Browsing by Author "Edwards, Kaye"
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- ItemBeyond the DSM-IV: Social and Cultural Implications of the Educational Discourse Surrounding Adolescent Depression(1999) Beck, Jill; Edwards, Kaye
- ItemCommunity Health Care: Balancing Attention to Group Differences with Individualized Care(2005) Breitbart, Molly Wynne; Edwards, Kaye
- ItemFrom the Pew to the Pulpit: The Role of the Black Church in the HIV Pandemic(2009) Lunne, Darian; Edwards, KayeThe HIV pandemic is increasingly infecting and affecting the Black community in America. Such a pervasive problem requires creative and multi-faceted approaches to stifle and stop its spread. Historically the Black Church has acted as a guiding light, a foundation of community and place for spiritual and material development for Black Americans. In this paper I will assess what productive role the Black Church has played and can play in the age of HIV/AIDS. To gain a fuller understanding of the Church's potential role I gathered information from a variety of sources: interviewing with Black pastors, HIV-positive patients and community leaders; attending conferences, plays and listening to radio stations; as well as reading a variety of literature ranging from self-published books by Black pastors to anthropological and epidemiological journals. Based on my observations and interactions, primarily in North Philadelphia, I have come to comprehend the most health-promoting roles for Black churches to play using two overlapping spectra. One spectrum looks at the "surface" issues raised by the pandemic such as HIV acceptance, homosexuality, sex education, and HIV-testing. The other spectrum looks at the more "deep-rooted" issues such as self-worth and empowerment that must also be addressed in order for individuals protect themselves from contracting HIV. Churches scatter themselves along the two spectra based upon their preachings and practices. From a public health perspective, I have concluded that the most healthpromoting locations for the Black churches to fall along the spectra are toward the more accepting, empowering, and comprehensively educational teachings and actions. Like many institutions, the Black Church is resistant to change. The relationship between the pastor and his congregation is bidirectional and sensitive to transforamtion, therefore one must be tactical and patient when coordinating the 2 movement of the church toward more health-promoting teachings. To facilitate and speed up the transformation I have observed four potential catalysts that will promote dialogue and development healthier attitudes and behaviors. The catalysts include, but are not limited to: the voice of the HIV-positive people, the exposure and involvement of Black pastors, the guidance of community organizations and the presence of community-based HIV researchers.
- Item"Growing up Quaker" in the Civil War era(2006) Powers, John; Edwards, Kaye; Lapsansky-Werner, EmmaWhat does it mean to grow up in a Quaker community- at home, at school, and in the weekly meeting- and what happens when external events challenge the values and the identities learned in these institutions? Through the lens of the development of two young men raised in Quaker families, with a long-standing tradition in the Society of Friends, this essay explores the context of family life and a college founded by and for Quakers, Haverford College, as the conflict between the southern slave states and the northern non-slave states erupted in Civil War, spurring a “crisis” within the Society of Friends. There were three main contexts that formed the world of young people going to Haverford during this time, the boys themselves and their familial background, the “guarded and liberal education” of Haverford College, and the wider Quaker community in which they were raised. A look at the lives of two bright young Haverford students from Quaker families, one of whom went on to fight in the war while the other did not, encourages us to look at influences beyond their common background, that shaped their attitudes about the war and other external events. This leads us to question to what extent growing up in a Quaker community influenced the view of the outside world by these two men and their peers at Haverford.
- ItemPediatric primary care providers in Philadelphia: An assessment of HIV testing and prevention education practices, barriers to care delivery, and HIV awareness(2008) Zussman, Benjamin; Edwards, KayeObjectives. To determine the extent of HIV prevention education and HIV testing delivered to adolescents (ages 13-21); to determine clinician-identified barriers to their delivery of HIV care to adolescents; and to determine clinicians' awareness of HIV standards of care, rapid testing technology, and common HIV transmission modes. Design. A voluntary, confidential, self-report questionnaire was distributed to a convenience sample of 134 pediatric primary care providers (PCPs). Sample design utilized provider contact information from eight Internet-based health care directory websites. Participants. Pediatric PCPs (MDs, DOs, PAs, and NPs) in Philadelphia. Results. The 36 respondents discussed HIV prevention with 66% of their patients and offered HIV testing to 45%. Time constraints and Pennsylvania-mandated pre/post-test counseling and separate written consent were commonly identified barriers to HIV care delivery. Provider awareness of CDC recommendations for routine HIV testing was significantly related to more frequent care delivery, yet many clinicians were unaware of current standards of HIV care. Limitations. The sample was modest in size and convenient in nature. As such, results may not be generally applicable to all pediatric PCPs in Philadelphia. Conclusions. Numerous opportunities for HIV testing and prevention education are missed by pediatric PCPs. The reconciliation of CDC HIV testing recommendations and Pennsylvania's Confidentiality of HIV-Related Information Act (Act 148) may alleviate several provider-identified barriers to care delivery. Educational initiatives for pediatric PCPs regarding HIV testing and HIV prevention education should be developed and implemented.
