Managing a work-home balance is a daunting task for any parent. It is often difficult to take leave from work to care for one’s family due to financial barriers, which simultaneously poses a threat to family development. Although many countries have parental leave policies in place to account for this, effectiveness of these policies vary by country. This study aims to find to what extent parental leave has an impact on the quality of life. In this study, quality of life was investigated by the rank of the country on the Happiness Index and through the lens of achieving sustainable family development, which was subsequently described to be reflected by a country’s governmental resources provided during parental leave, as well as the country’s Gender Inequality Index. Through a cross-cultural review of literature, it was found that there seems to be an indirect, complex correlation of parental leave to the quality of life, and external factors such as sociocultural ideals, gender inequality, and varying workplace practices have greater significance on quality of life.

Optometry is an important field in medicine as it allows people a chance to have their vision corrected and it serves as a health screening opportunity for those who receive a dilated eye examination. One of the largest barriers to receiving a dilated eye exam is insurance coverage. Most health insurance policies have limited optometric coverage. By expanding health insurance plans to be more inclusive of optometric care, people who use these health insurance plans will have a better access of care.

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.

Collegiate recovery programs (CRPs) are university-sanctioned initiatives for students in recovery from alcohol and other drug addiction. Given the ever-rising rates of alcohol and opioid use and misuse, a great need exists to understand how to provide support for those who are considering recovery or who choose a recovery lifestyle in college. The purpose of this action research study was to examine peer-to-peer support for students in recovery. The development of two training innovations, Recovery 101 and Recovery Ally, were delivered to health and wellness peer educators called the Well Devil Ambassadors (WDAs) with the goal of equipping them to better support their peers in recovery. Learning objectives for the training were to gain knowledge about addiction and recovery and to enhance positive attitudes toward students in recovery, which could thereby increase self-efficacy and behavior intention to work with their peers in recovery. Mindfulness was included in the trainings to enhance the WDAs’ experience and provide tools for a self-care skillset. Quantitative data included pre, post, and follow-up surveys for the Recovery 101 training. Qualitative data included short-answer questions following Recovery 101 training and in-depth interviews following Recovery Ally training. Findings indicated that the information provided in Recovery 101 built the WDAs’ knowledge on the topics of addiction and recovery; hearing multiple perspectives from students in recovery allowed the WDAs to increase empathy toward students in recovery; and the building of knowledge, empathy, and mindfulness allowed the WDAs to gain self-efficacy and behavior intention when supporting their peers in recovery.

The development of safe and effective vaccines has been one of the greatest public achievements of the 20th century. However, there is still considerable public debate about the relative health costs and benefits of vaccines, and the information and misinformation spread through these debates can have a direct impact on vaccination and whether or not herd immunity will continue in the United States for different diseases. To understand perceptions of vaccine risks and effectiveness among young adults in the U.S., this study describes Arizona State University students' perceptions of the harms and benefits of vaccines. A preliminary free list (n=30) identified what vaccines ASU college students were most likely to recall spontaneously. The six vaccines most commonly mentioned by ASU students were: influenza (flu), chickenpox, HPV, polio, MMR, and smallpox. Using these top six vaccines, we then developed a second survey about the knowledge and perceptions of each of these vaccines and vaccines as a whole. We found that students generally perceived vaccines as safe and important to their health, but they maintained an overall lack of understanding of how vaccines work and what they protect against. While this study is only a preliminary investigation into the perceptions of ASU college students on six commonly mentioned vaccines, this could lead to investigations on how to educate and promote the usage of vaccines to college students.

In recent years the state of Arizona passed a series of laws affecting undocumented immigrants, including Proposition 300 in 2006 outlawing in-state tuition for undocumented youth. However, there has also been a reaction from these youth who refused to be relegated to the shadows and are demanding rights. Using mixed ethnographic methods, this dissertation research analyzes how undocumented Mexican youth in Arizona have experienced liminality after the passage of Proposition 300 as well as their ability to utilize their increased marginalization in order to build community amongst themselves and fight for basic rights--a process known as cultural citizenship. These immigrant youth are of the 1.5 generation, who are brought to the United States at a young age, grow up in the country and share characteristics with both first and second- generation immigrants. Even though undocumented 1.5 generation immigrants are raised and acculturated within this country and treated the same as other children while in the public school system, they have been denied basic rights upon approaching adulthood because of their illegality. This includes limiting access to affordable higher education as well as public services and legal work. Consequently, they are unable to fully incorporate into U.S. society and they end up transitioning into illegality after leaving school. This is especially true in Arizona, a state that has passed some of the strictest anti-immigrant laws in the country aiming to deter undocumented immigrants from staying in the state. However, I argue that this increased marginalization has had an unintended consequence of creating a space that allowed for these youth to come together and form a community. I further posit that this community provides valuable social capital and access to resources and information that mitigates the possibility of downward assimilation. Moreover, this community offers its members a safety net that allows them to publically claim their undocumented status in order to fight for their right to have a pathway towards citizenship. As a result, they have been able to gain some victories, but are still fighting for their ultimate goal to become citizens.