Social and Behavioral Sciences Commons^™

Sociocultural Predictors Of White Veterans’ Attitudes Towards Va Mental Health Care, Elyssa Christine Berney

Theses and Dissertations--Educational, School, and Counseling Psychology

U.S. Veterans are less likely to seek help than their civilian counterparts despite having higher levels of self-reported distress, in part due to comparatively poorer attitudes towards seeking mental health treatment. While some aspects of cultural socialization (e.g., gender role expectations, certain types of stigma) have been established to influence Veterans’ attitudes towards mental health treatment, other aspects of health care access (e.g., trust in health care institutions or individual providers) may benefit from increased focus. Additionally, one aspect of cultural socialization that is understudied in white Veterans is that of racial-cultural socialization (i.e., whiteness). Much of the research into …

Gambling On Growth: An Analysis Of The Early Impact Of Historical Horse Racing On Kentucky’S Thoroughbred Industry, Barrett W. Kerr

Theses and Dissertations--Agricultural Economics

With a continuous decline in on-track wagering on Thoroughbred racing, racetrack operators are exploring alternative revenue sources to fund purses and create better quality racing. Historical Horse Racing (HHR), which represents one of the most recent advancements in parimutuel wagering, has become a popular system used by many states to offset the live wagering decline. Proponents of HHR suggest that this alternative wagering option will benefit the live racing industry. Using data from Kentucky racetracks from 2002 – 2021, this study examines the relationship between HHR wagering and key industry metrics, such as purses, on-track wagering, sales prices, and foal …

Social Transformation During The Middle - Late Preclassic (1,000 Bce - 150 Bce) At Ucí, Yucatan Mexico, Daniel Vallejo-Cáliz

Theses and Dissertations--Anthropology

The focus of this project is to track the social change developments in Ucí, Yucatan, Mexico, during the Middle (1,000 – 400 BCE) and Late Preclassic (400 – 150 BCE) that served as foundations to institutionalized hierarchy. This research is geared towards understanding if there were any expressions of social differentiation in the earliest, detectable moments in the history of Ucí, and what were the mechanisms used to eventually make distinctions permanent. Applying an agency approach, I argue that social actors may cause structural change, both consciously and inadvertently, through the application of several strategies aimed to enhancing their role …

A Study On Characteristics Associated With Unmet Adl Needs Among People With Disabilities In Korea, Sun-Gill Jung

MPA/MPP/MPFM Capstone Projects

Long-term care services are assistance provided to people with disabilities needing help with ADL (activities of daily living). This study aims to address two research questions regarding people with disabilities in Korea who have ADL needs: 1) who is served and not served by long-term care services from the government, and 2) what characteristics are associated with unmet ADL needs among those who are not served by long-term care services. To answer these questions, this study utilizes data from the supplementary survey of people with disabilities in the 2020 Korea Welfare Panel and conducts descriptive statistics and multiple regressions. The …

Solving The Healthcare Employee Shortage: The Effectiveness Of Incentive Programs In Enticing Young Health Professionals To Appalachian Kentucky Communities, Taylor Williams

MPA/MPP/MPFM Capstone Projects

Kentucky’s Appalachian counties have long been recognized as medically underserved areas, with access to care being limited by a shortage of healthcare professionals in the region. This issue, specifically as it pertains to primary care physicians, has been the focus of many programs hoping to improve access to care in these communities for many years. Is the ongoing effort to recruit and retain primary care physicians in Appalachian Kentucky counties effective? Hypotheses The mean number of people per physician in Appalachian Kentucky counties reported in 2013 is equal to the mean number of people per physician in Appalachian Kentucky counties …

Ideal Body Weight And Body Fat Percentage Predict Relative Energy Deficiency In Sport (Red-S) Scores In Collegiate Athletes, Emily Norman

Theses and Dissertations--Nutrition and Food Systems

Background: Low energy availability (LEA) is the underlying cause of Relative Energy Deficiency in Sport (RED-S) which negatively affects athletes' physiological function, health, and performance. RED-S results from inadequate dietary intake to support energy expenditure for daily living, growth, and optimal performance. It occurs in both male and female athletes, with or without disordered eating. However, screening and diagnosis in athletes can be difficult. Objective: This study aims to identify strong predictors of RED-S and assess its prevalence in collegiate male and female athletes. Methods: A total of 270 NCAA athlete test points from mixed sports were evaluated for RED-S …

