Objective: To examine systematically the literature on the effect of geographical location variation on breast cancer stage at diagnosis, race/ethnicity, and socioeconomic status. Methods. Eight electronic databases were searched using combination of key words. Of the 312 articles retrieved from the search, 36 studies from 12 countries were considered eligible for inclusion. Results. This review identified 17 (47%) of 36 studies in which breast cancer patients residing in geographically remote/rural areas had more late-stage diagnosis than urban women. Ten (28%) studies reported higher proportions of women diagnosed with breast cancer resided in urban than rural counties. Nine (25%) studies reported no statistically significant association between place of residence and stage at diagnosis for breast cancer patients residing in rural and urban areas. Conclusions. Cancer patients residing in rural and disadvantaged areas were more likely to be diagnosed with distant breast metastasis. Efforts to reduce these inequalities and subsequent mortality are needed.

This study was initiated to demonstrate how declining neighborhoods can be revitalized through the cooperation and Partnership of local residents, financial institutions, and local government. The Neighborhood II Conservation Plan assumes that interested and informed residents can plan their own environment just as they plan their own family affairs and budget their incomes. The plan further assumes that residents working together as a team can revitalize their neighborhood at the point of decline. This study pursues various approaches to neighborhood preservation which may be useful to other cities.

The problem in this study was to examine the relationship of social-climate to the degree of desegregation in the public schools of Kentucky. This study attempted to determine the relationship of educational, economic and social characteristics of those school districts with bi-racial student bodies operating in Kentucky and the degree of desegregation experienced voluntarily by those districts during the period from 1955-56 school year through the 1963-64 school year.

Human Trafficking is the modern-day equivalent of slavery. Those who perpetuate it do so because it is lucrative to invest in a product that can be resold multiple times (Ellis, 2017). The recent advancement of technology has tremendously helped traffickers thrive in the illicit business of Human Trafficking. Social media websites, online classifieds, and mobile applications are quickly becoming some of the major mediums perpetrators utilize to traffick their victims (Latonero, 2012). The purpose of this study was to examine social service workers’ knowledge on the use of technology for Human Trafficking. Face-to-face interviews were conducted and the participants were asked a series of open-ended questions. Participants in this study were recruited from a social service agency in San Bernardino County that frequently serves survivors of Human Trafficking. The study found that all of the participants felt confident in their ability to serve survivors of Human Trafficking. The study also found that most participants had little to no training in regards to the topic, and did not have any knowledge of the kind of language used by perpetrators for Human Trafficking. In order to address the different components of the issue, social service workers should advocate for trainings in order to stay competent in regards to the issue. Social service agencies who serve the community must offer appropriate interventions and services for Human Trafficking survivors. Finally, social service workers should continue to advocate for legislature and policy that will help survivors recover versus legislation and policy that is punitive.

Incarceration rates and the release rate of ex-offenders into the community are both increasing. Studies have shown, on a consistent basis, that, while incarcerated, ex-offenders experience lower literacy levels than the general population, suffer emotional and mental distress from a harsh prison life, and suffer from the negative effects of public perception. Ex-offender anger abounds. These factors interfere with an inmate’s ability to communicate effectively. Notwithstanding, upon release from custody, how do we help such ex-offenders communicate? Many handbooks exist to help former inmates. However, the vast majority only offer assistance with locating government social services agencies, obtaining documents, and helping with jobs. A few offer help with finding mentors. However virtually none assist with communication techniques. Utilizing clear and simple language, A Communication Guide for Ex-Offenders fills this gap. The guide consists of three sections: the first defines basic concepts of communication, including contextual and cultural aspects. Additionally, it contains information on how ex-offenders can communicate more effectively despite suffering from various mental and emotional issues. Finally, a theoretical application focuses on the importance of disclosing information and making a favorable impression. At the end of each section, there is a review of concepts. This manual will also contain two new features in the application of communication studies and the ex-offender population: A communication ‘Bill of Rights’ for ex-offenders and a pledge on ex-offender responsibilities

The Hudson's Bay Company (HBC), a British fur-trading enterprise, created a large garden at Fort Vancouver, now in southwest Washington, in the early- to mid-19th century. This fort was the administrative headquarters for the HBC's activities in western North America. Archaeological investigations were conducted at this site in 2005 and 2006 in order to better understand the role of this large space, which seems incongruous in terms of resources required, to the profit motive of the HBC. Questions about the landscape characteristics, and comments by 19th century visitors to the site provided the impetus for theoretical research of gardens as representations of societal power, and, on a mid-range level, the efficacy of certain archaeological methods in researching this type of space. Documentary research related to the history of the HBC Garden was also conducted, including previous archaeology completed at the site. The results of these lines of inquiry are presented, providing insight as to the diverse roles this Garden fulfilled in the survival of the HBC in the region - as a commercial enterprise, as a microcosm of western societal practice, and in the health of its employees.

