US Latinos’ Views on Physician Trust:
the Impact it has on Quality of Care and Health Outcomes

Description

Interventions that increase access to care for Latinos lack to account for how trust in healthcare providers impact the usage of expanded access. This thesis looks to identify the levels of trust among US Latinos in health care providers, and

Interventions that increase access to care for Latinos lack to account for how trust in healthcare providers impact the usage of expanded access. This thesis looks to identify the levels of trust among US Latinos in health care providers, and how those levels of trust impact quality of care and health outcomes. It will start with a detailed explanation of key terms that will be used throughout the text. Next, an overview of the health profile of US Latinos is presented to pinpoint where health inequities exist. After, it will provide historical context on why mistrust in medical providers might exist amongst US Latinos today. It will then look to establish the levels of trust in health care providers among Latinos currently living within the United States, relative to other racial and ethnic groups. Lastly, it will analyze how those levels of trust impact health behaviors, health outcomes, and quality of care for Latinos.

Date Created
2023-05
Agent

Adjustment of Status through Marriage: State Strategies of Control and The Power of Resistance in Immigrant Tactics

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Description
The primary question driving this research regards how individuals in mixed-citizenship couples employ different strategies and/or tactics to access and maintain valid immigration status during processes of Adjustment of Status through marriage in the United States. A dominant narrative prevails

The primary question driving this research regards how individuals in mixed-citizenship couples employ different strategies and/or tactics to access and maintain valid immigration status during processes of Adjustment of Status through marriage in the United States. A dominant narrative prevails in the US that immigration through marriage to a citizen confers immediate or an easy pathway to citizenship. For roughly two-hundred thousand immigrant spouses that currently navigate adjustment annually, however, this narrative falls short of and obscures the reality of adjustment processes. There is a lack of focused academic study to help contribute to more accurate public understandings of what these realities are. To combat this false narrative and help fill a gap in research, this work examines how such dominant ideology stems from historic legal inequality and hegemonic discourse, reified through Enlightenment-centric thinking and becoming tangled with state power through Foucault’s conception of the body politic. The day-to-day actions, interactions, and transactions within the body politic and adjustment processes are then put into conversation with De Certeau’s strategies and tactics, providing a means for accentuating how individuals, society, and the state enact specific practices to support or resist Foucauldian technologies of oppression and control. As an exploratory case-study, this work engages four individual partners from two mixed citizenship marriages in a series of three semi-structured, in-depth phenomenological interviews each. Reporting is centered on participant’s histories and adjustment narratives, told through their own voices. Evidence supports that easy pathway public narratives are inaccurate, that adjustment processes assert state power on citizen petitioners and migrant spouses alike, but in different ways, and that they in turn enact complicated and intertwined strategies and tactics to achieve adjustment and resist the oppressive power of the state that is carried through adjustment processes.
Date Created
2022
Agent

Central America Asylum Seekers’ Health, Self-Sufficiency, and Integration Outcomes During the Asylum Claim Process Phase in Phoenix, Arizona

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Description
The purpose of this study is threefold: highlight the present health, self-sufficiency and integration needs and assets of asylum seekers in Phoenix, Arizona during the asylum seeking process phase (while an asylum claim is awaiting a decision); understand the City

The purpose of this study is threefold: highlight the present health, self-sufficiency and integration needs and assets of asylum seekers in Phoenix, Arizona during the asylum seeking process phase (while an asylum claim is awaiting a decision); understand the City of Phoenix’s response to asylum seekers; and contextualize and compare the city’s present response to increased arrivals of asylum seekers against municipal responses in other contexts and academic discussions of the “local turn.”. Through semi-structured in-depth interviews with asylum seekers and community leaders, this study finds that asylum seekers’ physiological healthcare needs are sometimes met through emergency department admissions and referrals to sliding scale services by caseworkers in the International Rescue Committee’s Asylum-Seeking Families program in Phoenix. Mental and behavioral health service needs are less likely to be met, especially for women who want to speak with a medical professional about their traumatic experiences in Central America, trip through Mexico, detention in the United States (U.S.) and their often-marginalized lives in the U.S. This dissertation concomitantly explores how other municipalities in the U.S. and internationally have responded to increased immigration of asylum seekers and refugees to urban centers, and how certain approaches could be adopted in the City of Phoenix to better serve asylum seekers.
Date Created
2020
Agent

SOCIAL CONFLICT AND WATER ACCESS IN MEXICO CITY'S URBAN WATER NETWORK

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Description
Protest has been both a practice of citizenship rights as well as a means of social pressure for change in the context of Mexico City's water system. This paper explores the role that citizen protest plays in the city's response

