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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
331

Access to Health Care at the Margins: Implications for Older Sexual Minority Women with Disabilities

Westcott, Jordan Bailor 05 May 2023 (has links)
Counselors are called to address barriers to human growth and development through advocacy (ACA, 2014), such as those posed by inequitable health care access for socially disadvantaged groups (CDC, 2013; IOM, 2011). Health care contributes to positive health outcomes (Healthy People 2020) and is therefore an important component of advancing health equity among marginalized populations, such as older sexual minority women (SMW) with disabilities. Despite evidence of disparate health care access and health outcomes, no research to date has explored the health needs or health care experiences of disabled older SMW. This study therefore sought to address this gap in the literature by: identifying current levels of health care access and barriers among older SMW with disabilities; exploring predictors of health care access among older SMW with disabilities; and identifying protective factors, such as social support and resilience, that moderate the relationship between health care access barriers and health outcomes. Results obtained from a sample of 208 respondents provided baseline data about health care access and barriers among older SMW with disabilities. Generally, respondents had a place to receive health care, but few had access LGBTQIA+-specific health services despite indicating that this type of health care was important to them. Only about half had accessed mental health services in the last six months, and people who had accessed mental health care perceived it to be easier to access than people who had not. Respondents most highly endorsed external barriers related to cost of health care, and they reported higher health care stereotype threat related to age and disability compared to gender and sexuality. External barriers to health care were predictive of most health care access indicators (e.g., utilization of general and specific health services, as well as health outcomes). Among internal barriers, sexuality- and disability-related health care stereotype threat emerged as predictors of health care access and health outcomes respectively. Similarly, acceptability of health services, accessibility of health services, and affordability of health services were specific external barrier categories that appeared to influence health care access and outcomes among older SMW with disabilities. Neither resilience nor social support moderated the relationship of external access barriers to physical or mental health outcomes. However, resilience had a significant independent relationship with physical health outcomes, and both resilience and social support had significant independent relationships with mental health outcomes. These findings illustrate the structural factors related to health care access and outcomes for older SMW with disabilities, as posited by health equity frameworks (Braveman, 2014). The most influential internal barriers related to health care stereotype threat, which may develop in response to minority stressors specific to health care settings. The findings of this study support lifespan perspectives on LGBTQIA+ health (Fredriksen-Goldsen, Simoni et al., 2014), as well as minority stress processes (Meyer, 2003), as frameworks for understanding LGBTQIA+ health in later life. Implications for counselors, counselor educators, community organizations, and policies are discussed. / Doctor of Philosophy / LGBTQIA+ older adults are at increased risk of negative health outcomes, but helping professions have limited resources for understanding their health care needs at present. Because nearly half of older sexual minority women (SMW) have disabilities, this study examined health care access and outcomes among older SMW with disabilities. This is relevant to counseling given the field's focus on social justice, advocacy, and equity, as well as the interconnected nature of physical and mental health. Across different ways of measuring health care access, external barriers related to health care systems and societal injustice were related to whether older SMW with disabilities could access health care. Health care stereotype threat, or internalized stigma related to experiences in health care, predicted health care access and health among disabled older SMW as well. These findings suggest that poor health care utilization and poorer health outcomes among older SMW with disabilities are the result of structural oppression rather than individual choices, which requires systemic interventions to correct. More research is needed to determine how counselors and other helping professionals can enhance strengths to support health among older SMW with disabilities.
332

A systematic review to identify research priority setting in Black and minority ethnic health and evaluate their processes

