these traditions and in healthy eco cultural exchanges it enhances the child’s role as a health–promoting agent within the family. Greenlandic public health, health promotion programs and the national perinatal guidelines have a physical health focus, but do not address the mental, social and spiritual dimensions of perinatal health. This fragmented way of perceiving and implementing health does not support the relational worldview that is an integral part of the culture of Greenland, and thus many families struggle to exercise choice within the system
INDLEDNING. Afhandlingen omhandler fødselen og dets betydning i det grønlandske samfund, idet der anlægges et holistisk sundhedsfremmende syn på den perinatale periode og der fokuseres på vigtigheden af kvinder, børn, deres familier og lokalsamfundet som ligeværdige dele af helheden. MÅL. Målet med afhandlingen er, at præsentere nye begreber og viden om sundheden om den perinatale familie i Grønland. Der ses holistisk på fødested og dens indflydelse på familiestøtte i den perinatale periode. Afhandlingen tilstræber at præsentere den perinatale familie og dens placering i det grønlandske samfund. Den forbinder ændringerne i sundhedspolitikken med begreberne familie, holdninger og samfundsstruktur. Den bygger på statistisk, historisk, medicinsk-antropologisk og kulturel data inden for rammerne af den perinatale sundhed i Grønland. METODER OG MATERIALER. Afhandlingen indeholder fire studier som benytter sig af tværfaglige metoder. Der er i en otteårig periode fra 2003 til 2011 gennemført fokusgrupper og individuelle interviews, ligesom der er gennemført to litteraturstudier i samme periode. Det empiriske data er indsamlet fire steder i Grønland: Nuuk, Ilulissat, Sisimiut og Tasiilaq. Syv fokusgrupper med i alt 35 deltagere, er suppleret med 18 individuelle interview med kvinder, fædre og Kulturbærer. De anvendte metoder til gennemførsel af afhandlingens interviews og fokusgrupper er i overensstemmelse med Helsinki-Erklæringen RESULTATER. For de perinatale familier er begrebet sikkerhed ofte knyttet direkte til familie og samfund. Familien opfattes som sikkerhed, og manglende mulighed for familie støtte og netværk opfattes omvendt som usikkerhed. Begrebet ansvar er for familien og samfundet kulturelt specifikt og er knyttet til den nærmeste familie, udvidede familie og slægtninge. Der findes et ‘kulturelt rum’ for fødsel i Grønland, hvor den perinatale families evne til at styrke båndene indenfor familien, slægtskabet og det lokale netværk er medvirkende til familiens sundhed. Lokalsamfundene, familierne og kvinderne i studierne opfatter sig selv som bærer af deres børn, fædrene opfatter sig som støtteskabende omsorgsgiverer for deres familie, og lokalsamfundet, herunder den udvidede familie, opfatter sig som et vigtigt støttenetværk for familierne. KONKLUSION. Det er vigtigt at forstå det sammenhæng, der eksisterer mellem traditionelle og kulturelle egenskaber og barnets sundhed i familien. Disse er elementer af de øko-kulturelle stier, der allerede er integreret i familiens samspil og kan være måder hvorved familiens samspil og dens sundhed styrkes. Familierne og samfundet støtter disse traditioner og i en sund øko-kulturudveksling styrker det barnets rolle som sundhedsfremmende agent inden for familien. Grønlandsk folkesundhed, sundhedsfremmende programmer og de nationale perinatale retningslinjer har et fysisk sundhedsfokus, men der tages ikke højde for de mentale, sociale og åndelige dimensioner indenfor perinatal sundhed. Denne opsplittede måde at opfatte og gennemføre sundhed på, understøtter ikke det relationelle verdenssyn der udgør en integrerende del af kulturen i Grønland, hvofor mange familier kæmper for at udøve selvbestemmelse inden for systeme
AALLARNIINEQ. Ilisimatuutut allaatigisap ernineq pillugu imarisaqarpoq, erninerullu kalaallit inuiaqatigiinni pingaaruteqassusia aamma sammineqarluni, erninerup nalaani ataatsimut isiginninnittaaseqarluni aammalu arnat, meeqqat, ilaqutaasa najukkamilu innuttaasut ataatsimoornermi naligiittut isigalugit. ANGUNIAGAQ. Ilisimatuutut allaatigisami anguniagaavoq, isummat nutaat ilisaritissallugit kalaallillu ilaqutariit meeraalu erninerup nalaani peqqissutsimut ilisimasariaqartut sammineqassallutik. Ilisimatuutut allaatigisap anguniarpaa ilaqutariit ernininerup nalaani ilisaritissallugit aammalu erninerup kalaallit inuiaqatigiinni inissisimanera takutissallugu. Peqqinnissaqarnermi allannguutit eqqarsaatigalugit ilaqutariissuseq, isummersortarneq inuiaqatigiinnilu aqqissuusaaneq sammineqarput. Sumi inunngorsimaneq ataatsimut isiginnittaaseqarluni sammineqassaaq aammalu erninerup nalaanni sumi inunngorsimaneq ilaqutariinnut tunaartaanersoq. Allaaserisami paasissutissat Kalaallit Nunaanni erninerup iluani peqqinnissaqarnikkut tunngasutigut aamma statistikkikkut, oqaluttuarisaanikkut, antropologiskimik, biofysiskimik, kulturikkullu tunngavilersuutit atorneqassapput. ILISIMATUSARNERMI NAJOQQUTASSANIK KATERSUINEQ. Atuagarsornikkut misissuinerit ukiuni arfineq pingasuni ingerlanneqarput ukioq 2003-miit ukioq 2011 ilanngullugu, soorlulusooq alaatsinaanneqartunik apersuinerit inunillu ataasiakkaanik apersuinerit ingerlanneqarsimallutik. Atuagassiaqarnikkut misissuinerit marluk ingerlanneqarsimapput, ilisimatusarnikkut paasissutissanik misissuinerit Kalaallit Nunaanni piffinni sisamaasuni ingerlanneqarsimalluni: Nuuk, Ilulissat, Sisimiut Tasiilarlu. Alaatsinaanneqartunik apersuinerit arfineq marluk, taakku katillutik 33-nik peqataasullit ingerlanneqarsimapput, tassungalu ilanngullugu inunnik ataasiakkaanik 18-iusunik arnanik, ataataasunik, kulturikkullu ersuttunik apersuinerit. Ilisimatusarnikkut sakkugineqartut ilisimatuutut allaatigisami apersuinermi alaatsinaanneqartunillu apersuinerit Helsinki-Erklæring naapertorlugu ingerlanneqarput ILISIMATUSARNIKKUT INERNERI. Nunasiaajunnaarnermi ernineq arnanut namminerminut tunngatinneqarpoq taamaasilluni ernineq pillugu paasissutissat amerlagisassaanngitsutut oqaatigisariaqarlutik. Erninermut naalakkersuinikkut anguniakkat malittarisassallu sumiiffinni ataasiakkaani qinikkanit allaffimmilu aqutsisunit saqqummiunneqartarsimapput, qaqutiguinnartumillu arnanut ernilersunut aammalu najukkami inuiaqatigiinnut isumaqatiginninniutaasarsimallutik. Ilaqutariinnut erneqqajaasunut isumannaallisaaneq isummap imarisaatut isigalugu ilaquttariinnut inuiaqatigiinnullu tunngatinneqarput. Ilaquttariit toqqaannartumik isumannaallisaasutut isigineqarput, ilaqutariinnilu qanigisanilu tapersersuisoqarsinnaanngikkangat nalornineq pilersarluni. Akisussaaneq ilaqutariinnut inuiaqatigiinnullu isummap imarisaatut isigalugu kulturikkut immikkut isigineqarpoq qaniginerpaasanullu tunngatinneqarluni, ilaquttanut qanigisanullu allanut. Kalaallit Nunaanni erninermut tunngasut "kulturikkut immikkut inissaqartinneqarput", tamatumani erninerup nalaani ilaqutariit imminut qanilleqqajaallaqqissisarlutik, ilaqutariissuseq najukkamilu inuiaqatigiit ataqatigiinnerat peqqissutsimut tapertaalluartarlutik. ILISIMATUSARNERUP NAAMMASSILERNERANI ISUMMIUSSAQ. Kalaallit ilaqutariit unamminartunik naapitsinermi naapertuulluartumik aaqqiisinnaasimapput, tamatumani nunarsuarmioqatigiinni aningaasaqarnikkut ineriartornermi inuiaqatigiillu malinnaataasumik ineriatorfiata kingunerisaannik pisimasut anigorluarsimallugit. Najukkami inuiaqatigiit, ilaqutariit arnallu misissuinermi meeqqanik nammattutut imminut paasinnipput, ataataasullu ilaqutariinni meeqqanut tapersersuisutut inuttullu isumaginnittutut imminut paasinnipput, aammalu najukkami inuiaqatigiit ilaqutariillu tamarmiusut ilaqutariinnut pineqartunut ataqatigiiaattut pingaarutilittut imminut paasillutik.

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Andersson, Josefin, and Veronica Jansson. "Hälsokultur : När idéer om välmående leder till ohälsa." Thesis, Karlstads universitet, Avdelningen för arbetsvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-28155.

