The following study identifies and describes the cultural knowledge of women working in the construction industry regarding occupational health and safety. Data was gathered on 6 female construction workers, using the techniques of participant observation and the ethnographic interview. Results of the field observation and the interviews revealed that the women had a high level of knowledge of many work place hazards. They were also aware of kinds of accidents and injuries and a number of ways of cutting down on the hazards. Less was known about chronic, progressive, as opposed to acute injury. Despite their belief that most accidents were preventable, the women described a variety of reasons for not taking precautions. The major reasons given involved peer pressure and lack of time.

Using the qualitative methodology of grounded theory, decision-making about health and illness situations was studied in a sample of six women members of the Church of Jesus Christ of Latter-Day Saints (Mormons). The purpose of the study was to identify the process used by Mormon women in deciding when to use available healing alternatives, namely self care, the laying on of hands, biomedical practitioners expertise, and social support networks. The identified process, called the "Mormon Woman's Decision-Making Road-Map to Health," is composed of the categories of Protecting Health, Diagnosing a Problem, Considering Possible Treatment Actions, and Evaluating Treatment Effectiveness. The process described in the Road Map to Health model is helpful to health care professionals who seek to understand and influence the health care decision-making of their clients.

The way gender relations influence access to care and treatment particularly access to antiretroviral medicines is a challenge to HIV/AIDS programmes and to the individuals and families with HIV. Gender norms that push women and men to adhere to dominant ideals of femininity and masculinity may restrict women's access to economic resources, health care and fuel the spread of HIV. The aim of this study was to determine the role of gender relations in influencing decision-making for access to antiretroviral medicines between partners and in the family.

The purpose of this study was to evaluate whether the current CDC/ACSM physical activity recommendation, ("30 minutes or more of accumulated moderate-intensity activity, most if not all, days of the week") would improve women's health through a reduction ofcoronary heart disease (CHD) risk factors. Twenty-one sedentary females (ages 49 ± 7 yrs.) with one or more CHD risk factors underwent baseline laboratory including: resting heart rate and blood pressure, resting electrocardiogram, body mass index, bioelectrical impedance, skinfold measures, waist-to-hip, blood lipid profile, and V02max. The VO2 was determined by an exercise treadmill test using the Ball State University Ramp protocol. The subjects were instructed on the CDC/ACSM recommendation, the physical activity survey, and given examples of moderate-intensity activity. The survey data was collected bimonthly over the six month period. The subjects reported participating in >_ 30 min. of moderate-intensity activity an average of 4 f 1 days/week with an average duration of 54 ± 26 min. On the remaining days, the subjects reported doing an average of 14 ± 6 minutes per day. Also, 90% of the women reported doing the activity in continuous bouts. Following the six month study period, the women were retested in the laboratory. Sixteen subjects completed the post-testing. The results of the sixteen women showed a significant improvements in HDL-cholesterol (51 ± 15 vs.56 ± 15 mmHg; p=<.05) and TC/HDL ratio (4.5 ± 1 vs.4.25 ± 1.3; p=<.05). There were no significant changes in the other risk factor variables examined or their V02,„.. It was concluded that the majority of previously sedentary, middle aged women can not meet the CDC/ACSM recommendations for daily activity and total energy expenditure. Additionally, it appears that when given the choice, these women choose to do activity in continuous time blocks versus breaking the daily activities into shorter time periods. / School of Physical Education

Older adults are more vulnerable to the ill effects of life stress due to physiological changes associated with aging that result in decreased immunocompetence. Stressors interacting with an aging immune system may produce further declines in health. Variables shown to modulate the effect of stressors on neuroendocrine and immune function and health include social support, personality, coping style, and health locus of control. A comprehensive model is proposed that includes: life stressors, social resources, psychological resources, interaction between stressors and social resources, neuroendocrine and immune function, and symptomatology. This model was evaluated using structured equation modeling. Participants were 97 active, community dwelling, older women, ranging in age from 60 to 93 years.

