The illness experiences of African Americans residing in an inner city community, Houston, Texas

This dissertation documents health and illness in the context of daily life circumstances and structural conditions faced by African American families living in Clover Heights (pseudonym), an inner city public housing project in the Third Ward, Houston, Texas. Drawing from Kleinman's (1980) model of culturally defined health care systems and using the holistic-content approach to narrative analysis (Lieblich, Tuval- Mashiach, & Zilber, 1998) the purpose of this research was to explore the ways in which social and health policy, economic mobility, the inner city environment, and cultural beliefs intertwined with African American families' health related ideas, behaviors, and practices. I recruited six families using a convenience sampling method (Schensul, Schensul, & LeCompte, 1999) and followed them for fourteen months (2010–2011). Family was defined as a household unit, or those living in the same residence, short or long-term. Single, African American women ranging in age from 29–80 years headed all families. All but one family included children or grandchildren 18 years of age and younger, or children or other relative 18 years of age and older. I also recruited six residents with who I became acquainted over the course of the project. I collected data using traditional ethnographic methods including participant-observation, archive review, field notes, mapping, free-listing, in-depth interviews, and life history interviews. ^ Doing ethnography afforded the families who participated in this project the freedom to construct their own experiences of health and illness. My role centered on listening to, learning from, and interpreting participants' narratives, exploring similarities and differences within and across families' experiences. As the research progressed, a pattern concerning diagnosis and pharmacotherapy for children's behavioral and emotional problems, particularly attention-deficit hyperactivity disorder (ADHD) and pediatric bipolar disorder (PBD), emerged from my formal interactions with participants and my informal interactions with residents. The findings presented in this dissertation document this pattern, focusing on how mothers and families interpreted, organized, and ascribed meaning to their experiences of ADHD and PBD. ^ In the first manuscript presented here, I documented three mothers' narrative constructions of a child's diagnosis with and pharmacotherapy for ADHD or PBD. Using Gergen's (1997) relational perspective I argued that mothers' knowledge and experiences of ADHD and PBD were not individually constructed, but were linguistically and discursively constituted through various social interactions and relationships, including family, spirituality and faith, community norms, and expert systems of knowledge. Mothers' narratives revealed the complexity of children's behavioral and emotional problems, the daily trials of living through these problems, how they coped with adversity and developed survival strategies, and how they interacted with various institutional authorities involved in evaluating, diagnosing, and encouraging pharmaceutical intervention for children's behavior. The findings highlight the ways in which mothers' social interactions and relationships introduced a scientific language and discourse for explaining children's behavior as mental illness, the discordances between expert systems of knowledge and mothers' understandings, and how discordances reflected mothers' ‘microsources of power’ for producing their own stories and experiences. ^ In the second manuscript presented here, I documented the ways in which structural factors, including gender, race/ethnicity, and socioeconomic status, coupled with a unique cultural and social standpoint (Collins, 1990/2009) influenced the strategies this group of African American mothers employed to understand and respond to ADHD or PBD. The most salient themes related to mother-child relationships coalesced around mothers' beliefs about the etiology of ADHD and PBD, ‘conceptualizing responsibility,’ and ‘protection-survival.’ The findings suggest that even though mothers' strategies varied, they were in pursuit of a common goal. Mothers' challenged the status quo, addressing children's behavioral and emotional problems in the ways that made the most sense to them, specifically protecting their children from further marginalization in society more so than believing these were the best options for their children.^

Sudden Infant Death disparities: A systematic review on health education and policy recommendations for decreasing Sudden Infant Death in the African-American community

Objective: To perform a systematic review of the literature on SIDS and SUID deaths concentrated in the African-American community, describe health education and policy recommendations and recommend a new approach that may aid in decreasing the disparity of infant mortality in the African-American community. ^ Methods: The PubMed database was systematically searched to identify relevant articles for final review and analysis. Using the CASP 2006 system to critique literature, twelve articles were found that met inclusion and exclusion criteria. ^ Results: Evidence in the literature confirmed there was a current disparity among African Americans' infant mortality rates in comparison to other US ethnic groups. The underlying reasons for these disparities included the following maternal and infant characteristics: mothers younger than eighteen, having more than one live infant, having a high school education or less, never been married, and have infants born preterm or with low birth weight. Maternal smoking, substance abuse, and breastfeeding did not have a significant impact on infant sleep environments among African Americans. ^ Conclusion: Tailored health education programs at the community level, better access to pre-pregnancy and prenatal care, and increased maternal perception of risk that is relevant to the infants sleeping environment are all possible solutions that may decrease African American infant mortality rates.^

