Over the last four centuries, Black women have been overwhelmingly understood, imagined, and defined through a Eurocentric and oppressive lens. The Eurocentric or white lens places pseudo-characteristics on Black women that inaccurately describe them. The qualities ascribed to Black women are rooted in racial ideologies that benefit and progress the interest of White supremacy. This history has placed Black women in tension with institutionalized medicine, discouraging them from seeking or using healthcare resources. Without trust in a system positioned to heal, treat, and prevent health ailments, Black women cannot dialogue with those that are a part of that system. Paulo Freire argues that "dialogue is the encounter between men, mediated by the world, in order to name the world (Freire, 2000, p. 90)." By centering Black women and their voices, I envision (re)naming the world. Understanding how Black women from Lincoln County, Mississippi describe their health and bodies sheds light on their daily experiences that facilitate self-care, womanhood, and identity. This dissertation covers three related studies that are addressing: 1) how Black women from Mississippi see their bodies outside of deficit health, 2) how Black women’s sisterhood has been a collective effort to build womanhood and health, and how societal stereotypes can interfere or damage the progress of sisterhood, and 3) the importance of allowing for Black women’s ways of knowing to create liberatory data collection methods that represent who they are and their truth. I examine these dynamics using a mixed-methods approach including community-based participatory research and rapid ethnographic assessment sampling techniques (e.g., working with a community advisor), semi-structured interviews, Sister-girl Talks (focus groups), participant observation, and autoethnography. The results of the three-study mixed methods dissertation has both theoretical and practical implications for understanding the vital role that Black women need to play bring healing to their health in both healthcare settings (e.g., clinics) and healthcare planning (health evaluation programs and interventions.

This dissertation provides a foundation for understanding who decides and proceed local climate change policymaking, how race and ethnicity, class, and political ideology inform climate beliefs, the role of personal exposure to heat-related illnesses in climate change beliefs, and finally differences in perceptions of local extreme heat and global manifestations of climate change. The first focus examines urban climate governance, the influence of state policy, and stakeholders’ climate agenda-setting in a state-centric urban governance structure. A new conceptual model is developed to explore climate governance in Istanbul, a Turkish megacity, under a unitary system of government, in a transcontinental country straddling Europe (in candidate status with the European Union) and Asia. The qualitative analyses show that swings in political leadership, the divergence between the existing laws and newly adopted urban climate agenda, and conflicting priorities between policy entrepreneurs generate barriers to long-run and tangible climate change actions in Istanbul. The second focus unveils the influence of personal heat exposure and sociodemographic characteristics affecting climate change perceptions in a large American city facing substantial climate change impacts, Phoenix, Arizona. Using the 2011 Phoenix Metropolitan Area Social Survey, a two-level logistic model examines what factors influence a belief that “global warming and climate change are already occurring.” The integrated econometric model of climate beliefs and justice shows that climate change and global warming are positively associated with non-white race and non-Latinx ethnicity, high levels of education, personal experience with heat-related illnesses, and liberal beliefs. The last focus of this dissertation explores how threats of extreme local weather conditions and global climate change are perceived differently by individuals depending on their vulnerability and adaptive capacity to the changing climate. Using the 2017 Phoenix Social Survey, the individual-level regression models demonstrate that greenspace and tight-knit communities, aspects of adaptive capacity, serve as protective elements reducing the perception of climate risk. Factors such as ethnic identity and connection to place are more closely associated with local versus global risks. In contrast, political ideology and personal experiences moderate perception of both local and global risks.

There is an enormous unmet need for services, education, and outreach to improve women’s breast health. Healthcare systems and insurance systems vary widely around the world, and this may play an important role in understanding variability in women’s breast health knowledge and behavior globally. The goal of this study is to determine how varying healthcare systems in three countries (Japan, Paraguay, US) affect a woman’s likelihood of seeing a physician in regard to their breasts. For example, Japan is a clear example of a region that provides universal health insurance to its citizens. The government takes responsibility in giving accessible and equitable healthcare to its entire population (Zhang & Oyama, 2016). On the other hand, a country such as Paraguay is composed of both public and private sectors. In order for citizens to gain insurance, one would have to either be formally employed or choose to pay out-of-pocket for hospital visits (“Paraguay”, 2017). A country such as the United States does not have universal health insurance. However, it does have a mix of public and private sectors, meaning there is little to no coverage for its citizens. To accommodate for this, the United States came up with the Affordable Care Act, which extends coverage to the uninsured. Although the United States might be a country that spends more on healthcare than any other nation, there are residents that still lack healthcare (De Lew, Greenberg & Kinchen, 1992). This study, then, compares women’s breast health knowledge and behavior in Japan, Paraguay, and the US. Other variables, which are also considered in this study, that might affect this include wealth level, education, having general awareness of breast cancer, having regular health checks, and having some breast education. Using statistical analysis of breast check rates of women in Japan, Paraguay, and the United States, this research found that women sampled in Asunción, Paraguay check their breasts more often than either women sampled from Scottsdale, U.S. or Osaka, Japan. It was also found that women sampled from Paraguay were more confident in detecting changes in their breast compared to women sampled from the Japan or the US. Finally, it was noted that women sampled from Japan were least likely to partake in seeing a doctor in concern of changes in their breasts compared to women sampled from the other two research locations. These findings have relevance for the implementation of advocacy and public education about breast health.