Well-being is critical to fostering improved physical, mental, and emotional health among women. Regular physical activity also has significant implications for women’s health. Addressing the barriers that women experience to exercise may help improve exercise adherence and—ultimately—help to promote well-being in women. Mind-body therapies (e.g., yoga and meditation) have long been considered health promoting efforts with a well-being emphasis. Research confirms that these therapies are generally beneficial, safe, flexible, cost-effective and accessible. In addition, gratitude has strong links to mental health and life satisfaction, and has been shown to enhance well-being and facilitate goal attainment. There is an abundance of research on yoga, meditation and gratitude practices, though there is no program that effectively combines all three. This dissertation therefore developed, implemented, and evaluated the feasibility and effectiveness of a health promotion effort that integrates elements of yoga, meditation, and gratitude practice. One-hundred and eleven women participated in the study (nexperimental = 56 and ncontrol = 55). Data on adherence and feasibility were collected throughout the program. Data on study outcomes (including well-being) were collected at baseline and again following completion of the program from both groups. Qualitative data were also collected to help contextualize participant experiences in the program. The participants adhered to the yoga component of the program exceptionally well. The average participant completed 125% of the yoga classes, 86.58% of the meditations and 88.24% of the gratitude practices. Paired sample t-tests were conducted to examine pre- and post-intervention changes in well-being between and within groups. Despite the popularity and positive response to the program - 93.10% of participants in the yoga, meditation and gratitude group (YMG; n=54) reported a perceived improvement in well-being - many of the well-being findings were statistically insignificant. However, significant improvements on disposition and positive relationships were observed among the YMG group; suggesting the intervention had a significant impact on experiencing gratitude in everyday life, as well as on one’s positive assessment of personal relationships. This study lays important groundwork for future and larger scale research to create and subsequently implement successful mind-body health promotion programs for women.

This study evaluated the effects of participation in aerobic exercise on pregnancy outcomes. Pregnancy outcomes included type of delivery, length of labor, gestational age, neonatal birth weight, and maternal weight gain. The 137 nulliparas were categorized as active (N=44) or sedentary (N=93) based on self-reported aerobic exercise. Findings from this study suggest that pregnant women who were active during pregnancy were more likely to have vaginal deliveries than sedentary women. No significant differences between active and sedentary women were found in neonatal birth weight, maternal weight gain, length of labor, or gestational age.

This study analyzed the effects of estrogen replacement therapy (ERT), ethnicity, marital status, education level, maternal status and financial security on the perceived life satisfaction of women over fifty. Information was collected from 125 subjects at an independent school district. The instrument was adapted from a life satisfaction scale originally developed by B. Neugarten. Eight demographic items included ERT use, age, menopause status, marital status, educational level, ethnicity and perception of financial security. Statistical analysis consisting of one way analysis of variance, Student Newman-Keuls ad hoc procedure and multiple regression indicated an independent correlation between financial security and education level to life satisfaction scores. Neither ERT nor menopause status was correlated with perceived life satisfaction score of respondents.

Photocopy of typescript. / Digitized by Kansas Correctional Industries

Background: Compared to non-Latino whites, Latinos in the United States carry a disproportionate burden in mortality due to diabetes, chronic liver disease, and cirrhosis, and there is evidence that immigrants’ health behaviors and outcomes worsen as they become more acculturated. Additionally, the neighborhoods where Latinos live influence their health behaviors and outcomes through availability of retailers and products (such as fast food restaurants, liquor stores), density of advertising and advertisement language, and whether the neighborhood is an ethnic enclave. In this work, I examine the effects of acculturation and these built environment factors on diet, BMI, and alcohol use in Dominican Latinas, with a focus on the potential interaction between individual- and neighborhood-level variables. Methods: Dominican Latinas over 40 were recruited from target neighborhoods in northern Manhattan and western Bronx as part of a larger study, and invited to complete a survey (N=420). I used mapping software (ArcGIS) to merge this survey data with intensive street audit data collected near participants’ residences (N=229 street sides). I supplemented the neighborhood audit with data from a reliable business database (ReferenceUSA). The analytical approach differed based on the structure of each hypothesized model. For moderated mediation models, I used a percentile bootstrap to obtain model estimates and confidence intervals at different percentiles of the moderator. For models without moderated mediation, I used OLS regression, logistic regression, or Poisson GLM, depending on the distribution of the outcome. Results: When analyzing diet and BMI outcomes, I found that negative influences in the built environment (such as fast food retailer density and processed food advertising in English and Spanish) were associated with higher BMI, but only in the least acculturated participants in the sample. There were no significant effects of positive influences in the built environment (such as fresh food retailers and fresh food advertisements) at any level of acculturation. For alcohol outcomes, less acculturated participants were less likely to report drinking, and this effect was strongest among those with greater alcohol retailer density near their residences. Number of Latino owned businesses (a measure of whether an area is an ethnic enclave) was sometimes protective and other times detrimental, depending on participant acculturation and the specific outcome measured. Conclusions: There is evidence that less acculturated Latinas are more susceptible to negative influences of the built environment than their more acculturated counterparts, and have higher BMIs due to these contextual factors. However, lower acculturation may be protective for alcohol outcomes. The effects of ethnic enclave neighborhoods on health are complex and dependent on both individual-level acculturation and the specific outcome investigated. The findings in this work highlight the importance of considering individual and contextual factors concurrently when modeling health behaviors and outcomes in Latinos.