Thesis (Ph. D.)--University of California, San Diego and San Diego State University, 2002. / Includes bibliographical references (leaves 167-185).

Thesis (M.S.)--University of Michigan, 1984.

Thesis (M.S.)--University of Michigan, 1984.

Thesis (Ph. D.)--University of Pittsburgh, 1993. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 126-141).

Thesis (Ph. D.)--University of Alabama at Birmingham, 2007. / Title from PDF title page (viewed Sept. 21, 2009). Additional advisors: Richard M. Allman, Karlene K. Ball, Monika M. Safford, David E. Vance. Includes bibliographical references (p. 62-72).

This study examines barriers limiting access to hospice care for elderly African Americans. Ethnic background plays a critical role in the development of attitudes, beliefs and expectations related to death and issues surrounding hospice care. The purpose of this study was to identify barriers that may limit access to hospice care for African Americans. A questionnaire was administered to 56 elderly African Americans in three religious settings and an African American senior citizens center. The questionnaire was designed to obtain information concerning African Americans' attitudes toward death and dying; religious beliefs; health beliefs; familiarity with hospice and prospective use of hospice. The results of the study indicate a number of barriers in access to hospice care for African Americans including: hospice knowledge barriers; education/outreach barriers; cultural knowledge barriers related to death/dying values; family/social support barriers; hospice organizational/provider barriers; health care organizational/provider barriers; and reimbursement barriers.

Thesis (D.P.E.)--Indiana University, 2004. / Includes bibliographical references (leaves 88-92). Also available online (PDF file) by a subscription to the set or by purchasing the individual file.

Thesis (D.P.E.)--Indiana University, 2004. / Includes bibliographical references (leaves 88-92).

Thesis (M.A.)--Georgia State University, 2006. / Title from title screen. Heying Jenny Zhan, committee chair; Mary Ball, Molly Perkins, committee members. Electronic text (109 p. : ill. (some col.)). Description based on contents viewed May 1, 2007. Includes bibliographical references (p. 80-88).

Influenza vaccination is recommended for persons with high-risk health conditions such as chronic diseases to prevent flu-related complications and death. African Americans 65 years and older have consistently been reported to have the lowest influenza vaccination rates compared to all other racial groups, despite having higher rates of chronic diseases. A review of the literature indicated that there is a dearth of qualitative studies examining the grounds for these low rates. In this study, 15 African Americans 65 years and older were interviewed to explore the factors that contribute to low rates of flu vaccination among this racial group. Research questions using the constructs of the theory of planned behavior gathered the behavioral beliefs, normative beliefs (social norm), and control beliefs affecting low influenza vaccination uptake among older African Americans. Data analysis yielded 5 major themes: (a) fear of illness, (b) vaccine does not work, (c) self-advocacy, (d) have access to flu vaccine, and (e) education needed. These findings suggest that older African Americans would benefit from system, organization, and policy changes that support improved provider efforts and community interventions specifically targeting their concerns about flu vaccination. Implementation of strategies supported by evidence found in this study may improve understanding of flu vaccination from the perspective of older African Americans, and potentially increase the rates of influenza vaccination among this racial group to bring about positive social change.