Through ethnography influenced by public health and anthropological theory, I explored the cultural perceptions of autism among eight caregivers whose children received services from a local Dallas-Fort Worth autism treatment organization. Participant observations and semi-structured interviews with caregivers and program employees provided a rich and nuanced view into the state of care currently available in the DFW area while also highlighting areas for improvement. This research will be used to not only identify the barriers faced by North Texas Families while seeking out care,but also the strategies the organization uses when connecting with families from different backgrounds.

Since 2008, the United States (USA) has resettled thousands of Bhutanese refugees, providing brief financial support and pathways to citizenship. Despite the efforts of governing bodies and voluntary agencies which facilitate resettlement, many refugees struggle with adapting to the vastly different lifestyle, economy, language and social structures. In particular, effectively addressing psychological needs of this population is a challenge for service providers operating within an expensive health care system based on Western constructs of mental health. In response to this challenge, refugee resettlement agencies throughout the country use community gardens to promote psychological healing, self-sufficiency, community engagement, and a return of human dignity. Though success of these programs is being shared in the media, there has yet to be empirical data examining their impact. The current study tested whether Bhutanese refugee engagement in a community garden impacts symptoms of depression, anxiety, PTSD and somatic complaints. The study also investigated whether community gardening is associated with perceptions of social support and adjustment to life in the United States. Quantitative and qualitative data was collected from 50 adult Bhutanese refugees in Fort Worth, Texas. Gardening was significantly related to increased social support overall, a key factor in overall functionality within communal cultures; …

In North Texas, the Barnett Shale underlies large areas of the Dallas-Fort Worth Metroplex (DFW), which magnifies debates about the externalities of shale gas development (SGD). Continued demand for natural gas and expansive urbanization in DFW will cause more people to come in contact with drilling rigs, gas transport, and other urban shale gas landscapes. Thousands of gas wells within the DFW region occupy a large, yet scattered land surface area. DFW city planners, elected officials, and other stakeholders must deal with current and future urban growth and the surface impacts that are associated with gas development. This research examines how shale gas landscapes affect urban land uses, landscapes, and patterns of development in DFW. The study focuses on multiple fast growing DFW municipalities that also have high numbers of gas well pad sites. This study asks what are the spatial characteristics of gas well production sites in DFW and how do these sites vary across the region; how do gas well production sites affect urban growth and development; and how are city governments and surface developers responding to gas well production sites, and what are the dominant themes of contestation arising around gas well production sites and suburban growth?

Conventional sources of emissions have been a prime target for policymakers in designing pollution control strategies. However, the evolution of shale gas activities is a growing concern over the impact of unconventional sources on urban and regional air quality. Owing to the development of Barnett Shale production, the fast-growing Dallas-Fort Worth (DFW) metroplex has encountered both types of these emissions. Oil and gas activities result in emissions of ozone precursors, notably volatile organic compounds (VOC). The major objective of this study was to evaluate the spatio-temporal distribution of VOC in order to highlight the influence of unconventional emissions. The study utilized measurements from automated gas chromatography (AutoGC) monitors to analyze the patterns of the total non-methane organic compounds (TNMOC) and relative contributions from marker species of traffic versus oil and gas activities. In this study, data from 2001-2014 was obtained from the Texas Commission on Environmental Quality (TCEQ) for fifteen monitoring sites within the North Texas region. With over a thousand wells in a 10 mile radius, two of the rural sites measured twice as much TNMOC as compared to the urban site in Dallas. Source apportionment analysis was conducted using Positive Matrix Factorization (PMF) technique. The target site located …

Today breastfeeding is a common conversation with the ever-growing holistic movement and the effort to 'go green' as demonstrated by the proliferation of the organic food industry in recent years within the United States. Breastfeeding may reduce poor health outcomes including infant morbidity and mortality. Infant mortality is a priority in Tarrant County within southeast Fort Worth as defined by this project’s client Healthy Moms – Healthy Babies – Healthy Community. The purpose of this research was to identify the contextual factors that influence breastfeeding decisions among the zip codes in southeast Fort Worth in which infant mortality is greatest. In analysis of the data among breastfeeding mothers and stakeholders, support was the greatest contribution to successful breastfeeding.

Over 9 million new cases of tuberculosis (TB) were reported worldwide in 2013. While the TB rate is much lower in the US, its uneven distribution and associated explanatory variables require interrogation in order to determine effective strategies for intervention and control. However, paucity of case data at fine geographic scales precludes such research. This research, using zip code level data from 837 confirmed TB cases in Tarrant County obtained from Texas Department of State Health Services, explores and attempts to explain the spatial patterns of TB and related risk markers within a framework of place vulnerability. Readily available census data is then used to characterize the spatial variations in TB risk. The resulting model will enable estimations of the geographic differences in TB case variables using this readily available census data instead of time-consuming and expensive individual data collection.

