Disparities in healthcare exist in the U.S., particularly between different racial categories. This study investigated the frequency of COVID-19 cases and hypertension cases among five different racial groups (White, Black, Asian, Native American, and Native Hawaiian). The study also examined the correlation between COVID-19 and hypertension. It was hypothesized that, because of genetic predisposition to certain diseases and existing socioeconomic barriers, Black populations would have the highest rates of both COVID-19 and hypertension. It was also proposed that a positive correlation exists between COVID-19 and hypertension frequency. To test this, the Kaiser Family Foundation's data for COVID-19 cases and race were used in conjunction with Census population data to determine if COVID-19 case frequency means differ by race. The America's Health Rankings data for hypertension and race were used to determine if hypertension frequency means differ by race. The statistical analysis used for both aims was one-way ANOVA. Lastly, the correlation between hypertension and COVID-19 was found by calculating the Kendall's Tau-b Coefficient. For each ANOVA procedure, there was a statistically significant difference between the means of each dataset. The Kendall's Tau-b Coefficient for COVID-19 and hypertension was a small positive number. It can be concluded that the percentages of both hypertension and COVID-19 cases differ by race and that there is a slightly positive correlation between hypertension and COVID-19. As expected, Black individuals had the highest mean rates of hypertension; however, the highest COVID-19 case frequency was found in Native Americans. On this basis, it can be proposed that, though a correlation exists between hypertension and COVID-19, other factors also contribute to increased infection with COVID-19, and that they should be investigated.

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College students have been identified as at high risk for contracting Human Papillomavirus (HPV) due to engaging in risky behaviors, such as binge drinking and unprotected sex. Before preventative measures like vaccination and condom usage can be promoted, awareness must be evaluated. A random sample of 438 college students was surveyed on their awareness of HPV using both paper and online surveying methods. Using binary logistic regression, HPV awareness was predicted using demographic measures. The majority of the sample reported having heard of HPV before. Sexually active respondents and females were significantly more likely to report awareness. Non-whites and first-generation college students were also more likely to report awareness. These demographic predictors will help identify groups needing educational and HPV intervention programs. Implications and further research is discussed.

An emerging pattern of public doubt in scientific and political authorities has been seen during the COVID-19 pandemic, where numerous alternatives to vaccinations have gone viral. Ivermectin's growth from a relatively known specialist drug to a political controversy is a striking example of the amplification that social media can provide. Doubt in the dangers of illness has occurred in regard to previous diseases with limited impact, including the Zika virus, Ebola, and H1N1. However, the COVID-19 pandemic's impact in the United States is a much larger example of the gaps in current risk assessments and methods of public health authorities. Publicly available Twitter data was mined to identify tweets discussing ivermectin and vaccination during the first year of COVID-19, before public discussion of ivermectin took off. Those tweets were coded using textual analysis and examined through the use of statistical tools. I examine existing sociological studies about trust in medical authority, vaccine rejection, diffusion of new information, and risk analysis to provide context for my results. Attitudes towards vaccination influenced attitudes towards ivermectin inversely. Negative attitudes towards COVID-19 vaccination were associated with more positive attitudes towards ivermectin. Mentions of pharmaceuticals, deaths during the vaccine wait, or a vaccine conspiracy were additionally significant, all of which led to more positive attitudes towards ivermectin.

The medical profession is in a state of social transformation. Medical education must follow suit to continue to produce physicians who can meet the demands of the ever-changing field of medicine and of the public it serves. In this study, an institutional logic framework is used in examining how the implementation of transformative pedagogy in medical education may be impeded by competing institutional logics, thereby disrupting the change process. This study proposed three questions aimed at examining and understanding the perceptions of social actors as it relates to transformational change in medical education: 1) What is the impact of institutional logics on the implementation of transformative pedagogy in medical education? 2) What are the institutional logics in medical education that may impact change, and are there any conflicts between them? 3) Is there any evidence that these conflicts, if they exist, act as a barrier or disincentive to pedagogical reform when diversity, equity, and inclusion measures are introduced? A mixed method approach involving a two-step method of data collection and analysis was used in this study. Information from websites were used to create interview guidelines for interviews with faculty, administrators, and students at two US-based urban medical schools. By analyzing data from the websites of two US-based urban medical schools and comparing those findings to that of the perceived notions retrieved from interviews of the impact logics have on service learning, this research has shown that understanding institutional logics aid in the implementation of transformative pedagogy by better understanding the role of competing logics. This researcher provides three recommendations for medical schools to consider when using an institutional logics framework to enact transformational pedagogy. The first recommendation is change on the micro level (i.e., on the program level). The second recommendation relates to change on the macro level (i.e., relationship with governing bodies). And the third recommendation is related to the influence on diversity, equity, and inclusion (DEI) practices on the change process. I end with providing reasons for how examining the perceptions of the role of transformative pedagogy as a change agent in medical education can advance the field of medical sociology. / Sociology

The burden of dental disease in American has been termed a "silent epidemic," affecting the most vulnerable populations in society. Poor oral health has been linked with general health issues, such as diabetes and cardiovascular disease, as well as decreased mental health and impairments in social functioning. This burden weighs particularly heavy on the homeless, who are not only denied access to private systems of care, but are further rejected by an inadequately supported public safety net. Despite the recognition of social inequalities and the call for further scientific research, oral health care has not been extensively recognized within sociology. The aim of this research was to uncover how Central Florida's homeless adults cope with oral health issues in the face of barriers. This study intends to begin closing the gap by exploring the ways in which structural inequalities are embodied in the teeth of the homeless. Twenty-five semi-structured interviews were conducted with homeless individuals in the Central Florida area in regards to their oral health and coping mechanisms. Results indicate that without conventional access to dental care, homeless are forced to rely on emergency departments, alcohol, illegal drugs, home remedies, and over-the-counter medications. When treatment was received, only emergency services were provided. This led to an extraction-denture treatment model which left many homeless individuals edentulous, with continued complications in their ability to eat, work, and talk.

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Multiple factors account for inequality in health outcomes and in access to healthcare in the UK, including ethnicity and length of residence in the country. This thesis explores the subjective experiences of a group of recent low-income international migrants who live in Brighton and Hove and have used local health services to seek care for a range of illnesses and conditions. The project was formulated in collaboration with Brighton and Hove City Council and the then NHS Brighton and Hove (now Brighton and Hove Clinical Commissioning Group), using local professional knowledge and experience to recruit participants and collect narratives from a ‘hard to reach' social group. The theoretical background of this thesis draws on ‘lived' experience in the context of illness. Analysis of qualitative interviews, using narrative typologies derived from the work of Frank (1991), revealed both the commonalities across and the specificities of illness experiences, and highlighted a multi-factorial web of bio-psychosocial and economic factors at play. The interviews overwhelmingly fitted with a chronic, ‘chaos' typology, in which diagnoses were commonly contested. The particularities of recent migrant status impacted upon participants' illness experiences and healthcare use. Migrants made comparisons with health systems in their countries of origin and managed healthcare through social networks. The findings from the data analysis around patient experience showed that the overall experience was negative, characterised by disappointment, with communication and access problems as recurrent themes. These outcomes may be explained by both direct and indirect discrimination. Direct discrimination and stigma were perceived by many participants in the attitudes and practices of staff, which some participants linked to their own ethnicity, immigration status and faith. From this study it is possible to hypothesise that healthcare practices and policy may give rise to some of the perceptions of discrimination.