Social and Behavioral Sciences Commons^™

Perspectives Of Hispanic/Latina Women Ages 60 And Over On The Impact Of Single Motherhood And Their Long-Term Financial Well-Being, Tess Juno Anselm

Graduate Doctoral Dissertations

Unmarried women over the age of 60 continue to experience disproportionate rates of adult poverty in the United States, while families headed by single mothers experience the highest poverty rates. This study explores the long-term impact of single motherhood on financial wellness through the perspective of Hispanic/Latina women ages 60 and over who have experienced single motherhood in Massachusetts. A transdisciplinary study, it utilizes intersectionality as a theoretical framework, employs feminist standpoint informed inquiry methods to document lived experiences through in-depth interviews, and engages diffraction as a mode of praxis as it intra-acts with narratives and explores the systems and …

Addressing Health Crises Through Courts? Climate Litigation In Latin America, The Right To Health And Vulnerable Populations, Thalia Viveros Uehara

Graduate Doctoral Dissertations

As Latin America faces increasing climate-related health crises that disproportionately affect populations experiencing poverty and social exclusion, it becomes increasingly urgent to realize the most vulnerable's right to health. While the region's new constitutionalism (NLAC) has made progress in protecting this right, it has only recently begun to intersect with climate change law through rights-based climate litigation. This dissertation takes a transdisciplinary multi-methods research approach to answer the following question: How do health crises emerge within, and how are they addressed by courts through, domestic climate litigation in Latin America? Specifically, it examines how health concerns for vulnerable populations are …

Acculturation And Health Services Utilization Among Older Asian Americans: The Roles Of Social Support And Psychological Distress, Mei Chen

Graduate Doctoral Dissertations

There are relatively few studies about health services utilization among older Asian Americans. Historically, Asian Americans have been treated as one homogenous race group, and the underlying heterogeneity among specific ethnic groups was underappreciated and neglected. This dissertation investigates the relationship between acculturation and health services utilization among older Asian Americans and several specific Asian ethnic subgroups, including Chinese, Japanese, Korean, Filipino, and Vietnamese Americans. In addition, South Asian Americans and members of other Asian groups were also examined.

This study employed two samples of older Asian Americans based on the specific healthcare resources evaluated. The first sample employed five …

Negotiating Acculturation: A Qualitative Study Of Muslim American Women, Noor N. Tahirkheli

Graduate Doctoral Dissertations

The estimated population of Muslims in the United States ranges from 3 to 7 million (Bukhari, 2003; Pew Research Center, 2017; Strumm, 2003), with an estimated 69-75% of Muslim Americans being 1st or 2nd generation immigrants (defined as those born abroad and those with immigrant parents, respectively), hailing from over 80 countries (Bukhari, 2003; Pew Research Center, 2017). Thus, most Muslims are navigating the complex processes of acculturation, which is the adaptation of behavioral, cognitive, and affective aspects of one’s cultural functioning, which result from consistent contact with different cultural contexts and groups (Driscoll & Wierzbicki, 2012). Research has noted …

Neighborhood And Environmental Predictors Of At-Risk And Problem Gambling In Massachusetts, Kendra E. Pugh

Graduate Doctoral Dissertations

Despite the widespread impact and negative effects of problem gambling (PG), limited attention has been paid to the environment where PG occurs. This study investigated the relationship between gambling on lottery and the zip code where gambling occurs, as well as the influence of individual-level characteristics that predict at-risk or problem gambling (AR/PG), among Massachusetts residents. A GIS analysis was conducted to identify vulnerable areas based on neighborhood characteristics, lottery sales, and AR/PG. Overall, residents of disadvantaged areas did not spend more money on lottery or have more lottery agents than residents of less disadvantaged areas. Some indicators of disadvantage …

Opening The Halls Of Power: Implementing A Community Organizing Approach To Parent Engagement In New York City’S Community Schools, Andrew R. King

Graduate Doctoral Dissertations

Under former Mayor Bill de Blasio, New York City launched a Community Schools Initiative (NYC-CS) in 2014 that now includes more than 300 schools, making it the largest school improvement plan of its kind in the country. Bloomberg, the previous mayor, had championed market-based reform strategies by closing struggling public schools and replacing them with privately run charter schools. In contrast, the community schools model supports struggling schools by providing them with wraparound services to address not only the academic—but also the health, social, and emotional—needs of the “whole child.” Research has shown the NYC initiative has had positive impacts …

