Strategic Growth Area: Equity and Social Disparity in the Human Condition (ESDHC)
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ESDHC explores and analyzes crucial issues related to diversity, especially those highlighted through the application of the analytical lens of intersectionality, emphasizes the simultaneous possession of multiple identities for all human beings, producing unique interactions among the identities and factors such as place and social institutions that have implications for experience and life chances.
Scholarship about social disparities and difference in the human condition build on VT strengths in the areas of Health and the Environment, Identities and Culture, and Institutions, Organizations, and Policy (e.g., education, political and policy systems, businesses, and markets). Thematic areas include food security and systems, the built environment, the natural environment, sustainable global prosperity, public health, or innovative technologies.
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Browsing Strategic Growth Area: Equity and Social Disparity in the Human Condition (ESDHC) by Content Type "Article - Refereed"
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- Access to Autism Spectrum Disorder Services for Rural Appalachian CitizensScarpa, Angela; Jensen, Laura S.; Gracanin, Denis; Ramey, Sharon L.; Dahiya, Angela V.; Ingram, L. Maria; Albright, Jordan; Gatto, Alyssa J.; Scott, Jen Pollard; Ruble, Lisa (2020-01)Background: Low-resource rural communities face significant challenges regarding availability and adequacy of evidence-based services. Purposes: With respect to accessing evidence-based services for Autism Spectrum Disorder (ASD), this brief report summarizes needs of rural citizens in the South-Central Appalachian region, an area notable for persistent health disparities. Methods: A mixed-methods approach was used to collect quantitative and qualitative data during focus groups with 33 service providers and 15 caregivers of children with ASD in rural southwest Virginia. Results: Results supported the barriers of availability and affordability of ASD services in this region, especially relating to the need for more ASD-trained providers, better coordination and navigation of services, and addition of programs to assist with family financial and emotional stressors. Results also suggested cultural attitudes related to autonomy and trust towards outside professionals that may prevent families from engaging in treatment. Implications: Relevant policy recommendations are discussed related to provider incentives, insurance coverage, and telehealth. Integration of autism services into already existing systems and multicultural sensitivity of providers are also implicated.
- Addressing Inequality: The First Step Beyond COVID-19 and Towards SustainabilityAshford, Nicholas A.; Hall, Ralph P.; Arango-Quiroga, Johan; Metaxas, Kyriakos A.; Showalter, Amy L. (MDPI, 2020-07-03)The COVID-19 pandemic has impacted billions of lives across the world and has revealed and worsened the social and economic inequalities that have emerged over the past several decades. As governments consider public health and economic strategies to respond to the crisis, it is critical they also address the weaknesses of their economic and social systems that inhibited their ability to respond comprehensively to the pandemic. These same weaknesses have also undermined efforts to advance equality and sustainability. This paper explores over 30 interventions across the following nine categories of change that hold the potential to address inequality, provide all citizens with access to essential goods and services, and advance progress towards sustainability: (1) Income and wealth transfers to facilitate an equitable increase in purchasing power/disposable income; (2) broadening worker and citizen ownership of the means of production and supply of services, allowing corporate profit-taking to be more equitably distributed; (3) changes in the supply of essential goods and services for more citizens; (4) changes in the demand for more sustainable goods and services desired by people; (5) stabilizing and securing employment and the workforce; (6) reducing the disproportionate power of corporations and the very wealthy on the market and political system through the expansion and enforcement of antitrust law such that the dominance of a few firms in critical sectors no longer prevails; (7) government provision of essential goods and services such as education, healthcare, housing, food, and mobility; (8) a reallocation of government spending between military operations and domestic social needs; and (9) suspending or restructuring debt from emerging and developing countries. Any interventions that focus on growing the economy must also be accompanied by those that offset the resulting compromises to health, safety, and the environment from increasing unsustainable consumption. This paper compares and identifies the interventions that should be considered as an important foundational first step in moving beyond the COVID-19 pandemic and towards sustainability. In this regard, it provides a comprehensive set of strategies that could advance progress towards a component of Sustainable Development Goal (SDG) 10 to reduce inequality within countries. However, the candidate interventions are also contrasted with all 17 SDGs to reveal potential problem areas/tradeoffs that may need careful attention.
