Author ORCID Identifier
https://orcid.org/0000-0002-3452-3286
Defense Date
2024
Document Type
Dissertation
Degree Name
Doctor of Philosophy
Department
Education
First Advisor
Naomi Wheeler
Second Advisor
Abigail Conley
Third Advisor
Ryan Carlson
Fourth Advisor
Kaitlin Hinchey
Abstract
This dissertation presents a line of research exploring systemic factors that influence health and health equity across the lifespan. A linking document prefaces two-manuscripts as follows. Manuscript 1, A Model for Enhanced Trauma-Informed Care: An Asset-Based, Transdisciplinary Approach to Health Equity, presents a synthesis of literature on multisystem resilience, social determinants of health, and adverse / positive childhood experiences to build an alternative framework to promote healing and health equity using an asset-based approach within enhanced trauma-informed systems of care and educational models. By adopting this enhanced framework, the counseling field and others can be responsive to emerging trends and contribute to meaningful progress towards health equity across the lifespan. Manuscript 2, Maternal Health (In)Equity: Interactions between Family Relationship Quality, Multimorbidity, and Postpartum Depression (PPD), presents a secondary data analysis using hierarchical linear modeling with a sample (N = 1397) of racially and ethnically diverse, low-income mothers at six to ten months postpartum. Family relational health predicted lower PPD scores, and health status (i.e., no conditions, either physical or mental health conditions, both physical and mental health conditions) moderated the relationship between family relational health and PPD, with the strongest negative relationship for the either group. Results underscore a holistic, systemic approach to interprofessional assessment and conceptualization that benefits from inclusion of resources like family support, as well as consideration for current mental and physical health conditions. Practice implications include a potential prevention and intervention point (i.e., family relationships) to promote holistic maternal health equity, particularly within interprofessional settings.
Rights
© The Author
Is Part Of
VCU University Archives
Is Part Of
VCU Theses and Dissertations
Date of Submission
12-9-2024