The Role Of Physical Activity And Gender As Moderators For The Relationship Between Insomnia And Depression, Claire E. Wickersham

Graduate Doctoral Dissertations

Objective: The aim of this study was to examine the association between insomnia and depressive symptoms among middle-aged and older adults and to investigate whether gender or physical activity moderates this relationship. Method: This study used nationally representative data from the 2016 and 2018 waves of the Health and Retirement Study (HRS) and binomial logistic regression was used to estimate models. Regression models for risk of depressive symptoms (2018) were based on a longitudinal model with time-lagged indicators of insomnia, levels of physical activity, and covariates (2016). Results: Analyses showed that participants who reported having insomnia in 2016 were more …

Investigating Women's Sexual Agency And Alcohol Use In The Sexual Consent Process, Julie Koven

Graduate Doctoral Dissertations

Among college students, sexual engagement and alcohol consumption are considered common behaviors, with many students reporting drinking prior to sexual experiences. Given the prevalence of sexual assault on campuses and connection between nonconsensual sex and drinking, colleges have adopted policies and programs with the intention of reducing risky drinking behaviors and sexual practices. The majority of these policies stipulate that students cannot give sexual consent under the influence of alcohol, but students find these policies unrealistic. Further, these policies fail to consider the larger context of traditional heteronormative gender scripts that influence sexual behavior, setting narrow expectations, especially for women’s …

Moving Beyond The Individual: Applying Cultural Identity To Stigma Theory And Methodology, Emily Reichert

Graduate Doctoral Dissertations

Scholarly research on the topic of stigma has endured through half a century, formally beginning in 1963 with Goffman’s influential work, “Stigma: Notes on the Management of Spoiled Identity.” Since then, top researchers in a wide range of fields have contributed toward further elucidating the expansive processes of stigmatization and anti-stigma initiatives for a growing number of marginalized experiences. It is within this growing body of work, however, that inconsistencies and contradictions become more onerous and limit the scope of future research. These limitations include a) competing camps of pro- and anti-stigma initiatives toward public health aims, b) siloed approaches …

More Seats At The Table: An Examination Of The Role Of Natural Supports In Promoting Postsecondary Transition For Students With Disabilities In Rural Maine, Elizabeth Stone-Sterling

Graduate Doctoral Dissertations

Students with disabilities who receive special education services are entitled under federal law, the Individuals with Disabilities Education Act, to have an Individualized Education Program (IEP) that includes measurable postsecondary goals and identifies the transition services that are needed in order for the student to reach those goals. Transition planning for students with disabilities in rural areas can be uniquely challenging due to lack of access to transportation, service providers, and accessible programs. Failure to prepare for postsecondary education or employment is correlated with life-long challenges, including poverty, un/under-employment, and limited educational attainment. Natural supports, in the form of family …

The Influence Of Medicare Insurance Type – Traditional Fee-For-Service V. Medicare Advantage – On Rehospitalizations For Patients With Heart Failure In Skilled Nursing Facilities, Andrea Elizabeth Lane Daddato

Graduate Doctoral Dissertations

Heart failure (HF) is a leading cause of rehospitalizations for Medicare beneficiaries from skilled nursing facilities (SNFs). This research sought to determine if HF patients’ insurance type (Medicare Fee-for-Service (FFS) vs. Medicare Advantage (MA)) influences their risk for readmission within 30 days of hospital discharge to a SNF. This research is particularly timely in light of new penalties under the Protecting Access to Medicare Act SNF Value-Based Purchasing (SNF-VBP) program directed at SNFs for 30-day rehospitalizations. Previous literature finds FFS beneficiaries with HF in SNF at greater risk for rehospitalization compared to MA members. This research contributes to the literature …

The Role Of The Environmental Context In Advance Care Planning Among Older Adults, Brittany E. Gaines