Body-Based Harassment And Eating Disorder Symptomology In Cisgender, Transgender, And Gender Nonconforming Individuals, Sharla D. Biefield

Theses and Dissertations--Psychology

Past research estimates that over 60% of adolescents and young adults report eating disorder symptomology (EDS), increasing their risk for psychiatric and physical comorbidities, substance abuse, and self-harm. EDS rates are also higher among transgender and gender nonconforming (TGNC) individuals. TGNC individuals also experience higher rates of bias-based harassment, than their cisgender peers. Much of this harassment is body-based harassment (BBH), such that the harassment often targets aspects of an individual’s body. The current study utilized a pantheoretical framework, incorporating minority stress theory and objectification theory, and a multi-method approach to investigate (1) if BBH increases TGNC individuals’ risk for …

The Spread Of Nuclear Technology: The Difficulty Of Arms Control And The Consequences Of Nuclear Proliferation, Bryce Allen Beschorner

Theses and Dissertations--Political Science

The potential impact of nuclear technology on international relations raises a number of important questions for scholars and policymakers. This dissertation focuses on different aspects of nuclear-related cooperation and competition and attempts to answer some of these questions. In this dissertation, I address three main puzzles related to nuclear politics using a mixed methods approach. First, I examine the consequences of the spread of nuclear technology on the outcomes of international crises, specifically focusing on the impact of nuclear weapons tests on crisis outcomes. Using data on nuclear weapons tests, I argue and find support for the notion that nuclear …

Sugar And Spice: Sex, Money, And Social Media, Rachel Elizabeth Davis

Theses and Dissertations--Sociology

Interest in transactional sex, or the provision of a sexual relationship in exchange for gifts and/or money, has increased in recent years among researchers, nongovernmental organizations, and law enforcement officials as increasing numbers of women self-identify as hypergamous, indicating their interest in forming heterosexual partnerships with men of higher status. Hypergamous women may identify as sugar babies, spoiled girlfriends, or high-value women. A sugar baby is a woman providing romantic companionship to an older man, known as a sugar daddy, in exchange for money and/or gifts. A spoiled girlfriend is a woman whose partner provides her with money and/or gifts …

"It's All Lateral Violence": How Sexual Minority Men Cope With Appearance Discrimination, Matthew T. Richardson

Theses and Dissertations--Educational, School, and Counseling Psychology

Sexual minority men experience higher rates of body dissatisfaction (BD) than heterosexual men (Frederick & Essayli, 2016). BD is associated with negative health outcomes in this population, including eating disorders (Yean et al., 2013), depression (Blashill et al., 2016), suicidality (Grunewald, Calzo, et al., 2021), and risky sexual behavior (Goedel et al., 2017). Sexual minority men who use dating apps may be at greater risk of experiencing BD via exposure to appearance-based discrimination (Tran et al., 2020), sexual objectification, and weight stigma (Filice et al., 2019). Little is known about sexual minority men’s experiences of appearance discrimination on dating apps …

The Role Of Authenticity In The Link Between Self-Determination, Gender Minority Stress, Psychological Well-Being And Distress In Transgender, Nonbinary, And Gender Expansive Individuals, Zakary Alexander Clements

Theses and Dissertations--Educational, School, and Counseling Psychology

Transgender, nonbinary, and gender expansive individuals (TNB and GE) have the same basic psychological needs (BPN) for self-determination as their cisgender counterparts yet face unique gender minority stressors (GMS) that may impact psychological distress and well-being. Authenticity is an important factor that may also affect psychological well-being and distress in TNB and GE people. Few research studies have examined BPN attainment or GMS factors and psychological well-being and distress. The role of authenticity, which is associated with psychological well-being in cisgender samples, has yet to be examined in TNB and GE people on the context of BPN attainment or GMS. …

Cold Calling In The Classroom: Exploring Student Perceptions Of Instructor Communication Using The Face Negotiation Theory, Cynthia Chinazo Nnagboro

