R. Hunter Montgomery, Kelsey Phelan, Sawyer D. Stone, Francois Decuir and Bryant C. Hollins
This paper aims to investigate the applicability of 3D-printed molds to be used as a substitute for photolithography in the formation of polymer-based stamps. It proposes…
Abstract
Purpose
This paper aims to investigate the applicability of 3D-printed molds to be used as a substitute for photolithography in the formation of polymer-based stamps. It proposes leveraging 3D printing as a rapid prototyping tool to be applied to microfluidic fabrication.
Design/methodology/approach
Different designs are created using computer-aided design (CAD) software and printed via Makerbot 3D printer. The molds serve as negative reliefs for a PDMS stamp. The stamp is used to apply paraffin wax to chromatography paper, creating hydrophobic barriers and hydrophilic channels. The minimum functional channel widths and barrier widths are determined for the method.
Findings
The method is demonstrated to be effective for bypassing the more cost-prohibitive photolithography approach for rapid paper microdevice fabrication. This approach produces functional channels that can be used for on-chip analytical assays. The minimum functional barrier widths and minimum functional channel widths are in good agreement with other published methods for paper-based microchannel fabrication.
Research limitations/implications
The approach cannot generate the high-resolution structures possible with photolithography. Therefore, if higher resolutions are needed for a particular application, this approach is not the best.
Practical implications
The simplicity of the approach introduces an affordable method to create disposable devices that can be used at the point of testing.
Originality/value
The paper satisfies a need for inexpensive, rapid prototyping of paper-based devices. The method is simple and can be used as a tool for introducing labs to microfluidics research.
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Katie Kerstetter and John J. Green
This study tests the first two tenets of the fundamental causes theory – that socioeconomic status influences a variety of risk factors for poor health and that it affects…
Abstract
Purpose
This study tests the first two tenets of the fundamental causes theory – that socioeconomic status influences a variety of risk factors for poor health and that it affects multiple health outcomes – by examining the associations between adverse socioeconomic circumstances and five measures of health.
Methodology/approach
We employ bivariate and logistic regression analyses of data from the Centers Disease Control and Prevention 2011 Behavioral Risk Factor Surveillance Survey (BRFSS) to test the individual and cumulative associations between three measures of socioeconomic position and five measures of health risk factors and outcomes.
Findings
The analysis demonstrates support for the fundamental causes theory, indicating that measures of adverse socioeconomic conditions have independent and cumulative associations with multiple health outcomes and risk factors among U.S. adults aged 18–64.
Research limitations/implications
The findings of this chapter are generalizable to adults aged 18–64 living in the United States and may not apply to individuals living outside the United States, older Americans, and children.
Originality/value of chapter
Adverse socioeconomic circumstances are not only associated with self-rated health but are also associated with the two leading causes of death in the United States (cancer and heart disease) and risk factors that contribute to these causes of death (smoking and high blood pressure). Improving access to socioeconomic resources is critical to reducing health disparities in leading causes of death and health risk factors in the United States.
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Thomas J. Gerschick and J. Dalton Stevens
Disability as a consequential social characteristic has not drawn sociologists’ contemporary attention in the way that race, class, gender, and sexuality have. In order to…
Abstract
Purpose
Disability as a consequential social characteristic has not drawn sociologists’ contemporary attention in the way that race, class, gender, and sexuality have. In order to understand why, it is instructive to analyze how disability has been framed since the inception of the American Sociological Society, now known as the American Sociological Association.
Methodology/approach
Our findings are based on an intensive, systematic, and comprehensive content analysis of 10 years of the Proceedings from the American Sociology Society’s Annual Meetings, 1906–1915.
Findings
Three key themes emerged from the content analysis of the proceedings of the first 10 years of the papers delivered at the Annual Meetings (1906–1915). First, people with disabilities were largely invisible in those papers. Second, influenced strongly by a social reform agenda which stressed progress and the powerful eugenics movement of the time, those early presenters who addressed people with disabilities in their papers vilified them. Third, their denigration was met largely with silence in the printed commentary which followed in the proceedings.
Research implications
In order to understand the present limited attention to disability, researchers need to know the historical context.
Originality/value
Although there have been a number of thoughtful books, edited volumes and review essays exploring the history of the discipline of sociology, none of them have attended to the history of disability within the field. This paper contributes to that historical understanding.
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Sarah K. Harkness and Amy Kroska
We examine whether self-stigmatization may affect the everyday social interactions of individuals with a diagnosed, affective mental health disorder. Past research demonstrates…
Abstract
We examine whether self-stigmatization may affect the everyday social interactions of individuals with a diagnosed, affective mental health disorder. Past research demonstrates self-stigmatization lowers self-esteem, efficacy, and personal agency, leading to the likely adoption of role-identities that are at the periphery of major social institutions. We advance research on self-stigma by examining the likely interactional and emotional consequences of enacting either a highly stigmatized self-identity or a weakly stigmatized self-identity.
Using affect control theory (ACT), we form predictions related to the interactional and emotional consequences of self-stigmatization. We use the Indianapolis Mental Health Study and Interact, a computerized instantiation of ACT, to generate empirically based simulation results for patients with an affective disorder (e.g., major depression and bipolar disorder), comparing simulations where the focal actor is a person with a mental illness who exhibits either high or low levels of self-stigma.
Self-stigma is predicted to negatively influence patients’ behavioral expression, leading the highly self-stigmatized to enact behaviors that are lower in goodness, power, and liveliness than the weakly self-stigmatized. Their corresponding emotional expressions during these types of interactions are similarly negatively impacted. Even though these likely interactions are the most confirmatory for people with high levels of self-stigma, they lead to interactions that are behaviorally and emotionally more negative than those who have been better able to resist internalizing stigmatizing beliefs.