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Health has become increasingly important in the community and has been taken into the labour market to a greater extent. Organizations are trying to keep up with the development of health in the society and working strategically to promote employee health through a variety of fitness activities. The community is contributing to a new vision of the individual where the aesthetic appearance is of growing importance. The employers are trying to keep up with this development and provide an increasing range of fitness activities and from this expect high performing employees. The health promotion today is more about maintaining good looks than previously, where focus was to combat disease. The various health promotion activities are performed on the employee's time off, which means that it will be yet more difficult to distinguish between work and leisure. Not all of the employees will take part in health activities, offered by the company, because of interest, family situation and more. This could lead to that groupings occur to categorize the employees of the "good" and the "bad". One natural question to ask is can this contribute to stress and higher pressure amongst workers? And furthermore can it even cause illness? This study deals with how companies get greater responsibility and interest in employee health and in what way that this is handled. The two main questions analysed are if the concept "health culture" can describe how employees perceive the atmosphere regarding health? And, how do they experience the promoted health activities?To investigate the experiences of a precise phenomenon a qualitative study through interviews has been carried out. The interviews were conducted at one company, with variation by age, gender and occupation. The primary outcome from the results is that employers work with health promotion activities to reduce costs, reduce sick leave and increase efficiency. The experiences of health promotion were mostly positive but it emerged underlying negative sides. In some cases, it was found that the employees experience stress because they do not want or have the time to participate in the activities offered. Finally, the concept of health culture was never seen used before. No other term, describing the same property, was found. It is therefore suggested as a concept to describe what is experienced inside an organization regarding common norms, perception and values of health.

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20

Doan, David C. "The Influence of Culture on HIV Disclosure Among Gay Asian Males." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4360.

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HIV-positive, Asian Pacific Islander (API) men who have sex with men (MSM) experience triple minority stigma including HIV, sexual orientation, and minority ethnicity. To date, there is no research that examines the influence of cultural factors, level of acculturation, social determinants of health, and other confounding variables (e.g., age, education, level of income, and length of time since diagnosis) on HIV-positive disclosure behaviors, attitudes, and intentions to casual sexual partners for API MSM. The theoretical framework for this study was based on Hofstede's original cultural values and Triandis's cultural dimensions. In this 2-phase, mixed methods, sequential explanatory study, 24 API MSM participants who are members of Fridae and other API organizations in the United States completed an anonymous online survey and 8 participants in Southern California completed in-depth semistructured phenomenological qualitative interviews. None of the regressions produced significant findings at the requested significance level (i.e., p < 0.5). The findings from the 2 phases of the study were integrated to facilitate a deeper, richer, and better understanding and explanation of those results than either approach alone. This mixed methods study was unique because it addressed an under-researched and poorly understood population of API MSM. The findings from this study have implications for positive social change for practitioners to incorporate culturally sensitive counseling strategies and for policymakers to develop or modify existing HIV preventive health education and health promotion programs for HIV-positive API MSM to negotiate safer sex behaviors, improve well-being, provide informed choice, and protect life that would promote competent quality care.

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Masters, Paula. "Evaluating Socially Determined Health in Rural Appalachia: Use of the Social Quality Theory." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etd/3414.

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People living in rural America face unique social circumstances that can prevent them from reaching optimal health status. This fact holds especially true in the rural Appalachian region of the United States where income, education, living circumstances, and lack of resources create an environment that has some of the highest rates of morbidity and mortality in the country. While the rest of the country has seen improvement in many health behaviors and health outcomes, rural Appalachian communities remain unchanged and further behind other regions. In many cases, programming and policy have failed to create a culture of health in Appalachia. Social determinants of the area should be included in interventions and this practice is imperative to achieve effectiveness. This study examined the social context and definitions of health in a rural, Appalachian community using the Social Quality Theory as a guiding framework. A community-based participatory research approach was adopted and implemented through the use of focus groups. The study generated many meaningful findings. It not only provided a new framework, but also provides an examination of how a rural, impoverished community lacks the social infrastructure to improve health. Current perceptions of health are limited to thoughts of disease or illness and overshadowed by negative social norms. There are few social resources currently available to improve health and a large presence of cultural impediments. Yet this “culture” also provides some advantages and assets that the community may leverage for change.

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Smith, Tracee Tamiko. "Rural Obese African American Women and Depression, Food Culture, and Binge Eating." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3073.

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The rural African American population has a high incidence of severe psychosocial problems and a skewed perception of obesity, despite obesity's extremely high prevalence rate in this population. Despite the acknowledgements of these problems, there is a gap in literature relative to the effective treatments for obese African Americans diagnosed with depression. This study measured correlations between obesity and depression, binge eating, and food culture amongst African American women residing in Jefferson County, MS. The health belief model was used to guide an assessment of beliefs, perceptions, susceptibility, cues to action, and self-efficacy. A cross-sectional design was used based on the sampling method and the associated sites along with distinctive design factors, including: no time factor, existing differences, and no random allocation. The Beck depressive inventory and the Bernice Roberts Kennedy cultural inventory for minority groups were the tools used to measure obesity and depression. Linear regression determined that there was an association between depression and obesity. Analyzation of study findings indicated that the participants responded to culturally sensitive questions surrounding prayer, religious involvement, and regular church attendance, which are common coping responses and mechanisms for depressed African American women. These results show a need to encourage health practitioners and researchers to create and implement individualized health promotion campaigns and interventions that fit with community and cultural realities, which could effectively address the obesity and poor health epidemic among rural African American women.

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Chikuta, Maxwell K. "Preventing Obesity and Type 2 Diabetes in Immigrant Populations." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6541.

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Obesity-related diseases have been increasing in African immigrants throughout the United States. Although research has been done to identify risk factors associated with many ethnic groups in the United States, only a few studies exist that explore obesity and type 2 diabetes diseases among Central African immigrants. The conceptual framework for this qualitative case study was social constructivism and the health belief model. The primary research question addressed the potential underlying causes for an increase in obesity and type 2 diabetes among Central African Immigrants. The secondary research questions explored how culture, illiteracy, and religion contribute to the problem of obesity in Central African immigrants, and what strategies could be effective in preventing and reducing the increase of obesity and type 2 diabetes in this population. Interviews with 17 Central African immigrants living in the northeastern U.S. were conducted to explore their social, cultural, and behavioral factors that influence the prevalence of obesity. Interview responses were transcribed and entered into NVivo software for data analysis. The results revealed that socioeconomic issues, cultural differences, and language gaps were the primary risk factors. Feeling stressed and overwhelmed and a lack of communication were also found to be significant. The results could provide health administrators and health educators with a platform for advancing policies and programs to foster greater health and well-being among Central African immigrants and thus contribute to the overall social welfare of Central African immigrants.

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Walker, Albertina LaShonda. "A Story to Tell among Minority Alzheimer's Patient Caregivers: A Phenomenological Study." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4573.

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The level of burden experienced by caregivers of patients diagnosed with Alzheimer's disease is high. Studies that examine this burden by taking into account cultural and spiritual differences are limited, particularly with regard to minority populations. The purpose of this study was to investigate the burden and challenges faced by minority caregivers providing in-home care to Alzheimer's patients. Guided by social support theory, a phenomenological study design was used with semi-structured interviews of 12 caregivers to examine their perspectives on the burden and challenges they face, including their lived experiences, cultural and spiritual values, and interaction with health professionals. Thematic analysis in an inductive way was used to analyze the collected qualitative data. The results of the analyses of the collected data showed that cultural and spiritual values are important in making decisions, as caregivers in minority populations face daily challenges in terms of limited social support and resources. The findings of this study suggest that public health interventions aimed at alleviating the burden on Alzheimer's caregivers need to take into account differences in cultural and spiritual values. Findings also show that there is a need for social support programs that reduce the burden on caregivers in general and on the minority population in particular. The findings of this study may drive positive social change by helping public health workers design and implement programs that consider differences in the cultural and spiritual values of minority populations while garnering the resources to provide the needed social support and alleviate the burden faced by the family member caregivers.

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Chamberlain, Kerry Luise. "A Concurrent Mixed Method Study Exploring Iraqi Immigrants' Views of Michigan." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2144.

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Failure of emergency response personnel to communicate effectively with different cultures can have dire consequences during an emergency, including loss of lives and litigation costs. For emergency response personnel to communicate the risk of an emergency, it is important to understand how different groups, especially newly arrived foreign immigrants, perceive warnings and related messages. This study addressed how one of the largest category of immigrants in Michigan perceived severe tornados, influenza pandemics, power outages, severe floods, and snowstorms. The research question examined the degree to which the equation, Risk = Hazard + Outrage, explained perceptions of these hazards in Michigan among newly arrived Iraqi immigrants. A concurrent mixed-method design was used. In-person interviews were conducted using quantitative and qualitative questions based on the equation and the PEN 3 model with 84 immigrants from Iraq who lived in the United States 4 years or less. Respondents' levels of outrage and hazard were compared using ANOVA. The calculated levels were compared with the qualitative comments made during the interviews. Snowstorms measured the highest outrage, and power outages measured the least. The reported awareness level was lowest for snowstorms with the highest being power outages. More information needs to reach Iraqi immigrants regarding unfamiliar hazards. Communicators should use Iraqi immigrants' experience with familiar hazards to identify effective ways of responding to this population. The results of this study may promote social change of more effective communication and saving lives in the future should an emergency occur in Michigan that affects Iraqi immigrants.

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Pezo, Avila Andrea Marlene. "La comunicación interna en una cultura organizacional basada en la promoción de la Salud. Caso Doktuz." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2019. http://hdl.handle.net/10757/652163.

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La presente investigación busca explorar cómo la gestión de la comunicación interna, en los centros de salud privados del Perú, se utiliza como herramienta para difundir una cultura organizacional basada en el más reciente concepto de promoción de la salud propuesto por la Organización Mundial de la Salud (OMS). El modelo usado para identificar el manejo de la comunicación interna, que contribuya a una cultura de promoción de la salud, se basa en las “cinco íes” de Andrade, el cual fue adaptado posteriormente a las “seis íes” de Bustamante y al que se le ha agregado la sub-categoría de estilo de liderazgo para esta investigación. Para ello, se ha tomado al Centro Médico Doktuz como caso de estudio donde se aplicó una metodología cualitativa fenomenológica. Como resultado se obtuvo que el Centro Médico no tiene una cultura organizacional basada en la promoción de la salud institucionalizada, ya que su filosofía de salud preventiva de fácil acceso a la comunidad lo ha llevado a gestionar la comunicación interna solo desde un enfoque de salud ocupacional y de Responsabilidad Social Corporativa (RSC).
This research seeks to explore how the management of internal communication, in private health centers in Peru, is used as a tool to disseminate an organizational culture based on the most recent concept of health promotion proposed by the World Health Organization (WHO). The model used to identify the management of internal communication, which contributes to a culture of health promotion, is based on Andrade's "five ies", which was subsequently adapted to Bustamante's "six ies" and to which the leadership style subcategory has been added for this investigation. For this, the Doktuz Medical Center was taken as a case study where a qualitative phenomenological methodology was applied. As a result, it was obtained that the Medical Center does not have an organizational culture based on the promotion of institutionalized health, since its preventive health philosophy of easy access to the community has led it to manage internal communication only from an occupational health approach and Corporate Social Responsibility (RSC).
Tesis

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Siitonen, Eva. "SAUNA – Den folkhälsovetenskapliga kärnan i den finska bastu." Thesis, Nordic School of Public Health NHV, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3219.