Iqbal, Halima, West, Jane, Haith-Cooper, Melanie, McEachan, Rosemary 01 June 2021 (has links)
Yes / Black, Asian and minority ethnic communities suffer from disproportionately poorer health than the general population. This issue has been recently exemplified by the large numbers of infection rates and deaths caused by covid-19 in BAME populations. Future research has the potential to improve health outcomes for these groups. High quality research priority setting is crucial to effectively consider the needs of the most vulnerable groups of the population. The purpose of this systematic review is to identify existing research priority studies conducted for BAME health and to determine the extent to which they followed good practice principles for research priority setting. Method: Included studies were identified by searching Medline, Cinnahl, PsychINFO, Psychology and Behavioral Sciences Collection, as well as searches in grey literature. Search terms included “research priority setting”, “research prioritisation”, “research agenda”, “Black and minority ethnic”, “ethnic group”. Studies were included if they identified or elicited research priorities for BAME health and if they outlined a process of conducting a research prioritisation exercise. A checklist of Nine Common Themes of Good Practice in research priority setting was used as a methodological framework to evaluate the research priority processes of each study. Results: Out of 1514 citations initially obtained, 17 studies were included in the final synthesis. Topic areas for their research prioritisation exercise included suicide prevention, knee surgery, mental health, preterm birth, and child obesity. Public and patient involvement was included in eleven studies. Methods of research prioritisation included workshops, Delphi techniques, surveys, focus groups and interviews. The quality of empirical evidence was diverse. None of the exercises followed all good practice principles as outlined in the checklist. Areas that were lacking in particular were: the lack of a comprehensive approach to guide the process; limited use of criteria to guide discussion around priorities; unequal or no representation from ethnic minorities, and poor evaluation of their own processes. Conclusions: Research priority setting practices were found to mostly not follow good practice guidelines which aim to ensure rigour in priority setting activities and support the inclusion of BAME communities in establishing the research agenda. Research is unlikely to deliver useful findings that can support relevant research and positive change for BAME communities unless they fulfil areas of good practice such as inclusivity of key stakeholders’ input, planning for implementation of identified priorities, criteria for deciding on priorities, and evaluation of their processes in research priority setting. / This work was supported by the National Institute for Health Research (NIHR) under its Applied Research Collaboration (ARC) Yorkshire and Humber in the form of Ph.D. funding to HI [NIHR200166], the UK Prevention Research Partnership (UKPRP) in the form of funding to JW and RM [MR/S037527/1], the NIHR Clinical Research Network in the form of funding to JW, and the NIHR ARC Yorkshire and Humber in the form of funding to RM.
333

Aspekte van statutêre minderheidsbeskerming in die Suid-Afrikaanse maatskappyereg

Hurter, E. (Estelle), 1955- 07 1900 (has links)
Text in Afrikaans / Daar is 'n toenemende bewuswording van die noodsaaklikheid van effektiewe beskerming vir minderhede. Die rede vir hierdie toenemende erkenning aan die behoefte aan minderheidsbeskerming is waarskynlik toe te skryf aan die beset dat dit nie alleen die minderheidsaandeelhouers is wat skade ly in geval van benadelende optrede nie, maar ook die ekonomie. Maatskappye word ingevolge die beginsel van meerderheidsbewind bestuur, met die gevolg dat die minderheid onderworpe is aan die wil van die meerderheid. Die minderheid kan hulself hierdeur in 'n onbenydenswaardige posisie bevind, veral indien die meerderheid hul mag aanwend om hul eie belange te bevorder. Gemeenregtelik is die reel in Foss v Harbottle 'n struikelblok vir minderheidsaandeelhouers wat gedingvoering beoog. In 'n poging om die gebrekkige gemeenregtelike beskerming van minderhede te ondervang, is bepaalde statutere maatreels ingevoer. Die evaluasie van hierdie maatreels geskied aan die hand van 'n regsvergelykende ondersoek na verskeie buitelandse stelsels, waarvan die van Nieu-Seeland en Kanada uit staan vanwee die innoverende aard van hul statutere beskermingsmaatreels. Die gevolgtrekking is dat die beskerming wat die Suid-Afrikaanse statutere maatreels aan minderhede bied, onbevredigend is om verskeie redes. Eerstens is hierdie maatreels dikwels te eng bewoord wat daartoe lei dat die aanwendingsveld van die maatreels beperk is. Tweedens hou die maatreels nie tred met ontwikkelings elders in die wereld en veranderende omstandighede en behoeftes in die praktyk nie. Derdens ontbreek goed geformuleerde remedies wat aanvullend tot artikel 252 van die Wet sal wees. Daar is verder bevind dat ad hocwysigings van bestaande maatreels nie die gewenste resultaat gaan bereik nie en 'n algehele hervorming van die Suid-Afrikaanse maatskappyereg word aanbeveel. Ten slotte word konkrete voorstelle in die vorm van konsepwetgewing gemaak en word vergesel van verduidelikende notas. Hierdie wetgewing is hoofsaaklik aan die hand van die Nieu-Seelandse en Kanadese modelle geformuleer. / There is a growing awareness of the need for effective protection of minority shareholders. This can probably be ascribed to the acknowledgement of the fact that prejudicial conduct harms not only minority shareholders, but also the economy at large. Companies are governed by the principle of majority rule; consequently the minority is subjected to the will of the majority. This often places the minority in an invidious position, especially when the majority use their power to further their own interests. The rule in Foss v Harbottle presents a stumbling block to minority shareholder action. Certain statutory measures have been introduced in an effort to counter defective minority protection. These statutory measures are evaluated in the light of a comparative study of several foreign jurisdictions, the most prominent of which are New Zealand and Canada, because of the innovative nature of the measures which they employ. The conclusion arrived at is that, for various reasons, the protection afforded minorities by the South African statutory measures is unsatisfactory. Firstly, the wording of these measures is narrowly construed; this in turn results in a narrow field of application. Secondly, these measures are not in step with developments elsewhere in the world and with the changing circumstances and needs in practice. Thirdly, well-formulated remedies needed in order to supplement section 252 of the Act are non-existent. It has also been found that ad hoc amendments of existing measures will not achieve the required result, and consequently a complete reform of South African company law is recommended. Finally, specific recommendations in the form of draft legislation are made; these are accompanied by explanatory notes. This draft legislation was formulated primarily along the lines of the New Zealand and Canadian models. / Private Law / LL.D.
334

