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Browsing by Author "Carter, Gregory A."
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Item Data Mining Teen Narratives on Reddit: Revealing Insights in Cyber Victimization Experiences(2024-07) Antisdel, J'Andra Lashay; Miller, Wendy Trueblood; Ellis, Rebecca Bartlett; Jones, Josette; Carter, Gregory A.; Oruche, UkamakaAs teens increasingly turn to the internet and social media for entertainment and social connection, they are faced with increasingly dangerous situations as technology advances and aggressors seek to harm and exploit victims online. This qualitative study used data mining and Word Adjacency Graphing (WAG), a type of computational analysis, with the aim of analyzing how teens on Reddit describe and discuss their experiences of cyber victimization. WAG modeling allowed for an examination of public, unsolicited teen narratives revealing patterns and alarming insights that were identified in six themes, including psychological impact, coping and healing, protecting yourself online, protecting yourself offline, victimization across various settings, and seeking meaning and understanding. These themes encompassed the impact of cyber victimization and its profound effects on the mental and emotional well-being of teens, emphasizing the importance of updated assessment methods and a trauma-informed approach in healthcare settings. In addition, the trauma expressed by teens highlighted the importance of recognizing cyber victimization as a serious adverse event impacting mental health. This approach would encourage open discussions, validate teens’ experiences, and focus on understanding and responding to the impact of trauma. The findings call for comprehensive strategies in healthcare to screen and assess for cyber victimization effectively, thereby supporting and empowering teens in overcoming these traumatic experiences.Item They “Don't Know How to Deal with People Like Me”: Assessing Health Care Experiences of Gender Minorities in Indiana(Mary Ann Liebert, 2022-10-07) Newsom, Keeley D.; Riddle, Michael J.; Carter, Gregory A.; Hille, Jessica J.; Graduate Medical Education, School of MedicinePurpose: Within the LGBTQ+ community, the transgender and nonbinary (TGNB) population experience a disproportionate amount of discrimination when seeking health care. Such disparities may arise from lack of proper medical training and resources for providers or biases. In this study, we examine the health care experiences of TGNB individuals living in Southern Indiana. Methods: We analyzed responses from TGNB respondents to an LGBTQ+ health care needs assessment survey in Southern Indiana. Respondents were asked about demographic data, their self-assessed health status, quality of health care received, whether they have a provider with whom they feel comfortable sharing their gender identity with, and if they have to commute to see their provider. Finally, respondents were asked an open-ended question about their health care experiences while living in Southern Indiana. Responses were coded and several themes emerged and were analyzed. Results: Eighty-five TGNB individuals completed our survey. Less than half of respondents indicated that they had an LGBTQ+-welcoming provider (44.7%). Individuals with an LGBTQ+-welcoming provider were more likely to report their self-assessed health as excellent/good (p=0.02) and quality of health as excellent/very good (p=0.03) compared to individuals without an LGBTQ+-welcoming provider. Five themes emerged from the write-in responses (n=64): discrimination (34.4%), invalidation (32.8%), distrust (28.1%), logistic concerns (35.9%), and positive experiences (35.9%). Conclusion: The TGNB community living in Southern Indiana reports numerous barriers related to provider attitudes when obtaining health care. Additional training is needed to address provider biases and improve LGBTQ+ community health disparities.