This mixed methods research was conducted in the fall of 2014 to understand the perceptions and experiences of health risks and health outcomes due to pesticide exposure among community members (n=13) - concerned community members, agriculture workers and teachers- that live in the Central California agriculture counties of Monterey, Santa Cruz, Tulare, Fresno and Madera. This research explored: 1) The crops growing in participants’ communities, and how exposure to pesticides used in these crops pose potential health risks to participants and their communities 2) How pesticide exposure is impacting Hispanic/Latino communities in Central California, particularly those that are most vulnerable including school children, agriculture workers, and community members 3) The major public health concerns of impacted communities 4) Feelings of empowered to advocate for community health and environment and 5) What impacted communities wish to see on behalf of government and agribusiness to protect public health from pesticide exposure and toxins.

Embarking on a quest to uncover the shared experiences of Latinos with diabetes in the Central San Joaquin Valley is the principal issue discussed in this body of work. Diabetes is estimated to become a serious public health problem, with a current estimate of more than 30 million already afflicted. Engaging in participant-observation at a local clinic serving patients in a Diabetes Education Program and semi-structured interviews with Latinos attending the program, this research explores cultural experiences of diabetes. The primary aim of this research is to answer how health education information is accepted and interpreted based on cultural definitions of diabetes to inform diabetes management strategies.

In 2011, African Americans in Tarrant County, Texas experienced an infant mortality rate of 14.3 per 1,000 live births. The leading cause of infant mortality in Tarrant County is prematurity and maternal nutritional status. Both maternal under-nutrition and over-nutrition are known risk factors for premature birth. Improving maternal nutrition, by reducing rates of gestational diabetes and preeclampsia, and by increasing consumption of essential prenatal vitamins and nutrients, is a road to decreasing preterm birth in African Americans. This qualitative study, based on both anthropology and public health theory, of the nutrition behavior of a group of African American expectant mothers and the experience of their health care providers and co-facilitators had a goal to provide a foundation for future development of nutrition behavior research and education for this specific population. The main finding of this study was the substantial gap of lived experience and education between the patients and their providers and co-facilitators, which hinders delivery of care and the patients’ acquiescence to nutrition recommendations. The discrepancies between the authoritative knowledge of the providers and the bodily knowledge of expectant mothers were responsible for the ineffectiveness of nutrition recommendations.

Community based youth programs play a significant role in promoting positive youth identity development outside of the classroom. This can be particularly important for racialized groups such as Asian Americans and Pacific Islanders (AAPI). Based on ethnographic research conducted at Asian American LEAD, this thesis explores the effect of a five week summer program on AAPI youth identity development. Data collection methods include participant observation, a pre- and post- survey, and semi-structured interviews with staff, participants, and program alumni. The research findings highlight how ethnic and racial identity development is fostered through the creation of safe spaces, shared struggles with peers and staff, and recognition of one's AAPI identity.

It is estimated that nearly 14.5 million Americans are living with cancer today. A commonly overlooked component to quality cancer care, as defined by the Institute of Medicine, is the role of psychological and social support. Better known as psychosocial support, these needs reflect a broad spectrum of obstacles or assets in an individual’s personal life that may help or hinder their healing experience. Some psychosocial examples include coping skills, transportation to medical appointments, or appropriate knowledge to mitigate the physical impacts of the cancer process. Research has shown that by addressing these potential needs, a better health outcome may be achieved for cancer patients. Through participant observation at local psychosocial service establishments and through semi-structured interviews with service providers and adults diagnosed with cancer living in the Dallas-Fort Worth region, this thesis research seeks to explore how local cancer patients are learning of psychosocial services available to them, what barriers may exist in accessing these services, and what individuals may be doing to address their psychosocial needs, both formally or informally. Results yielded recommendations for local psychosocial providers to adjust their marketing of services and kinds of services offered as well as yielded recommendations for future academic research.

This work addresses hurricane preparedness in Escambia County, Florida. It explores preparing for hurricanes as an informal learning process occurring within personal networks and embedded in beliefs, values, and attitudes. Findings reveal that participants learned to prepare from their parents in childhood and improved upon that knowledge through direct experience in adulthood. Later, they passed this knowledge on to their children as well as co-workers. These preparations are embedded in beliefs of self-determination and attitudes of endurance. However, this body of knowledge and their respective practices are not equally accessible to all. Recommendations are provided so local organizations can incorporate local knowledge and practices with preparedness improvement efforts and foster social cohesion as well.