On September 20, 2017, Hurricane Maria made landfall in Puerto Rico, triggering widespread catastrophic damage to the island. Aside from the extensive physical devastation that Hurricane Maria wielded, it also exacerbated larger underlying economic instabilities and public health challenges that the island has faced. Among these were compromised access to safe, clean drinking water and nutritious foods. While studies have primarily focused on the mortality count, health and food-behaviors post-Hurricane Maria have been rarely investigated. Documenting what Puerto Ricans drank following the natural disaster is necessary to identify changes in their consumption patterns as well as to understand how weather-related shocks influence these changes. The aim of this study was to examine sociodemographic factors associated with the consumption of sugar-sweetened beverages (SSBs) and fruit juice among a sample of Puerto Rican adults after Hurricane Maria. The data analyzed for this thesis project was derived from a larger, multi-year, academic research project known as the Global Ethnohydrology Study (GES). An improved understanding of SSB and fruit juice consumption patterns can inform effective public health interventions to reduce consumption across the island. Collecting valid, descriptive post-Hurricane Maria data would greatly help identify areas of public health need in addition to promote further studies on the risk factors to chronic diseases within the island’s context by comparing the health status situation before and after Hurricane Maria (Mattei et al., 2018). Thus, gaining insight into Puerto Ricans’ beverage consumption patterns in relation to sociodemographic and behavioral factors serves as a promising line of research with potential to help public health officials mitigate post-disaster situations and take clinically relevant action.

This dissertation combines three research projects to examine the people affecting and affected by urban environmental change across multiple scales of decision making. In the Phoenix Metropolitan area and the Colorado River Basin, I study the social influence around the implementation of water use innovations among city-level stakeholders (Chapter 2) and I emphasize that water insecurity still exists in wealthy cities (Chapter 3). In Chapter 4, I ultimately consider grassroots solutions for achieving resource security alongside positive social change in a historically underserved community. In this dissertation, I have conceptualized my research questions by envisioning urban change as an opportunity for actors, at multiple scales, to simultaneously reduce resource waste and promote positive social change.

Abstract
According to the National Institute on Deafness and other Communication Disorders (NIDCD), approximately 37 million Americans suffer from some degree of hearing loss, which impacts their ability to communicate fluently with the hearing world. This number includes up to 17% of the adult population, many who have experienced post-lingual or late-deafness. While hearing loss is known to be one of the most prevalent chronically disabling sensory conditions, little is known about the impact it has on individuals’ cultural identity and sense of well-being. There is somewhat of a deficit in the research literature addressing these issues of cultural identity, especially as it relates to post-lingually deaf adults. Improved knowledge of these dimensions of hearing loss is needed—a knowledge which could lead to more effective resources for late-deafened people. Though hearing loss can be disabling, access to American Sign Language and the Deaf culture may compensate for social and cultural loss and potentially improve well-being within late-deafened individuals. Using the framework of Social Identity Theory and Neil Glickman’s Deaf Identity Development model, this study sought to identify late-deafened adults who fall into the marginal category, placing them at greater risk of becoming socially marginalized and experiencing diminished well-being. Subjective well-being was then measured by the Flourishing Scale to determine how being socially marginal may impact one’s sense of self, personal prosperity, social efficacy, and sense of social competency. Results showed that marginal individuals do experience diminished subjective well-being, a fact which should be further explored by researchers, especially in the context of developing more effective interventions and services for late-deafened individuals.

