Dissertations / Theses on the topic 'Puerto Rico - Women'

Active asthma and asthma-related health care utilization are higher among adult females than they are among adult males in Puerto Rico. The purpose of this study was to examine the determinants of the risk of active asthma and associated health care utilization and asthma control among women in Puerto Rico. Guided by the Andersen behavioral model, the study included data from the Asthma Call-Back Survey (ACBS) during 2011 and 2012 in Puerto Rico. The associations between active asthma and behavioral, demographic, and environmental factors were assessed using logistic regression. The relationship between asthma-related health care utilization and predisposing, enabling, and need factors was examined using multiple linear regression. The association between achieved level of asthma control and asthma-related healthcare utilization was investigated using multinomial logistic regression. Results of the logistic regression indicated that being out of work, being in a middle income category, and being obese significantly increased the odds of active asthma. Being self-employed and being in the income category of $15,000-$25,000 significantly predicted the frequency of emergency room visits (ERVs). Results of the multinomial logistic regression indicated that physician urgent visit and ERV were significantly associated with poorly controlled asthma symptoms. The positive social change implication of these findings is that the identified risk factors can be used to develop asthma management plans to prevent and control asthma attacks in at-risk populations and reduce asthma-related health care utilization cost

Thesis advisor: Karen Kayser
Purpose: Acculturative stress has been found to mediate the relationship between acculturation and psychological distress, yet research investigating the impact of contextual factors on acculturative stress is non-existent. Based on family stress management theory (Boss, 2002), the current study investigates the contextual influence on acculturative stress and psychological distress of Latina women. Acculturation and systems of support were tested for their capacity to moderate the relationships between various significant contexts, acculturative stress and psychological distress. Unique experiences of women born in Cuba, Puerto Rico and Mexico were delineated and compared. Methods: Using the National Latino Asian American Survey, the current study involves 639 Latina women born in Mexico (N=257), Cuba (N=264) and Puerto Rico (N=118). A mediated moderation analysis was conducted through Path Analysis in MPLUS. Results: Findings indicate an inconsistent relationship between acculturative stress and psychological distress. For the combined group of Latina women, racial and daily discrimination shaped acculturative stress and psychological distress most often, followed by age and family-cultural conflict. Income and structural components of internal contexts (i.e. household decision-making power) impacted their psychological distress only. Country-specific variations argue against treating Latina women as a monolithic group. Biculturalism emerged as a more effective integration form. Only spousal support moderated the relationships between contextual factors, psychological distress and acculturative stress. Implications: These findings will inform the development of culturally sensitive clinical interventions. Social work policy makers will gain a comprehensive understanding of resources needed to promote a healthy integration of Latina women into the U.S. Community organizers are encouraged to advocate on behalf of multi-cultural immigration policies that enable the retention of aspects of native culture deemed to buffer Latina women from the negative impact of contextual factors and acculturative stress
Thesis (PhD) — Boston College, 2011
Submitted to: Boston College. Graduate School of Social Work
Discipline: Social Work

A qualitative study on a sample of 12 Puerto Rican women was conducted in Puerto Rico. The purpose of this study was to explore the various ways in which sexual meanings are created, changed, and modified as the nature of social discourse and personal experience changes. The two theoretical frameworks that guided the methodology and analysis of the data were social constructionism and feminism. I assumed that sexuality is socially constructed, shaped by social, political, and economic influences, and modified throughout life. Feminist theories assisted in documenting the ways in which females' sexuality in Puerto Rico is shaped by culture and by institutions that disadvantage females and other oppressed groups by silencing their voices. The theories guided the discussion of the contradicting messages about women's sexualities and their experiences, as these women fought, conformed to, and even colluded with their oppression. Analysis of the participants' written and oral narratives produced the overarching theme of sexual meanings/scripts, along with three interrelated sub-themes: sources and nature of sexual scripts, determining experiences, and social discourses of female sexuality. Participants reported three institutional sources of sexual messages: family, religion-culture, and institutions of education. Their determining experiences follow a common thread that weaves a common story line: the life-long struggle with the incongruencies between the social constructions of female sexuality and the realities of these women's sexual experiences. Sexuality is defined as being challenged and modified through the participants' lives. Four social discourses of female sexuality emerged from the analysis of the data: source of guilt and shame, vulnerability and sexual victimization, ambivalence, and empowerment. A theory of ambivalence was developed from the data as a means to understand the participants' process of developing the paradigms for their own sexuality.
Ph. D.