Utilizing a mixed methods approach in assessing cities and metropolitan areas with the highest rates of breast cancer disparities in African-American communities, this study presents the Affiliate perspective of the Susan G. Komen non-profit organization in combination with available socioeconomic data and academic literature. Analyzed through an anthropological lens, qualitative and quantitative data illuminate the lived experiences and dynamic circumstances in which breast cancer disparities are disproportionately experienced in 21 of the nation’s populations of African-Americans. Two main recommendations arose from this research: prioritization of granting to activities such as patient navigation, usage of patient narrative messaging, community-based participatory research methods of program development and implementation, mobile mammography delivery, usage of lay health educators, and self-advocacy education to alleviate barriers to healthcare and supplementation of the current educational activities of the Komen Affiliates through program sharing and leverage of current assets with consideration of current Affiliate capacity. These recommendations may help in alleviating breast cancer disparities present in African-American communities with the highest levels of disparities in the nation.

Beginning May of 2013 and ending in September, I worked with Grace After Fire (Grace), a virtual nonprofit organization that focuses on issues related to female veterans. Grace’s mission is to provide female veterans with the means to gain knowledge, insight and self-renewal. Grace’s mission is accomplished through peer support and resource referral. The aim of my thesis project was to conduct an analysis of Grace’s peer support system, Table Talk: Color Me Camo (Table Talk). Because Table Talk is a fairly new program for Grace, just over a year old, the outreach coordinators were eager to learn: 1) if they were indeed meeting their mission of empowering female veterans, and 2) the point-of-view of the peer facilitators who conduct Table Talk. To help Grace gain perspective, I interviewed women who had previously attended Table Talk, as well as peer facilitators responsible for coordinating the peer support system-all of whom are female veterans. The following is their story.

Many communities are promoting physical activity and active transportation as ways to combat childhood obesity and change sedentary lifestyles of school-age children. Safe Routes to School Youth Voices is a mixed methods approach to understanding the experiences and perceptions of middle school students surrounding the use of active transportation. Student experiences are explored both independently and in comparison to parental perspectives of barriers to actives transportation. Data were collected in the form of parent surveys, observations, student interviews, and student focus groups. This study aims to answer the following primary research questions: (1) What are the conditions experienced along the route? (2) What are the students' perceptions of barriers to active transportation? (3) What are the compensation practices that students take to overcome barriers? and (4) How do the students' perceptions compare with their parents? Interviews and focus groups were transcribed and coded using in-vivo, descriptive, structural and pattern methods. Primary themes which emerged include how conditions of walking to school, personal safety, compensation practices, and systematic barriers all affect the perceptions of active transportation of the student. Findings highlight the difficulties many students face when considering active transportation, and discuss the inconsistencies between student experience, parental perceptions, and intervention …

Today over 1.1 million people are living with HIV/AIDS in the United States; over the last 4 decades mortality rates have decreased largely made in part because of advancement in awareness and treatment options. Treatment adherence has long been considered a vital component in decreasing HIV/AIDS related mortality and has proven to reduce the risk of transmission. However not all patients take their medicine as prescribed. This research study, sponsored by The North Central Texas HIV Planning Council explored how Patient and Provider communication impacted treatment adherence. By utilizing a mixed-methods approach survey data and semi-structured interviews were used to collect insights from both Patients and Providers. Data gleaned through the interview process provided a perspective that could not be captured by using quantitative methods alone. The results from this research yielded multiple themes related to patient and provider communication with recommendations as to how The North Central Texas HIV Planning Council could address treatment adherence, such as Providers focus on Patients perceived severity based on their understanding of disease and illness; that side-effects remain a concern for patients and should not be dismissed; and finally that the word AIDS is perceived to be more stigmatized and as such organizations …

This thesis details my applied thesis project and experience in the evaluation of a workforce development through sustainable construction program. It describes the need of my client, Sweet Grass Consulting and their contractual partner, the Thunder Valley Community Development Corporation, in the evaluation of Thunder Valley CDC's Workforce Development through Sustainable Construction Program. My role involved the development of an extensive evaluation package for this program and data analysis of evaluation materials to support Thunder Valley CDC's grant-funded Workforce Development Program. I place the efforts of Thunder Valley CDC in the context of their community, the Pine Ridge Reservation of the Lakota People, and within an historical and contemporary context to highlight the implications of the efforts of Thunder Valley CDC. Using the theoretical frameworks of cultural revitalization and community economic development, I attempt to highlight two important components of Thunder Valley CDC's community development efforts - cultural revitalization for social healing, and development that emphasizes social, community and individual well-being. Thunder Valley CDC's Workforce Development through Sustainable Construction Program is still in its early stages, and so this first year of implementation very much represented a pilot phase. However, while specific successes are difficult to measure at this point, …

