The research is attempting to acknowledge and explain the impact, if any, on homeless individuals not wearing socks. The curiosity for this study started on December 25th, 2018 when my family and I were volunteering at a homeless shelter in South Florida. After having numerous conversations with homeless individuals, I was informed on how they do not have enough pairs of socks to keep their feet in a healthy condition. Thus, I decided to initiate a sock drive to improve the lives of those who are homeless. This study is looking at a series of articles that are reviewing the different foot issues amongst the homeless community but are looking to see if socks play a role in the feet developing any foot diseases. It was hypothesized that homeless individuals will be at greater risk for foot disease if they live outside and have improper footwear. The objective of the study sought to review the current literature on the lack of socks for those who are homeless. Between the United States and Canada, it is estimated that nearly 700,000 individuals are homeless in a 2016 report. Of the 700,000 there are roughly two-thirds of this population that have some type of disease with their foot (To and Brothers, 2017). Majority of people who perform a good deed, such as give away old clothes or shoes, very seldomly donate socks according to the company Bombas socks. Throughout the course of my time volunteering, I have witnessed several homeless individuals wear shoes but not socks. Due to uncomfortableness, the individuals remove their shoes and it is very eye opening to observe their feet. Homeless shall be defined as “having no home or permanent place of residence” as per the Merriam-Webster's dictionary. The study was reported based on guidelines recommended by the Preferred Reporting Items for Systemic Reviews and Meta-Analyses (PRISMA) of 125 studies related to homelessness and foot diseases and disorders. Literature searches were carried out on PubMed, Google Scholar, and ScienceDirect. With an evidentiary table, the characteristics of the studies included in the meta-analysis (n = 100 studies) are presented. This analysis suggests that not wearing the appropriate foot protection (shoes and/or socks) leads to an increase in foot diseases and disorders among the homeless.

No description available.

No description available.

<p>Food—where we obtain it, how we obtain it, and so forth—is just one of myriad considerations in everyday life. Considerations about food can be particularly salient for lone mothers, who face a set of challenges in supporting their families, including being the sole caregivers of their children. In examining a case study of Hamilton, Ontario, this research utilizes qualitative methods (interviews and mental maps) and a feminist geography lens to understand the complexity of food insecurity for lone mothers living in two neighbourhoods characterized by a low socio-economic status. Feminist geography offers a unique perspective for understanding food insecurity with its philosophy of improving women’s lives and its story-telling and meaning-making methods. This thesis will explore qualitative themes from face-to-face interviews (<em>n</em>=7) and a focus group (<em>n</em>=1, 5 participants) that include: the distance and time taken to acquire food; loving and caring for one’s child(ren); contextual considerations mothers have to weigh in order to choose food resources, the need for structural change; strategies mothers used to provide for their families; and feelings around being a lone mother. Together, these themes paint a rich and nuanced picture of food insecurity for lone mothers in Hamilton and they illuminate how and where food intersects with household functions and structural forces, such as social assistance. The findings also point to places where social change can take place to improve quality of life.</p> / Master of Arts (MA)

<p>The purpose of this dissertation is to discuss and evaluate processes and institutional structures that influence relationships between Aboriginal communities and government in the development, implementation, and evaluation of health policy. It explores the changing nature of Aboriginal health policy and politics in Canada and examines the shift to self-determination that has transpired in Canada’s Aboriginal health policies focusing on their application to Aboriginal peoples. This dissertation examines two Aboriginal health policies in Canada: the federal health transfer policy and Ontario’s Aboriginal Healing and Wellness Strategy. Both policies are intended to improve health at the community level by supporting the development of community-based and culturally appropriate health programs. Thus, using community-based research methods, this dissertation maps some of the key political stakeholders in Aboriginal health policy, from local level community members and health representatives to peak provincial and federal Aboriginal organizations, to the offices of ministers in Canadian parliament. I reflect upon the processes and institutional structures that shape relationships between the Aboriginal community-controlled health sector and government.</p> <p>I examine several First Nations communities in northern Ontario involving both federal and provincially supported initiatives to illustrate the strengths, weaknesses and paradoxes that surface from the implementation of locally controlled health programs. I contrast these efforts with a second First Nations community in Manitoba that operates solely under the federal health transfer policy. I juxtapose these two communities to assess whether additional layers of community-controlled initiatives make tangible differences to community wellness; particularly for Aboriginal peoples living off reserve. This dissertation is being written under the theoretical assumption that governance and community wellness are intrinsically linked. Arguably, there is a definitive correlation between self-determination and community well-being; self-determination may be a determining factor in improving conditions for Aboriginal peoples and understanding resiliency.</p> <p>This dissertation is about a long lasting colonial legacy of social inequalities in Aboriginal health but also about the incredible successes in Aboriginal health. It is also about the many challenges of Aboriginal representation and self-determination in the context of contemporary Canadian society.</p> / Doctor of Philosophy (PhD)