Guardians of Generations: African American Grandparent Caregivers for Children of HIV/AIDS Infected Parents

Grandparents, particularly, grandmothers in the African American community have historically provided needed care for their grandchildren (Crewe, 2003). Before there was a child welfare system that addressed the needs of African American children, there were grandmothers who served as the safety net for their biological, informally adopted grandchildren, and other minor relatives. They cared for grandchildren and others whose birth parents were unable or unwilling to care for them. For families of color, HIV/AIDS is an emerging issue that is contributing to the growing numbers of grandparent-headed households. And once again, many African American grandmothers have accepted the challenge of holding their families together. This article addresses the HIV/AIDS public health challenge in the African American community with specific focus on its impact on older grandparents responsible for raising children of infected biological parents. It advocates for a model that continues to strengthen the Children’s Bureau investment in kinship care through integrating the needs of children and their aging caregivers.

A comparison of health behaviors of African -American male and female illicit drug users: Implications for community health practice

Prevalence of drug use, HIV, syphilis, and other STDs is particularly high in African-American populations. Although some studies have documented protective changes in health behaviors relevant to these outcomes, other research indicates that risky health behaviors are still widespread. Moreover, little is known about how African-American men and women have differed in their responses to calls to adopt protective behaviors. The study reported in this dissertation investigates gender differences in health risk behavior in a sample of 482 African American chronic, frequent injection drug and crack cocaine users residing in Houston, Texas. It uses baseline and 9 month follow-up data collected on this sample. Four major research questions are addressed. These questions are: Research question 1. What was the overall pattern of reduction in drug use for subjects in the sample? In particular, did subjects who reported a recent (30 day) reduction in drug use and needle sharing risk at baseline also report a reduction at follow-up? Research question 2. Is gender significantly associated with the overall pattern of risk reduction in drug injection observed in the two waves of the study? Research question 3. Is gender significantly associated with the overall pattern of reduction in the number of sexual partners observed in the two waves of the study? Research question 4. Is gender significantly associated with the overall pattern of increase in the use of barrier contraceptives in the two waves of the study? ^

Model - data comparison of western African rainfall evolutions during the Last Interglacial (130-115 ka)

This dataset characterizes the evolution of western African precipitation indicated by marine sediment geochemical records in comparison to transient simulations using CCSM3 global climate model throughout the Last Interglacial (130-115 ka). It contains (1) defined tie-points (age models), newly published stable isotopes of benthic foraminifera and Al/Si log-ratios of eight marine sediment cores from the western African margin and (2) annual and seasonal rainfall anomalies (relative to pre-industrial values) for six characteristic latitudinal bands in western Africa simulated by CCSM3 (two transient simulations: one non-accelerated and one accelerated experiment).

Distribution of benthos in late Quaternary turbidite layers of sediment cores from the North-West African continental margin