Graduate Doctoral Dissertations

Research has focused on various individual characteristics associated with advance care planning (ACP), but little is known about how the environment context is associated with ACP. This study examined the role of environmental characteristics in ACP by addressing three key aims: 1) examine the independent effects of environmental factors on ACP, 2) assess the moderating effects of environmental factors on the associations between ACP and individual household income and educational attainment, and 3) conduct a longitudinal examination of ACP and environmental characteristics. I combined individual ACP information from the 2004 and 2011 waves of the Wisconsin Longitudinal Study with county …

Defining Worthy Victims: State-Level Legislative Decisions To Prevent The Criminalization Of Commercially Sexually Exploited Children In The United States, Kathleen A. Price

Graduate Doctoral Dissertations

The federal Trafficking Victims Protection Act of 2000 (TVPA) includes children (anyone under 18) who are sexually exploited for commercial purposes in its definition of human trafficking victims. However, most states currently arrest and/or prosecute sex trafficked children for prostitution. From 2008 to 2017, six states neither arrested nor prosecuted sexually exploited children for prostitution; eight retained the right to arrest, but not prosecute minors for prostitution; and 36 states both arrested and prosecuted this population for prostitution. All 50 states passed their first human trafficking laws between 2003 and 2013. Washington passed the first in 2003 and Wyoming was …

From Victim To Volunteer: A Life Course Perspective And The Transition To Adulthood For Individuals Who Have Sold Sex, Julianne M. Siegfriedt

Graduate Doctoral Dissertations

Under the United States definition of sex trafficking, one is considered a sex trafficking victim if she or he sells sex under 18 years old. Once someone turns 18, in order to claim trafficking status force, fraud, or coercion must be proven or that person falls under the illegal status of sex worker (VTVPA 2000). If one can go from being a victim of a crime to a perpetrator of a crime by having a birthday, what does the transition to adulthood and turning 18 look like for those who sell or exchange sex or are at risk of selling …

Developing Age-Friendly Communities: Evidence From Multiple Case Studies, Patricia A. Oh

Graduate Doctoral Dissertations

Population aging brings opportunities and challenges for local community and economic development. One policy solution that has been adopted by 325+ jurisdictions in the United States is joining the AARP Network of Age-Friendly States and Communities or the WHO Global Network of Age-Friendly States and Communities. Although the age-friendly movement is gaining momentum in the US, few studies have looked at what influences municipal decision-making about joining a network or making age-friendly changes. The purpose of this multiple case study was to explore what influences municipal decision-making about joining a formal age-friendly network and how communities mobilize the resources at …

To Adopt Or Not To Adopt: Factors Impacting States’ Pursuit And Implementation Of Aca’S Home And Community-Based Programs, Lisa Kalimon Beauregard

Graduate Doctoral Dissertations

The Patient Protection and Affordable Care Act (ACA) sought to improve the United States’ long-term services and supports (LTSS) system by expanding home and community-based services (HCBS). The ACA contained several optional Medicaid HCBS opportunities for states, including the Balancing Incentive Program, the 1915(k) Community First Choice personal care benefit, and the revised 1915(i) state plan benefit. This research examined these HCBS provisions to explain what factors determine whether states participate in the ACA’s new HCBS programs and, after adoption, what factors facilitate or impede implementation of these programs. To answer these questions, this study used a mixed methods research …

Surveying Identities In Context: Race, Gender & Sexual Orientation ‘At Work’, Justine A. Bulgar-Medina

Graduate Doctoral Dissertations

Researchers, practitioners and common practice have imputed a great deal of power onto categories of social identity (e.g. race, sexual orientation, gender, religion). It common practice to collect demographic and identifying information on the categories to which we belong in settings ranging from the Census to the online shopping profile. Moreover, we have come to expect that this information will be used to make meaningful decisions on government program funding, targeted marketing, college recruitment and so much more. We also know that minority identities have a long history of negatively impacting individuals in employment, housing and other realms of daily …

Intergenerational Financial Exchange And Cognitive Well-Being Among Older Adults In China, Ping Xu

Graduate Doctoral Dissertations

Although cognitive loss is part of normal aging, it has unfavorable consequences for older individuals, their family, as well as society. The prevalence of mild cognition impairment is expected to go up in China. How to maintain normal cognition for a longer period of time and to delay impair process is an emerging concern for older Chinese adults. Unlike Western countries, China lacks of formal support system. Intergenerational support between older parents and adult children is a predominant resource when they are in need. This study examines how intergenerational financial exchanges between older parents and their adult children is related …