Despite Canada’s universal healthcare system, there exist numerous barriers that prevent LGBTQ2S+ populations from accessing healthcare services such as sexual health. Through pulling from community-based research principles and utilizing a critical social science framework, this research explores the availability and accessibility of sexual health services for LGBTQ2S+ individuals living in a rural Ontario community. After extensive consultations with multiple key informants, two focus groups were conducted with individuals from a community-based collaborative where members had the dual role of being service providers and community members. It is important to note that gaining access to the collaborative was made possible due to the resources and networks provided by the AIDS Network, a community charitable organization. Using a thematic analysis of the data, three major themes surfaced: the negative effects of heteronormativity, queerphobia, and transphobia within healthcare settings; barriers to accessing sexual healthcare; and community responses and strategies. These findings are reflected in the literature concerning issues of healthcare access for LGBTQ2S+ populations, but these research findings are unique given they are specific to both sexual health and rural communities. Implications for social work education, practice, and research include tapping into the potential of collaboratives; creating LGBTQ2S+-specific policies; making space for community voices, especially within academia; and recommendations for healthcare providers. / Thesis / Master of Social Work (MSW)

An individual’s health is influenced by more than just the health care system, but also in large part by the social determinants of health. People exist within broader social, cultural, and ecological systems which influence their health outcomes through the social determinants of health. This doctoral dissertation examines social, cultural, and ecological systems to understand several factors that support and hinder community health and wellbeing to inform future policy. This dissertation incorporates a mix of methodological approaches across four interrelated research studies to better understand direct and indirect factors influencing community health and wellbeing. In doing so, this thesis is divided into four research chapters. Study 1 consists of a community-based research project that examines how food security, cultural continuity, and community health and wellbeing are connected through the sharing of harvested country food in Chesterfield Inlet, Nunavut, Canada. Based on this understanding we can demonstrate how climate change and increased shipping along the inlet affects the community as a result of changes in marine mammals and harvesting activities. Study 2 presents a logistic regression that models how cultural continuity variables impact self-rated health for participants living in Inuit Nunangat in Canada. This model uses the Arctic Supplement questions of the Aboriginal Peoples Survey to compare measures of cultural continuity to traditional measures based on government services. This study demonstrates an important link between cultural continuity and self-rated health for Inuit living in Inuit Nunangat. iv Study 3 contains a case study of different implementation successes and challenges of Locally Managed Marine Areas globally. These cases are used to understand how community member involvement as stakeholders in marine resource decision-making not only aligns with existing local and Indigenous ways of management, but also can enhance biodiversity as well as local livelihoods. Finally, Study 4 uses ontology engineering methods to represent the results from the first three studies. This study demonstrates how this novel method can be used to illustrate the interconnectedness of results from different disciplines using diverse data sources and through the creation of different scenarios. Taken together, these studies provide timely insights regarding the ways policy can support or hinder efforts to improve community health and wellbeing and adapt to climate changes. / Thesis / Doctor of Philosophy (PhD) / The goal of this doctoral dissertation was to develop a better understanding of how social, cultural, and ecological systems impact community health and wellbeing in various contexts. Findings indicate climate and shipping changes impact Chesterfield Inlet, Nunavut through the relationship between food security, cultural continuity, and community health and wellbeing. Relatedly, harvesting activities, access to country food, satisfaction in Inuit governance, and community involvement all increase the probability that an Inuk living in the Arctic has good or great self-rated health. Additionally, Locally Managed Marine Areas, an approach to marine resources management that includes community members as key stakeholders, not only aligns with existing local and Indigenous management practices, but can also support biodiversity and increased catch of various species. Finally, by representing these research results in a single model called an ontology, we can make educated guesses about how these different studies are interconnected. The insights gained from this work can be adopted by decision- makers to create supports for and remove barriers to improved community health and wellbeing and community efforts to adapt to changes.