The CaCO3-contents and the fractions > 40 µm have been analysed from 5 kastenloten, one piston core and two kastengreifer taken between Senegal and Cape Verde Islands. Numerous benthonic and planktonic organisms and different terrigenous components have been distinguished. The four cores off Senegal reach middle Wuerm sediments; cores GIK12329-6 and TAG72-1 reach the V-zone and core GIK12331-4 the X-zone (Eem); the two kastengreifer contain sediments of Holocene age. Correlation of the cores has been made. Holocene sedimentation rates decrease from the shallow cores (6-11 cm/1000 years) to the deep-sea (1-2 cm/1000 years). The following climatic variations could be deduced from the sediments off the Senegal: during Holocene climate was in general as today, the Senegal river transporting fine grained material to the sea. The upper Wuerm was arid with no river influence but with red dune sand transported to the continental slope. During middle Wuerm the climate was humid again. The deep-sea cores have been influenced by eolian material from arid regions during glacial and interglacial periods, indicated by relatively high "Wuestenquarz-numbers". However, during Wuerm "Wuestenquarz-numbers" are higher than during Holocene and Eem, indicating that more intensely red coloured sediment was exposed to wind activity on the continent during this period. Varying amounts of terrigenous material and CaCO3-contents indicate varying wind strengths (lower in Holocene and Eem than during Wuerm). The boundary between humid and arid Wuerm climate was at approximately 20 °N. Influence of upwelling is difficult to establish in the sediments off Senegal, because river influence, while increasing fertility also dilutes the diatoms which are typical for upwelling. High amounts of organic carbon, low plankton/benthos ratios of foraminifers and low plankton foraminifer/radiolarian ratios in Holocene sections might be interpreted as influenced by upwelling. Turbidites occur in cores 72 and 31 and at the Holocene/Pleistocene boundary of core GIK12329-6. Their composition indicates provenance from the continental shelf of the Cape Verde Islands for core 31 and the continental shelf and slope off Senegal for core TAG72-1. Volcanic material, rare in the normal pelagic sediment of core GIK12331-4 is more frequent in the turbidites.

Biomarkers, stable carbon isotope record and pollen distribution of the soutwest African continental margin

This is part 2 of a study examining southwest African continental margin sediments from nine sites on a north-south transect from the Congo Fan (4°S) to the Cape Basin (30°S) representing two glacial (MIS 2 and 6a) and two interglacial stages (MIS 1 and 5e). Contents, distribution patterns, and molecular stable carbon isotope signatures of long-chain n-alkanes (C27-C33) and n-alkanols (C22-C32) as indicators of land plant vegetation of different biosynthetic types were correlated with concentrations and distributions of pollen taxa in sediments of the same time horizons. Selected single pollen type data reveal details of vegetation changes, but the overall picture is best illustrated by summing pollen known to predominantly derive from C4 plants or C4 plus CAM plants. The C4 plant signals in the biomarkers are recorded in the delta13C data and in the abundances of C31 and C33 n-alkanes, and the C32 n-alkanol. Calculated clusters of wind trajectories for austral summer and winter situations for the Holocene and the Last Glacial Maximum afford information on the source areas for the lipids and pollen and their transport pathways to the ocean. This multidisciplinary approach provides clear evidence of latitudinal differences in leaf wax lipid and pollen composition, with the Holocene sedimentary data paralleling the current major phytogeographic zonations. The northern sites (Congo Fan area and northern Angola Basin) get most of their terrestrial material from the Congo Basin and the Angolan highlands dominated by C3 plants. Airborne particulates derived from the western and central South African hinterland dominated by deserts, semideserts, and savannah regions are rich in organic matter from C4 plants. As can be expected from the present and glacial positions of the phytogeographic zones, the carbon isotopic signatures of n-alkanes and n-alkanols both become isotopically more enriched in 13C from north to south. In the northern part of the transect the relative importance of C4 plant indicators is higher during the glacials than in the interglacials, indicating a northward extension of arid zones favoring grass vegetation. In the south, where grass-rich vegetation merges into semidesert and desert, the difference in C4 plant indicators is small.

Antagonistic interactions between the african weaver ant Oecophylla longinoda and the parasitoid Anagyrus pseudococci potentially limits suppression of the invasive mealybug Rastrococcus iceryoides

The ant Oecophylla longinoda Latreille forms a trophobiotic relationship with the invasive mealybug Rastrococus iceryoides Green and promotes the latter's infestations to unacceptable levels in the presence of their natural enemies. In this regard, the antagonistic interactions between the ant and the parasitoid Anagyrus pseudococci Girault were assessed under laboratory conditions. The percentage of parasitism of R. iceryoides by A. pseudococci was significantly higher on "ant-excluded" treatments (86.6% ± 1.27%) compared to "ant-tended" treatments (51.4% ± 4.13%). The low female-biased sex-ratio observed in the "ant-tended" treatment can be attributed to ants' interference during the oviposition phase, which disrupted parasitoids' ability to fertilize eggs. The mean foraging time, host handling time and number of successful oviposition in "ant-excluded" treatment were significantly higher compared to "ant-tended" treatments. When ant workers were allowed access to sterilized sand grains, mummified and unmummified R. iceryoides, they selectively removed the mummified mealybugs, indicating that they recognized the mummies as potential foods (1.2 ± 0.46 to 7.8 ± 1.17 mummies at 10 min intervals for 2 h). Percentage emergence from mummified R. iceryoides removed by the ants was significantly lower compared to emergence from mummies not exposed to ants. Although, host seeking parasitoids frequently evaded attacks, some were killed by the foraging ant workers (2.0 ± 0.38 to 6.0 ± 0.88 at 10 min intervals for 2 h). These results suggest for the first time that the presence of O. longinoda has a detrimental effect on the abundance, reproductive success and possibly oviposition strategy of female parasitoids, which might be a delimiting factor in field conditions if both natural enemies are to be recommended for use within the same agro-ecosystem.