- Aesthetics of Otherness: Representation of #migrantcaravan and #caravanamigrante on InstagramRosa, Fernanda R.; Soto-Vasquez, Arthur D. (Sage, 2022-01)This article examines the representation of the migrant caravan on Instagram showing how an aesthetics of otherness has prevailed in this representation. Aesthetics of otherness is the result of the interaction between platform users' selections and platform affordances that creates a gap between the marginalized other and the user. Based on a qualitative content analysis of posts with the hashtags #caravanamigrante and #migrantcaravan, this research reveals that the two hashtags form parallel, although not alike, communicative spaces where migrant caravan representation is mostly mediated by professionals and organizations interested in promoting their own work and not by the migrants themselves. Despite this trend, users posting with #caravanamigrante were less likely to hijack the intent of the public, more likely to reference reasons for migration, and overall less likely to employ the aesthetics of otherness, which point to the possibility of circumventing the role of the platform in shaping the representation of marginalized people and social justice movements.
- Ageism and Feminism: From “Et Cetera” to CenterCalasanti, Toni M.; Slevin, Kathleen F.; King, Neal M. (Indiana University Press, 2006)Although women’s studies scholars and activists do not deny the reality of ageism, they have relegated it to secondary status, neglecting to theorize age relations or place old age at the center of analysis. After explaining what we mean by age relations and their intersections with other inequalities, we discuss the ways in which old people are oppressed, and why age relations represent a political location that needs to be addressed in its own right. We then demonstrate ways in which feminist theories and activism might change if the focus shifted to old people.
- Ageism and the counseling profession: Causes, consequences, and methods for counteractionFullen, Matthew C. (2018)As the number of older adults increases, it is important to understand how attitudes toward aging influence society, the aging process, and the counseling profession. Ageism—defined as social stigma associated with old age or older people—has deleterious effects on older adults’ physical health, psychological wellbeing, and self-perception. In spite of research indicating that the pervasiveness of ageism is growing, there are few studies, whether conceptual or empirical, related to the impact of ageism within the practice of counseling. This article includes an overview of existing literature on the prevalence and impact of ageism, systemic and practitioner-level consequences of ageism, and specific implications for the counseling profession. Discussion of how members of the counseling profession can resist ageism within the contexts of counselor education, gerontological counseling, advocacy, and future research will be addressed.
- Aging in Flood-Prone Coastal Areas: Discerning the Health and Well-Being Risk for Older ResidentsBukvic, Anamaria; Gohlke, Julia M.; Borate, Aishwarya; Suggs, Jessica (MDPI, 2018-12-18)Coastal communities are increasingly exposed to more intense and frequent hurricanes, accelerated sea-level rise, and prolonged tidal inundation, yet they are often a preferred retirement destination for older adults vulnerable to flooding and extreme weather events. The unique physical and psychosocial challenges of older population age 65 and over may affect their level of preparedness, capacity to cope with, and ability to respond and recover from a hazard event. Despite the clear vulnerabilities of older residents living in high-risk areas when compared to younger coastal populations, there is a lack of empirical research on the integrated flood risks to this population group in the coastal context. This paper provides a holistic assessment of this emerging problem along the U.S. East Coast by measuring the exposure of older population to sea level rise and storm surge in coastal counties. It further evaluates how age-related vulnerabilities differ between rural and urban settings using the case study approach and geospatial and statistical analysis the paper also conducts a review of scientific literature to identify gaps in the current understanding of health and well-being risks to aging populations in coastal communities. The results show that older populations are unevenly distributed along the U.S. East Coast with some states and counties having significantly higher percent of residents age 65 and older living along the shoreline. Many places with larger older populations have other attributes that further shape the vulnerability of this age group such as older housing stock, disabilities, and lower income and that often differ between rural and urban settings. Lastly, our study found that vast majority of research on aging in high-risk coastal locations has been conducted in relation to major disasters and almost none on the recurrent nuisance flooding that is already affecting many coastal communities.