Aspekte van statutêre minderheidsbeskerming in die Suid-Afrikaanse maatskappyereg

Hurter, E. (Estelle), 1955- 07 1900 (has links)
Text in Afrikaans / Daar is 'n toenemende bewuswording van die noodsaaklikheid van effektiewe beskerming vir minderhede. Die rede vir hierdie toenemende erkenning aan die behoefte aan minderheidsbeskerming is waarskynlik toe te skryf aan die beset dat dit nie alleen die minderheidsaandeelhouers is wat skade ly in geval van benadelende optrede nie, maar ook die ekonomie. Maatskappye word ingevolge die beginsel van meerderheidsbewind bestuur, met die gevolg dat die minderheid onderworpe is aan die wil van die meerderheid. Die minderheid kan hulself hierdeur in 'n onbenydenswaardige posisie bevind, veral indien die meerderheid hul mag aanwend om hul eie belange te bevorder. Gemeenregtelik is die reel in Foss v Harbottle 'n struikelblok vir minderheidsaandeelhouers wat gedingvoering beoog. In 'n poging om die gebrekkige gemeenregtelike beskerming van minderhede te ondervang, is bepaalde statutere maatreels ingevoer. Die evaluasie van hierdie maatreels geskied aan die hand van 'n regsvergelykende ondersoek na verskeie buitelandse stelsels, waarvan die van Nieu-Seeland en Kanada uit staan vanwee die innoverende aard van hul statutere beskermingsmaatreels. Die gevolgtrekking is dat die beskerming wat die Suid-Afrikaanse statutere maatreels aan minderhede bied, onbevredigend is om verskeie redes. Eerstens is hierdie maatreels dikwels te eng bewoord wat daartoe lei dat die aanwendingsveld van die maatreels beperk is. Tweedens hou die maatreels nie tred met ontwikkelings elders in die wereld en veranderende omstandighede en behoeftes in die praktyk nie. Derdens ontbreek goed geformuleerde remedies wat aanvullend tot artikel 252 van die Wet sal wees. Daar is verder bevind dat ad hocwysigings van bestaande maatreels nie die gewenste resultaat gaan bereik nie en 'n algehele hervorming van die Suid-Afrikaanse maatskappyereg word aanbeveel. Ten slotte word konkrete voorstelle in die vorm van konsepwetgewing gemaak en word vergesel van verduidelikende notas. Hierdie wetgewing is hoofsaaklik aan die hand van die Nieu-Seelandse en Kanadese modelle geformuleer. / There is a growing awareness of the need for effective protection of minority shareholders. This can probably be ascribed to the acknowledgement of the fact that prejudicial conduct harms not only minority shareholders, but also the economy at large. Companies are governed by the principle of majority rule; consequently the minority is subjected to the will of the majority. This often places the minority in an invidious position, especially when the majority use their power to further their own interests. The rule in Foss v Harbottle presents a stumbling block to minority shareholder action. Certain statutory measures have been introduced in an effort to counter defective minority protection. These statutory measures are evaluated in the light of a comparative study of several foreign jurisdictions, the most prominent of which are New Zealand and Canada, because of the innovative nature of the measures which they employ. The conclusion arrived at is that, for various reasons, the protection afforded minorities by the South African statutory measures is unsatisfactory. Firstly, the wording of these measures is narrowly construed; this in turn results in a narrow field of application. Secondly, these measures are not in step with developments elsewhere in the world and with the changing circumstances and needs in practice. Thirdly, well-formulated remedies needed in order to supplement section 252 of the Act are non-existent. It has also been found that ad hoc amendments of existing measures will not achieve the required result, and consequently a complete reform of South African company law is recommended. Finally, specific recommendations in the form of draft legislation are made; these are accompanied by explanatory notes. This draft legislation was formulated primarily along the lines of the New Zealand and Canadian models. / Private Law / LL.D.
335