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Syftet med arbetet är att beskriva och analysera hur finländarna upplever bastubadandets påverkan på livskvaliteten. Frågeställning är hur upplever finländaren att det starkt kulturbundna och vardagliga bastubadandet påverkar deras hälsa med tonvikt på livskvalitet? Finlands befolkning är ca. 5,1 miljoner invånare och det finns över 2 miljoner bastun (Statistikcentralen 2004). Finländaren badar bastu i medeltal 1-2 gånger i veckan. (Nyholm opublicerat material) Bastun har alltid varit en del av det finska levnadssättet. Den hör traditionellt till den finska kulturen och är en älskad nationell stolthet. I den finska traditionen har bastun använts för hälsa, arbetsförmåga och hygien (Tähkä et al. 1970). Datainsamling sker via intervju. Som intervjumetod väljes den i antropologin använda kvalitativa The long interview (McCracken 1988). Intervjumetoden beskrivs i fyra steg: Genomgång av analytiska kategorier, genomgång av kulturella kategorier, upptäckande av kulturella kategorier och upptäckande av analytiska kategorier. Metoden tillåter forskaren att utnyttja kompetensen av sin egen kultur. Det leder till mera relevanta frågeställningar, mera kompetent lyssnande och datainsamling med en ökad sensitivitet. En syntes av det teoretiska perspektivet, litteraturgenomgången och intervjuerna har lett till följande hypoteser som enligt forskningsdesignen kan testas vid ett senare forskningstillfälle: Bastun tillhör det finska levnadssättet. De flesta finländare använder bastu som preventivt, hälsofrämjande och som vård av olika krämpor. Bastu har en positiv inverkan på den fysiska, psykiska och sociala hälsan och därmed på livskvaliteten. Bastubadandet är en kulturupplevelse. Bastubadandet är i rätt miljö en naturupplevelse. Ritualer i bastubadande ger trygghet
The overall aim of the study is to describe and analyse how the Finns experience of the sauna affects their quality of life. The study question is how Finns experience the culturally significant sauna bathing affect their health with emphasize on quality of life. The Finnish population is approx. 5,1 million inhabitants and there are more than 2 million saunas (Statistikcentralen 2004). The Finns take a sauna on average 1-2 times a week. (Nyholm, unpublihshed material) Sauna has always been a part of the Finnish way of life. Traditionally it belongs to the Finnish culture and is a dearly loved source of national pride. Traditionally the sauna has been used for health, capacity for work and hygiene. (Tähkä et al. 1970). The method used is The long interview (McCracken 1988). The method can be described in four steps: Review of Analytic Categories, Review of Cultural Categories, Discovery of Cultural Categories and Discovery of Analytic Categories. This method allows investigators to exploit familiarity with their own culture so that they may design better questions, listen more skilfully and analyze data with greater sensitivity. A synthesis of the theoretical perspective, review of the literature and the interviews can be summarised by the following statements: Sauna is part of the Finnish way of life. Most Finns use the sauna as preventive, promotive and as a cure for different ailments. The sauna has a positive effect on physical, psychological and social health and therefore on the quality of life. The sauna is a cultural experience. Taking a sauna can be a way of experiencing nature. The rituals around sauna give a feeling of security.

ISBN 978-91-85721-17-7

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Kelsey, Beth M. "Culture care values, beliefs, and practices of Mexican American migrant farm workers related to health promoting behaviors." Virtual Press, 2005. http://liblink.bsu.edu/uhtbin/catkey/1312003.

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The purpose of this study was to describe, explicate, and systematically analyze the culture care values, beliefs, and practices of migrant farm workers related to health promoting behaviors in context of their temporary living accommodations and work setting in two small towns in east central Indiana. The goal of this study was to generate knowledge regarding culture care values, beliefs, and practices of migrant farm workers related to health promoting behaviors. Such knowledge can be used by nurses to provide culturally congruent care which can influence migrant farm workers' health and well-being.The theoretical framework for the study was Leininger's Theory of Culture Care Diversity and Universality. The qualitative ethnonursing research method was used. Semi-structured interviews were conducted using both an ethnonursing inquiry guide and an ethno-demographic information guide developed by the researcher.Sixteen key informants and three general informants participated in the study. Informants were purposefully selected for knowledge of migrant farm life and willingness to share this knowledge with the researcher. Key informants were Mexican American migrant farm workers in east central Indiana for farm and tomato factory work from July through October, 2004. General informants were health and social service workers who provided care for the migrant farm workers. Three key informants were interviewed twice each. All other informants were interviewed once. Interviews took place in the informants' homes and at a local food pantry. Interviews were audio taped and transcribed verbatim.Four major themes were synthesized from the research data: (a) health promoting behaviors are recognized and valued by migrant farm workers but are influenced by economic and political/legal factors in the social structure; (b) traditional gender roles of migrant farm worker men and women influence health promoting behaviors; (c) professional caring is viewed by migrant farm workers as respect through the use of the Spanish language and acceptance of culture care values, beliefs, and practices; and (d) health promoting behavior of migrant farm workers is influenced both by traditional culture care values and beliefs and by knowledge acquired through diverse formal and informal education. Findings were discussed in relation to Leininger's three modes of culture care action for nurses: culture care preservation/maintenance, accommodation/negotiation, and repatterning/restructuring.
Department of Educational Studies

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Bohlin, Veronica. "Flickor i riskzonen för könsstympning – En kvalitativ studie om bemötande inom barnhälsovården." Thesis, Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-71702.

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Bakgrund: I Sverige uppskattas att närmare 38 000 flickor och kvinnor varit utsatta för någon typ av kvinnlig könsstympning. Av dem tros 7000 vara flickor under 18 år. Andelen flickor som befinner sig i riskzonen för könsstympning är oklar. Tidigare forskning visar att flickor i riskzonen är de vars mödrar är könsstympade samt familjens attityd till traditionen. Betydelse för att hamna i riskzon för det beror även på hur länge de bott i Sverige samt integrationen. Barnhälsovårdspersonal har till uppgift att främja hälsa på lika villkor genom att tidigt identifiera och initiera åtgärder vid problem i barns hälsa, utveckling och uppväxtmiljö. Samverkan mellan barnavårdscentral och socialtjänst genom utökat hembesöksprogram är ett arbetssätt som bygger på förtroende mellan personal och föräldrar. Ett ökat föräldrastöd och kortare vägar till hjälp hos socialtjänsten. Barnhälsovårdspersonalen som kommer att börja arbeta med ett utökat hembesöksprogram ska kunna känna sig trygga i att de kan möta barnfamiljer med flickor i riskzonen för könsstympning. Syfte: Syftet med studien var att undersöka barnhälsovårdspersonalens förhållningssätt i arbetet med flickor i riskzonen för könsstympning. Metod: En kvalitativ intervjustudie med åtta deltagare inom barnhälsovården. Urvalet var strategiskt och intervjuerna spelades in, transkriberades och analyserades enligt kvalitativ innehållsanalys. Resultat: Analysen resulterade i temat ojämlikt bemötande och påvisade att personalen inom barnhälsovården bemöter flickor i riskzonen för könsstympning olika. Resultatet visar att det finns olikheter i förhållningssättet med att bemöta flickor i riskzonen för könsstympning och även hur hälsovårdspersonalen inom barnhälsovården hanterar att det finns flickor i riskzonen för könsstympning. Deltagarna hade utvecklat olika strategier eller inga strategier alls för att hantera frågan. Slutsats: Det råder ett ojämlikt bemötande av flickor i riskzonen för könsstympning inom barnhälsovården och det behöver utvecklas en mer jämlik barnhälsovård i socioekonomiskt utsatta områden. En god samverkan innebär hållbarhet både på kort och lång sikt.
Background: In Sweden, it is estimated that nearly 38,000 girls and women have been exposed to some type of female genital mutilation. Of those, 7000 are believed to be girls under 18 years of age. The proportion of girls in risk zone is unclear. Previous research shows that girls at risk are those whose mothers are genital mutilated and how the family´s attitude to the tradition. Significance for ending in a risk zone depends on how long they lived in Sweden as well as integration. Child health care staff have an important role to promote health on equal terms by identifying and initiating early action on problems in children´s health, development and growth environment. The interaction between child health care and social services in expanded home visit programs means a way of providing increased resources. It is a way of working based on trust between personal and parents. Increased parental support and shorter ways to assist in social services. The staff in the child health care who will start this model should be able to feel conscious and confident that they can meet families with girls at risk of genital mutilation. Aim: The aim of the study was to investigate the attitude of the child health care staff in the work of girls at risk of genital mutilation. Method: A qualitative interview study with eight participants in child health care was done. The selection was strategic and the interviews were recorded, transcribed and analyzed by a qualitative content analysis. Results: The analysis resulted in the theme unequal treatment and shows that the child health care personnel treats girls at risk of genital mutilation differently. There are differences in the approach of responding to girls at risk of genital mutilation and also how child health care personnel handle there are girls at risk of genital mutilation. The participants had developed different strategies or no strategies at all to handle the issue. Conclusion: The results show different approaches to the work of girls at risk of genital mutilation in child health care and it reinforces the picture of the importance of a more equal child health care in socio-economically vulnerable areas. Good cooperation means sustainability in the short and long term.