Disease maps are powerful tools for depicting spatial variations in disease risk and its underlying drivers. However, producing effective disease maps requires careful consideration of the statistical and spatial properties of the disease data. In fact, the choice of mapping method influences the resulting spatial pattern of the disease, as well as the understanding of its underlying population characteristics. New developments in mapping methods and software in addition to continuing improvements in data quality and quantity are requiring map-makers to make a multitude of decisions before a map of disease burdens can be created. The impact of such decisions on a map, including the choice of appropriate mapping method, not been addressed adequately in the literature. This research demonstrates how choice of mapping method and associated parameters influence the spatial pattern of disease. We use four different disease-mapping methods – unsmoothed choropleth maps, smoothed choropleth maps produced using the headbanging method, smoothed kernel density maps, and smoothed choropleth maps produced using spatial empirical Bayes methods and 5-years of zip code level HIV incidence (2007- 2011) data from Dallas and Tarrant Counties, Texas. For each map, the leading population characteristics and their relative importance with regards to HIV incidence is identified …

To date, traditional behavioral interventions have done little to reduce the prevalence and transmission of HIV among African American men who have sex with men (AAMSM), a highly at risk group. Some researchers theorize that the lack of success may be because these interventions do not address contextual factors among AAMSM. Community-based participatory research (CBPR) is one approach to research with the potential to lead to effective interventions in the future. CBPR is a collaborative, mixed-methods and multidisciplinary, approach to scientific inquiry, which is conducted with, and within, the community. The current study follows the CBPR approach to engage and develop a relationship with the African American communities in the Dallas/Fort Worth Metroplex. Contextual issues were discussed in order to identify emerging themes regarding HIV health related issues among AAMSM to provide the groundwork for continued CBPR research and future interventions with AAMSM in the Dallas/Fort Worth Metroplex. To accomplish this goal, researchers began the CBPR process by conducting interviews and focus groups with a sample of approximately 62 (34 from key informant interviews, 28 from focus groups [gender balanced]) AIDS service organization leaders and workers, advocates, medical doctors and community members with first-hand knowledge of HIV health issues in …

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.

During the modern era, the urbanization of water has been facilitated by various privileged discourses, which valorize major engineering interventions for the sake of continued urban growth. This research examines discourse surrounding the 2-th Century proposal and construction of a reservoir near the then-tiny farming community of Grapevine, Texas, for the benefit of urban interests. I argue that urban interests produced Grapevine space as nothing more than a container for city water, by rendering meaningless any conception of space that was not directly articulated with urban economic networks. Modern discourse collapsed Denton Creek space from a watershed and landscape into a dimensionless node in the urban space of flows. In return, rural inhabitants were encouraged to progress and to modernize their own spaces: to become urban. Whereas urban discourse entails an implicit spatial imaginary of networks, I deploy the conceptual framework of settler colonialism to show that a core-periphery relationship remains relevant, and is not reducible to a network spatial ontology.

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.

The primary goal of this study was to evaluate the effectiveness of a program being run by the Bedford Police Department’s Repeat Victimization Unit on domestic violence and mental health and mental retardation. The study sought to determine whether the program was effective in reducing instances of repeat victimization in domestic violence and MHMR victims. Additionally the program investigated whether or not the program was effective at reducing victimization severity, and which demographic could be identified as the most victimized. Participants consisted of 157 domestic violence and MHMR victims in the city of Bedford, Tx between November 11, 2012 to July 30, 2013. Findings indicate that levels of repeat victimization for domestic violence and MHMR are relatively low regardless of whether the victim received services through the repeat victimization program or not. Additionally the severity of these repeat victimizations remains relatively constant regardless of whether services were received through the program or not. Implications and findings are discussed.

This dissertation analyzes Fort Worth's Mexican community from 1960 to 2000 while considering the idea of citizenship through representation in education and politics. After establishing an introductory chapter that places the research in context with traditional Chicano scholarship while utilizing prominent ideas and theories that exist within Modern Imperial studies, the ensuing chapter looks into the rise of Fort Worth's Mexican population over the last four decades of the twentieth century. Thereafter, this work brings the attention to Mexican education in Fort Worth beginning in the 1960s and going through the end of the twentieth century. This research shows some of the struggles Mexicans encountered as they sought increased representation in the classroom, on the school board, and within other areas of the Fort Worth Independent School District. Meanwhile, Mexicans were in direct competition with African Americans who also sought increased representation while simultaneously pushing for more aggressive integration efforts against the wishes of Mexican leadership. Subsequently, this research moves the attention to political power in Fort Worth, primarily focusing on the Fort Worth city council. Again, this dissertation begins in the 1960s after the Fort Worth opened the election of the mayor to the people of Fort Worth. No …