Browsing by Subject "NHIS"
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Item Complementary and Alternative Medicine (CAM) Use in United States (US) Adults with Chronic Low Back Pain (LBP): Examining the Effectiveness of Acupuncture on US Adults with Chronic LBP(2016-10) Ghildayal, NehaLow back pain (LBP) places a heavy burden on health care systems in the United States, costing approximately $100 billion a year in costs related to health care utilization. As health care costs continue to rise, it is important to allocate limited resources toward therapies that offer the most benefit for people with LBP. In order to be considered by healthcare policymakers in the US, the use of CAM therapies, such as acupuncture, and resultant outcomes must be understood. For this dissertation, a secondary data analysis, systematic literature review, and cost-effectiveness analysis were completed in order to determine patterns of CAM use and the effectiveness of a specific CAM therapy - acupuncture - in order to give policymakers, health practitioners, and patients in the US additional information on CAM use in the LBP population and the effect of acupuncture on chronic LBP.Item Family Experiences: The Impact of Family Structure and Autism Spectrum Disorder on Social Outcomes(2016-12) Hamre, KristinIn the nearly two decades since tracking began, prevalence of autism spectrum disorder (ASD) in children has continued to rise. In order to best serve families, is important to understand the unique experiences of families who have a child with ASD. Drawing on family stress adaptation theory, and primarily on the Double ABCX Model of Adjustment, factors which contribute to a family's positive adaptation are identified and analyzed. This study investigates the relationships among families with children with ASD and a number of indicators of socioeconomic status, including public benefit usage, parental education, and income. The study also characterizes the family unit, seeking to understand the distribution of family structures in which children with ASD reside. The study sample included 22,697 families with children ages 3 to 17 surveyed in the 2014 and 2015 National Health Interview Survey (NHIS). A number of logistic regression models were run to test associations. The findings indicate that families with ASD are having different experiences than families who have children with no diagnosis of ASD on a number of outcomes. Findings include a two year pooled prevalence estimate of children with ASD of 2.25%. Additionally, population estimates of family structures for children with ASD were calculated. The effects of autism on family structure revealed children with ASD had lower odds of living in a two parent household and higher odds of living with a single mother compared to children without ASD. The effects of ASD and family structure on a number of outcomes were analyzed. Compared to two parent households with a child without an ASD diagnosis, single and two parent households with a child with ASD had higher odds of government benefit usage, higher odds of household income under $50,000, and no difference in highest parental educational attainment. These results have implications in policy and practice for families with children with autism spectrum disorder.