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Walcott, Dona S. "Cultural Health Beliefs and Influenza Vaccination Among Caribbean-Born Students." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6697.

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This purpose of this quantitative study was to examine health beliefs among Caribbean-born university students regarding acceptance or rejection of influenza vaccination among populations at institutions of higher education. In addition, acculturation was addressed as a factor affecting cultural health beliefs. A survey was completed by 98 students enrolled at Florida International University during the spring 2018 semester. Linear regression was used to analyze whether cultural health beliefs and acculturation were predictive of beliefs about influenza vaccination and beliefs about perceived barriers to influenza vaccination. The study findings showed cultural health beliefs of the students were statistically significant predictors of their beliefs about influenza vaccination and perceived barriers to influenza vaccination. Also, the levels of acculturation were a statistically significant predictor of students' cultural health beliefs and beliefs about perceived barriers to influenza vaccination. After 5+ years of acculturation in the United States, the students surveyed still held cultural beliefs and perceived barriers to influenza vaccination that contributed to their lack of acceptance of the vaccination. The information gained from this study gives credence to the need for designing health interventions and health messages on influenza vaccination that are culture specific for a college-age population if influenza vaccination acceptance is to be promoted.

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Priestly, Jacqueline Rita, University of Western Sydney, College of Social and Health Sciences, and School of Sociology and Justice Studies. "Growing stronger together : cross-cultural nutrition partnerships in the Northern Territory 1974-2000." THESIS_CSHS_SJS_Priestly_J.xml, 2003. http://handle.uws.edu.au:8081/1959.7/266.

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This thesis incorporates social history and consultative action research to analyse the development of cross-cultural nutrition services for Indigenous communities in the Northern Territory from 1974-2000 and promote the development of stronger partnerships in 1999-2001.The historical development of nutrition services is analysed against current theory and a model of capacity building for health promotion. Nutrition infrastructure and services have developed systematically, incrementally and substantially. Strengths include the development of enduring and successful inter-cultural partnerships and leadership.Two facilitative narratives which aim to improve inter-cultural knowledge sharing, strengthen capacity and promote participatory action in community based projects were developed, implemented and partially evaluated. Services can be further strengthened by long-term commitments to examining power issues, promoting improved Indigenous control and problem solving and comprehensive bi cultural evaluation that identifies significant indicators to improving outcomes. Participatory action research, facilitative story telling, capacity building, Indigenous education theory and critical social science can inform and guide these efforts in complementary ways.
Master of Arts (Hons) (Critical Social Science)

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Franco, Fabiana Campos. "ALTERNATIVAS COMUNICACIONAIS A ESTRATÉGIA DE SAÚDE DA FAMÍLIA." Universidade Metodista de São Paulo, 2011. http://tede.metodista.br/jspui/handle/tede/945.

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Made available in DSpace on 2016-08-03T12:31:22Z (GMT). No. of bitstreams: 1 Capitulo5_pg118_126.pdf: 872318 bytes, checksum: 347096a62eeff1989fc02f89aa63191b (MD5) Previous issue date: 2011-03-07
The exploratory case we aimed to analyze the communication process used by the professional of the Family Health Strategy, the Health Unit Maruípe, in Vitória, capital of Espírito Santo. As a sample, we chose Maruípe region, which has the largest population of the capital, according to data from IBGE/2000 and that the strategy reaches the entire population. Data collection was performed by structured questionnaires with open questions, closed and semi-open to members of two Family Health teams who voluntarily decides to participate. We applied two different types of questionnaires: one to eight Community Health Workers and other staff members to thirteen. Data Were quantified and qualitatively analyzed in order to reflect on the importance of communication in promotional and preventive health, and their relationship with the local primary care and reducing the numbers od admissions to hospitals for underlying causes. Based on critical theory, theory of communicative action, Habermas and the recent Latin American studies on the importance of communicative action as an input in health, we analyze the communication tools used by the team and how that communication is established in order to draw a protocol suggestions to minimize the communication problems in the development of actions.
O estudo exploratório de caso que teve como objetivo analisar o processo de comunicação utilizado pelos profissionais da Estratégia de Saúde da Família, na Unidade de Saúde de Maruípe, no município de Vitória, capital do Espírito Santo. Como amostra, escolhemos a Região de Maruípe, que possui o maior número de habitantes da capital, segundo dados do IBGE/2000 e em que a estratégia atinge toda a população. A coleta de dados se realizou pela aplicação de questionários estruturados com perguntas abertas, semiabertas e fechadas aos integrantes de duas equipes de Saúde da Família que, voluntariamente, decidiram participar da pesquisa. Foram aplicados dois tipos diferentes de questionários: um para oito Agentes Comunitários de Saúde e outro para treze membros da equipe. Os dados foram quantificados e analisados qualitativamente visando refletir sobre a importância da comunicação nas ações de promoção e prevenção da saúde, e sua relação com a atenção básica municipal e a redução do número de internações nos hospitais por causas básicas. Com base na teoria crítica, na teoria do agir comunicativo de Habermas e nos recentes estudos latino-americanos sobre a importância da comunicação como insumo na saúde, analisamos os instrumentos de comunicação utilizados pela equipe e a forma como essa comunicação se estabelece, a fim de traçar um protocolo de sugestões para minimizar os problemas de comunicação no desenvolvimento das ações.

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Lico, Fátima Madalena de Campos. "Juventude, violência e ação coletiva." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-09042009-110602/.

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Introdução: O presente estudo tem como objeto de análise as ações coletivas para enfrentamento da violência e as construções sociais dos jovens, pais, lideranças e profissionais de saúde, educadores e gestores sobre o que é ser jovem e violência nos distritos administrativos do Jardim Ângela e Grajaú no município de São Paulo. Objetivos: analisar e comparar os processos que orientam as ações coletivas e as experiências participativas de promoção da saúde dos jovens realizadas pelas organizações governamentais e não-governamentais para o enfrentamento e resistência à violência, nos Distritos Administrativos do Grajaú e Jardim Ângela, visando contribuir para a construção de uma cultura de paz e implementação de políticas públicas para a juventude local. Metodologia: estudo de caso qualitativo, que compreendeu a articulação de dados obtidos por meio de entrevistas individuais, formulários semi-estruturados, questionários auto-aplicáveis e levantamentos de dados secundários. Para a análise, a estratégia metodológica principal utilizada foi a triangulação das informações. O referencial teórico fundado na sociologia da ação foi o marco a partir do qual as informações foram analisadas. Resultados: verificou-se uma tendência de queda maior da taxa de mortalidade por agressões/homicídios no distrito do Jardim Ângela do que no de Grajaú, a partir de 2002. Apesar da redução registrada nos índices de violência, estes são, ainda, elevados nos dois distritos em relação ao restante do município. Na análise da rede de proteção aos jovens, constatou-se que as intervenções estão voltadas principalmente para a redução do risco de violência, com foco na educação, cultura, desenvolvimento socioeducativo, que muitas vezes incluem programas educacionais e culturais, prática de esportes e lazer, principalmente. Evidenciou-se que os jovens não atuam como protagonistas nas políticas públicas e nas ações coletivas nos distritos e ainda que aqueles que não freqüentam mais a escola estão excluídos das políticas públicas e dos projetos das entidades. Quanto à visão de juventude, predomina a da fase de dificuldades e de transição para a vida adulta. Para os jovens é uma fase de diversão e de preparo para assumirem as responsabilidades futuras. Seus projetos de vida são: estudar e trabalhar. A família, a escola e o trabalho foram considerados importantes instituições de socialização. Os jovens gostam das regiões onde vivem e não as consideram violentas, contrastando com as percepções sobre a violência dos atores que não residem nos distritos. Foram identificados como principais problemas das regiões a falta de infra-estrutura, de saneamento básico, falta de espaço de convivência, de áreas e equipamentos de lazer e cultura para os jovens. A violência doméstica é um grave problema nas regiões, assim como o consumo de álcool e drogas e a atuação do tráfico. Conclusão: Constatou-se que, no distrito do Jardim Ângela, ocorreu uma maior mobilização da sociedade civil com desenvolvimento de ações coletivas para enfrentamento da violência e, recentemente, no Distrito do Grajaú, vêm ocorrendo ações e articulações entre o poder público e a sociedade civil para o enfrentamento do problema. Em ambos os distritos, os jovens pesquisados não atuam como protagonistas das ações. Aqueles que deixaram de estudar não têm acesso às ações das entidades e tentam realizar seu projeto de vida de outra forma: as meninas engravidam e constituem família; os meninos buscam a rua, o trabalho informal e não-qualificado. As políticas públicas e ações coletivas destinadas à juventude são fragmentadas e desarticuladas em ambos distritos. A rede de proteção aos jovens é difusa, as escolas têm papel preponderante e as entidades têm vocação para a prática assistencial. No DA do Jardim Ângela, o quadro apresenta-se de uma forma pouco diferenciada, cabendo um papel relevante a uma rede de entidades lideradas pela Igreja Católica e a uma ação mais integrada das Unidades de Saúde.
Introduction: The object of analysis of the present study are the collective actions developed to face violence and the social constructions of youths, parents, leaders and health professionals, educators and managers about what it is to be young and about violence in the administrative districts of Jardim Ângela and Grajaú, in the municipality of São Paulo. Objectives: to analyze and compare the processes that guide the collective actions and the participatory experiences of health promotion for youths carried out by governmental and non-governmental organizations, in order to face and resist violence, in the Administrative Districts of Grajaú and Jardim Ângela, aiming to contribute to the construction of a culture of peace and implementation of public policies targeted at the local youths. Methodology: qualitative case study that comprehended the articulation of data obtained through individual interviews, semi-structured forms, selfreported questionnaires and surveys of secondary data. For the analysis, the main methodological strategy used was triangulation of information. The theoretical framework founded on action sociology was the benchmark based on which the information was analyzed. Results: the mortality rate by aggressions/homicides showed a higher decreasing trend in the district of Jardim Ângela compared to Grajaú, from 2003 onwards. Despite the reduction registered in the violence indicators, they are still high in the two districts compared to the rest of the municipality. In the analysis of the youths protection network, it was verified that the interventions\' main objective is to reduce the risk of violence, focusing on education, culture, and socio-educational development. The interventions frequently encompass educational and cultural programs, sports practice and leisure. It was observed that the youths do not act as players in the public policies and in the collective actions in the districts, and also that those who do not attend school anymore are excluded from the public policies and from the entities\' projects. Concerning the view of youth, the ones that predominate are: youth as a phase of difficulties and of transition to adult life; to the youths, it is a phase of entertainment and preparation for assuming future responsibilities. Their life projects are: studying and working. Family, school and work were considered important socialization institutions. The youths like the regions where they live, and they do not consider them violent, in opposition to the violence perceptions of the players that do not live in the districts. The main problems identified in the regions were lack of infrastructure, of basic sanitation, of premises for conviviality, leisure, cultural activities and equipment for the youths. Domestic violence is a serious problem in the regions, as well as alcohol and drug consumption and the traffic\'s actions. Conclusion: in the District of Jardim Ângela, there was a greater mobilization of the civil society, with the development of collective actions to face violence, whereas in the District of Grajaú, there have been recent actions and articulations between the public power and the civil society to face the problem. In both districts, the researched youths are not the players of the actions. Those who do not study anymore do not have access to the entities\' actions and try to fulfill their life projects in another way: girls get pregnant and form a family and boys go to the streets, looking for informal and non-qualified jobs. The public policies and collective actions directed at youths are fragmented and disorganized in both districts. The youths protection network is diffuse, schools have a preponderant role and the entities have a vocation for assistentialism. In Jardim Ângela, the picture is a little different, due to the relevant role played by a network of entities leaded by the Catholic Church, and by the more integrated action of the Health Care Units.