Theses and Dissertations--Communication

Using face negotiation theory (Ting-Toomey, 1988) as a theoretical framework, this dissertation sought to determine students’ perceptions of instructor communication during classroom discussions where instructors use cold calling tactics. According to FNT, students perceived that self-construal determines their face concern as either self, other/mutual face. Therefore, an instructor must determine the best facework strategies to prevent face loss during classroom discussions to maintain optimal student outcomes in communication satisfaction and motivation to participate. This was accomplished by using 8 hypothetical vignettes, a pilot test and an experiment that measured face threat, face support, student communication satisfaction and motivation, intention to …

Three Essays On Macroeconomic Shocks, Chase Coleman

Theses and Dissertations--Economics

This dissertation looks at the role that various macroeconomic shocks have on the economy through the lens of both macro- and micro-economic perspectives. In the macro realm, I examine the importance of how researchers measure shocks; functional shocks reveal information latent in scalar shocks. From the micro point of view, I examine the impact of a change in national tax policy.

In Chapter 2, I analyze the effect of monetary policy shocks on household consumption. Measuring shocks as shifts in the entire term structure of interest rates reveals a heterogeneous response of households to conventional and unconventional policies. I find …

Longitudinal Perspectives On Individual Outcomes, Family Functioning, And Social Support Among Diverse Adoptive Families, Emily Lapidus

Theses and Dissertations--Psychology

Given that family processes change when a child enters adolescence, it is imperative for research to utilize longitudinal analyses to capture a family unit’s development over time. This research is especially lacking amongst diverse families, such as those formed utilizing adoption or headed by same-gender parents. Utilizing both the Parenting Stress Model and Family Systems Theory, it has been shown that family dynamics are key indicators when predicting functioning within a family, opposed to family structure. Therefore, it is hypothesized that there will be no significant differences related to family processes (e.g., family functioning, parenting stress, adolescent adjustment, and social …

Birds Of A Feather: Exploring Social Facilitation Effects On Learning And Suboptimal Choice In Pigeons (Columba Livia), Peyton Mueller

Theses and Dissertations--Psychology

The social facilitation effect describes a change in the behavior of an individual due to the presence of another organism of the same species (i.e., a conspecific). Many theories exist that attempt to explain why this change in behavior exists across species. A set of four experiments were executed to best explain how pigeons learn in the presence of non-competing conspecifics. The first experiment sought to replicate an interesting effect previously found in cockroaches and rats, such that conspecific presence inhibits performance early in training but facilitates it with increased training. The second experiment placed the novel response acquired in …

Homeownership And Mortgage Loans: How Important Is A Conventional Loan?, Zachary Owen

Undergraduate Public Policy Capstone Projects

Communities across the United States face a housing crisis that stems in part from a scarcity of conventional home mortgage loans. Conventional mortgage loan application numbers have decreased, and racial disparities persist in mortgage application denial rates. In 2020, the Urban Institute reported that when applying for a mortgage, Black applicants were denied 27.1% of the time, yet White applicants were denied only 13.6% of the time. These denial rates are highly correlated with homeownership rates. Today, despite policy efforts, the difference in White and Black homeownership rates is higher than in the 1960s when the government enforced discriminatory housing …

Identity And Perception Among Aspec Consumers Of Mass Media, Jericho Franke

Theses and Dissertations--Communication

The portrayals of sex and romance, as well as asexuality and aromanticism, in mass media can have a profound impact on the way asexual and aromantic media consumers view relationships and their own identities, and affect the perception and treatment of the aspec community as a whole. This study uses mixed qualitative methods of online discourse analysis and participant interviews to examine the how mass media has shaped the self-perception and life experiences relating to sex and romance among aspec audience members.

Foster Caregiving: How Interactions With The Child Welfare Agency Impact Foster Parent Satisfaction, Recruitment, And Retention, Ethan Engelhardt

Theses and Dissertations--Social Work

Professionals of the child welfare system in Kentucky have continuously worked to retain and recruit new foster parents for the foster care system. Foster parents are uniquely placed in a surrogate caring position for children removed from their homes for reasons of abuse or neglect. Foster parents accept this role and step in to provide a safe and loving household for many children. There are more than 9,000 children placed in Out of Home Care (OOHC) on any given day in Kentucky, leaving many children in need of a loving and supportive household. Foster parents hang in the balance between …

Picturing The Future City: Digital Mediation And Creative Placemaking, Jessica Mccallum Breen