- Almost Everything We Need to Better Serve Children of the Opioid Crisis We Learned in the 80s and 90sHorn, Kimberly A.; Pack, Robert P.; Trestman, Robert L.; Lawson, Gerard F. (Frontiers, 2018-10-16)Opioid use disorder impedes dependent parents' abilities to care for their children. In turn, children may languish in unpredictability and persistent chaos. Societal responses to these children are often guided by a belief that unless the drug dependent parent receives treatment, there is little help for the child. While a preponderance of the drug dependence research is adult-centric, a significant body of research demonstrates the importance of not only addressing the immediate well being of the children of drug dependent caregivers but preventing the continuing cycle of drug dependence. The present commentary demonstrates through a brief review of the US history of drug dependence crises and research from the 1980s and 1990s, a range of "tried and true" family, school, and community interventions centered on children. We already know that these children are at high risk of maladjustment and early onset of drug dependence; early intervention is critical; multiple risk factors are likely to occur simultaneously; comprehensive strategies are optimal; and multiple risk-focused strategies are most protective. Where we need now to turn our efforts is on how to effectively implement and disseminate best practices, many of which we learned in the 1980s and 1990s. The greatest opportunity in both changing the nature of the opioid epidemic at scale and influencing rapid translation of existing research findings into policy and practice is not in asking what to do, but in asking how to do the right things well, and quickly.
- An Analysis of Social Vulnerability to Natural Hazards in Nepal Using a Modified Social Vulnerability IndexAksha, Sanam K.; Juran, Luke; Resler, Lynn M.; Zhang, Yang (2018-11-16)Social vulnerability influences the ability to prepare for, respond to, and recover from disasters. The identification of vulnerable populations and factors that contribute to their vulnerability are crucial for effective disaster risk reduction. Nepal exhibits multihazard risk and has experienced socioeconomic and political upheaval in recent decades, further increasing susceptibility to hazards. However, we still know little regarding social vulnerability in Nepal. Here, we investigate social vulnerability in Nepal by adapting Social Vulnerability Index (SoVI) methods to the Nepali context. Variables such as caste, and populations who cannot speak/understand Nepali were added to reflect the essence of the Nepali context. Using principal component analysis, 39 variables were reduced to seven factors that explained 63.02% of variance in the data. Factor scores were summarized to calculate final SoVI scores. The highest levels of social vulnerability are concentrated in the central and western Mountain, western Hill, and central and eastern Tarai regions of Nepal, while the least vulnerable areas are in the central and eastern Hill regions. These findings, supplemented with smaller-scale analyses, have the potential to assist village officers, policymakers, and emergency managers in the development of more effective and geographically targeted disaster management programs.
- Applying a Multi-Dimensional Digital Food and Nutrition Literacy Model to Inform Research and Policies to Enable Adults in the U.S. Supplemental Nutrition Assistance Program to Make Healthy Purchases in the Online Food Retail EcosystemConsavage Stanley, Katherine; Harrigan, Paige B.; Serrano, Elena L.; Kraak, Vivica (MDPI, 2021-08-06)The United States (U.S.) Department of Agriculture (USDA)-administered Supplemental Nutrition Assistance Program (SNAP) made substantial changes in response to the coronavirus disease 2019 (COVID-19) pandemic. These changes highlight the need to identify the digital literacy skills and capacities of SNAP adults to purchase healthy groceries online. We conducted a scoping review of four electronic databases, Google and Google Scholar to identify studies that measured food and nutrition literacy outcomes for U.S. adults. We applied a multi-dimensional digital food and nutrition literacy (MDFNL) model to assess six literacy levels and components. Of 18 studies published from 2006–2021, all measured functional and interactive literacy but no study measured communicative, critical, translational, or digital literacy. Six studies examined SNAP or SNAP-Education outcomes. Adults with higher food or nutrition literacy scores had better cognitive, behavioral, food security and health outcomes. We suggest how these findings may inform research, policies, and actions to strengthen the multi-dimensional literacy skills of SNAP participants and SNAP-eligible adults to support healthy purchases in the online food retail ecosystem.