Human trafficking and slavery are horrific crimes that require strict penalties for perpetrators and effective protections for survivors, but these crimes are in part facilitated by a system of laws and norms that effectively marginalize certain populations--the "unskilled" migrant. In this thesis I aim to reexamine and reinterpret the problem of human trafficking and slavery in a way that highlights the background conditions to the problem. I argue that the framework used as a conceptual foundation for addressing the problem limits the scope of responsibility. Specifically, the framework fails to acknowledge structural contributing factors I show to be relevant: law, policy, and norms impacting immigration and migrant labor. I assert that the limited scope of responsibility, which focuses heavily on direct perpetrators of the crime, leaves largely unexamined the role of social-structural processes in contributing to the problem. I use the United States as a case study in order to provide a targeted analysis of social-structural processes that contribute to the problem. In this examination of the United States, I focus on agricultural and domestic slavery. In conclusion, I attempt to build a new conceptual framework that calls attention to social-structural processes and includes this understanding in assigning responsibility for the problem. I assert that anti-trafficking efforts must account for the role of social-structural processes and that these contributing factors must be adequately addressed and incorporated into the framework for prevention.

While environmental and economic sustainability have been driving factors in the movement towards a more resilient built environment, social sustainability is a factor that has received significantly less attention over the years. Federal support for low-income housing has fallen drastically, and the deficit of available, adequate, affordable homes continues to grow. In this thesis, I explore one way that architects can design affordable housing that is intrinsically sustainable. In the past, subsidized low-income housing has been built as if to provide a short-term solution—as if poverty and lack of affordable housing is a short-term problem. However, I argue that adaptable architecture is essential for the design of affordable housing that is environmentally, economically, and socially sustainable. Further, architects must balance affordability, durability, and adaptability to design sustainable solutions that are resistant to obsolescence. I conclude by applying principles and processes of adaptability in the design of Apto Ontario, an adaptable affordable housing development in the low-income historic downtown of Ontario, California (Greater Los Angeles). Along a new Bus Rapid Transit corridor, Apto Ontario would create a diverse, resilient, socially sustainable community in an area threatened by the rise of housing costs.

Since the start of the 20th century, the Black Middle Class (BMC) has been a creation of both direct and indirect government policy and action. More importantly, had it not been for government action directed towards blacks, the BMC that is visible today would not exist. During the time period of the great migration, blacks prospered from increased economic demand along with policy targeted both directly and indirectly at employing millions of blacks. During the 1960’s and 70’s, the BMC became a viable entity with civil rights laws that forced black men and women into higher education institutions as well as public and private employment. The policy implemented during this time sought to end discrimination by making it illegal and tightly monitoring it. As a result, the BMC saw accelerated growth in both educational attainment and wage. However, this immediate progress was brought to a standstill starting with a wave of conservatism sparked and led by the election of Ronald Reagan. Since that time, the BMC has made gains both educationally and economically, but the growth has been much less apparent. Also, many in the BMC have sought careers in the public sector due to discrimination that may exist because of a lack of governmental regulation and oversight in the private sector. There are many perils that face the BMC today, but most importantly the threat to massive reductions in the public sector federally and locally.

In this thesis, I explore Latino masculinities and contest their uniformity through transforming an oral history conducted with my father into a collection of short stories. Following storytelling traditions of Latino/Mexican culture, I converted an oral history interviews with my dad into a collection of short stories. From these short stories I extracted themes relating to the micro and macro manifestations of gender policing. Drawing from Judith Butler's Theory of performativity and Gloria Anzaldua's theory of Borderland identities, I rethink masculinity and offer Jose Esteban Munoz's theory of disidentification. With these theories in conversation, I analyze the themes of the short stories I present. In Chapter One, I investigate the potential of verguenza and respeto, or shame and respect, to complicate masculinity. In Chapter Two, I critically analyze my father's interaction with INS officials during his interview to become a U.S. resident. In these two sets of stories, I use disidentification to uncover the third space relationship with masculinity. I see this relationship at the intersections of race, class, gender and ability, the identities which come together to leave my father in the borderlands. Ultimately, I complicate masculinity through these analyses, offering a space for a nonoppressive masculinity.