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Physical health impairment, depression and health care utilization among older adults(The University of Arizona., 1997)The purpose of this research was to identify differences in demographic characteristics, illness characteristics, and health care utilization among four groups of older adults with varying levels of physical health impairment and depression. Data were used from an earlier study (Badger, 1993) where eighty older adults completed questionnaires regarding demographic characteristics, physical health impairment, depression, and utilization of health care services. There were statistically significant increases in utilization of some services when depression and increased physical health impairment were present. There were also some trends between usage of some services and depression alone or depression combined with moderate to severe physical health impairment. These data suggest interventions designed to alleviate depression in the elderly may reduce health care utilization and therefore reduce health care costs.
Christian Science : an ethnographic look at perceptions of health and health care(The University of Arizona., 1997)Christian Science: An Ethnographic Look at Perceptions of Health and Health Care addresses the questions: 1. What do Christian Scientists believe about health and health care? and 2. What is the Christian Scientist's perception about illness? These questions were answered by using participant observation and ethnographic interviews. Participant observation took place in several different settings and three informants participated individually through ethnographic interviews. Seven domains of meaning and six cultural themes were identified from the data collected. Examples of domains include: Individual Beliefs About Being Healthy, and Culture of Health in the Christian Science Church. One of the cultural themes was: Staying healthy requires Spiritual nourishment. The Christian Scientist's connectedness to God through their spiritual beliefs contribute to their overall health. Recommendations for health care workers as well as recommendations for future, more in depth study about Christian Science and health are presented.
The lived experience of decision making that leads to pregnancy in the female teenager(The University of Arizona., 1998)The phenomenon of teenage pregnancy in the United States is increasing and can be a challenge to the parents, the infant, and to society. This study used a phenomenological research approach to describe the lived experience of the female teenager's decision making that leads to pregnancy. The research question was: What is the essential structure of the lived experience of the decision making that leads to pregnancy in the female teenager? The researcher interviewed four teenagers between the ages of 16 and 18, who were pregnant for the first time. Analysis of audio-taped and transcribed interviews resulted in significant statements. Using Colaizzi's method adapted by Haase, themes, theme clusters, theme categories, an exhaustive description, and an essential structure of the lived experience emerged. The theme categories derived from the data analysis were: Decision to Become Pregnant, I'm Pregnant, Teen Life, and Considering Motherhood. The essential structure indicated that the lived experience of decision making that leads to pregnancy in the female teenager was a passive process. Becoming pregnant was unplanned but had a marked effect on relationships and future life goals.
Influence of attitudes toward health care involvement on length of time returning to work post microscopic discectomy surgery(The University of Arizona., 1998)The purpose of this study was to examine the influence of individual's attitudes toward Health Care Involvement on length of time returning to work for post microscopic discectomy patients. A sample of 20 subjects who had undergone microscopic discectomy surgery provided the convenience sample for the study. This study used a correlational design to examine the relationship between the subject's level of Health Care Involvement and his or her length of time returning to work after surgery. It was predicted that the subject's length of time returning to work was predicted to be less if the subject had a high degree of Health Care Involvement. The findings demonstrated a weak correlation between the concepts of Information Seeking, Behavioral Involvement and length of time returning to work. In this study, Behavioral Involvement demonstrated a greater impact on length of time to return to work than did Information Seeking.