Understanding The Role Of Driver, Vehicle, Environment, And Policy Factors In Crash Injury Severity Among Older Adults In The United States, Chae Man Lee

Graduate Doctoral Dissertations

Driving is related to quality of life and health outcomes. Older drivers involved in car crashes have a higher risk of experiencing a severe injury or fatality. Understanding factors related to injury severity may identify points of intervention to promote road safety. The purpose of this study is to investigate how individual characteristics, vehicle elements, environmental elements, and driving licensing policy are associated with level of injury severity from no injury to fatal injury resulting from car crashes. Furthermore, this dissertation research utilizes the Geographic Information System (GIS) process to visualize the location of crashes and to identify the hot …

Multiple Roles In Later Life: Role Enhancement And Conflict And Their Effects On Psychological Well-Being, Emma D. Quach

Graduate Doctoral Dissertations

Holding both work and family roles can be a central experience for men and women, young or old. Yet, to date, the bulk of knowledge on holding roles in both domains is specific to young adults, a critical gap as conditions warrant longer work life. This inquiry thus focused on older working men and women (over 50 years of age) with at least one family role (spouse, parent of adult children, caregiver to an aging parent, or grandparent). With survey data from the Health and Retirement Study in 2010 and 2012, latent profile analysis, path analyses, and regressions were conducted …

Living Alone And Subsequent Living Arrangement Transitions Among Older Americans, Yao-Chi Shih

Graduate Doctoral Dissertations

Past research often considers living alone as a risk factor for older persons. In fact, adverse health outcomes are associated with living arrangement transitions, suggesting a need to consider the dynamic process of living arrangements. Using eight waves of the Health and Retirement Study (1998-2012), this study examines three research questions: (1) Do older Americans’ living arrangements exhibit a pattern of sequence? (2) What are implications of living arrangements at particular older ages on life expectancy? (3) What factors predict transitions out of a living alone arrangement?

The first analysis displays and classifies ordered patterns of living arrangements over time. …

Marital History And Retirement Security: An Empirical Analysis Of The Work, Family, And Gender Relationship, Lauren A. Martin Palmer

Graduate Doctoral Dissertations

This dissertation investigates the relationship between marital history and individuals’ retirement resources, namely Social Security, employer-sponsored pensions, and non-housing wealth. Prior research provides a foundation for understanding marriage’s positive relationship to retirement security, and suggests that marriage is financially beneficial and can even lessen some external factors that would otherwise damage a family’s financial situation. Yet changing demographics, with fewer people in first marriages and rising numbers of individuals experiencing divorce and choosing to remain unmarried, suggest our understanding of this relationship for today’s retirees may be limited. The purpose of this research is to identify which aspects of complex …

The Social Environment, Apoe-E4, And Dementia: The Social Environment As A Moderating Factor Among Individuals Genetically Predisposed To Develop Dementia, Judith L. Poey

Graduate Doctoral Dissertations

Many studies have shown a relationship between the APOE-e4 allele and dementia, as well as a relationship between the social environment and dementia. However, relatively little investigation into the potential moderating effect of the social environment on the relationship between the APOE-e4 allele and cognitive well-being has been reported. Further, studies that did examine these relationships typically have employed clinical populations, along with regional and non-U.S. samples. This study contributed to the research literature, in part, by using the first U.S. nationally representative sample of older adults that included clinical diagnosis of cognition and dementia (Aging, Demographics, and Memory Study …

Patterns Of Dissaving Among U.S. Elders, Deborah Gray

Graduate Doctoral Dissertations

This paper examined patterns of decumulation and the role that health events and marital disruption play in forming those patterns. Study data were drawn from six biennial waves of the HRS (1998 - 2008), and merged RAND HRS data files for the period 1998 - 2008. The a priori expectation was that there will be variation in drawdown strategies households employ.