- Are dementia services and support organisations meeting the needs of Lesbian, Gay, Bisexual and Transgender (LGBT) caregivers of LGBT people living with dementia? A scoping review of the literatureDi Lorito, Claudio; Bosco, Alessandro; Peel, Elizabeth; Hinchliff, Sharron; Dening, Tom; Calasanti, Toni; de Vries, Brian; Cutler, Neil; Fredriksen-Goldsen, Karen, I; Harwood, Rowan H. (Routledge, 2022)Objectives More than 60% of people with dementia live at home, where assistance is usually provided by informal caregivers. Research on the experiences of the Lesbian, Gay, Bisexual and Transgender (LGBT) caregivers is limited. This scoping review of the literature synthesizes international evidence on support provision for the population of LGBT caregivers. Methods Eight electronic databases and Google Scholar were searched using terms including 'Dementia', 'LGBT' and 'Caregiver' for all types of articles, including empirical studies, grey literature and sources from charity/third sector/lobbying organisations. Article selection was performed by two raters. Data were analysed through deductive thematic analysis, and three themes were established a priori: Distinct experiences of LGBT caregivers; current barriers to support; strategies to overcome the current challenges. Results Twenty articles were included. Distinct experiences of LGBT caregivers included a loss of LGBT identity, the impact of historical events, families of choice, and disclosing LGBT identities. Current barriers to support included poor representation of LGBT caregivers in support services, negative attitudes of staff and reluctance of caregivers to seek support. Strategies to overcome the current challenges included staff awareness training and kite-marking inclusion. Conclusion Limited cultural competency of staff and a subsequent reluctance to seek help have an impact on use of support services among LGBT caregivers. Implications for practice include the development of cost-effective, feasible, and acceptable inclusiveness training for services. Implications for policy include implementation in organisations of top-down agendas supporting staff to understand sexuality and non-heteronormative relationships in older age.
- Banishment in Public Housing: Testing an Evolution of Broken WindowsTorres, Jose; Aokarian, Jacob; Hawdon, James E. (2016-11-09)Banishment policies grant police the authority to formally ban individuals from entering public housing and arrest them for trespassing if they violate the ban. Despite its widespread use and the social consequences resulting from it, an empirical evaluation of the effectiveness of banishment has not been performed. Understanding banishment enforcement is an evolution of broken windows policing, this study explores how effective bans are at reducing crime in public housing. We analyze crime data, spanning the years 2001–2012, from six public housing communities and 13 surrounding communities in one southeastern U.S. city. Using Arellano-Bond dynamic panel models, we investigate whether or not issuing bans predicts reductions in property and violent crimes as well as increases in drug and trespass arrests in public housing. We find that this brand of broken windows policing does reduce crime, albeit relatively small reductions and only for property crime, while resulting in an increase in trespass arrests. Given our findings that these policies have only a modest impact on property crime, yet produce relatively larger increases in arrests for minor offenses in communities of color, and ultimately have no significant impact on violent crime, it will be important for police, communities, and policy makers to discuss whether the returns are worth the potential costs.
- Bearing the Burden: Rural implications of licensed professionals' exclusion from MedicareFullen, Matthew C.; Wiley, Jonathan D.; Morgan, Amy A. (2019)Medicare beneficiaries are unable to access mental health services provided by some licensed master’s-level clinicians, including licensed professional counselors (LPCs). Provider shortages in rural localities, combined with Medicare policy exclusion of these licensed mental health professionals, exacerbates rural mental health care access disparities. Very little is known about the impact of LPC exclusion from Medicare on rural beneficiaries. This study explored the lived experiences of mental health professionals who have turned away clients because of their Medicare-ineligible provider status. Interpretative phenomenological analysis was employed as a qualitative form of inquiry to guide the research design, participant recruitment, data collection, and analysis. Semistructured interviews were conducted with 9 Medicare-ineligible mental health professionals from a single, Mid-Atlantic state in the United States who have turned away clients because of their Medicare-ineligible provider status. Evidence from rural and nonrural practitioners highlighted the contextual implications of Medicare provider exclusion on rural beneficiaries. One superordinate theme, undue burden, is described through three emergent themes from the interview data: geographical disparities, intersectional hardships, and practice constraints. The results suggest that current Medicare provider regulations may create disparities of mental health care availability and accessibility for Medicare beneficiaries from rural communities. The qualitative evidence of this study describes systemic and proximal factors that result in unexpected termination, deterred help-seeking behavior, and untimely treatment for older adults and disabled clients within rural mental health care settings.