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Etheridge-Criswell, Sarah M. "Identifying Cultural Themes in a Shared Experience of Water Hygiene Education Partners." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1599.

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Lack of safe drinking water and lack of water hygiene literacy contribute to a large disease burden in rural areas of Africa, and children suffer disproportionately more than adults from diarrheal diseases caused by nonpotable water. Research is needed to help merge education and water sanitation to provide more effective methods of preventing diarrheal diseases. The ecological model and hygiene improvement framework were used to guide the study. The purpose of this phenomenological study was to describe the shared experiences of people participating in the water hygiene education program provided by Lifewater International. Lifewater is a nonprofit organization focused on improving access to clean water and increasing water hygiene literacy in rural parts of developing countries. Individual interviews were conducted with six Lifewater program participants, using the Delphi sampling technique. After I transcribed and thematically analyzed data for codes, three main themes were identified that motivated Lifewater partners and members of their community to change behavior: improving their children's health, saving time and money, and being a better Christian. The most meaningful part of participating in the program is that they use the information to improve the lives of those in their communities. In addition to making curricula for the Lifewater organization and its partners more streamlined, if the lessons are more culturally relevant, people are more likely to accept the behavior changes being taught, which can also influence the behavior change. Culturally relevant curriculum could help increase the access to and knowledge of clean water in developing areas, which contributes to the United Nation;s Millennium Development Goals, and thus promotes social change.

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Knight-Forbes, Tia. "Cultivating Cultural Competence to Address Childhood Obesity in Ethnic Minority Youth." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6594.

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Obesity is an increasingly prevalent health issue, especially among children who live in high poverty, low income, and low education areas that lack needed resources and health care to promote quality of life. African American youth have a higher rate of obesity than other populations. The purpose of this project was to address an identified gap in practice by improving health care professionals' ability to provide culturally competent care to African American youth. An educational intervention framed by the Purnell model for cultural competence was developed to address the question, Will cultural competency staff education improve knowledge to prevent and manage childhood obesity among African American youth ages 2 to 19? Health care professionals (n = 10) in 5 community clinics completed the 17-item, 5-point Likert response Cultural Competence Assessment before and after an online education module. The higher the sum of the scores on the items, the higher the self-assessed cultural competence. Using Cohen's d statistic to calculate effect size, a small effect size was found on 1 item, a medium effect size was found on 1 item, and a large effect size was found on 15 items, indicating an increase in self-assessment of cultural competency after the education intervention. The findings demonstrate that education can increase health care professionals' knowledge about how to provide culturally competent management of African American childhood obesity. Practicing culturally competent preventive care in ethnic communities can reduce the gap in practice, which may bring about positive social change in society by decreasing chronic health care comorbidities and disparities in ethnic populations. The project may be of particular interest to nurse providers in primary care and community settings.

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Palmer, Philis Grace. "Demographic, Behavioral, and Cultural Factors on Chlamydia Trachomatis Infection." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6941.

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Chlamydia trachomatis is a sexually transmitted disease, and its incidence has been increasing in recent years in the U.S. population. Certain demographic factors have been identified as posing an increased risk to acquire this disease. The purpose of this mixed-methods research was to examine how population demographics (quantitative section) and cultural and behavioral factors (qualitative section) affect risk for contracting chlamydia trachomatis in the Miami-Dade, Florida area. The theory of reasoned behavior was the theoretical framework of the study. The quantitative component used secondary data from Jackson Health System (2012- 2018) pertaining to 333 Miami-Dade young adult individuals with incidents of chlamydia trachomatis by gender, ethnicity, and race. For the qualitative component, 13 health care providers were interviewed using purposeful sampling, and the qualitative data were transcribed verbatim and analyzed thematically. Quantitatively, proportion of sample data was compared to national data using z statistics. Chlamydia cases were more often in the Black versus White group and Hispanics versus non-Hispanics group in Miami-Dade area compared to the similar national proportions (z=4.9, p<0.0001, and z=6.4, p<0.0001, respectively). Qualitatively, health care providers reported a significant lack of education and awareness on the infection, especially in young populations in the Miami-Dade area. Social change can be achieved by using findings of this research to develop more effective public health initiatives regarding the spread of chlamydia trachomatis in the Black and Hispanic population as well as with health care providers.

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Beeson, Laura Alice. "An investigation of the possible health-promoting modes of action of regular- and super-doses of phytase in the broiler chicken." Thesis, University of Glasgow, 2017. http://theses.gla.ac.uk/7853/.

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The overall objective of this thesis was to study the effects of regular and high (super-) doses of phytase in the gut of broilers, with the aim of documenting the mechanism of their action leading to improvements in animal health. Phytase is often supplemented to commercial broiler diets to facilitate the hydrolysis of plant phytate and release of phosphorus for utilisation. Although not the original intention of its addition, phytase supplementation leads to improvements in growth performance parameters and enhanced nutrient utilisation. Further benefits have also been observed following the addition of super-doses of phytase which are not explained by an increase in phosphorus release, and thus have been termed ‘extra-phosphoric effects’. Using diets formulated to be adequate or marginally deficient in available phosphorus (aP) forming the negative control, NC), phytase was supplemented at 1,500 and 3,000 FTU/kg phytase in the first study (both super-doses) and the partitioning of nutrients within the body was investigated. It appeared that there were some metabolic changes between 1,500 and 3,000 FTU/kg, switching between protein and fat accretion, potentially as a consequence of nutrient availability, although these changes were not reflected by changes in growth performance parameters. However, the loss of the NC treatment without phytase on day 12 limits the comparison of the phytase within the NC treatment, but does allow for comparison of each dose at adequate or low dietary aP levels. As expected, a greater degree of phytate hydrolysis was achieved with 3,000 than with 1,500 FTU/kg phytase, but changes in carcass accretion characteristics were greater with 1,500 than 3,000 FTU/kg. Using these findings and the observation that there were no further changes in the parameters measured by increasing phytase from 1,500 to 3,000 FTU/kg (aside from phytate hydrolysis), 1,500 FTU/kg phytase was selected as the super-dose to be used in subsequent studies. The next study considered the influence of regular (500 FTU/kg) and super doses (1,500 FTU/kg) of phytase from within the gut. Overall, it was observed that changes were occurring to the gut environment, which ultimately would influence the absorptive capacity and conditions for further phytate hydrolysis. Dietary treatment influenced gut conditions such as pH, intestinal morphology and bacterial populations which can subsequently influence nutrient utilisation and potential for growth. The subsequent study was designed to investigate the effects within the gut in more detail. The release of nutrients from phytate hydrolysis and their bioavailability within the digesta can influence conditions within intestine, facilitating enhanced absorption. One of the parameters investigated was the expression of genes involved in the transport of nutrients in the intestine. Overall, there were few significant dietary treatment influences on gene expression in the intestine, however there was a dose-dependent response of phytase on the expression of the jejunual divalent mineral transporter. This indicates a change in divalent mineral bioavailability in the intestine, with correlations with inositol phosphate esters (IPs) being identified. This is likely explained by the IPs produced by phytase hydrolysis and accumulating in the digesta, differing between regular and high doses of phytase. It became apparent that interactions between the products of phytate hydrolysis (IP3, IP4) and minerals in the digesta had the potential to influence the gut environment and subsequent nutrient bioavailability and overall phytase action. The final study was designed to increase the content of the IPs, and investigate the influence of phytase under these conditions. As the complete hydrolysis of phytate to myo-inositol has been reported to be beneficial due to its proposed insulin mimetic effects, myo-inositol was also supplemented to one of the diets to see if any further benefits would be observed when supplemented alongside super-doses of phytase. Neither increased concentrations of the higher IP esters (IP6, IP5 and IP4) nor myo-inositol (myo-) had any effect on broiler growth performance, however there were still apparent beneficial influences of phytase supplementation. The results suggest considerable and important interactions between minerals and IP esters within the digesta, which ultimately have the potential to influence gut conditions and thus nutrient utilisation and growth performance. Reduced concentrations of blood glucose in the high IP ester diet with additional phytase supplementation suggest some insulin-like effects of myo- production. Additionally, the lack of effect of myo- supplementation on blood glucose and insulin concentrations suggests a difference between the structure of phytase-produced myo- and supplemented myo-. Although there were no improvements in growth performance by increasing phytase from 500 to 1,500 FTU/kg, there were changes occurring at the level of the gut and expression of genes in the intestine, influencing nutrient utilisation and the partitioning of nutrients within the body. There are many factors to be considered when supplementing phytase, with dietary nutrient content and nutrient release and IP production during phytate hydrolysis having an influence on phytase action, nutrient absorption and conditions within the gut. Super-doses of phytase may be beneficial for maintaining optimal gut conditions, clearing IP esters from the digesta, reducing their potential to form complexes with minerals and other nutrients, ultimately influencing the efficiency of production.

