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Adapting The Minority Stress Model Among Middle-Aged And Older Adults With And Without Hiv: Understanding The Interplay Between Minority Stress, Mental Health, And Sexual Risk Behaviors
Full text linkThis dissertation aims to adapt Meyer’s Minority Stress Model to understand the interplay between minority stress, mental health, and sexual risk behaviors among middle-aged and older adults with and without HIV. The study utilizes data from the MACS WIHS Combined Cohort Study, focusing on adults aged 40 and older. It examines the relationships between perceived stress, psychosocial factors (depression, substance use, social support), and sexual risk behaviors, considering the impact of minority identities such as race, gender, sexual orientation, and HIV status. The findings highlight significant differences in perceived stress, depressive symptoms, substance use, and social support across different intersectional binary identities. Results indicate that SGM status is a strong predictor of perceived stress and social support. Gender and race play significant roles in psychosocial factors. The study underscores the need for targeted interventions to address the unique challenges faced by middle-aged and older PLWH, aiming to reduce HIV transmission and improve mental health outcomes
Regulatory Factors Associated with Discriminatory Behaviors among Federally Qualified Health Centers
Full text linkREGULATORY FACTORS ASSOCIATED WITH DISCRIMINATORY BEHAVIORS AMONG FEDERALLY QUALIFIED HEALTH CENTERS MIRANDA SEDILLO Executive Doctor of Science (DSc) in Healthcare Leadership Abstract Background Socially constructed classism restricts access to human rights, including employment and growth opportunities. The civil rights and labor movements have intersected throughout United States’ history as many civil rights leaders championed equal rights in employment opportunities. For several decades, the U.S. government has used laws and regulations to promote a healthy workplace free of discrimination. The influence of legal regulation on behavior change enforces punitive actions for discriminatory behaviors in the workplace. Yet, in 2020, the U.S. EEOC received over 470,000 calls and 187,000 online filings of accused discrimination in the workplace. Methods The correlation between municipality-level laws, ordinances, and practices with FQHC-specific lawsuits was examined across areas of non-discrimination laws, municipality employment, municipality services, law enforcement, and municipality leadership on LGBTIQ+ equality. Four multivariate relationship models were analyzed with and without state-fixed effects. Results It was found that municipality-level non-discrimination laws and municipality-level employment ordinances had a positive correlation with an increase in lawsuits by FQHC employees. FQHCs in municipalities with a one-unit higher level of MEIS Laws subscore were associated with 18.3% more lawsuits, on average (IRR = 1.183, 95% CI 1.067 – 1.311). Similarly, FQHCs in municipalities with a one-unit higher level of MEIS Employment subscore were associated with 7.1% more lawsuits, on average (IRR = 1.071, 95% CI 1.021 – 1.22). Control variables in organizational size (revenue and patient volume) were significantly associated in with the number of lawsuits. Conclusion Municipality-level laws and ordinances is associated with a higher number of employee-related lawsuits against FQHCs. FQHC leaders should take action to identify, address and mitigate legal risks in their organization related to changes in law, legal precedence, growth in the organization, and employee and patient satisfaction
Low-Complexity Pneumatic Assistive Device for Individuals Suffering from Hand Paralysis
Full text link2025 Spring Expo Video Essay Presentation Engineeringhttps://digitalcommons.library.uab.edu/sp-expo/1097/thumbnail.jp
Examining Relationships between Food Insecurity, Wellbeing, and Health Behaviors in Adults who use a Campus Food Pantry
Full text link2025 Summer Expo Oral Presentation Social & Behavioral Scienceshttps://digitalcommons.library.uab.edu/sp-expo/1101/thumbnail.jp
Intervention or Interventionist? Importance of Treatment Fidelity
Full text link2025 Summer Expo Poster Presentation Physical & Applied Scienceshttps://digitalcommons.library.uab.edu/sp-expo/1109/thumbnail.jp
Variability in Hemoglobin and Red Cell Distribution Width and the Risk of Type 2 Diabetes
Full text link2025 Summer Expo Poster Presentationhttps://digitalcommons.library.uab.edu/sp-expo/1120/thumbnail.jp
Patient Activation Measure (PAM) and Perceptions of Bariatric Surgery
Full text link2025 Summer Expo Oral Presentation Physical & Applied Scienceshttps://digitalcommons.library.uab.edu/sp-expo/1125/thumbnail.jp