Statistics on low cloud occurrence per month along the South-Western African coast at 7:00 and 14:00 UTC, 2004 to 2009

The spatial and temporal patterns of fog and low clouds along the South-Western African coast are characterized based on an evaluation of Meteosat SEVIRI satellite data. A technique for the detection of fog/low clouds in the region is introduced, and validated using 1 year of CALIOP cloud lidar products, showing reliable performance. The frequency of fog and low cloud in the study area is analyzed by systematic application of the technique to all available Meteosat SEVIRI scenes from 2004 to 2009, for 7:00 UTC and 14:00 UTC. The highest frequencies are encountered in the area around Walvis Bay, with a peak in the summer months. Fog and low clouds clear by 14:00 UTC almost everywhere over land.

Bacterial biomasses and activities in the Northwest African upwelling region

During the 'Meteor' expedition SUBTROPEX '82, sediment samples were taken at 14 stations in different water depths at 35, 29, 25, 21 and 17 °N, and measurements of bacterial biomasses and activities were carried out in these different upwelling-intensity areas. Highest densities and biomasses by AODC (2.2 x 10**8 cells, corresponding to 14.8 µg C/g sediment dry wt) were recorded at 21 °N, year-round upwelling, at 1200 and 800 m, but at 500 m biomass was still 4.3 µg C/g dry wt. Relatively high densities and biomasses (6.5 and 6.8 µg C/g dry wt) were found at 17 °N, upwelling mostly in winter and spring, at 1200 and 800 m. AODC were 2 to 3 orders of magnitude higher than viable counts, incubation at 2 or 20 °C. For deep-water sediments, counts at 2 °C were higher than at 20 °C. Biomass and ATP concentrations were highest in the 0 to 2 cm sediment layers; they decreased with sediment depth. Bacterial biomasses were correlated with organic carbon and ATP concentrations. The fractions of Bacterial ATP were calculated to be 2 to 24% of ATP-biomass. On the basis of organic carbon, however, fractions of Bacterial Organic Carbon were only 0.02 to 0.06%. For microbial communities, the conversion factor 0.004 for BOC to BATP seems 2 orders of magnitude too high. Maximum AEC ratios of 0.53 to 0.70 were found at 21 and 17 °N; the other stations had AEC ratios of 0.21 to 0.47. Numbers of bacteria with respiratory ETS were between 0.5 and 10.5 % of AODC. An exception was the shelf station at 35 °N with 34.2% of AODC.

Sediment accumulation rates of sediment cores from the North-West African continental margin