The identity of Latin America is composed of elements inherited from Europe, Asia and Africa. This identity has been defined with a series of images, roles, behaviors and rules created to maintain a particular unification among the citizens of these societies. Cultural ideologies involving marriage, separation and divorce have been subjected to historical changes. Divorce in Latin America typically has had a negative connotation and communities have considered divorced women as outcasts. The purpose of this study is to examine Puerto Rican and Dominican women's perception of divorce with particular emphasis on divorced women's image and experience in these countries. There are similarities and differences between the two countries based on geographical, cultural, historical, economic and legal issues. Due to the cultural presence of the United States in Puerto Rico, many issues now separate the two countries. I consider this "duality" (Traditional/Latin American and Westernized/American) to be an interesting context for exploration particularly as it relates to women's perception of divorce.
Master of Arts

Puerto Rico has the highest prevalence of type 2 diabetes, low birth-weight, and the second highest prevalence of preterm-birth in all the U.S. and its non-incorporated territories. These conditions are related. Birth-weight at both ends of the spectrum and preterm-birth are associated with an increased risk for developing type 2 diabetes and immune-inflammatory dysregulations. Maternal psychosocial stressors during pregnancy have also been recognized as potential risk factors for type 2 diabetes, and have been consistently associated with preterm-birth and low birth-weight across populations. Current evidence points toward epigenetic fetal metabolic-programming as the mechanism that underlies the increased risk for the previously mentioned morbidities. However, the particular psychosocial stressors that may contribute to the high prevalence of low birth-weight and preterm-birth in the population of Puerto Rico have not been well studied.

The present study assesses the relationships between particular psychosocial stressors, socioeconomic status, food insecurity, and birth outcomes. The results of this study show that low-risk pregnancy women were more likely to have babies with a higher ponderal index if they were exposed to stressors during gestation months 5, 6, and 7, or if exposed to "relationship stress" at any time during pregnancy. Women exposed to "financial difficulties" at any time during pregnancy were more likely to deliver babies at an earlier gestational age. Differences in birth outcomes between the exposed and non-exposed women were independent of maternal anthropometric measurements, maternal age at birth, number of previous births, and sex of the baby. Significant differences in birth outcomes were found between categories of father's self-identified and identified by others ethnicity, but sample size within categories was small. Although mothers with children at home had higher levels of food insecurity, and the level of food insecurity was correlated with higher levels of stress, no birth outcome measure was associated with food insecurity.

Some results are atypical in comparison with other populations, and therefore these findings may contribute to the understanding of population differences in the relationship between maternal stress during pregnancy and birth outcomes. The relatively small sample size and strict exclusion criteria of this study may limit the generalizability of the findings. Epidemiological similarities between Puerto Rico and other populations, and the possibility of a higher ponderal index increasing the risk for type 2 diabetes in the population of Puerto Rico need to be examined in future research.