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Riemenschneider, Henna, Péter Balázs, Erika Balogh, Axel Bartels, Antje Bergmann, Károly Cseh, Nora Faubl, et al. "Do socio-cultural factors influence medical students’ health status and health-promoting behaviors? A cross-sectional multicenter study in Germany and Hungary." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2017. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-214227.

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Background Physical and mental health is important for coping with the high requirements of medical studies that are associated with a higher risk for severe stress, insomnia, smoking, harmful alcohol consumption and easier access to drugs. Health behaviors of medical students influence not just their own health but also the health of their future patients. We examined whether socio-cultural factors can explain differences in students’ health status and health-promoting behaviors. Methods A multicenter cross-sectional survey in Germany (Dresden, Munich) and Hungary (Budapest, Pécs) enclosed international medical students in their 1st, 3rd and 5th academic years. The students were invited to voluntarily and anonymously complete a questionnaire on different aspects of health behavior during obligatory seminars and lectures in 2014. The response rate of the total sample was 56.2 % (n = 2935); the subgroup analysis enclosed data of German (n = 1289), Hungarian (n = 1057) and Norwegian (n = 148) students. Results A high number of Norwegian students (84.5 %) assessed their health status as very good/excellent. In comparison, only 60.3 % of the Hungarian and 70.7 % of the German participants reported a very good/excellent health status. The distributions were comparable between the study sites. Although gender, financial situation and nationality were significant health status predictors, they could explain only 8.2 % of the total variance of health status in the multivariable model. A comparably high number of Hungarian students (95.3 % vs. 67.4 % German and 56.7 % Norwegian) reported that they can currently do a lot/very much for their health. In contrast, a significant number of Norwegians (73.0 % vs. 63.7 % Hungarian and 51.5 % German) reported that they currently do a lot/very much for their health (chi2-test, p ≤ 0.001). Financial situation, study site and study year were the strongest predictors for health promotion activities (Nagelkerkes R2 = 0.06). Conclusions Based on our study, gender and study year played only a minor role in the health status and health promotion beliefs and activities of medical students. Structural (study site) and somewhat socio-cultural factors (nationality, financial situation) mainly explained the differences regarding health promoting behaviors. Obligatory, free-of-charge courses for health promotion (activity and relaxation) should be included in study curriculums.

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Smith, Debra Suzette. "Cultural Perspectives on African American Adolescent Sexual Risk Behavior in Central Mississippi." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5657.

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In 2015, Mississippi had the 3rd highest adolescent birth rate in the United States, high rates of sexually transmitted diseases, and enduring racial disparities between African American and White teenagers. Few researchers have described the immediate cultural environment to determine how it may influence the sexual behaviors and attitudes of African American teens. The purpose of this qualitative ethnographic study was to describe the sociocultural environment of African American adolescents in Mississippi that influences their sexual behavior by exploring the knowledge, feelings, experiences and beliefs of African American adults. The social cognitive theory was used as a theoretical framework to address 3 purpose-driven research questions. Criterion-based convenience and snowball sampling was used to select 16 African American male and female participants ages 18-64 who were residents of the study location for at least 10 years. Data were collected using a semi-structured interview protocol designed. Interview transcripts were coded, data was triangulated, and themes were identified based upon participant responses. Findings were identified across 3 thematic categories: knowledge, beliefs and experiences, and community engagement. Participants wanted adolescents to postpone sexual activity until they were more mature and believed adolescents and their parents need education and improved communication about risks and prevention. Recommendations include deeper exploration into public health and community engagement strategies to improve health outcomes in the face of unique community challenges. Social change may also result from this study's initiation of community conversations around adolescent sexuality and healthy development.

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Connors, Dahlia. "Understanding the Lived Experiences of Hispanic Immigrants with Diabetes Toward Disease Self-Management." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5843.

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The Hispanic population has a higher incidence of diabetes and poorer health outcomes compared to other populations in the United States. Although previous research has reported that cultural and ethnic beliefs play a role in poorer diabetes self-management by Hispanic individuals, limited studies have been focused on the barriers to self-management from the perspectives of Hispanic immigrants. The purpose of this qualitative study was to gain an understanding, through oral history narrative, of the experiences of Hispanic immigrants living with diabetes. In this study, the influence of cultural and ethnic beliefs on diabetes self-management in Hispanic immigrants in the Bronx in New York was explored. Semistructured interviews were conducted with 7 Hispanic immigrants who narrated their lived experiences regarding how they self-manage their conditions. The theory of reasoned action/theory of planned behavior guided this research. Data from in-depth interviews were coded and analyzed for themes. Six themes emerged from these interviews: knowledge of diabetes, diabetes self-management, strong cultural beliefs, social support, lifestyle changes, and strong cultural influence on diabetes management. The results from this study can lead to social change by providing information to health care providers and policy makers who need to deliver culturally sensitive education to both diabetic individuals and their families, which can help in the self-management of the disease.

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Parker, Andrea Grimes. "A cultural, community-based approach to health technology design." Diss., Georgia Institute of Technology, 2011. http://hdl.handle.net/1853/41157.

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This research has examined how Information and Communication Technologies (ICTs) can promote healthy eating habits amongst African Americans in low-income neighborhoods, a population that faces disproportionately high rates of diet-related health problems. In this dissertation, I describe the formative research I conducted to obtain system design guidelines and how I used those guidelines to develop two applications: EatWell and Community Mosaic. I also describe the results of the in-depth field studies I conducted to evaluate each application. Both EatWell and Community Mosaic incorporate the cultural construct of collectivism, a social orientation in which interdependence and communal responsibility are valued over individual goals and independence. As researchers have generally characterized the African American culture as collectivistic and argued for the value of designing collectivistic health interventions for this population, I examined the implications of taking such an approach to designing health promotion technologies. EatWell and Community Mosaic are collectivistic because they empower users to care for the health of their local community by helping others learn practical, locally-relevant healthy eating strategies. I discuss the results of my formative fieldwork and system evaluations, which characterize the value, challenge and nuances of developing community-based health information sharing systems for specific cultural contexts. By focusing on health disparities issues and the community social unit, I extend previous health technology research within Human-Computer Interaction (HCI). In particular, my results describe 1) a set of characteristics that help make shared material useful and engaging, 2) how accessing this information affects how people view the feasibility of eating well in their local context, 3) the way in which sharing information actually benefits the contributor by catalyzing personal behavior reflection, analysis and modification and 4) how sharing information and seeing that information's impact on others can help to build individuals' capacity to be a community health advocate. In addition, my work shows how examining cultural generalizations such as collectivism is not a straightforward process but one that requires careful investigation and appreciation for the way in which such generalizations are (or are not) manifested in the lives of individual people. I further contribute to HCI by presenting a set of important considerations that researchers should make when designing and evaluating community-based health systems. I conclude this dissertation by outlining directions for future HCI research that incorporates an understanding of the relationship between culture and health and that attempts to address health disparities in the developed world.

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McKinney, Sheila Y. "Exploring Breast Health Perceptions, Behaviors, and Social Cohesion among Ethnically Diverse Black Women." FIU Digital Commons, 2017. http://digitalcommons.fiu.edu/etd/3368.

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Purpose Study explored the relationships of ethnic identity, culture, and social cohesion to mammography, cancer screening, and preventive medical visits among African-American and Afro-Caribbean women in Broward County, FL. Purpose was to understand non-compliance to screening recommendations for breast cancer among disadvantaged Black women in an area of high prevalence. Methods A bounded convenience sample of 117 women (49% African-American and 51% Afro-Caribbean) completed a cross-sectional survey and a subset (n=87) participated in semi-structured discussion groups. Both measured perceptions related to breast cancer, defined ethnic identity or culture, and suggested social and cultural factors influence of ethnic identity, culture, and social cohesion on participation with mammograms and preventive medical care visits. Survey included the Multi-Group Ethnic Identity Measure (MEIM) and Other-Group Orientation Scale (OGO) for ethnic identity and the Risk Behavior Diagnosis Scale for cancer perceptions. Methods were bivariate, Mann-Whitney U, linear, and logistic regression. Results Half of participants (51%) self-identified as Caribbean. OGO was positively associated with overall attitudes (p< 0.01), perceived urgency (p = 0.05), and perceived benefit related to breast cancer. Linear regression indicated that Afro-Caribbean women (referent) would perceive less urgency to screen (p = 0.05) and lower risk for breast cancer (p = 0.03) than African-American women. Participants explained that personal and neighborhood cultural norms along with health perceptions along with structural factors connected to access and use of medical services influence Black women’s participation in preventive medical services and cancer screening. Conclusions Ethnic identity was associated with women’s perceptions of risk, urgency, and benefit for breast cancer screenings. These perceptions may have had a greater influence on the decisions of Afro-Caribbean women not to comply with screening recommendations or participate in preventive medical care actives than for African-American women. Compliance was also mediated by cultural perceptions of fear, relevance, motivation, and sense of support along with other structural factors. All had contributed to the varying degrees that Black women had sought medical care in this community. Thus, tailoring health interventions to account for variations in within-group characteristics is warranted. [This research was supported in part by NIH/NIGMS R25 GM061347.]