- Blockchain, adoption, and financial inclusion in India: Research opportunitiesSchuetz, Sebastian; Venkatesh, Viswanath (Elsevier, 2020-06-01)The economic development of rural India requires connecting remote villages to local and global supply chains. Yet, high rates of financial exclusion inhibit rural Indians from participating in these supply networks. We review the literature on financial inclusion, adoption, and blockchain in India, and posit that to resolve financial exclusion, the four challenges of geographical access, high cost, inappropriate banking products, and financial illiteracy need to be overcome. Next, we argue that blockchain technologies hold the potential to overcome most of these challenges. However, for blockchain technologies to become the cornerstone of financial inclusion initiatives, an understanding of technology adoption in India is needed. To guide the development of such understanding, we develop a research agenda on the antecedents of adoption, adoption patterns, and outcomes of adoption. Answering these research questions will lead to a nuanced understanding of adoption of blockchain-based technologies in rural India. The practical contribution of this paper is the discussion of how blockchain can alleviate the issue of financial exclusion in rural India, thereby providing a basis for a solution that could connect rural Indians to global supply chain networks. The theoretical contribution lies in the identification of knowledge gaps that should be answered to achieve financial inclusion of rural Indians.
- Challenges and experiences of women in the forestry sector in NepalChristie, Maria Elisa; Giri, Kalpana (Academic Journals, 2011-05)This article asks why there are relatively few women at the Institute of Forestry (IOF) and in the field of forestry in Nepal. It explores the obstacles to entering and succeeding in this male-dominated field from women’s perspectives, and makes recommendations for increasing their participation. Based on “focus group discussions” and interviews with nearly 50 women, the authors considered issues of power and participation relevant to the gendered experience and profession of forestry in Nepal. Obstacles ranged from socio-cultural biases against women, to harassment during field trips, to being assigned purely administrative duties in the workplace. The article draws on theoretical approaches to gender in organizations, masculinities, and gendered knowledge. It calls for equitable, institutional transformation at the IOF that would in turn help graduates to better address social aspects of forestry.
- Challenging Gender and Disability Stereotypes: Narrative Identities of Brazilian Female ParalympiansKirakosyan, Lyusyena (MDPI, 2021-11-04)The purpose of this narrative inquiry is two-fold: first, to illuminate the views and experiences of Brazilian female Paralympians that helped shape their narrative identities, and second, to develop a better understanding of the reasons behind the gender inequality in Paralympic sports. According to the International Paralympic Committee, 1671 female athletes competed in the Rio 2016 Paralympics, representing almost 40 percent of the participating Paralympians. In Rio, Brazil had the largest Paralympic delegation in its history, with 287 Paralympians, of which only 102 were women (about 35 percent). The reasons why there is a significant discrepancy between male and female Paralympic participation are highly complex and little researched, particularly in Latin American contexts. In examining the complexities of these women’s narrative identities and their relationship with social norms, I draw on the insights from disability feminism, identity theory, and disability sport to analyze and interpret the Paralympic sportswomen’s narrative accounts. Individual interviews with 20 Brazilian female Paralympians from nine different sports revealed the intricate relationships each has with social norms regarding gender, disability, sport, and the body.