This thesis draws on a community-engaged digital-mapping project with the Vancouver Island Coast Salish community of the Stz’uminus First Nation. In this paper, I discuss the ways in which conventional cartographic representations of Indigenous peoples are laden with methodological and visual assumptions that position Indigenous peoples’ perspectives, stories, and experiences within test-, proof-, and boundary-driven legal and Eurocentric contexts. In contrast, I frame this project’s methodology and digital mapping tools as an effort to map a depth of place, the emotional, spiritual, experiential, and kin-based cultural context that is routinely glossed over in conventional mapping practices. I argue elders’ place-based stories, when recorded on video and embedded in a digital map, produce a space for the “unmappable,” that which cannot, or will not, be expressed within the constructs of a static two-dimensional map. This thesis also describes a refusal to steep maps too deeply in cultural context for a public audience. I detail the conversations that emerged in response to a set of deeply spiritual, cultural, and personal stories to mark how the presence of Coast Salish law, customs, power structures, varying intra-community perspectives, and refusal came to bear on the production of “blank space” (interpreted colonially and legally as terra nullius) in this project’s cartographic representation. Finally, I conclude that Coast Salish sharing customs are embedded within networks of Coast Salish customary legal traditions, which fundamentally affects tensions that arise between storytelling and digital mapping technologies, between academic and community accountabilities, and between collective and individual consent. / Graduate / 2019-10-13

<p>Community participation has been identified as a key facilitator of community health among marginalized populations in international health statements. However, knowledge gaps in the community participation literature regarding marginalized populations has been attributed to the lack of consistent definitions of community participation, ambiguity about the features of community participation initiatives (e.g., methods and strategies) that are appropriate for marginalized populations, and limitations of existing community participation frameworks in specifying the ways and means in which different marginalized populations might effectively participate, as well as in recognizing that community participation is highly contextual and situational. All of these factors have made it difficult to draw broader conclusions about the impact of participation methods and strategies for marginalized populations from evaluations of participation initiatives.</p> <p>The overall purpose of this thesis is to better understand how to involve marginalized populations in the planning and decision-making for local health services. First, a critical interpretive synthesis (CIS) was conducted to better understand the role of community development principles used in community participation initiatives with marginalized populations and the factors contributing to the influence of the principles in enabling the participation of these populations. Second, an in-depth comparative case study of four community participation initiatives in Ontario Community Health Centres (CHCs)—which are primary health care organizations serving 74 high-risk communities throughout the Province of Ontario—was conducted to identify the core features of participation initiatives with marginalized populations, and reflect on the particular challenges of engaging marginalized populations. Third, four focus groups were held at four Ontario CHCs to examine the role of frameworks as mechanisms for translating knowledge about community participation practice with marginalized populations. Overall, this thesis broadens our understanding of community participation with marginalized populations in the context of local health services planning and decision making. Specifically, this thesis contributes a theoretical basis for future research and provides practical knowledge for planning and evaluating community participation initiatives with marginalized populations.</p> / Doctor of Philosophy (PhD)

Appalachian people have faced stereotyping of their culture and region in popular culture, news media, and art for generations. For more than 150 years, images of the region have been extracted by outside media makers and disseminated widely, solidifying the “hillbilly” stereotype in the national lexicon. This study focuses on such images in reality television shows about Appalachia, and seeks to determine whether or not those images, and the proliferation of them, has an impact on the ways in which Appalachian people understand and accept their own culture.