The purpose of this study was to compare the speech and motor functions a group of individuals with Childhood Apraxia of Speech (CAS) and a case study of an individual who has suffered a right cerebellar stroke. The participants consisted of one case study adult and three families made up of three to five members each, all with a history of CAS. All of the participants in the study performed below average on speech and motor function tests. There are some comparable similarities between the CAS group and the case study individual suggesting that there is cerebellar involvement in the fine motor skills needed to perform speech movements.

Objective: To provide insight into the World Health Organization SAGE Working Group Vaccine Hesitancy Survey by applying the tool to populations across Maricopa County, Arizona. Design: An online survey was conducted using the Qualtrics Survey Software, of individuals residing in Maricopa County, Arizona during the month of October 2019. Results: Of 209 respondents, the followed demonstrated to be the top 3 reasons for either having not received the flu shot yet or having not planned to receive the flu shot: “I’m healthy, I don’t need it”(20.1%); “Worried I might get the flu from it”(17.7%); “I don’t think it works”(17.7%) Statistical analysis demonstrated that vaccine hesitant and non-hesitant respondents are likely to respond differently to topics covering: safety of vaccines; self-perceived health status; importance of the flu shot among one’s peers; flu vaccine related knowledge Conclusions: The WHO VHS applied to the population of Maricopa County, Arizona reported little hesitancy towards the seasonal flu vaccine. Statistical analysis of Vaccine Hesitant respondents vs. Non-Hesitant respondents demonstrates that specified public health education focused on the immunological implications of vaccines may be needed for the hesitant population to gain confidence in vaccine efficacy. A more diverse respondent group that consists of residents beyond the county lines of Maricopa is needed to understand the full scope of vaccine hesitancy that exists in Arizona.

Arizona State University (ASU) has experienced an increase of sexually transmitted infections, has a reputation of a large population of students with sexually transmitted infections, and does not provide any form of required sexual health education to its students in order to reduce this health risk. This study conducted focus group research amongst ASU female students to determine their opinions, experience, and comfort level with sexual health education information as well as their opinion of an ASU mandated sexual health education module. The research showed a desire for more information on sexuality, psychology, hormones, anatomy, and sexually transmitted infections. The participants also expressed support for an ASU sexual health training module though there was debate as to whether or not to make the module mandatory.
The ASU student body is primarily young students who are making some of the first adult decisions of their lives and the majority have come from backgrounds lacking in sexual health education. The way to ensure the health and safety of these students is to give them the information they need to make educated decisions regarding their health and their relationships. This thesis concludes that ASU should mandate a sexual health education training module in the form of a semester long class, in-person or online, with small classes of 5-15 students each in order to improve the health of the ASU community.

There is an enormous unmet need for services, education, and outreach to improve women’s breast health. Healthcare systems and insurance systems vary widely around the world, and this may play an important role in understanding variability in women’s breast health knowledge and behavior globally. The goal of this study is to determine how varying healthcare systems in three countries (Japan, Paraguay, US) affect a woman’s likelihood of seeing a physician in regard to their breasts. For example, Japan is a clear example of a region that provides universal health insurance to its citizens. The government takes responsibility in giving accessible and equitable healthcare to its entire population (Zhang & Oyama, 2016). On the other hand, a country such as Paraguay is composed of both public and private sectors. In order for citizens to gain insurance, one would have to either be formally employed or choose to pay out-of-pocket for hospital visits (“Paraguay”, 2017). A country such as the United States does not have universal health insurance. However, it does have a mix of public and private sectors, meaning there is little to no coverage for its citizens. To accommodate for this, the United States came up with the Affordable Care Act, which extends coverage to the uninsured. Although the United States might be a country that spends more on healthcare than any other nation, there are residents that still lack healthcare (De Lew, Greenberg & Kinchen, 1992). This study, then, compares women’s breast health knowledge and behavior in Japan, Paraguay, and the US. Other variables, which are also considered in this study, that might affect this include wealth level, education, having general awareness of breast cancer, having regular health checks, and having some breast education. Using statistical analysis of breast check rates of women in Japan, Paraguay, and the United States, this research found that women sampled in Asunción, Paraguay check their breasts more often than either women sampled from Scottsdale, U.S. or Osaka, Japan. It was also found that women sampled from Paraguay were more confident in detecting changes in their breast compared to women sampled from the Japan or the US. Finally, it was noted that women sampled from Japan were least likely to partake in seeing a doctor in concern of changes in their breasts compared to women sampled from the other two research locations. These findings have relevance for the implementation of advocacy and public education about breast health.

Humans engage in many forms of cooperation within social groups, creating the ability for people help others when they are in need. One specific type of cooperation helps alleviate need and manage risk in both kin and non-kin relationships. However, how people ask for help or notice when someone else is in need have not received systematic investigation. In this study, participants’ self-reported socioeconomic status (SES) was collected along with information about their willingness to engage in a variety of help-seeking behaviors in certain situations. Participants’ general emotions and attitudes associated with certain aspects of asking for help were also collected. It was predicted that people with lower SES would be more reluctant to ask due to more negative emotions associated with and more instances of needing to ask for help. People with higher SES were predicted to be more likely to ask for help due to fewer negative emotions associated with asking and less need to ask for help overall. We found that people with lower SES were generally less willingness to engage in help-seeking behaviors compared to those of higher SES. However, results did not support the hypothesis that people with lower SES would experience more negative emotions associated with asking for help. Considering these results, further studies should investigate willingness to seek financial help versus other types of help in personal relationships and from institution-based assistance programs. Future research should also seek to determine how feelings of entitlement in individuals with higher SES affect willingness to ask for and offer help.