There is limited anthropological research on inclusive play and universally designed playgrounds and this study aims to make some contribution in this field. This was a qualitative research study guided by anthropological theory and methods, conducted for For the Love of the Lake (FTLOTL) Foundation. FTLOTL is a non-profit organization located in Dallas, Texas, dedicated to White Rock Lake Park's maintenance. In 2014, FTLOTL became of the view that the park's current playgrounds lacked accessibility for differently-abled children. Therefore, FTLOTL decided to undertake a renovation project of Flag Pole Hill playground to incorporate inclusiveness and diversity in the playground design. The overarching objective of this exploratory, ethnographic needs assessment was to provide insights for an inclusive playground using universal design for families with special needs children. Fourteen parents, each with at least one child having physical, social, or intellectual disabilities in the Dallas/Fort Worth (DFW) Texas metroplex were interviewed. The interviews were semi structured, each lasting for about an hour and were digitally recorded. Later these audio recordings were transcribed verbatim and then coded using Dedoose. The coded data was synthesized into coherent themes and sub-themes and finally organized into formal research findings. Observations were made of existing universally designed …

This work addresses the experiences of female asylum seekers from Central and Mexico currently living in Dallas, TX. The main purpose is to analyze how these women engage in the gendered processes of both migrating to and accessing legal resources and protection within the United States. As the women move through male-dominated spaces in their home country, the borderlands, and the asylum court they must challenge the patriarchal institutions that attempt to silence their narratives and criminalize their bodies. Their physical wounds become evidence in the courtroom, while outside of the courtroom their movements are monitored and tracked through multiple mechanisms of state control: ankle monitors, detention centers, ICE check-ins. They face intersectional discrimination as they are targeted as both women and immigrants. However, these female asylum seekers are not victims. They constantly display agency as they represent themselves in court, find solace in their faith, and form community with each other.

Roughly 1 million Blacks fled from the South to cities in the North, and with this shift New York City saw a 66% increase in its Black population between 1910 and 1920. By the end of the 1920s Harlem had become home to approximately 200,000 Black residents. But during the period 2000 to 2016 three of the nation's top ten gentrifying zip codes could be found in Harlem, and Harlem's Black population decreased by 23,166 residents, while Harlem's white population increased by 33,442 during this era. Similar to Harlem having played a pivotal role in Black culture throughout the United States, the Black church has been a pillar and resource in the Black community. In sustaining its congregants, the Black church has played a critical role in Black liberation. But despite the potential that Black churches may hold, many are experiencing declining attendance and presence. This study aims to examine the racially nuanced dynamics of Harlem's spaces confronting gentrification by looking at the interrelated dynamics of gentrification and the Black church. Data was collected via participant observation and semi-structured interviews in Harlem. The research elucidates findings regarding Harlem's gentrification, the Black church in Harlem, tactics for survival of the Black …

The U.S. citizenship application process is a legal and symbolic journey shaped by many cultural processes. This research project aims to bring to light the experiences of immigrants and citizenship applicants living in Dallas, Texas, to promote a better understanding of Dallas' increasingly diverse population. In addition, the purpose of this project is to provide insights to a specific client, the office of Dallas Welcoming Communities and Immigrant Affairs, about Dallas' lawful permanent residents who are eligible for citizenship and their reasons for pursuing citizenship status. The data for this project was collected through observation at various citizenship workshops and community events, as well as through semi-structured interviews with 14 U.S. citizenship applicants. Reasons for applying for U.S. citizenship discussed in this project include a desire for membership in U.S. society, access to better educational and economic opportunities, improved ease of travel and the desire to vote. Barriers to the citizenship process discussed in this project include the amount of time one must dedicate to the application, lack of clear knowledge about the process and the financial cost of the application. Other themes include the effects of capital on applicant's experience with the citizenship process, symbolic meanings of citizenship, transnationalism …

A key consideration in the human migration process to a destination country is the need to secure suitable and affordable housing. As housing costs have increased in the United States in recent decades, mobile homes – also known as manufactured housing or "trailers" – have become a significant source of affordable housing for people living in the United States. In rural communities, mobile homes have become a substantial portion of the available housing stock. This research project explored mobile home living specifically in relation to Mexican migrants who lived in a rural county in central North Carolina. Consideration was given to the practical issues of this type of housing, as well as any influence the American stigma of mobile homes might have had on the ways people experienced their homes and communities.