Six soft sediment cores, up to and over 9 m in length, and additional surface samples were selected for study of their planktonic foraminifera to provide information on the Holocene and Pleistocene stratigraphy of the West African continental margin south of the present boundary of the Sahara. The material was collected by the German research vessel "Meteor" during Cruise 25 in 1971. The residues larger than 160 microns determined, counted and statistically evaluated. Stratigraphical correlations with trans- Antlantic regions are given by occurrence of Truncorotalidoides hexagonus and Globorotalia tumidula flexuosa which mark the last interglacial stage. According to the climatic record the two deep-sea cores extend down to the V-zone, considered here as equivalent to the Mindel-Riss-interglacial time, as there are three distinctly warm and two cold periods indicated in the cores by planktonic foraminiferal faunas. Z-zone = Holocene is present in all cores, Y-zone = Wuermian glacial can be divided into five section, three cold and two warm stages; the X-zone can be divided into three warm stages, separated into two cool periods. The earliest warm stage is indicated to be the warmest one. There are excellent correlations to the Camp century ice core from Greenland, to the Mediterranean, to the Carribean and to the tropical Atlantic as well as to the Barnados stage. The W-zone was correlated to the Riss-glacial. V-zone is a warm period, the upper limit of which being not sufficiently defined, which contains also some cool sections. Increasing sedimentation rates from the deep-sea to the upper slope reveal climatic and regional details in Holocene and Late Pleistocene history of the continental margin. These were based mainly on different parameters of planktonic foraminiferal thanatocoenoses which are the main components of the size fraction >160 microns of the pelagic core. They become incerasingly diluted by other faunal and terrigenous components with decreasing slope depths. Estimates of absolute abundances, ranging from 25000 specimens/gm of sediment in the deep sea to less than 100, indicate various sedimentary processes at the continental margin. An ecological correlation by dominant species is possible. Readily computed temperature indices of different scales are presented which indicate, for instance, three distinctly cold sections within the last glacial and seven warm sections within the last interglacial lime. These are used for estimates of sedimentation rates. During cold periods sedimentation rates are higher than during warmer periods. Stratigraphic correlation and faunal record, combined with absolute abundances and sedimentation rates, indicated that in the deep sea turbidity currents not only cause high sedimentation rates for short periods of time, but also that material is occasionally eroded. Effects of upwelling may be detected in the surfacc sediment samples as well as in late Pleistocene and early Holocene samples of the slope by planktonic foraminiferal data which are not influenced by sedimentary processes.

Composition of sediments from the north-west African continental margin

Entlang dreier Profile vom NW-afrikanischen Kontinentalrand wurden Oberflächensedimente aus Wassertiefen zwischen 39m und 1514m auf ihre Zusammensetzung der Sandfraktion, auf ihre Gehalte an Karbonat und organischer Substanzen sowie auf ihre mineralogische Zusammensetzung hin untersucht. 1) Die auf dem Schelf und dem oberen Hang abgelagerten Sedimente (<500m) zeichnen sich durch hohe Sandgehalte (>70%) und durch hohe Grob/Fein-Verhältnisse aus. Unterhalb dieses Bereiches nimmt der Einfluß von Strömungen, die die Ablagerung von wesentlichen Mengen an Feinmaterial oberhalb 500m verhindern, ab, wie die starke Abnahme des Sandgehaltes, des Quarz/Glimmer und des Grob/Fein-Verhältnisses zeigen. Die Sedimente aus diesen Wassertiefen werden zum großen Teil aus Partikeln der Siltfraktion aufgebaut. Mit zunehmender Tiefe ist auch eine Zunahme der Tonfraktion zu beobachten, wobei höhere Tonanteile (>10%) erst in Tiefen unterhalb von 1200m auftreten. 2) Die quantitative Komponentenanalyse der Sandfraktion zeigt, daß der karbonatische Anteil fast ausschließlich biogener Herkunft ist. Er besteht zum wesentlichen Teil aus planktonischen Komponenten, vorwiegend Foraminiferen und mengenmäßig nur sehr untergeordnet auftretenden Pteropoden. Das opalkieselige Plankton (Diatomeen, Radiolarien) ist nur in geringen Mengen in den untersuchten Proben vorhanden. Auch das Benthos stellt nur eine untergeordnete Komponente der Sandfraktion dar. Vor allem der Anteil von Foraminiferen und Mollusken nimmt mit zunehmender Wassertiefe relativ deutlich ab. Die übrigen benthonischen Komponenten sind im Sediment nur in geringen Anteilen vertreten. 3) Hauptsedimentbildner im Profil Nouakchott sind die nichtbiogenen, terrigen-detritischen Sandkomponenten. Sie bestehen vorwiegend aus Quarz und mit zunehmender Wassertiefe aus Kotpillen bzw. Kotpillenaggregaten. Je nach Tiefe treten vor allem Glimmer (>1000m) und Glaukonit (<800m) hinzu. Die restlichen Komponenten treten nur gelegentlich und in äußerst geringen Mengen im rezenten Oberflächensediment auf. 4) Quarz wird als Windstaub mit dem NE-Passat und vor allem durch den "Harmattan" aus der Sahara heraustransportiert und vorwiegend über dem Schelfbereich sedimentiert. Windstaubmaterial besteht primär weitgehend aus Siltkorngrößen, die vor Nouakchott über die Schelfkante hinaustransportiert werden und zu einer Grobsiltanreicherung am mittleren Hang führen. 5) Das Verhältnis zwischen den karbonatischen Biogenkomponenten und den nichtbiogenen Partikeln spiegelt sich deutlich in der Karbonatverteilung sowohl des Gesamtsedimentes als auch der Sandfraktion wider. Relativ hohe Karbonatgehalte vor Cap Leven im Norden stehen sehr geringen Anteilen von Nouakchott gegenüber. Mit zunehmender Wassertiefe ist eine deutliche Abnahme des Karbonatanteils zu verfolgen. 6) Die Tatsache, daß das Profil Cap Blanc im Bereich des ganzjährigen Auftriebs liegt, spiegelt sich nicht in der Zusammensetzung der Sandfraktion wider. Südlich der Zone des ganzjährigen Auftriebs weisen verschiedene Parameter (Radiolarien, Diatomeen, Verhältnis von Radiolarien zu planktonischen Foraminiferen, Benthos/Plankton-Verhältnis der Foraminiferen) trotz abnehmender Auftriebsintensität eher steigende Werte auf. Dies ist wesentlich auf eine infolge des Nährstoffeintrages durch Flußzufuhr bedingte Verschiebung der maximalen Primärproduktion weit in südliche Richtung zurückzuführen. 7) In den aufgeführten Parametern zeigen sich von Profil zu Profil sehr deutliche fazielle Unterschiede, obwohl der großklimatische Hintergrund im gesamten Untersuchungsgebiet etwa gleich ist. Vor Cap Leven bildet sich eine Fazies, die im wesentlichen aus planktonischen Foraminiferen besteht, während das Sediment vor Nouakchott zum überwiegenden Teil aus nichtbiogenen Komponenten aufgebaut wird. Im Übergangsbereich vor Cap Blanc bildet sich eine Mischfazies, die keinerlei Prägung durch das Auftriebsgeschehen erhält. Die Ursachen dieser faziellen Unterschiede werden auf fehlenden Terrigeneinfluß vor Cap Leven einerseits und hohe Terrigenanlieferung vor Nouakchott andererseits zurückgeführt. 8) Die Zusammensetzung und Verteilung der rezenten Grobfraktionssedimente am Kontinentalrand vor Nw-Afrika wird somit im wesentlichen als Ergebnis einer Überprägung der Biogenanlieferung durch nichtbiogene Komponenten angesehen. Wesentlicher steuernder Faktor ist demnach das hier vorherrschende Windsystem.