Protest has been both a practice of citizenship rights as well as a means of social pressure for change in the context of Mexico City's water system. This paper explores the role that citizen protest plays in the city's response to its water challenges. We use media reports of water protests to examine where protests happen and the causes associated with them. We analyze this information to illuminate socio-political issues associated with the city's water problems, such as political corruption, gentrification, as well as general power dynamics and lack of transparency between citizens, governments, and the private businesses which interact with them. We use text analysis of newspaper reports to analyze protest events in terms of the primary stimuli of water conflict, the areas within the city more prone to conflict, and the ways in which conflict and protest are used to initiate improved water management and to influence decision making to address water inequities. We found that water scarcity is the primary source of conflict, and that water scarcity is tied to new housing and commercial construction. These new constructions often disrupt water supplies and displace of minority or marginalized groups, which we denote as gentrification. The project demonstrates the intimate ties between inequities in housing and water in urban development. Key words: Conflict, protest, Mexico City, scarcity, new construction
Date Created
2017-05
Agent

What is the Future of the Santa Cruz River? Transborder Sustainability, Law and Activism in Ambos Nogales

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Description
The project follows a recent issue between the U.S. and Mexico concerning the shared use of the transborder Santa Cruz River. The situation remains unresolved and the long-term sustainability of the river is unknown. The study is based on an

The project follows a recent issue between the U.S. and Mexico concerning the shared use of the transborder Santa Cruz River. The situation remains unresolved and the long-term sustainability of the river is unknown. The study is based on an analysis of scholarly research and interviews pulling from three fields: Law, social science, and the environment. The project explores potential solutions from multiple levels of governance, and contextualizes the issue in terms of the people affected on both sides of the border.
Date Created
2013-05
Agent

Transformation of Latino Neighborhoods in the Tucson Metropolitan Area from 1990-2010

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Description
Changes in Latino neighborhoods in Tucson, Arizona that occurred between 1990 and 2010 were studied. The overall Latino population increased substantially within the larger metropolitan area during the target time period. Neighborhoods were selected that had changed to become predominantly

Changes in Latino neighborhoods in Tucson, Arizona that occurred between 1990 and 2010 were studied. The overall Latino population increased substantially within the larger metropolitan area during the target time period. Neighborhoods were selected that had changed to become predominantly Latino during the target time period based on maps measuring ethnic clusters. Research was designed to characterize Latino neighborhoods in Tucson in terms of transformation. Methodology for comparison between changed and unchanged neighborhoods was developed. Observations were made in the three new neighborhoods, as well as in three historically Latino neighborhoods that experienced little change during the same time period. Interviews were conducted with residents from each neighborhood. Exploratory findings were made regarding the transformation of the neighborhoods with increased Latino populations. Findings showed that two areas of transformation increased largely because of the rise of higher density rental housing while one area transformed because two new affordable subdivisions were created within the studied time period. One new neighborhood's physical domain changed from an undeveloped land to a neighborhood with tract style houses. The historical areas have transformed in different ways including a decrease in crime and an increase in the younger population. The historical areas have experienced little change in the physical domain. All neighborhoods studied had evidences of a Spanish speaking population, and have businesses that cater to the surrounding Hispanic population.
Date Created
2014-05

The Social Construction of the United States-Mexican Border: A Content Analysis of Two Newspapers

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Description
This study examines the social construction of the border by researching how frequently select issues are written about by the media of both countries, and in what light two different groups of actors (Mexico and the US) are portrayed. The

This study examines the social construction of the border by researching how frequently select issues are written about by the media of both countries, and in what light two different groups of actors (Mexico and the US) are portrayed. The Dallas-based The Dallas Morning News, and the Monterrey-based, El Norte are the two newspapers chosen to perform the content analysis. Furthermore, this study seeks to examine differences in the way both newspapers portray the US-Mexico border in 1994, or the year NAFTA began, and 2012, the most recent year for which data is available. A major find of this study is the discovery of how even though the frequency that select issues are brought up in the border vary drastically by year and newspaper, portrayals of the actors around the border stay fairly consistent. More specifically, with the exception of NAFTA in 1994, border issues outside of crime, illegal immigration, drug violence, and the economy, are rarely mentioned by the two selected newspapers a significant amount of the time. Also, issues at the border such as crime, drug violence, and national security are often portrayed as the fault of Mexico and Mexican actors, while immigration issues at the border are often blamed exclusively on each newspaper's host countries.
Date Created
2014-05
Agent

Sexual Health in Adolescents: A study in unplanned adolescent pregnancies and the correlation with sexual education in Sonora, Mexico

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Description
In Mexico, the female adolescent population is made up from two groups, single women and married or cohabitating women. Throughout the past decade there has been an increase in the fertility rate amongst the adolescent population in the state of