The main goal of this research has been to investigate elderly people's needs, perceptions, fears, hopes, and expectation regarding elderly care, including ethical issues linked to assistive technologies. As faith seems to take an important place in how some elders face the aging process, the spiritual dimension was also included. Therefore, the research was conducted among 15 church congregants. Results show that most respondents fear the physical and mental decay due to aging, often resulting in becoming a burden to someone else, along with abandonment and lack of financial resources. Most ethnic groups perceive that other cultures take better care of their elders than their own. Faith seems to offer a great support, as it gives the confidence that divine power will always be there for them even beyond death. The respondents in this research suggest that guidance should be provided in a more structured way, more focus should go on the youth and the elderly, more activities should be organized and practical information should be shared. Regarding the ethical issues of assistive technologies, they are not well informed about their possibilities but acknowledge their potential usefulness, combined with human care. They don't want technology to be too intrusive in …

Dominant narratives in western historical museums often evoke a nostalgia for a Western Frontier that did not actually exist in the United States. Many Western historical museums, in particular, preserve nostalgia of an imagined Western Frontier through narratives of white masculine heroism, by featuring objects and artifacts symbolizing American exceptionalism and conquest, and by developing a sensory experience in exhibits to recreate an idealized time in history. As our understandings of history evolve, it is increasingly more evident that there is a significant need for Western historical museums as knowledge producers to shift narratives in exhibits from the dominant white-settler perspective. An integration of different value systems, cultures, practices, and beliefs in exhibits is possible by incorporating a diversity of thought in the frameworks used to interpret history, through the inclusion of diverse stories, and through creating accessible exhibits to reach a broader public audience.

Foreign-born providers make up over a quarter of the physician workforce nationally. Patients in south central Pennsylvania are primarily white with limited interaction with foreigners which can produce barriers to communication and trust. This study proposes practical steps for building positive relationships between patients and their foreign-born providers. Ethnographic methods were used to interview and survey patients and providers about the relationships between foreign-born providers and patients, primarily in the Summit Health system. The results of the study provide a framework of how trust is built between patients and providers in general, suggest additional actions for foreign-born providers, and propose ways patients can do their part to achieve a positive relationship with their provider. While much of the literature on cultural competence is in the context of patients who are from minority ethnicities, this study adds to the body of research by also considering the providers as part of minority groups.

The Bonton and Ideal neighborhoods in Dallas Texas, developed in the early 1900s, experienced physical and social decay throughout the 1980s. Neighborhood organizations and resident activism were vital to the rebirth of the community in the 1990s. Current revitalization efforts taking place there have been a source of contention as the neighborhood continues to overcome inequalities created by decades of racialized city planning initiatives. This thesis focuses on how the structuring structure of whiteness has historically affected, and continues to affect, the neighborhoods of Ideal and Bonton, as well as acts to identify how black residents have navigated their landscape and increased their collective capital through neighborhood activism.

Direct-to-consumer genomics (DTCG) health testing offers great promise to humanity, however to date adoption has lagged as a result of consumer awareness, understanding, and previous government regulations restricting DTCG companies from providing information on an individual's genetic predispositions. But in 2017 the broader DTCG market which also includes genealogical testing demonstrated exponential growth, implying that DTCG is starting to diffuse as an innovation. To better understand the sociocultural forces affecting diffusion, adoption, and satisfaction, qualitative ethnographic research was conducted with DTCG genealogy and health consumers. The data was qualitatively analyzed using thematic analysis to understand the similarities and differences in beliefs, attitudes, intentions, and mediating factors that have influenced consumers. Design anthropology theory and methods were used to produce ethnographically informed insights. The insights were then translated into actionable product management and business strategy recommendations.

My research explores what laws, such as laws surrounding immigration, child custody, and divorce, negatively affect polyamorous individuals in the U.S. and how people's perceptions of barriers differ along lines of gender-sexual-racial-class identities. My applied research is conducted for my client, a CNM-friendly attorney in D.C. I investigate the experience of polyamorous people that use lawyers they perceive as consensually non-monogamous (CNM)-friendly. I probe what it means to be "CNM-friendly," how one promotes oneself as a CNM-friendly lawyer to potential clients and the world at large, and the relationship between being a CNM-friendly lawyer and activism.

Complimentary and alternate medicine, especially Ayurveda is gaining popularity in United States. However, there are various barriers that people face in adopting Ayurvedic practices into their lives and making cultural, familial and societal changes to better their health. This research explores these relationships and barriers behind why some people adopt and are able/unable to sustain Ayurvedic practices in the presence of traditional bio-medicine.

Torture survivors find difficulty navigating through an unfamiliar healthcare and social service system. Many survivors who already face Post Traumatic Stress Disorder (PTSD), anxiety, and depression also endure a secondary threat which leads to re-traumatization through the struggles of acculturation. The aim of this study is to determine: 1. Identify differences and assumptions between service providers’ and clients’ definitions of self-sufficiency; 2. Examine prominent barriers to self-sufficiency that survivors encounter; 3. Pinpoint the survival strategies that survivors use in order to cope with life in DFW; 4. Determine what resources CST staff, area service providers, and survivors feel need to be improved for CST and the DFW metroplex.