- Characterization of Non-Nutritive Sweetener Intake in Rural Southwest Virginian Adults Living in a Health-Disparate RegionHedrick, Valisa E.; Passaro, Erin M.; Davy, Brenda M.; You, Wen; Zoellner, Jamie M. (MDPI, 2017-07-01)Few data assessing non-nutritive sweetener (NNS) intake are available, especially within rural, health-disparate populations, where obesity and related co-morbidities are prevalent. The objective of this study is to characterize NNS intake for this population and examine the variance in demographics, cardio-metabolic outcomes, and dietary intake between NNS consumers and non-consumers. A cross-sectional sample (n = 301) of Virginian adults from a randomized controlled trial (data collected from 2012 to 2014) targeting sugar-sweetened beverage (SSB) intake completed three 24-h dietary recalls, and demographics and cardio-metabolic measures were assessed. The frequency, types, and sources of NNS consumption were identified. Thirty-three percent of participants reported consuming NNS (n = 100). Sucralose was the largest contributor of mean daily NNS intake by weight (mg), followed by aspartame, acesulfame potassium, and saccharin. NNS in tabletop sweeteners, diet tea, and diet soda were the top contributors to absolute NNS intake. The most frequently consumed NNS sources were diet sodas, juice drinks, and tabletop sweeteners. Although mean body mass index (BMI) was greater for NNS consumers, they demonstrated significantly lower food, beverage, and SSB caloric intake and energy density, and higher overall dietary quality. It remains unclear whether NNS use plays a role in exacerbating weight gain. NNS consumers in this sample may have switched from drinking predominantly SSB to drinking some NNS beverages in an effort to cope with weight gain. Future studies should explore motivations for NNS use across a variety of weight and health categories.
- Combating Infant Mortality in Rural India: Evidence From a Field Study of eHealth Kiosk ImplementationsVenkatesh, Viswanath; Rai, Arun; Sykes, Tracy Ann; Aljafari, Ruba (Society for Information Management, 2016-06-01)The United Nations' Millennium Development Goals listed high infant mortality rates as a major problem in developing countries, especially in rural areas. Given the powerful information dissemination capabilities, information and communication technologies (ICTs) have been suggested as interventions to build infant care awareness and to modify healthcare behaviors. We examine how the use of one ICT intervention-specifically, eHealth kiosks disseminating authenticated and accessible medical information-can alleviate the problem of high infant mortality in rural India. We investigate how mothers' social networks affect their use of eHealth kiosks, seeking professional medical care for their infants and, ultimately, infant mortality. Drawing on the social epidemiology and social networks literatures, we focus on advice and hindrance from both strong and weak ties as the conduit of social influence on mothers' health-related behaviors for the care of their infants. Over a period of 7 years, we studied 4,620 infants across 10 villages where the eHealth kiosks were implemented along with support resources for proxy use. The results revealed that (1) eHealth kiosk use promotes seeking professional medical care and reduces infant mortality, (2) mothers are especially vulnerable to hindrance from both strong and weak ties as they choose to maintain the status quo of traditional infant healthcare practices (e.g., reliance on untrained personnel, superstitions, fatalism) in villages, and (3) advice from both strong and weak ties offers the potential to break down misplaced beliefs about infant healthcare practices and to develop literacy on seeking professional medical care. In contrast, in a comparative group of 10 neighboring villages, the reduction in infant mortality was not as pronounced and the effect of professional medical care in reducing infant mortality was lower. Our findings suggest that an ICT intervention can effectively address one of society's most important problems (i.e., infant mortality) even in parts of the world with limited resources and deep suspicion of technology and change. Overall, we believe such an ICT intervention will complement other investments being made, including the facilitation of use (proxy use) and provision of professional medical facilities to reduce infant mortality.