My interest in the environment has led me to study the effects of space on people, both natural and man-made. This project explores how architects and designers can design spaces conducive to the healing process. The emphasis of this thesis is on my design methodology, with the hope that this project will help other designers in their struggle to create spaces that heal the body, soul and spirit. To develop this project, I chose a shelter for battered women as the building type. This shelter is theoretically located in Bayamón, Puerto Rico. Its main goal is to create an environment in which battered women can recuperate physically, emotionally and spiritually. In order to accomplish this, I first studied my personal responses to a variety of built, as well as, natural spaces. I used two types of case studies, one looking at spaces and the other looking at the building type. Besides utilizing traditional building analysis, I also used literature to study space, since it allows me to study human’s reaction to space.These helped to shed light on why or why not certain spaces fulfill the building’s purpose. Later, through a series of art workshops with women at a local shelter, I was able to better understand the user. These workshops culminated in a collaborative art installation in which their reality and mine were combined. In addition, I researched other fields that are also trying to understand why we respond to space the way we do. Some of these fields are environmental psychology, sociology, behavioral studies, and art. Their findings led me to design flexible spaces that allow each woman to shape their own space, and spaces that appeal to all six senses. Following this exploration, I developed a program to meet the user’s requirements. This program described a prototypical facility that embodies ideal conditions. I then explored this program and its spatial requirements through physical models. A series of models interacting with the site gave birth to three design concepts. From these various schemes, a final design was selected and brought to the design development phase.

xi, 236 p. A print copy of this thesis is available through the UO Libraries. Search the library catalog for the location and call number.
Writers in the Caribbean, like writers throughout the postcolonial world, return to colonial texts to rewrite the myths that justified and maintained colonial control. Exemplary of a widespread, regional phenomenon that begins at mid-century, writers such as Aimé Césaire and George Lamming take up certain texts such as Shakespeare's The Tempest and recast them in their own image. Postcolonial literary theory reads this act of rewriting the canon as a political one that speaks back to power and often advocates for political and cultural independence. Towards the end of the twentieth century and at the beginning of the twenty-first century, Caribbean women writers begin a new wave of rewriting that continues in this tradition, but with certain differences, not least of which is a focused attention to gender and sexuality and to the literary legacies of romance. In the dissertation I consider a number of novels from throughout the region that rewrite the romance, including Jean Rhys's Wide Sargasso Sea (1966), Maryse Condé's La migration des coeurs (1995), Mayra Santos-Febres's Nuestra señora de la noche (2006), and Dionne Brand's In Another Place, Not Here (1996). Romance, perhaps more than any other literary form, exerts an allegorical force that exceeds the story of individual characters. The symbolic weight of romance imagines the possibilities of a social order--a social order dependent on the sexual behavior of its citizens. By rewriting the romance, Caribbean women reconsider the sexual politics that have linked women with metaphorical constructions of the nation while at the same time detailing the extent to which transnational forces, including colonization, impact the representation of love and desire in literary texts. Although ultimately these novels refuse the generic requirements of the traditional resolution for romance (the so-called happy ending), they nonetheless gesture towards a reordering of community and a revised notion of kinship that recognizes the weight of both gendered and sexual identities in the Caribbean.
Committee in charge: Karen McPherson, Chairperson, Romance Languages; David Vazquez, Member, English; Tania Triana, Member, Romance Languages; Judith Raiskin, Outside Member, Womens and Gender Studies