Theses and Dissertations--Geography

Creative placemaking is an arts-oriented community development policy that focuses on the potential for art, artists, and cultural organizations to generate social, economic, and cultural vibrancy in their communities and is a primary tool of culture-led (re)development practices (Markusen & Gwada, 2010). Despite the focus of creative placemakers on the local impacts of their work, creative placemaking is more than local, it is both translocal and transcalar. In this dissertation, I examine the role that digital mediation plays in creative placemaking and how it makes visible these translocal and transcalar connections. I begin by outlining a methodology for tracing replicated …

Improving Connectivity For Remote Cancer Patient Symptom Monitoring And Reporting In Rural Medically Underserved Regions, Esther Max-Onakpoya

Theses and Dissertations--Computer Science

Rural residents are often faced with many disparities when compared to their urban counterparts. Two key areas where these disparities are apparent are access to health and Internet services. Improved access to healthcare services has the potential to increase residents' quality of life and life expectancy. Additionally, improved access to Internet services can create significant social returns in increasing job and educational opportunities, and improving access to healthcare. Therefore, this dissertation focuses on the intersection between access to Internet and healthcare services in rural areas. More specifically, it attempts to analyze systems that can be used to improve Internet access …

Consumers’ Preferences And Willingness To Pay For Value-Added Dairy Products In Kentucky - Considering Price, Provenance, And Environmental Product Attributes, Favour E. Esene

Theses and Dissertations--Agricultural Economics

Many medium and smaller dairies are shifting to various kinds of value-added products that may expand in demand nationally aside from fluid milk. This study uses a latent class logit model to investigate the heterogeneity of consumer preferences and willingness to pay for dairy value-added products across four latent classes considering different local and environmental sustainability labels. The dairy products examined for this research are butter, cheese, yogurt, and ice cream. This research revealed that younger consumers, especially those that reside in rural areas, always pay attention to product attributes when they shop for dairy products, mostly the local state …

Three Essays On Health, Food, And Agricultural Economics, Saber Feizy

Theses and Dissertations--Agricultural Economics

This dissertation comprises three distinct but interrelated projects that explore the intersection of agriculture, nutrition, and economics. The first project investigates the impact of Community Supported Agriculture (CSA) food programs on the health outcomes of its participants. Using fixed effects models and a matching algorithm, the study finds that while conventional fixed effects models indicate a significant effect of CSA participation on diet-related medical expenditures, our modified time-heterogenous fixed effects model did not find a meaningful effect. The results of the matching method are consistent with those of our modified model.

The second project examines racial disparities in the prevalence …

“Who Do You Love, And Are You For Sure?”: Black Relationship Attitudes And Partner Preferences, Chesmore Simon Montique

Theses and Dissertations--Educational, School, and Counseling Psychology

Historically, research has identified Black relationships as deviant, unstable, and pathological as compared to White relationships (Frazier, 1966; Moynihan, 1965). This outlook centers on White experiences as a baseline for comparison and dismisses the cultural nuance within Black relationships. Examining intraracial Black relationship formation dynamics – specifically romantic partner preferences – using an intersectional framework seems more relevant as Black people are least likely of all races to date White people (Batson et al., 2006; Yancey, 2009). As Black immigrants continue to increase their presence in the U.S. (Anderson & López, 2018), the current research examines how cultural factors influence …

Exploration Of Factors Associated With Rural Appalachian Women's Use Of Buprenorphine Prior To Incarceration, Kelsey A. Redmayne

Theses and Dissertations--Educational, School, and Counseling Psychology

The Gelberg-Anderson Behavioral Model for Vulnerable Populations was used to identify factors related to buprenorphine use in general and through diversion (versus formal treatment) among rural Appalachian women using substances in the six months prior to their incarceration. This study is a secondary analysis of data from interviews completed with rural Appalachian women (N=400) residing in rural Kentucky jails. Independent variables were analyzed using chi square and independent t-tests for buprenorphine use generally and diverted buprenorphine use. The significant predictors were then evaluated through hierarchical logistic regression to explore which factors account for the most variance in general …

Victimization, Symptoms Of Posttraumatic Stress Disorder, And Gender As Predictors Of Long-Term Substance Use Outcomes Of Patients In Community Treatment Programs, Christopher John Penn

