Grand Canyons: Authoritative Knowledge and Patient-Provider Connection (open access)

Grand Canyons: Authoritative Knowledge and Patient-Provider Connection

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.
Date: May 2015
Creator: Fowler, Rebecca
System: The UNT Digital Library
The Needs and Resources of International Torture Survivors Living in the Dallas Fort Worth (DFW) Metroplex: an Investigation of Healing and Assimilation Perceived by Center for Survivors of Torture’s Clients and Staff As Well As the Greater Resettlement Community (open access)

The Needs and Resources of International Torture Survivors Living in the Dallas Fort Worth (DFW) Metroplex: an Investigation of Healing and Assimilation Perceived by Center for Survivors of Torture’s Clients and Staff As Well As the Greater Resettlement Community

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.
Date: August 2015
Creator: Trubits, Ryan J.
System: The UNT Digital Library
Why Breastfeed? Understanding the Factors that Influence Women to Breastfeed in Southeast Fort Worth (open access)

Why Breastfeed? Understanding the Factors that Influence Women to Breastfeed in Southeast Fort Worth

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.
Date: May 2016
Creator: Jimenez, Lesley S.
System: The UNT Digital Library
It's Going to be Different, but It's Going to be Okay: Caregiver Perspectives on Autism, Culture and Accessing Care (open access)

It's Going to be Different, but It's Going to be Okay: Caregiver Perspectives on Autism, Culture and Accessing Care

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.
Date: December 2017
Creator: Otwori, Beverly N.
System: The UNT Digital Library