- Combating Racialized and Gendered Ignorance: Theorizing a Transactional Pedagogy of FriendshipOlson, Philip; Gillman, Laura J. (Johns Hopkins Univ Press, 2013)The article explores the problem of epistemological ignorance. Drawing on the literature of feminist epistemology, in particular the epistemologies of ignorance, it theorizes white ignorance and male ignorance and how it is possible to gain consciousness about one's ignorance, as well as how to be responsible for what one does not know. The article explores ignorance as unconscious habits that inform our mental schemas, our social interactions, and our physicality. It identifies and analyzes these habits of ignorance, drawing on our experiences as team teachers (one a philosophy professor, and the other a professor of women's studies and literary studies) who co-taught an interdisciplinary doctoral seminar in feminist epistemology. It describes and illustrates the pedagogical and scholarly processes that led us to view epistemology as a practice of inquiry that combats ignorance by demanding an inclusive partnership across traditional and counterhegemonic approaches to knowledge. The article claims that a transactional pedagogy of friendship makes possible the disruption and rehabituation of epistemic habits of ignorance, moving inquirers in the direction of more inclusive, reliable, and responsible knowledge.
- Community food work as critical practice: A faith-based perspective through narrativesLigrani, Rebecca; Niewolny, Kimberly L. (2017)Community food work is a framework for understanding the interconnections and complexities of food systems issues such as farm sustainability, food access and health equity, environmental resiliency, and social justice. An emerging yet overlooked perspective of community food work is the role of faith-based organizations and practitioners. In this single case study of six faith-based practitioners focused on urban food security in Virginia, we use narrative inquiry to explore how they understand and perform their community food work from a faith-based and social justice context. Our methods included interviewing each practitioner to create stories of their everyday work, researcher-participant analysis of those stories, and a collective reflection session of the group's narratives. The final narratives not only point toward specific social justice values and practices aimed at addressing race and class inequity in the food system as significant elements of their community food work, but also created new space for practitioner reflection and discovery of the way white privilege and class-based assumptions can be uncovered and challenged in the work itself. In this way, the research describes what community food work looks like through a faith-based lens, while also showing how storytelling and narratives can be used as an approach to create possibility for critical reflection about power and privilege in our everyday practice. We conclude with suggestions for using storytelling and narrative inquiry in similar food system contexts as a strategy for community change.
- A Comparative Study of the Cognitive Function of the Hearing-Impaired and Non-Hearing Impaired in Two Primary Schools in Lagos State, NigeriaObilade, Titilola T. (2015)Background: The study was carried out in two primary schools in Lagos State, Nigeria using 302 respondents aged 6-20 years. The study compared the cognitive function of pupils from Wesley School for the hearing-impaired with pupils from Onitolo Primary School, a main stream public school to see if similarities or differences existed in their cognitive function and to highlight the factors determining their performance on a standard non-verbal test. Method: The instrument of data collection was the Raven’s Standard Progressive Matrices, a standard, non-verbal intelligence test. Statistical association using Chi-Square was used to test for associations between categorical variables. Kruskal-Wallis was used to test for association in variables that were not normally distributed. Regression Coefficient was used to examine linear relationships between selected independent variables and the scores on the standardized test. As it was impossible to individually match human subjects in this study, the variables of class, sex, age and parents’ occupations were adjusted for matching by multiple regression analysis. Multiple regression analysis was used to examine which variables were significant predictors of performance taking possible confounders into consideration. Results: Respondents from Wesley School were much older than respondents from the public main-stream school, class for class. There was no statistically significant difference in their cognitive functions. The mean score difference between the two schools was 0.54 with respondents from Wesley School scoring higher (P > 0.05). Age, sex and class in primary school were determinants of score (P < 0.05). Males scored higher than females. Respondents of skilled parents had the highest scores. There was no relationship between the time the child became hearing-impaired and their scores (P > 0.05). The mean score difference between children that became hearing-impaired by their first year of life and children that became hearing-impaired after the first year of life was 1.83 (P > 0.05). The children that became hearing-impaired before their first year of life scored higher (P > 0.05) than those that became hearing-impaired after their first year of life. Conclusion: There was no statistically significant difference in the cognitive functions between the hearing-impaired and the non-hearing- impaired pupils. Age, sex and class were determinants of score (P < 0.05). In Nigeria, children that are hearing-impaired should be given equal opportunities especially in education.