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Riemenschneider, Henna, Péter Balázs, Erika Balogh, Axel Bartels, Antje Bergmann, Károly Cseh, Nora Faubl, et al. "Do socio-cultural factors influence medical students’ health status and health-promoting behaviors? A cross-sectional multicenter study in Germany and Hungary." BioMed Central, 2016. https://tud.qucosa.de/id/qucosa%3A29975.

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Background Physical and mental health is important for coping with the high requirements of medical studies that are associated with a higher risk for severe stress, insomnia, smoking, harmful alcohol consumption and easier access to drugs. Health behaviors of medical students influence not just their own health but also the health of their future patients. We examined whether socio-cultural factors can explain differences in students’ health status and health-promoting behaviors. Methods A multicenter cross-sectional survey in Germany (Dresden, Munich) and Hungary (Budapest, Pécs) enclosed international medical students in their 1st, 3rd and 5th academic years. The students were invited to voluntarily and anonymously complete a questionnaire on different aspects of health behavior during obligatory seminars and lectures in 2014. The response rate of the total sample was 56.2 % (n = 2935); the subgroup analysis enclosed data of German (n = 1289), Hungarian (n = 1057) and Norwegian (n = 148) students. Results A high number of Norwegian students (84.5 %) assessed their health status as very good/excellent. In comparison, only 60.3 % of the Hungarian and 70.7 % of the German participants reported a very good/excellent health status. The distributions were comparable between the study sites. Although gender, financial situation and nationality were significant health status predictors, they could explain only 8.2 % of the total variance of health status in the multivariable model. A comparably high number of Hungarian students (95.3 % vs. 67.4 % German and 56.7 % Norwegian) reported that they can currently do a lot/very much for their health. In contrast, a significant number of Norwegians (73.0 % vs. 63.7 % Hungarian and 51.5 % German) reported that they currently do a lot/very much for their health (chi2-test, p ≤ 0.001). Financial situation, study site and study year were the strongest predictors for health promotion activities (Nagelkerkes R2 = 0.06). Conclusions Based on our study, gender and study year played only a minor role in the health status and health promotion beliefs and activities of medical students. Structural (study site) and somewhat socio-cultural factors (nationality, financial situation) mainly explained the differences regarding health promoting behaviors. Obligatory, free-of-charge courses for health promotion (activity and relaxation) should be included in study curriculums.

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ROCHA, Luana Padilha da. "Significado dos círculos de cultura para os atores sociais envolvidos na prática educativa com adolescentes escolares multiplicadores em saúde." Universidade Federal de Pernambuco, 2016. https://repositorio.ufpe.br/handle/123456789/20168.

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Submitted by Fabio Sobreira Campos da Costa (fabio.sobreira@ufpe.br) on 2017-07-31T14:31:08Z No. of bitstreams: 2 license_rdf: 811 bytes, checksum: e39d27027a6cc9cb039ad269a5db8e34 (MD5) Dissertação Versão para biblioteca.pdf: 2196055 bytes, checksum: ad13360cc3c1feb03883d61ebdda7fb1 (MD5)
Made available in DSpace on 2017-07-31T14:31:08Z (GMT). No. of bitstreams: 2 license_rdf: 811 bytes, checksum: e39d27027a6cc9cb039ad269a5db8e34 (MD5) Dissertação Versão para biblioteca.pdf: 2196055 bytes, checksum: ad13360cc3c1feb03883d61ebdda7fb1 (MD5) Previous issue date: 2016-02-22
Esta dissertação objetivou apreender o significado dos Círculos de Cultura para os atores sociais envolvidos na prática educativa com adolescentes escolares multiplicadores em saúdee constitui-se de cinco artigos científicos. A fim de analisar práticas educativas em saúde desenvolvidas com adolescentes escolares, a partir de evidências disponíveis na literatura atual, realizou-se uma revisão integrativa nas bases de dados PubMed, LILACS e ADOLEC, com inclusão de 6 estudos. Observou-se predomínio de intervenções educativas centradas no educador. Para apreensão do significado dos Círculos de Cultura, foram desenvolvidos quatro artigos originais do tipo descritivo-exploratório, ancorados na abordagem qualitativa, que tiveram como cenário duas escolas estaduais de Pernambuco. Os participantes foram adolescentes escolares que vivenciaram Círculos de Culturadesenvolvidos por um Projeto de Extensão do Departamento de Enfermagem da Universidade Federal de Pernambuco, além de professores das escolas e graduandos de enfermagem da referida instituição que atuaram como facilitadores desses Círculos de Cultura em 2013 e 2014. Para a obtenção de dados foi utilizada a entrevista semiestruturada e o registro em diário de campo. Os dados foram produzidos pelo método do discurso do sujeito coletivo, técnica auxiliada pela utilização do software Qualiquantisoft. Observou-se que os Círculos de Cultura proporcionaram aos graduandos de enfermagem uma experiência inovadora de educação em saúde numa relação horizontal, compromissada com as potencialidades do educando e que faz a diferença na formação profissional. A experiência despertou criticidade, revelando a necessidade de repensar a formação do enfermeiro nas ações de educação em saúde. Para os professores, os Círculos de Cultura constituem uma tecnologia educativa que coloca o adolescente como protagonista na construção do conhecimento, proporcionando autoestima e contribuindo no rendimento escolar. Pelas suas impressões em relação aos Círculos, os professoresrevisitaram suas práticas educacionais, refletindo sobre as dificuldades que enfrentam cotidianamente. Para os adolescentes escolares, os Círculos de Cultura colocaram-nos na condição de protagonistas, o que estimulou o interesse em aprender e o desenvolvimento de criticidadefrente a abordagem de ensino bancário em sala de aula. A vivência provocou mudanças de postura nas disciplinas curriculares e vida pessoal, em família e na comunidade, fazendo com que eles quisessem multiplicar os saberes apreendidos.Conclui-se que os Círculos de Cultura tiveram significado fundamental para os atores sociais por proporcionarem uma experiência que valoriza conhecimentos prévios e envolvimento de todos nas discussões coletivas, baseadas em reflexões críticas pela problematização da realidade, configurando-se numa importante ferramenta na prática de uma educação em saúde humanizada, política e libertadora. Para a Enfermagem, os Círculos de Cultura surgem como estratégia de promoção da saúde por permitirem o desenvolvimento de espaços emancipatórios de cuidado, o que contribui para uma formação e atuação profissional comprometidas com as ideias de horizontalidade das relações e possibilidades de transformação do contexto de vida das pessoas. Sugere-se o desenvolvimento de novas pesquisas com metodologias participativas e emancipatórias onde o educador incite a curiosidade e inquietude dos adolescentes, para que esses se percebam como seres pensantese críticos, aptos a intervirem na realidade, alicerçados no compromisso com seu papel político e social.
The objective of this research was to learn the meaning of Cultural Circles for the social actors that are part of the educational practice of health disseminators school teenagers. This work consists of five scientific articles. In order to analyze the health educational practices carried out with school teenagers based on available scientific evidence, an integrative review was done in the PubMed, LILACS and ADOLEC databases, which included 32 studies. Educator-centered interventions were predominant. The other publications were descriptive exploratory original articles, based on qualitative approach, whose scenarios were two public schools of Pernambuco state. The participants were school teenagers who experienced the Cultural Circles carried out by teachers from those schools and students from an Extension Program of the Nursing Department, Federal University of Pernambuco, who acted as facilitators for those Circles in 2013 and 2014. It was verified that the Cultural Circles provided the nursery undergraduates with an innovative health education experience, committed to the teenagers’ potentialities and capable of making a difference to the undergraduates’ formation. This experience stimulated the undergraduates’ sense of judgment, revealing the need for rethinking the Nursing’s formation for working with healthcare education. As for the professors, the Cultural Circles are seen as an education technology that puts the adolescent as the protagonist in the development of knowledge, increasing self-esteem and school productivity. In addition, the professors were able to review their educational practices, reflecting about the difficulties they face daily. For the school teenagers, the Cultural Circles put them on a leadership condition, what encouraged them to learn and assume a critical position when facing the reality of the classroom, which is still based on an imposing model of education. This experience caused changes in curricular disciplines and in the teenagers’ family and community living, making them eager to multiply what they have learned. In conclusion, the Cultural Circles were significant for the social actors involved, as it provided an experience that valued previous knowledge and involvement in all of the collective discussions, based on critical reflection about their reality, serving as an important tool for the practice of a human, political and liberating healthcare education. For the Nursing degree, the Cultural Circles emerge as a strategy of health promotion, as they allow the development of caring spaces with freedom, which contribute to a professional formation committed to ideas of relationships based on equality and to transforming people’s lives. It is therefore suggested that new research with participative and liberating methodologies are carried out, in which the educator could bring about the teenagers’ curiosity and eagerness, for them to understand themselves as thinking and critical beings, able to intervene in reality, with social and political commitment.

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Bustamante, Edlyn Geraldine. "Culturally Competent Nutrition Counseling and Health Outcomes of Patients on Emergency Dialysis." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4046.