In Mexico, the female adolescent population is made up from two groups, single women and married or cohabitating women. Throughout the past decade there has been an increase in the fertility rate amongst the adolescent population in the state of Sonora. Several factors were analyzed to determine their impact on adolescent fertility rate and unplanned pregnancies but ultimately it was found that sexual education was the most influential factor. Comprehensive sexual education has been found to decrease the number of adolescent pregnancies in schools or cities where that curriculum is taught. Many experts believe that this occurs because adolescents are better educated in the proper usage of contraception. Increased contraceptive use directly causes a decrease in unplanned pregnancy rate. With respect to Mexico, it was found that comprehensive sexual education is taught in Sonora but there is no standardized program. Few institutions provide comprehensive sexual education and the programs range between a level 0 and level 3 with respect to the strictness of the abstinence only curricula. Four interviews were conducted between December of 2013 and March of 2014. The purpose of the interviews was to gain a better understanding about how sexual education is perceived in Hermosillo, Sonora, Mexico and what sort of programs are available to adolescents. The questions that comprised the interview consisted of three general parts: background, demographics and sexual education. The interviewees were selected based on their level of expertise reproductive health among adolescents. Two programs were selected for research: Programa Gente Joven (PGJ) and Vive Prevenido. Based on research and data analysis several conclusions were reached. The average age a Mexican woman first has sex, gets married and has her first child within less than 5 years starting in their adolescence. Many years pass between the age of a woman's first childbirth and when she first uses contraception. This is caused by an unmet or unsatisfied need for contraception where the national level is higher than that of Sonora. With respect to sexual education the Guttmacher Institute data suggests that comprehensive sexual education is more effective than abstinence only education. And finally, the experts interviewed all agreed that comprehensive sexual education is what should be taught on a state wide level. The views and opinions of these four interviewees do not reflect those of all who work with adolescents. To gain a more generalized idea on the situation surrounding unplanned pregnancies in adolescents more interviews would need to be conducted. This project was purely exploratory and does not aim to analyze or evaluate either program.
Date Created
2014-05
Agent

Urban political ecology of green public space in Mexico City: equity, parks and people

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Description
Decades of research confirms that urban green spaces in the form of parks, gardens, and urban forests provide numerous environmental and social services including microclimate regulation, noise reduction, rainwater drainage, stress amelioration, etc. In post-industrial megacities of the twenty-first century,

Decades of research confirms that urban green spaces in the form of parks, gardens, and urban forests provide numerous environmental and social services including microclimate regulation, noise reduction, rainwater drainage, stress amelioration, etc. In post-industrial megacities of the twenty-first century, densely populated, violent and heavily polluted such as Mexico City, having access to safe and well-maintained green public space is in all respects necessary for people to maintain or improve their quality of life. However, according to recent reports by the Mexican Ministry of Environment, green public spaces in Mexico City are insufficient and unevenly distributed across the sixteen boroughs of the Mexican Distrito Federal. If it is known that parks are essential urban amenities, why are green public spaces in Mexico City scarce and so unevenly distributed? As a suite of theoretical frameworks, Urban Political Ecology (UPE) has been used to study uneven urban development and its resulting unequal socio-ecological relations. UPE explores the complex relationship between environmental change, socio-economic urban characteristics and political processes. This research includes a detailed analysis of the distributive justice of green public space (who gets what and why) based on socio-spatial data sets provided by the Environment and Land Management Agency for the Federal District. Moreover, this work went beyond spatial data depicting available green space (m2/habitant) and explored the relation between green space distribution and other socio-demographic attributes, i.e. gender, socio-economic status, education and age that according to environmental justice theory, are usually correlated to an specific (biased) distribution of environmental burdens and amenities. Moreover, using archival resources complemented with qualitative data generated through in-depth interviews with key actors involved in the creation, planning, construction and management of green public spaces, this research explored the significant role of public and private institutions in the development of Mexico City's parks and green publics spaces, with a special focus on the effects of neoliberal capitalism as the current urban political economy in the city.
Date Created
2015
Agent

Operationalizing neighborhood resiliency: a grass-roots approach

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Description
This research addresses the ability for neighborhoods to assess resiliency as it applies to their respective local areas. Two demographically and economically contrasting neighborhoods in Glendale, Arizona were studied to understand what residents' value and how those values link to

This research addresses the ability for neighborhoods to assess resiliency as it applies to their respective local areas. Two demographically and economically contrasting neighborhoods in Glendale, Arizona were studied to understand what residents' value and how those values link to key principles of resiliency. Through this exploratory research, a community-focused process was created to use these values in order to link them to key principles of resiliency and potential measureable indicators. A literature review was conducted to first assess definitions and key principles of resiliency. Second, it explored cases of neighborhoods or communities that faced a pressure or disaster and responded resiliently based on these general principles. Each case study demonstrated that resiliency at the neighborhood level was important to its ability to survive its respective pressure and emerge stronger. The Heart of Glendale and Thunderbird Palms were the two neighborhoods chosen to test the ability to operationalize neighborhood resiliency in the form of indicators. First, an in-depth interview was conducted with a neighborhood expert to understand each area's strengths and weaknesses and get a context for the neighborhood and how it has developed. Second, a visioning session was conducted with each neighborhood consisting of seven participants to discuss its values and how they relate to key principles of resiliency. The values were analyzed and used to shape locally relevant indicators. The results of this study found that the process of identifying participants' values and linking them to key principles of resiliency is a viable methodology for measuring neighborhood resiliency. It also found that indicators and values differed between the Heart of Glendale, a more economically vulnerable yet ethnically diverse area, than Thunderbird Palms, a more racially homogenous, middle income neighborhood. The Heart of Glendale valued the development of social capital more than Thunderbird Palms which placed a higher value on the condition of the built environment as a vehicle for stimulating vibrancy and resiliency in the neighborhood. However, both neighborhoods highly valued public education and providing opportunities for children to be future leaders in their local communities.
Date Created
2011
Agent