Theses and Dissertations--Psychology

Violence victimization and posttraumatic stress disorder (PTSD) are prevalent among individuals with substance use disorders (SUDs). Current evidence is mixed regarding the impact they have on substance use-related treatment outcomes and few studies have examined victimization and PTSD symptoms together in the same model. The current study will evaluate whether there is an indirect effect of past year victimization on substance use-related treatment outcomes through the pathway of PTSD symptom severity, among a subsample of 1,613 adult men and women reporting a lifetime history of victimization who participated in the Kentucky Treatment Outcome Study (KTOS), a statewide study evaluating federally- …

Portrayals Of Family Resilience In Webcomics During The Covid-19 Pandemic: A Thematic Analysis, Claire Catherine Heaney

Theses and Dissertations--Family Sciences

Families and couples were challenged with stresses unlike any other as individuals faced adversities from lockdowns, as well as fears derived from the coronavirus. During the pandemic, trends of webcomics became more popular, particularly comics that depicted characters in romantic relationships dealing with “the new normal.” In this project, I suggest that social media webcomics incorporated topics of coping. The purpose of this study was to examine webcomics that documented daily life situations during lockdowns and stress-buffering skills found in couples’ interactions when dealing with concerns. Utilizing Braun and Clarke’s (2006) thematic analysis, 585 romantic relationship webcomics posted from March …

Hoarding Lifesaving Knowledge While Millions Die: The Political Economy Of Global Covid-19 Vaccine Apartheid, Kenneth Stancil

Theses and Dissertations--Geography

Coronavirus vaccines saved millions of lives, but experts estimate that the suboptimal production and inequitable distribution of shots resulted in nearly 3 million preventable Covid-19 deaths in 2021 and 2022 as well as millions of indirect deaths during the pandemic. These avoidable fatalities are inseparable from the grotesquely unequal vaccination rates between rich and poor nations. Dose hoarding by high-income countries contributed to vaccine inequality, but the “vaccine apartheid” inflicted on low-income countries reflects an even more fundamental injustice: knowledge hoarding by profit-maximizing pharmaceutical corporations—aided and abetted by wealthy governments—which deprived generic manufacturers of the right to produce additional lifesaving …

Prenatal Ethanol Exposure Impairs Performance On Spatial And Tactile Sequential Discrimination Task In Juvenile Rats, Caleb S. Bailey

Theses and Dissertations--Psychology

Fetal alcohol spectrum disorders (FASDs) are a set of cognitive and behavioral abnormalities that arise in ~5% of children who have been prenatally-exposed to alcohol. Prenatal alcohol exposure (PAE) can cause impairments in learning acquisition, working memory, response inhibition, and attentional-set shifting that result in exaggerated deficits in executive function and impairments in goal-seeking behavior. There are standard procedures used in rodent research to address some components of these deficits, but few procedures are sensitive enough to comprehensively assess such deficits. To address this issue in FASDs research techniques, we developed a procedure that requires prolonged executive function in a …

And The Survey Says ... A Qualitative Exploration Of Structurational Divergence From The Perspectives Of Nurse Managers Who Are Accountable For Patient Experience Measures, Lisa Carpenter Huddleston

Theses and Dissertations--Communication

For more than a decade, hospital leaders have focused on boosting patient experience scores as part of the federal government’s value-based purchasing (VBP) program. Hospitals that receive federal financial assistance (such as Medicare) are mandated to participate in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), a standardized survey that measures patients’ perceptions of their care. Results are publicly reported, and hospitals may be penalized on their reimbursements if they do not reach established benchmarks for patient experience. However, much debate has occurred about whether VBP has increased the quality of healthcare and whether the HCAHPS is an …

Comparing Indirect Assessment Results To A Direct Function Focused Preference Assessment To Identify Potential Reinforcers To Increase Task Completion In A School Setting, Kailee Joy Matthews

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

In the present study, a concurrent operant analysis (COA) was conducted for one elementary aged student in a publicly funded school to determine if the results yielded an interpretable outcome to identify a potential reinforcer to increase work completion. A simultaneous treatments design was used during the COA to assess choice making behavior. The results of the COA indicated the student’s choice making behavior was maintained by access to attention. An indirect measure of motivation was used as a secondary assessment to identify a potential reinforcer to increase work completion and to determine if the results would align with the …