Dissertations, Theses, and Capstone Projects

Date of Degree

6-2023

Document Type

Dissertation

Degree Name

Ph.D.

Program

Nursing

Advisor

Juan Battle

Committee Members

Erica Chito-Childs

Steven Baumann

Subject Categories

Medicine and Health Sciences

Keywords

New york, self confidence

Abstract

Minority populations, such as Black adults of non-Latinx descent, are more likely to develop chronic diseases and complications related to disease severity when compared to Non-Latinx Whites (NLW). Furthermore, Black adults of non-Latinx descent people are less likely to engage and maintain health promoting behaviors (HPB) to prevent disease development. HPB are effective in preventing or delaying chronic disease. This research explores the relative impact of aspects of health, built environment and key demographic domains on HMSE of a national sample of Black adults. Methods: Hierarchical regression modeling was performed utilizing data from the 2018 National Survey of Health Attitudes to investigate the relative impact of aspects of health, built environment and key demographic domains on HMSE of a national sample of Black adults. Moreover, to better understand the unique role of gender, analysis was performed initially for the entire sample and then separately for males and females. Results: When controlling for all other variables, HMSE in all Black adults of non-Latinx descent was significantly correlated with various built environment- and key demographic level variables. Significant differences in gender were identified between men and women in all three domains. Conclusions: Results from this study reveal variables that can influence HMSE in the Black adults of non-Latinx descent population, and men and women separately. These findings can be used to develop HMSE that aid in the adoption HPB and reduction of chronic illness in Black men of non-Latinx descent and Black of non-Latinx descent women.

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