- ItemRecognizing Multiple Impacts of Family Violence: Incorporating Consideration of Domestic Violence into Child Custody Processes(1999) Ginsburg, Lizbeth; Edwards, Kaye
- ItemRefining Our Approach to the Health of Women Affected by Drug Use and HIV: Feminist Applications of Harm Reduction in the U.S. in the 1990's(1999) McGrath, Moriah McSharry; Edwards, Kaye; Mohan, Rajeswari; Edwards, Kaye; Dalke, Anne French
- ItemSugary Beverage Consumption and Risk for Type 2 Diabetes among People of Mexican Origin: An Exception to the “Epidemiologic Paradox”(2009) Mislan, Hilary; Edwards, Kaye; Punt, JenniferMy thesis hypothesizes that high rates of type 2 diabetes among people of Mexican origin may be related to sugary beverage consumption in this group. To test my hypothesis, I have conducted a detailed review of the literature on sugary beverage consumption and its health risks, type 2 diabetes causation, especially in relation to sugary beverage consumption and obesity, and type 2 diabetes and beverage consumption in people of Mexican origin. Additionally, to test the availability of sugary beverages in the Mexican community, I measured and analyzed beverage shelf space in several grocery stores. To my knowledge, the relationship between sugary beverage consumption and type 2 diabetes among people of Mexican origin has not been studied. Therefore, a product of this thesis is the creation of a survey for future research on this topic that asks about beverage consumption habits and attitudes, type 2 diabetes diagnosis and familiarity, and country of origin and family heritage. As an educational intervention, I plan to design an information sheet on sugary beverage nutrition for patients who may be at high risk for type 2 diabetes. Through my literature review, I found that sugary beverage consumption is related to obesity, one of the principle risk factors for type 2 diabetes. I also found that people of Mexican origin do indeed have a higher rate of sugary beverage consumption than the total population. Through administering a pilot of my survey to Haverford students, I established that those students who were aware of a family member diagnosed with diabetes were more likely to have increased awareness of beverage sugar content. Finally, my pilot shelf measurement project revealed that the Mexican-owned grocery store where I measured shelves had more high sugar beverages available than low sugar beverages, though further research may be necessary to confirm these results. I concluded that my literature review and shelf measurement project provided solid support for my hypothesis and that further research should be conducted via the administration of my survey to more thoroughly determine the nature of the relationship between sugary beverage consumption and risk for type 2 diabetes in people of Mexican origin.
- ItemThe Impact of Syringe Exchange Programs on Hepatitis C in Injection Drug Users(2011) Kaigh, Caroline; Owen, Judith A.; Edwards, KayeThis work examines hepatitis C among injection drug users in the United States. Injection drug users are particularly vulnerable to hepatitis C infection because of the efficiency of viral transmission through blood-to-blood contact. I assert that syringe exchange programs, which have been an otherwise highly effective public health intervention, must do more to reduce the burden of hepatitis C on injection drug users. While syringe exchange programs have been successful at reducing the transmission of HIV through encouraging injection drug users to abstain from sharing needles, hepatitis C continues to spread among injection drug users. Original research conducted at Prevention Point of Philadelphia, Philadelphia’s only syringe exchange program, attempted to determine routes of transmission driving the continuing epidemic of hepatitis C among injection drug users. This research also demonstrated that hepatitis C knowledge in the injection drug using community is incomplete, indicating the need for syringe exchange programs to make education about hepatitis C more available to injection drug users. Through an examination of the relationship between hepatitis C, injection drug users, and syringe exchange programs, this thesis argues that syringe exchange programs are uniquely poised to make a significant contribution to the eradication of hepatitis C and the protection of the health of injection drug users.
- ItemThe War Inside: HIV, Development, and the "People's War" in Nepal(2006) Eskola, Liana; Edwards, KayeAgricultural failures, uneven development, a decade-long civil war, and reforms associated with neoliberal economics have converged to promote the spread of HIV among rural Nepalese people. In this paper I will concern myself with questions such as, how has the natural and human history of land usage and land tenure contributed to the current crisis in food production? How have the paradigms of international development, globalization and the economic policies under structural adjustment affected economic choices of the Nepalese people? How have food grain shortfalls influenced the movements and work patterns of rural people? And most importantly, how have and how do altered work patterns continue to place people at risk of contracting HIV? In order to seek some resolution to the complex and distressing problems that currently place Nepalese people at risk of HIV infection; I will also examine how the epidemic, while not yet generalized, is being combated. I end by making recommendations for interventions I believe would assist greatly in limiting the epidemic before it does indeed become generalized.