Minoriteters Rättigheter : En minoritetspolitisk studie med sverigefinnarna i fokus

Lohilahti, Satu January 2007 (has links)
Over the last few decades, the Swedish society has become more and more multicultural, which has resulted in the fact that the differences between different ethnic groups have become more and more noticed and debated. Studies have shown that persons belonging to minority groups are often wronged by majority decisions, which leaves the minorities in a disadvantageous position in relation to the majority. The scientific problem is how a state should compensate different minority groups for their disadvantaged position in order to be able to guarantee justice and equality for all individuals of the state. The aim of this thesis is to examine the Swedish government’s attitude towards minority rights, and to analyse whether this coincides with Will Kymlicka’s normative minority rights theory. The research questions are: • How should the majority society treat minorities according to Kymlicka? • Which is Swedish minority policy’s stance on minority rights? The methods used in this thesis include a qualitative text analysis and a field investigation among Finnish-speaking people living in Borlänge. The conclusion of this essay is that the Swedish government in all likelihood has a positive attitude towards minority rights, since it has assigned group differentiated rights to the national minorities in Sweden. Furthermore, the Swedish government’s view on minority rights coincides to a great extent with Will Kymlicka’s normative theory.
336

The economic determinants of the number of minority farmers in the southern region of the United States, 1969-1997

Luster, Tonshia January 1900 (has links)
Master of Agribusiness / Department of Agricultural Economics / Andrew P. Barkley / The primary purpose of this research was to identify and quantify the determinants of the number of minority farms in the Southern region of the United States during the time period, 1969-1997. A second objective was to determine the impact of globalization and international trade agreements on the number of African-American farmers in the Southern region of the United States. Regression results indicate that minority farm labor was responsive to the returns to agriculture labor relative to nonfarm labor returns, as well as to cotton and rice prices. Increase in the cotton price increased minority farmer income, slowing the rate of agricultural migration from the Southern region of the United States. To the extent that globalization results in lower cotton prices, international agricultural trade agreements are likely to result in further movement of minority farmers out of agriculture in the Southern region of the United States.
337

PROCESSES LEADING SELF-IDENTIFIED HETEROSEXUALS TO DEVELOP INTO SEXUAL MINORITY SOCIAL JUSTICE ALLIES: A QUALITATIVE EXPLORATION

Duhigg, Julie Marie 01 January 2007 (has links)
The impact of homonegativity on both sexual minorities and heterosexuals is profoundly debilitating. Due to the implicit power of their privileged status, heterosexually-identified individuals can serve a crucial role as allies in eliminating sexual minority oppression. Because minimal research exists around heterosexual identity issues, broadly, and sexual minority ally development, specifically, it is difficult to promote such ally work without a clear understanding of the developmental processes and motivational issues that lead heterosexuals to sexual minority social justice action. The current study sought to explore the developmental experiences of heterosexuallyidentified exemplars who work in their communities for sexual minority social justice. The present investigation was conducted through interviews with 12 individuals who demonstrated commitment to sexual minority volunteer work. Through the use of a discovery-oriented interviewing methodology, participants revealed the paths they have taken as they committed to social justice ally work alongside sexual minority activists. The qualitative data collected were subjected to a systematic, collaborative analysis by a team of researchers. The results revealed six general themes that arose from these participants stories, and specified subcategories within each domain: Early Family Modeling (positive modeling and negative modeling), Recognition of Oppression and Privilege (recognition of LGBT individual oppression, recognition of the oppression of others, recognition of oppression directed at oneself, recognition of ones own privilege, and recognition of others privilege), Response to Recognition (emotional reactions, taking responsibility, and behavioral reactions), Impact of Values/Attitudes (equality, attitudes about sexual orientation, personal responsibility, valuing diversity, and religious/spiritual beliefs), Reactions to Ally Work from Others (positive support from family/friends, negative reactions from local community, positive reactions from local community, positive reactions from LGBT community, and negative reactions from LGBT community), and Rewards from Ally Work (making a difference, friendships and connections, and other rewards). These findings highlighted key elements that contribute to the development of sexual minority allies. Interdependence with and empathy for others were vital elements of this growth. These often developed from encounters with otherness and led to greater involvement with social justice action. Finally, homophobia was revealed as a significant barrier to ally identification. Methods for cultivating developmental experiences are outlined.
338

Othering the Other: How Stereotypes Influence African American and Black African High School Students' Perceptions and Expectations of Higher Education

