Saudi Cultural Missions Theses & Dissertations
Permanent URI for this communityhttps://drepo.sdl.edu.sa/handle/20.500.14154/10
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Item Restricted Resilience and Reality: Exploring the Lived Experiences of People Living with HIV in Texas During the COVID-19 Pandemic – A Qualitative Study.(The University of Texas at Arlington, 2025-05) Alanazi, Ahmed; Eusebius, SmallThis study investigated the lived experiences of individuals living with HIV (PLWH) in the Dallas-Fort Worth (DFW) area of Texas during the COVID-19 pandemic, using an Interpretative Phenomenological Analysis (IPA) framework. The research examined the intersection of health, social dynamics, and psychological resilience among PLWH, who faced compounded vulnerabilities due to systemic inequities and the dual public health crises of HIV and COVID-19. Through semi-structured interviews with ten participants from diverse backgrounds, the study captured the profound impacts of disrupted healthcare systems, heightened stigma, and social isolation on this marginalized population. The findings reveal that the pandemic exacerbated existing inequities in access to antiretroviral therapy (ART) and mental health services, while simultaneously highlighting the remarkable resilience of the participants. Adaptive coping mechanisms, community support, and advocacy efforts emerged as critical strategies for navigating the layered challenges of living with HIV during a global health crisis. The study identified key themes such as social isolation and estrangement, the emotional toll of the diagnosis, resilience in navigating health crises, and redefining possibilities through HIV services, with each theme branching into sub-themes that offer deeper interpretations. Participants' narratives underscore the necessity for tailored interventions that address the broad-ranging needs of PLWH, including the integration of mental health services into HIV care and the development of socially-led education campaigns to combat stigma. By focusing on the unique experiences of PLWH, this research contributes to the broader understanding of syndemic health crises, where HIV/AIDS interacts synergistically with other social, economic, and health issues, exacerbating the overall impact on affected communities. The study calls for a paradigm shift in public health policy, emphasizing the need for inclusive and intersectional approaches that prioritize equity, resilience, and community empowerment. The findings also provide actionable insights for healthcare providers, policymakers, and community organizations, advocating for robust telemedicine infrastructure, stigma reduction initiatives, and comprehensive support systems that ensure continuity of care during public health emergencies. As the global community still grapples with the lasting impacts of the COVID-19 pandemic, this study underlines the urgency of reimagining public health strategies. By centering the voices of those living at the intersection of HIV and COVID-19, it challenges existing paradigms and paves the way for innovative solutions that transcend individual health crises, offering a blueprint for more equitable, inclusive, and resilient healthcare systems. The research not only highlights the structural inequities that deepen health disparities but also illuminates the resilience and adaptive capacities of PLWH, providing a foundation for policies and practices that uphold dignity, wellbeing, and social inclusion for all.13 0Item Restricted Socioeconomic inequalities in cardiovascular diseases risk factors: Analysis of the Health Survey of England(Saudi Digital Library, 2023-11-01) Abideen, Raseel; Douiri, AbdelIntroduction: Cardiovascular diseases present a significant global health challenge, contributing substantially to morbidity and mortality. This complex issue arises from a confluence of genetic, lifestyle, and environmental factors. Despite medical advancements, socioeconomic determinants persist as formidable barriers to achieving equitable health outcomes. Addressing these inequalities is pivotal in mitigating the impact of cardiovascular diseases on public health. Aim: The primary aim of this research is to investigate the association between socioeconomic factors and the prevalence of three cardiovascular risk factors: hypertension, obesity, and smoking. By delving into the Health Survey of England dataset for 2019, this study seeks to unravel the complex web of associations that link demographic and socioeconomic strata with the prevalence of these risk factors. Methodology: This research adopts a cross-sectional design, leveraging the comprehensive Health Survey of England dataset. Analyzing a range of demographic and socioeconomic variables, the study employs rigorous statistical methods, including chi-square tests, logistic regression, and descriptive analysis. This approach offers a comprehensive examination of the relationships between socioeconomic factors and cardiovascular risk profiles. Results: The study offers nuanced insights into the interplay of age and hypertension, revealing a significant surge in prevalence and odds beyond the age of 45. Distinct ethnic disparities in hypertension prevalence highlights higher rates among Black individuals, signifying their increased susceptibility. Socioeconomic status emerges as an important factor, with lower income groups displaying elevated odds of hypertension. Exploring obesity patterns uncovers the influence of gender and culture, with males at higher risk and Asian ethnic groups displaying lower odds. Socioeconomic status is again noteworthy, as higher standing correlates with decreased obesity risk. Smoking behaviors exhibit age-related variation, with young adults aged 25-34 displaying the highest prevalence and likelihood of being current smokers. Ethnic disparities in smoking behaviors underscore cultural influences, while income and deprivation complexities link with smoking behaviors. Conclusion: This dissertation underscores the interconnected nature of age, gender, ethnicity and socioeconomic status in shaping cardiovascular risk profiles. Recommendations include targeted interventions for hypertension among older adults and ethnic minority populations, culturally sensitive obesity interventions, and comprehensive antismoking initiatives. Findings emphasize the significance of addressing health disparities and fostering equitable health outcomes in the pursuit of a healthier future for all.18 0