Findings suggest that patterns of dissaving are heterogeneous. The five most prevalent patterns were discussed. Households predominantly transitioned between oversaving and overspending. Households are expected to have a goal of on target spending therefore the observed cycle's dissaving will …

Gender, Race, And Ethnic Differences In The Effects Of Education On Depression In Later Life: The Mediating Roles Of Mastery And Stress, Cathy Mae Wong

Graduate Doctoral Dissertations

The central objective of this study was to examine gender, race, and ethnic differences in the effects of education on late-life depression. This study differentiated education from other measures of SES due to the psychosocial resources developed through schooling. Education provides intrinsic resources, such as perceived mastery, that are beyond monetary value. Higher levels of education is hypothesized to increase perceived mastery throughout the life course and result in lower levels of stress, influencing psychological well-being in later life. The Stress Process Paradigm was the conceptual framework used for this study. The Stress Process Paradigm includes elements of Ross and …

Reconceptualizing Cultural Competence: White Placeling De-/Reterritorialization Within Teacher Education, Melissa Winchell

Graduate Doctoral Dissertations

This ethnography reconceptualizes the paradigm of cultural competence used within the literature on teacher education to describe the multicultural learning of White teacher candidates. Within the cultural competence framework, White learning is problematic, dichotomously defined, and fixed. The binary of competence/incompetence established by this paradigm has recently been questioned within the literature as deficit-based and in conflict with postmodern, critical theories of learning and teaching espoused by multicultural education espouses. This study of the researcher's multicultural education class at a private, religious, four-year undergraduate college on the East Coast of the United States used co-constructed pedagogical practices--including a co-constructed community …

Volunteering Among Surviving Spouses: The Impact Of Volunteer Activity On The Health Of The Recently Widowed, Kimberly J. Johnson

Graduate Doctoral Dissertations

Numerous studies link volunteering to positive mental and physical health for older adults, and recent studies have suggested that volunteering may be particularly beneficial for those who are widowed. This research examines the potential of volunteering to buffer participants from stress-related health declines associated with the death of a spouse.

Using the Health and Retirement Study (HRS), this research investigates the moderating role of volunteering on the self-rated health and depressive symptoms of recently widowed older adults. Consecutive waves of the HRS are used to identify respondents who experience the death of a spouse or who remain married, and those …

Nontraditional Approaches With Nontraditional Students: Experiences Of Learning, Service And Identity Development, Suzanne Marie Buglione

Graduate Doctoral Dissertations

Nontraditional students are a growing population in higher education, yet our understanding of the unique factors that predict their success have not increased. Economic challenges, changing work demands, and the desire for personal and professional advancement fuel the nontraditional student's return to school (Kelly & Strawn, 2011). Their isolation and lack of social networks lead to poor academic outcomes as defined by retention, graduation and degree attainment. The classroom offers a beacon of hope for the engagement of nontraditional students, an opportunity to strengthen student identity and draw connections across the multiple worlds where these students reside. This phenomenological inquiry …

The Role Of Home Environments In Residential Adjustment Decision Making In Later Life, Kimberly Joy Stoeckel

Graduate Doctoral Dissertations

Using the nationally representative Health and Retirement Study, this research explored the multi-faceted influence of the accessibility of housing environments on the occurrence and characteristics of residential adjustments made by older adults aged 70 or older. A range of housing adjustment outcomes were examined, including home modifications and relocation into age-segregated senior housing. Analysis of the accessibility gains following relocation was also included in the empirical analyses.

The Ecological Theory of Aging (Lawton & Nahemow, 1973) provided the conceptual framework for the research. The longitudinal design of the HRS empirically advanced understanding of the key theoretical constructs by sensitizing the …

Expanding A Model Of Female Heterosexual Coercion: Are Sexually Coercive Women Hyperfeminine?, Elizabeth Anne Schatzel-Murphy

Graduate Doctoral Dissertations

The present study aimed to replicate a preliminary model of female heterosexual coercion and subsequently expand the model with gender- and race-related variables. The preliminary model, which specified sexual compulsivity, sexual dominance, sociosexuality, and prior sexual abuse, as predictors of female heterosexual coercion, was sufficiently replicated with a racially diverse sample of college women. The model was then successfully expanded by adding rape myth acceptance and hyperfemininity to the model. Hyperfemininity was found to be a core predictor of female heterosexual coercion, challenging the notion that sexual coercion is an inherently "masculine" behavior. Actual minority status, perceived minority status, and …