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The consultation for women during the postpartum period should occur between the seventh and tenth days, and 42 days after childbirth, to decrease the incidence of maternal and neonatal morbidity and mortality. However, the effectiveness of such assistance in primary health care has not been achieved, especially in the forty-second day of puerperium. Facing this reality, the research aimed to understand the views of women about postpartum consultation. This is an exploratory and descriptive research with qualitative approach, developed in the municipality of Lajes/RN, Brazil, with women inscribed on the four teams that make up the Family Health Strategy. Data were collected through semistructured interviews with 15 women who met the following criteria: be enrolled in ESF; have health mental preserved, have been entered in the Humanization Program of Prenatal and Birth, and that was, at maximum, 60 days postpartum. The data were organized according to the precepts of content analysis according to Bardin, generating three categories: prevention of puerperal complications, feelings related to life changes after childbirth, and postpartum care. This process of coding and categorizing a central theme emerged: the experience of women in the postpartum period. The data were analyzed according to the principles of symbolic interactionism, according to Blumer. The study revealed that the meanings attributed to the postpartum period for prevention of complications were directly related to home, to the consultation and postpartum care provided by family members and health professionals. The interviewees strictly complied with the rest under the influence of the context in which they were entered. But that has not happened with the postpartum revision because few mothers underwent this procedure. Therefore, the interaction of the interviewed people in their living standard as well as the feelings that permeated the post-partum were crucial to consider whether or not the post-partum visit as significant. According to the results, it was noted that disability guidelines and counter-references has impaired the access of women to postpartum review. Thus, further studies are needed on the subject, as well as a reorientation of health care activities in view of the consolidation of postpartum consultation in primary care
A consulta ? mulher durante o puerp?rio deve acontecer entre o s?timo e o d?cimo dia, e com 42 dias ap?s o nascimento da crian?a, visando diminuir a incid?ncia de morbidade e mortalidade materna e neonatal. No entanto, a efetiva??o dessa assist?ncia no n?vel prim?rio de aten??o ? sa?de ainda n?o foi conseguida, principalmente no quadrag?simo segundo dia de puerp?rio. Frente a essa realidade, a pesquisa teve como objetivo compreender as concep??es da mulher acerca da consulta p?s-parto. Trata-se de um estudo explorat?rio e descritivo de abordagem qualitativa, desenvolvido no Munic?pio de Lajes/RN, Brasil, com mulheres adscritas nas quatro equipes que comp?em a Estrat?gia Sa?de da Fam?lia. Os dados foram obtidos por meio de entrevista semiestruturada junto a 15 mulheres que atenderam aos seguintes crit?rios de inclus?o: ser adscrita na ESF; ter sa?de mental preservada; ter sido inscrita no Programa de Humaniza??o do Pr?-Natal e Nascimento, e que estivesse, no m?ximo, com 60 dias p?s-parto. As informa??es coletadas foram organizadas conforme os preceitos de an?lise de conte?do segundo Bardin, originando tr?s categorias: preven??o de complica??es puerperais; sentimentos relacionados ?s mudan?as de vida ap?s o parto; e cuidados p?s-parto. Desse processo de codifica??o e categoriza??o emergiu uma tem?tica central: Viv?ncia da mulher no puerp?rio. Os dados foram analisados conforme os princ?pios do Interacionismo Simb?lico, segundo Blumer. O estudo revelou que os significados atribu?dos ao puerp?rio relativos ? preven??o de complica??es estavam diretamente relacionados ao repouso, ? realiza??o da consulta puerperal e aos cuidados prestados pelos familiares e profissionais de sa?de. As entrevistadas cumpriram rigorosamente o repouso sob influ?ncia do contexto no qual estavam inseridas. Por?m, isso n?o aconteceu com a revis?o p?s-parto, pois pequeno n?mero de pu?rperas se submeteu a esse procedimento. Portanto, a intera??o das entrevistadas com as pessoas do seu conv?vio habitual, bem como os sentimentos que permearam o p?s-parto foram decisivos para considerarem, ou n?o, a consulta puerperal significativa. De acordo com os resultados obtidos, percebeu-se que a defici?ncia de orienta??es e da contrarrefer?ncia, tem dificultado o acesso dessa mulher ? revis?o p?s-parto. Assim, se fazem necess?rios novos estudos sobre o assunto, bem como uma reorienta??o das a??es assistenciais, na perspectiva da consolida??o da consulta p?s-parto na aten??o b?sica

Thesis (M.A.)--University of Wisconsin--Madison, 1986.
Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 112-116).