Porewater concentrations, pH, single cell number, anaerobic oxidation of methane (AOM) rate, sulfate reduction (SR) rate of samples during METEOR cruise M76/3b at the REGAB cold seep site from the West African margin in 2008

The giant pockmark REGAB (West African margin, 3160 m water depth) is an active methane-emitting cold seep ecosystem, where the energy derived from microbially mediated oxidation of methane supports high biomass and diversity of chemosynthetic communities. Bare sediments interspersed with heterogeneous chemosynthetic assemblages of mytilid mussels, vesicomyid clams and siboglinid tubeworms form a complex seep ecosystem. To better understand if benthic bacterial communities reflect the patchy distribution of chemosynthetic fauna, all major chemosynthetic habitats at REGAB were investigated using an interdisciplinary approach combining porewater geochemistry, in situ quantification of fluxes and consumption of methane, as well bacterial community fingerprinting. This study revealed that sediments populated by different fauna assemblages show distinct biogeochemical activities and are associated with distinct sediment bacterial communities. The methane consumption and methane effluxes ranged over one to two orders of magnitude across habitats, and reached highest values at the mussel habitat, which hosted a different bacterial community compared to the other habitats. Clam assemblages had a profound impact on the sediment geochemistry, but less so on the bacterial community structure. Moreover, all clam assemblages at REGAB were restricted to sediments characterized by complete methane consumption in the seafloor, and intermediate biogeochemical activity. Overall, variations in the sediment geochemistry were reflected in the distribution of both fauna and microbial communities; and were mostly determined by methane flux.