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Undocumented end stage renal disease (ESRD) patients in the United States only have access to emergency dialysis. To compensate for the lack of regular dialysis these patients must follow strict renal dietary restrictions. However, nutrition counseling by a dietitian is not part of the renal management of patients on emergency dialysis. The purpose of this quantitative quasi-experimental treatment-control study was to assess how the application of nutritional counseling that is both culturally and linguistically competent affects dialysis frequency and biochemical lab values such as serum potassium, phosphorus, and vitamin D of patients in emergency dialysis. The study was grounded on the social cognitive theory and consisted of a secondary data analysis of information collected from electronic medical records. The sample size consisted of 96 emergency dialysis patients, 51 from the intervention group, and 45 from the control group. Results from Quade's test revealed there is statistically significant difference in serum levels of phosphorus [F(1,94) = 9.616, p = 0.003] and levels of Vitamin D [F(1,94) = 51.411, p = .000] between the intervention and control groups, controlling for age, gender, and time on dialysis. These findings suggest the implementation of nutrition counseling that is both culturally and linguistically competent can improve phosphorous and vitamin D levels among emergency dialysis patients. The potential social change implication of this study is that its findings may serve to assist health care professionals to design and implement interventions to improve the health status of emergency dialysis patients and reduce their impact on the public health system.

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Mapis, Gachomo Joanne. "The Dietary Decision-Making Process of Women in Nigeria." ScholarWorks, 2020. https://scholarworks.waldenu.edu/dissertations/7696.

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Nigerians have been opting for a more processed Western diet. These changes in dietary choices have aligned with obesity and undernutrition, attributable to micronutrient deficiencies or malnutrition. Many scholars have presented varying intervention strategies ranging from consumption of a variety of foods containing the necessary micronutrients to food fortification. The purpose of this grounded theory study was to explore the perceptions of women in an urban city in Nigeria on indigenous foods and Western dietary influences to determine social interactions, the consequence of the interactions, and the women’s current perceptions of food choices. The social-ecological model was used to explore the interaction between a woman and her environment. Women between the ages of 20 to 30 from the urban city of Jos, Nigeria, constituted the population of interest, and 12 women were chosen for the sample. From the in-depth interviews, a thematic analysis was employed to provide sociocontextual reasoning for changes in diet that have led to the loss of interest in traditional foods and cultures. This study found that Jos has a variety of foods, yet women choose the same staple foods to feed their families. Additionally, despite a marginal understanding of the health impact of diet, most women choose the convenience and palatability of Western options, citing cost as the rationale for choosing to cook staple Western-inspired meals at home. Understanding media, convenience, and cost can impact social change by enlightening communities on the interconnectedness of human health, cultures, and industrialization. Health care providers can monitor the outcomes of those who consume a variety of indigenous foods to see how such a practice could influence the overall health status of Nigerian families.

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Syphers, Damon Grew. "Cultural Beliefs and Experiences of Formal Caregivers Providing Dementia Care to American Indians." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1610.

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Alzheimer's disease (AD) is a significant public health concern for all elders in the United States. It is a particular concern for the American Indian (AI) population, which is one of the fastest-aging populations in the United States and the smallest, most underrecognized, and most culturally-diverse group in the country. A formal caregiver understanding of AD in the AI population is scarce. This phenomenological study was designed to discern what is known about AD in the AI population by exploring the cultural beliefs and experiences of formal caregivers who provide care for AI dementia patients. Specifically, this study sought to document formal caregiver and AI dementia beliefs about AD. Data came from 4 in-depth interviews that included 3 Western and one AI formal caregiver. These interviews explored the variability of cultural beliefs regarding AD and dementia among a sample of formal caregivers who minister to AI patients; in the interviews, these participants also provided examples of challenges they faced, providing a better cultural understanding of AI dementia. Results suggested that challenges include adopting a bicultural approach to AD, illuminating interactions between patient and provider, and fostering awareness of cultural competency. Research on this topic is critical in advancing cultural, public health, and evidence-based health practices regarding AI dementia patients. The potential implications for social change include enhancing cross cultural provider-patient interactions and advancing public health policy and practice for this underserved population. Many of the issues and challenges explored may have implications for other ethnocultural minority groups.

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Quickfall, Julia. "Cross-cultural promotion of health : a partnership process? : principles and factors involved in the culturally competent community based nursing care of asylum applicants in Scotland." Thesis, University of Edinburgh, 2010. http://hdl.handle.net/1842/4466.

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The aim of this study was to investigate the principles and factors underlying the culturally competent nursing care of asylum applicants. Asylum applicants are a highly vulnerable group, whose health is often severely compromised prior to arrival in the UK due to exposure to torture, violence and rape. Although they are entitled to primary health care services whilst their asylum claim is under consideration, their level of welfare support has been significantly eroded over the last decade. An analysis of the nursing literature revealed mainly US notions of cultural competence, which were based on a private health care insurance system rather than a universal health care system of equitable, accessible and non-discriminatory service provision, such as the NHS. A Five Steps Model of cultural competence (Quickfall 2004) was later revised to provide a theoretical framework for this research study. Data for this ethnographic study were collected during 2005-2007 with asylum applicants and community nurses within one Health Board in Scotland, using participant observation, individual, narrative and group interview methods. The data were analysed for their categorical content. The findings are presented as vignettes to highlight cultural competence issues. Three major themes emerge from the study findings, which highlight the intermediary function of community nursing. The provision of equitable, accessible and non-discriminatory services remains pertinent in the 21st century. Secondly, the cross-cultural promotion of health involves a partnership process to ensure effective communication and the negotiation of person centred care. Thirdly, the delivery of socially inclusive services requires the aiding of asylum applicant adaptation to a new host environment. This study contributes to community nursing knowledge in explaining, through synthesis of the literature and study data, a model of cultural competence for the care of asylum applicants. It also provides a set of best practice statements, which require further investigation.

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Bäckström, Hannes, and Elin Lundin. ""Mer kultur till folket" : En kvalitativ studie om kulturaktiviteter i arbetslivet." Thesis, Karlstads universitet, Institutionen för sociala och psykologiska studier (from 2013), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-85650.

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The purpose of this qualitative master thesis is to investigate the cultural activity experiencesof employees and their meaning for well-being and work satisfaction. The method used inthis study was thematic analysis. The data collection was conducted through eightsemi-structured interviews with employees in a municipal department that participated incultural activities organized by their employer as a part of their ordinary work tasks. In theresult three main themes emerged with appurtenant sub-themes: The experience of increasedsocial interaction in the workplace (Promoting fellowship and cohesion in the workplace,New and deepened relationships with colleagues, and Conversations and discussions withcolleagues), The experience of a changed view of the workplace (Feeling appreciated by theemployer, The experience that cultural activities benefit the workplace, and The experience ofhow the cultural activities have been arranged), and The experience that cultural activitieslead to benefits for the individual (Something out of the ordinary and Enriching for theindividual). The main themes, together with their sub-themes, describe how the culturalactivities have been perceived to have affected social relations, increased well-being in theworkplace and enriched the individuals. The results are largely in line with previous researchand can be linked to established theories. All together, from what has emerged in the resultsand previous research the conclusion can be drawn that cultural activities could be used inwork-life to promote the individuals well-being and job satisfaction.
Syftet med föreliggande kvalitativa studie är att undersöka anställdas upplevelser avkulturaktiviteter som arrangerats av arbetsgivaren och deras eventuella betydelse förvälbefinnande och arbetstillfredsställelse. Metoden som användes i studien var tematiskanalys. Datainsamlingen skedde genom åtta semistrukturerade intervjuer med anställda vid enkommunförvaltning som haft deltagande i kulturaktiviteter organiserade av arbetsgivarensom en del av sina arbetsuppgifter. I resultatet utkristalliserades tre huvudteman medtillhörande underteman: Upplevelsen av en ökad social interaktion på arbetsplatsen(Främjande av gemenskap och sammanhållning på arbetsplatsen, Nya och fördjupaderelationer med kollegor, och Samtal och diskussion med kollegor), Upplevelsen av enförändrad syn på arbetsplatsen (Att känna sig uppskattad av arbetsgivaren, Upplevelsen avatt kulturaktiviteterna gynnar arbetsplatsen, och Upplevelsen av hur kulturaktiviteterna harorganiserats), och Upplevelsen av att kulturaktiviteterna leder till fördelar för individen(Någonting utöver det vanliga för individen, och Berikande för individen). Huvudtemanabeskriver tillsammans med sina underteman hur kulturaktiviteterna upplevs ha påverkatsociala relationer, ökat trivseln på arbetsplatsen samt varit utvecklande för medarbetarna somindivider. Resultatet går till stor del i linje med tidigare forskning och kan kopplas tilletablerade psykologiska teorier. Sammantaget dras slutsatsen utifrån vad som framkommit iresultatet och tidigare forskning att kulturaktiviteter skulle kunna användas inom arbetslivetför att främja individens välbefinnande och trivsel på arbetet.

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Dominguez, Martha Eugenia. "Cultural Influences on the Weight, Diet, and Physical Activity of Pregnant Immigrant Latinas." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3440.

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The problem addressed in this phenomenological study is how culture and acculturation can potentially influence gestational weight during pregnancy, leading to overweight and obesity among immigrant Latinas. To understand the possible influence of culture and acculturation on the diet, exercise, and weight of pregnant immigrant Latinas, the experiences of immigrant Latinas who had undergone a pregnancy in Mexico and were pregnant in California were examined. The ecological model theory was applied as a framework for exploring the participants' experiences regarding nutrition, physical activity, and weight gain. Semistructured interviews with 10 qualified participants were conducted. Data analysis entailed an inductive approach based on the following phases of qualitative data analysis: data reduction, data display, and conclusion and verification. Clustered responses were presented around the major themes. Six major themes were derived from the data. These were: (a) bicultural lifestyles; (b) personal adjustments relating to pregnancy and prenatal care; (c) low levels of social and relational support; (d) adjustments regarding diet, nutrition, food security, and access; (e) changes in the form and extent of physical activity in the United States; and (f) rapid weight gain experienced during pregnancies undergone in the United States. Social change implications include encouraging public health professionals, health educators, and community health workers to focus on the importance of culture and acculturation on the health of Latinas in order to ensure positive infant and maternal health outcomes.

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Дисертації з теми "Culture of health promotion"

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