The incidence and prevalence of intimate partner violence and abuse among Puerto Rican women has not been adequately studied in the island Commonwealth of Puerto Rico. The dearth of research and the lack of awareness about the problem by health care providers and within the lay community influence the health status of women resulting from violence and abuse in Puerto Rico. This research study used a descriptive-exploratory design to examine the health effects of intimate partner violence and abuse among 60 Puerto Rican women living in shelters located across the island. The purpose of the study was to examine the perceived health effects of intimate partner violence and abuse on the lives of these abused Puerto Rican women. Four instruments (ISA-Index of Spouse Abuse, DA-Danger Assessment, HARASS-Harassment tool, RAND-36 (SF-36 v2)-Health Status Inventory), and two semi-structured interviews were used to collect data. The interviews provided information on socio-cultural context and health care response experienced by the women. The objective was to gain understanding of the health effects and determine if there was any link between the abuse and health effects. Secondly, the researcher explored and described the violence and abuse among Puerto Rican women, and brought to the analysis a theoretical understanding of the women's experiences specifically, how this abuse influences their health. The results reflect the association between abusive and violent intimate relationships and poor health status and addressed recognition of the health effects of intimate partner violence. The findings revealed the need for planning, development and implementation of effective health care protocols, social advocacy and government policies to develop a surveillance system and educational programs that address this issue of intimate partner violence. Advancing scholarship in the area of intimate partner violence is needed to generate concrete strategies designed to heighten public and professional awareness and to provide nursing leadership and policy development in this critical area of women's health.

My dissertation, Feminine Subjectivity and Discourses of Modernity in Puerto Rico and Brazil (19th and 20th century), explores the construction of modern feminine subjectivities during the social, cultural and industrial modernization of Puerto Rico and Brazil throughout the 19th century. With this investigation I analyze, from the perspective of gender studies and recent analyses of modernity, the construction of the idea of "woman" that derived from marginal discourses focused on notions of progress. For this purpose, I will analyze the works of the following writers from Puerto Rico: Alejandro Tapia y Rivera (1826-1882) and Ana Roqué de Duprey (1853-1933), and from Brazil: Joaquim M. Machado de Assis (1839-1908) and Julia Lopes de Almeida (1862-1934). Studying these writers and their literary production, I will be able to contribute to current debates on how modernization generates new forms of feminine subjectivity. Moreover, these new forms rearrange and transform the process of modernization from a feminine perspective. This approach is essential to the understanding of the cultural production of the modern woman within one of the more complex periods of Latin America's history. In the first part of the dissertation, I explore the novels of Tapia y Rivera and Machado de Assis. These writers present different aspects of spiritualism regarding women. With the work of these two male intellectuals, I will focus on how spiritualism influences femininity while simultaneously participating in new economic forms. In the second part, with the novels of Roqué de Duprey and Lopes de Almeida, I study the dynamics between rural and urban zones and how this impacts the configuration of gender. As a result of these processes of modernization, a modern feminine subjectivity emerged, yet it was one that did not necessarily share the new social and cultural ideals of progress. On the contrary, this subjectivity combined traditional cultural patterns with new ones. This contradiction generates different visions of modernity than that proposed by intellectuals and politicians. This shows how, in Puerto Rico and Brazil, the role of women in modernity allows for new interpretations in this period of crisis and national changes.
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This thesis examines contemporary musical and literary representations of female fatness in the Hispanic Caribbean. Chapter I explores the stereotype of a greater acceptance and valorization of fatness within the African Diaspora using contemporary feminist scholarship on cultural aesthetics and the body. Fatness is discussed as being both sexually transgressive and traditionally feminine. Chapter II juxtaposes male representations of “la gorda” in the lyrics of popular music of from Cuba, the Dominican Republic and Puerto Rico with the feminist politics of underground hip hop. Chapter III analyzes Guillermo Cabrera Infante’s hyperbolic representation of La Estrella, his fictionalization of Cuban bolero singer Fredy Rodriguez, in Ella cantaba boleros y “Metafinal” (1996). The aquatic subtexts and grotesque characterization of La Estrella’s body construct her as an icon of musical authenticity and exceptionality as well as a symbol of strength and resistance.