As of March 2020, there were over 112,400 patients actively waiting on the United States national organ transplant waitlist with only about 3,300 donors1. Although transplantation is an effective treatment for end-stage organ failure, the access to a procedure will vary depending on national regulations, cost of health care, extensive screening processes, and the availability of organs2. Organ shortage is a worldwide problem, and the growing insufficiency has resulted patients becoming too for ill or dying while waiting3. Due to the varying wait times and costs of procedures, some patients have begun to outsource their own transplantation through international transactions, also known as transplant tourism2. The 2004 World Health Assembly resolution recognized these trades as a significant health policy issue, while also acknowledging the inability of national health care systems to meet the needs of patients4. To address this issue, a proposal will be made such that all live kidney and liver donors will be compensated $22,500 and $12,150 respectively through a cost-neutral scheme based on annual healthcare expenditures per organ that would be eliminated by a transplant. With this proposal, it is suggested that the organ transplant waitlist would not only be significantly reduced, but potentially eliminated, and the crisis of organ shortage would be defeated.

After giving birth, protections are essential to provide a mother with the time and ability to support her new child. There are several considerations for policy makers when they establish a maternity leave policy that best facilitates bonding, wellbeing, and the health of the mother-infant dyad. Within Switzerland, maternity leave policy permits fourteen-weeks of paid leave, including an optional two week unpaid extension. To understand how Swiss women are experiencing the current maternity leave policy, a scholarly database search was conducted and six interviews were held with stakeholders in Switzerland. Several themes emerged through the interviews, particularly, the mother-infant dyad, and the mental & physical health of the new mother. Stakeholders found the current leave policy within Switzerland may be sufficient, on average, to support women’s physical healing post-birth. However, it may act as a barrier for mental health interventions, and achieving breastfeeding goals which benefit both mother and child. Several stakeholders suggested lengthening maternity leave to remove these barriers. This study emphasizes the need for policy makers to consider the complex impacts of maternity leave policy on not only the health of the child, but also the mother.

Ethnic groups experience different societal and economic circumstances that contribute to their well-being. Life satisfaction and happiness are commonly used as a measure of well-being; but they are not often used to evaluate well-being in lower income countries. This study focuses on the self-reported life satisfaction and happiness of members of ethnic groups from low- and middle-income countries and its correlation with ethnic privilege, gender opportunity, and income. Using two self-reported measures of well-being—life satisfaction and happiness—among 110,391 women in 27 countries (ages 15-49) surveyed in Multiple Indicator Cluster Surveys, this study examines how country-level indicators of gender opportunity, ethnic-level indicators of privilege and household-level measures of wealth are associated with well-being. Our findings indicate a significant relationship between ethnic privilege, gender opportunity and income on life satisfaction. The results from this study provide valuable data and implications for lower income countries to identify and reduce modifiable risk factors that affect a population’s well-being.

Human rights and migration policy leave no person in a nation unaffected. Due to the recent Syrian refugee crisis, the world stage has been critically put to the test for its border policies and the infrastructure it can provide for refugees. It is an imperative to reflect on the successes and shortcomings of this ongoing issue in order to build more sustainable and impactful infrastructure for future migrant resettlement. This paper analyzes Sweden, Germany, and Jordan through a lens focused on government and social development and the correlating impact on Syrian refugees. By evaluating government entities and non-government organizations, while also interviewing Syrian refugees themselves, this paper builds a framework for understanding the global stage’s response to the Syrian refugee crisis. Out of this framework are recommendations for more effective resettlement practices, developed via retrospective analysis.

The purpose of this study is to examine the baseline level of structural competency present in the general public and determine whether or not an individual’s demographics meaningfully affect this knowledge. This aim was accomplished by analyzing observational data from a citizen social science (CSS) project. Undergraduate students enrolled in the “Urban and Environmental Health” course described in Ruth et al. (2020) trained and recruited 165 CSS to record observations of fixed exclusions of women, minorities/Latinx, and large bodied people in the built environment. Participants walked along nine distinct transects in downtown Tempe, Arizona and recorded their observations. Of the 165 initial participants, 134 satisfactorily completed the task and were included in the statistical analysis. The observations of each CSS were scored against a gold standard, yielding a percent of observations observed for each exclusion category. Statistical analysis using Aligned Rank Transform (ART) Factorial ANOVA and Mann-Whitney U Tests were then employed to test for differences in the number of observations across demographic categories and subcategories. Among the main demographic factors, ethnicity produced a statistically significant difference in observations, but only for gendered exclusions. For the demographic subcategories, the only significant difference was observed in men, where ethnicity and body size both showed an effect on observations of women and ethnicity respectively. Due to the large similarity in observations across demographic categories, any interventions aimed at increasing the structural competency of a population need not target specific groups, but rather the population as a whole.