Hygiene stigma can exist in tandem to gender stigma which could mean the marginalization of certain groups due to stigmatized identities, specifically women. The marginalization of women is important because of the United Nations Sustainable Development Goal 5: Empowering women and girls and achieving equity. Figuring out how hygiene stigma specifically affects women in Fiji required researching the effects of hygiene stigma, gender inequity and indigenous Fijian societies could influence respondents’ answers. After researching these different topics, these questions were developed: does hygiene stigma and gendered stigma have an overlap? If so, are men more biased than women when it comes to objectifying women? Do indigenous Fijian societies possess an immunity to objectifying women since are considered to have Fijian women have more agency? The data was retrieved from the Global Ethnohydrology Study from 2015-16 in the Viti Levu, Fiji, which was specifically researching whether hygiene stigma is an effective method of helping people have better hygiene norms. A thematic analysis was then conducted, and the data was coded. Based on the results from 28 respondents we were able to conclude that there is gendered stigma within Fijian populations. We found that both men and women objectified women at similar rates and Fiji is not immune to hygiene stigma. The limitations to this analysis were there was no statistical analysis to find correlations hygiene stigma and gendered stigma. There was only one specific code that was being analyzed in this research project which limits the other types of stigma that may exist.

Research has been conducted analyzing factors that affect mental health in regions that suffer from water insecurity and water scarcity. Amber Wutich and Alexandra Brewis (2019) explain the effects that water scarcity has on mental health and how chronic worry can trigger depression, stress, anxiety and in extreme cases this can lead to suicidal thoughts. Bina Agarwal (2000) analyzes gender roles in relation to water insecurity where women express more signs of anxiety and worry due to the limited options they have when seeking water outside their household. There are limited studies done on water insecurity at a household level which limit an understanding of possible coping mechanisms along with additional factors that affect mental health. In this study, surveys are conducted in the city of San Juan Del Rio, Queretaro in Mexico where residents have been affected by massive flooding’s. Additionally, residents in Mexico not only suffer from water scarcity but also from poor water infrastructure, constant water outages, shortages, and contaminated water supply. Respondents answers (n=23) regarding the amount of worry, household size, being head of household, and gender was used to conduct paired sample statistical tests where associations were determined. Associations relating to the amount of worry resulted in the idea that residents in San Juan Del Rio because they consistently struggle with water shortages, have developed a coping strategy to deal with water outages and therefore, show fewer signs of worry when faced with a household water situation. In consideration, surveys conducted in surrounding towns and in a rural setting can provide additional information regarding how poverty is related to mental health and water scarcity along with a deeper understanding of possible coping strategies at a household level.

This dissertation examines cultural understandings and lived realities of entrepreneurship across South Africa’s economic landscape, comparing the experiences of Cape Town’s Black entrepreneurs in under-resourced townships to those of White entrepreneurs in the wealthy, high finance business district. Based on 13 months of participant observation and interviews with 60 entrepreneurs, I find major differences between these groups of entrepreneurs, which I explain in three independent analyses that together form this dissertation. The first analysis examines the entrepreneurial motivations of Black entrepreneurs in Khayelitsha, Cape Town’s largest township. This analysis gives insight into expressed cultural values of entrepreneurship beyond a priori neoliberal analytical frameworks. The second analysis compares the material resources that Black entrepreneurs in Khayelitsha and White entrepreneurs in downtown Cape Town require for their businesses, and the mechanisms through which they secure these resources. This analysis demonstrates how historical structures of economic inequality affect entrepreneurial strategies. The third analysis assesses the non-material obstacles and challenges that both Black entrepreneurs in Khayelitsha and White entrepreneurs in wealthy areas of downtown Cape Town face in initiating their business ventures. This analysis highlights the importance of cultural capital to entrepreneurship and explains how non-material obstacles differ for entrepreneurs in different positions of societal power. Taken together, my findings contribute to two long-established lines of anthropological scholarship on entrepreneurship: (1) the moral values and understandings of entrepreneurship, and (2) the strategies and practices of entrepreneurship. I demonstrate the need to expand anthropological understandings of entrepreneurship to better theorize diverse economies, localized understandings and values of entrepreneurship, and the relationship of entrepreneurship to notions of economic justice. Yet, through comparative analysis I also demonstrate that diverse and localized values of entrepreneurship must be considered within the context of societal power structures; such context allows scholars to assess if and how diverse entrepreneurial values have the potential to make broad-scale social and/or cultural change. As such, I argue for the importance of putting these two streams of anthropological research into conversation with one another in order to gain a more holistic understanding of the relationship between the cultural meanings and the practices of entrepreneurship.