This piece has implications for the literature on the interactional and life course challenges faced by psychiatric patients and contributes to the self-stigma literature more broadly. This work will hopefully inform future research involving the collection of non-simulation-based data on the everyday interactional experiences of people with mental health problems.
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Atsuko Kawakami, Subi Gandhi, Derek Lehman and Jennie Jacobs Kronenfeld
The disparities of COVID-19 vaccination rates between the rural and urban areas have become apparent during this pandemic. There is a need to understand the root causes of vaccine…
Abstract
Purpose
The disparities of COVID-19 vaccination rates between the rural and urban areas have become apparent during this pandemic. There is a need to understand the root causes of vaccine hesitancy demonstrated by the rural population to increase coverage and to contain the disease spread throughout the United States. This study aimed to explore other factors influencing vaccine hesitancy among rural dwellers besides the geography-related barriers such as poor health care access and individuals having no or suboptimal insurance coverage.
Methodology/Approach
By reviewing existing data and literature about vaccination, health literacy, and behaviors, and prevailing ideologies, we discuss the potential causes of vaccine hesitancy in rural areas that could create barriers for successful public health efforts related to vaccine coverage and provide suggestions to ameliorate the situation.
Findings
Geography-related barriers, health literacy, and preconceived notions are key determinants of adopting healthy behaviors and complying with public health authorities' recommendations among rural individuals during a public-health crisis. We argue that ideology, which is much deeper than preconception or misconception on vaccination, should be incorporated as a key factor to redefine the term “vulnerable populations” in public health research.
Research Limitations/Implications
The limitation of our study is that we have not found an effective way to encourage the populations who hold conservative religious and political ideologies to join the efforts for public health. Even though geography-related barriers may strongly impact the rural dwellers in achieving optimal health, the various forms of ideologies they have toward certain health behaviors cannot be discounted to understand and address vaccine-related disparities in rural areas. There is a need to redefine the term “vulnerable population” particularly as it relates to rural areas in the United States. During large-scale public health disasters, scholars and public health authorities should consider the ideologies of individuals, in addition to other factors such as race/ethnicity, area of residence (rural vs. urban), and socioeconomic factors influencing the existing vulnerabilities and health disparities.
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Chrysostomos Apostolidis, Jane Brown and Jillian Farquhar
This study aims to explore stigma in payday borrowing by investigating how the stigma associated with using such a service may spill over and affect other people, entities and…
Abstract
Purpose
This study aims to explore stigma in payday borrowing by investigating how the stigma associated with using such a service may spill over and affect other people, entities and relationships beyond the user within a service ecosystem.
Design/methodology/approach
In-depth interviews exploring consumers’ lived experiences and stigma were combined with publicly available reports from key stakeholders within the payday loan (PDL) industry to create a qualitative, text-based data set. The transcripts and reports were then analysed following thematic protocols.
Findings
Analysis reveals that the stigma associated with using a stigmatised service spills over, affecting not only the borrower but other actors within the service ecosystem. The analysis uncovers three important interactions that spilled over between the actors within the stigmatised service ecosystem (SSE), which can be damaging, enabling or concealed.
Research limitations/implications
This study introduces and explores the concept of “SSEs” and investigates the impact of stigma beyond the dyadic relationships between service providers and users to consider the actors within the wider ecosystem. The findings reframe existing understandings about stigma, as this study finds that stigmatised services can play both a positive (enabling) and a negative (damaging) role within an ecosystem, and this study uncovers the role of stigma concealments and how they can affect relationships and value co-creation among different actors.
Practical implications
This study provides evidence for more robust policies for addressing stigma in different SSEs by mapping the effects of stigma spillover and its effects on the borrower and other actors.
Originality/value
This study contributes to reframing marketing priorities by extending existing work on consumer stigma by showing how the stigma of a PDL may spill over and affect other actors within a service ecosystem. Significantly, the interactions between the actors may have positive as well as negative outcomes.
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The purpose of this paper is to establish the value placed on the facets that contribute to a meaningful leisure occupation for the residents of a residential care facility by the…
Abstract
Purpose
The purpose of this paper is to establish the value placed on the facets that contribute to a meaningful leisure occupation for the residents of a residential care facility by the staff that care for them.
Design/methodology/approach
This was a service evaluation using a self-reported questionnaire, completed by six Activity Co-ordinators from the home of 158 individuals with a wide range of neuropalliative conditions.
Findings
The cultural/historical components, the built and social environment, learning, life satisfaction and goal orientation were reported as the least valued facets, which make up a leisure occupation. The staff did, however; value the sense of health and capability, purpose, the feeling of being fully human and the sense of belonging that comes about through leisure. They also valued preventing boredom, opportunities for self-expression, creativity, achievement, and control. Additionally they valued opportunities to gain a clear sense of the rhythm of life, of self-identity, choice of occupation, and engagement in the occupation.
Research limitations/implications
The findings highlight a variance between the perceptions of staff members who deal with the day-to-day leisure opportunities and decisions of the residents, and the literature of occupational science about what makes an occupation meaningful, and therefore is worthy of consideration when planning a leisure occupation.
Practical implications
Personalised care requires consideration of the individual's cultural and historical background, the environment surrounding the occupation, opportunities for social interaction, individual learning, life satisfaction, and goal orientation when organising leisure opportunities. These facets are stressed because the participants undervalued them.
Originality/value
The context of this paper is a subset of individuals with neurological disabilities who experience profound disabilities, and the attitudes of staff to their leisure lifestyle.