Guy, Mignonne Catherine January 2009 (has links)
For decades, researchers have sought greater understanding of the educational achievement gap between Blacks and Whites in the U.S. Past studies have concentrated heavily on K-12 attainment, and more recently on that of minority paths to higher education as well as obstacles to academic achievement. Often unnoticed are the interactions between social forces and the individual level psycho-social and cultural factors that may place a significant role; the stigmatization and resultant marginalization of Black students by negative stereotypes that classify them as intellectually inferior. This study explores African American and Black African highs school students' perceptions of negative stereotypes placed upon them through the conceptual frameworks of critical race theory (CRT) and the multidimensional model of racial identity (MMRI). Examining differences by immigrant status, this study seeks to uncover the intersection between the socially constructed images assigned to stigmatized groups differently influenced by negative stereotypes of Blacks and the subsequent influence on the students' perceptions and expectations of higher education. The narratives of this study illustrate the complexity of and interplay between external forces, minority youth social identities and pathways to academic attainment. This study finds that African American and Black African youth have multiple social identities that are not always reflective of the most accessible one of race. This study finds that salient social identities, personal or vicarious experiences of discrimination and being negatively stereotyped shape Black youths' individual aspirations and strategies for achievement. The present study calls into question the claim that Black youth process and respond to negative stereotypes of Blacks in a predictable manner and that these students respond to them independently of other social forces such as their families and communities in which they reside.
339

The role of provincial government support in the development of black-owned small tourism businesses in the city of Cape Town.

Quesada, Lemay Llorente January 2005 (has links)
Since 1994, tourism has become one of the most benefited industries among the overall of the South African economy. However, the industry is still far from being an example of transformations. The tourism industry in South Africa is still dominated by white-owned large enterprises, leaving limited space for the development of black-owned small tourism businesses. The existing literature identifies that government support represents a key variable regarding small tourism business development, specifically among black entrepreneurs. This study evaluated the role of provincial government support in the development of black-owned small tourism businesses in the South Africa, with a focus on Cape Town.
340

Situating strangers : understanding Hindu community life in Lusaka

Haig, Joan January 2011 (has links)
This thesis explores the complex identities of the Hindu community of Lusaka, Zambia. It argues that current theories in migration and diaspora studies are not sufficient for understanding such groups in post-colonial Africa. The thesis proposes that we should revisit ‘forgotten’ literature, on immigrants as ‘stranger’ communities, that originates from Georg Simmel’s 1908 essay, ‘The Stranger’. Such work, which this thesis terms ‘stranger theory’, usefully contributes to more contemporary approaches by enabling a comprehensive assessment of a community’s position and how that position changes over time. Stranger theory is used in this thesis to situate Lusaka’s Hindus (and Zambian Hindus more generally) as ‘organic’ members of the nation, whose relationships with wider society are characterised by both ‘nearness’ and ‘remoteness’. The thesis first describes the emergence of a Zambian Hindu ethnic identity during colonial and immediate postcolonial (post-1964) periods focussing on migration and settlement patterns, immigrant networks and the emergence of cultural associations. A theme running throughout the thesis is that the ‘plural society’ of the colonial era (a society consisting of separate, racially-categorised groups with limited interaction) has persisted in Zambia in a postcolonial form, and that this is a useful way of understanding the position of the Hindu community in Zambia today. Following the historical discussion is an analysis of how the contemporary city of Lusaka is experienced by its Hindu residents, through mapping out spaces, social structures and practices that remain unique to Lusaka’s Hindus. Lusaka’s Hindu community is presented as both cohesive and fragmented; the thesis goes on to analyse the ways in which community identity itself is frequently broken down and reconfigured by its members. Zambia’s Hindus comprise diverse sets and subgroups of immigrants with uneven and ‘flexible’ approaches to, and experiences of, migration, citizenship and belonging, rather than embodying a single, quantifiable ‘diaspora’ entity. Yet, in local terms, Hindus in Lusaka are often treated as part of a general ‘Indian’ group; indeed, the thesis shows how Hindus’ relationships with other groups in Zambia emphasise the ‘stranger’ dimension of the community’s position in society. Finally, the thesis asserts that Zambian Hindu ‘twice migrants’—those who migrate onwards to new destinations—reinforce the existence and identities of the ‘home’ community in Zambia. Indeed, these twice migrants must be considered as African and Zambian transnational migrants as well as part of a South Asian ‘diaspora’. Methodologically, the thesis is driven by situational analysis, and brings two separate versions of this approach (from Sociology and Anthropology) together, drawing on data collected in Zambia between 2006 and 2008.

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