Social and Behavioral Sciences Commons^™

Reviewer Acknowledgments, Randy Wykoff Md, Mph & Tm, Rachel E. Dixon Mphil

Journal of Appalachian Health

As we reach our fifth year, we are particularly thankful for the contributions of our peer reviewers. The knowledge, expertise, and guidance offered by the people listed below have ensured that we can continue to share timely research to effect health and well-being across Appalachia.

A Better Life: Factors That Help And Hinder Entry And Retention In Mat From The Perspective Of People In Recovery, Adam D. Baus, Martha Carter, Jennifer Boyd, Erin Mcmullen, Trey Bennett, Alexandra Persily, Danielle M. Davidov, Christa Lilly

Journal of Appalachian Health

Introduction: Opioid addiction and opioid-related overdoses and deaths are serious public health problems nationally and in West Virginia, in particular. Medication-assisted treatment (MAT) is an effective yet underutilized treatment for opioid use disorder (OUD).

Purpose: Research examining factors that help individuals succeed in MAT has been conducted from provider and program perspectives, but little research has been conducted from the perspective of those in recovery.

Methods: This study, co-developed with individuals in recovery, took place in West Virginia-based MAT programs using an exploratory sequential mixed methods approach. The survey was open February through August 2021. Data were analyzed late 2021 …

We Welcome Findings From Further Afield, Randy Wykoff Md, Mph & Tm, Rachel E. Dixon Mphil

Journal of Appalachian Health

For the past five years, the Journal of Appalachian Health has published timely, high-quality research from within Appalachia. We also welcome submissions from those working outside of Appalachia who produce quality research of direct relevance to our region.

Adult Asthma Associated With Roadway Density And Housing In Rural Appalachia: The Mountain Air Project (Map)., W Jay Christian, John Flunker, Beverly May, Susan Westneat, Wayne T Sanderson, Nancy Schoenberg, Steven R Browning

UK CARES Faculty Publications

BACKGROUND: Appalachian Kentucky is a rural area with a high prevalence of asthma among adults. The relative contribution of environmental exposures in the etiology of adult asthma in these populations has been understudied.

OBJECTIVE: This manuscript describes the aims, study design, methods, and characteristics of participants for the Mountain Air Project (MAP), and focuses on associations between small area environmental exposures, including roadways and mining operations, and lifetime and current asthma in adults.

METHODS: A cohort of residents, aged 21 and older, in two Kentucky counties, was enrolled in a community-based, cross-sectional study. Stratified cluster sampling was used to select …

The Archives And You: Why Your Memorabilia Matters, Ruth E. Bryan

Library Presentations

Join Ruth E. Bryan, University Archivist at the University of Kentucky Libraries Special Collections Research Center, as she describes what archives are and how your memorabilia can contribute to historical research and scholarship.

Kentucky Annual Economic Report 2023, Michael Childress, Michael W. Clark, James P. Ziliak, Simon Sheather

Kentucky Annual Economic Report

This report is one of the important ways that the Center for Business and Economic Research fulfills its mission to examine various aspects of Kentucky’s economy as directed by the Kentucky Revised Statutes (KRS 164.738). The analysis and data presented here cover a variety of topics that range from a discussion of Kentucky’s current economic climate to a broad presentation of factors affecting the economy.

Connections Network: Harnessing The Collective Influence Of Grassroots Leaders To Address Health-Related Problems In Hawkins And Hancock County, Tn, Dr. Jodi L. Southerland, Teresa Buttry, Connie Johnson, Sheldon Livesay, Lisa Nichols, Priscilla Rogers

Journal of Appalachian Health

In March 2021, grassroots leaders in two counties in northeast Tennessee formed a new network called Connections. Leaders are working to strengthen the capacity of the network and member organizations by promoting partnerships as vital to address effectively rural social determinants of health. Connections provides network members with capacity-building tools and resources, including two funding opportunities, to achieve their missions and sustain impact. Network members are also aligning around common goals to address the socioeconomic conditions affecting health outcomes. Connections will utilize findings from network activities and collaborations to identify synergies that can accelerate improvements in community health and …

Over The Hills And Through The Hollers: How One Program Is Assisting Residents Of Appalachia With Opioid Use Recovery, Aubrey E. Jones, Jayme E. Walters, Aaron R. Brown

Journal of Appalachian Health

Introduction: The consequences of increasing opioid misuse in the U.S. over the last two decades have been severe, contributing to hundreds of thousands of lives lost and heavy tolls on individuals, families, and society. The Appalachian Region has been hit particularly hard, with its predominantly rural landscape seeing disproportionate increases in opioid misuse and overdoses. These cases have been difficult to address due to poor treatment access and capacity constraints in many areas of Appalachia.

Purpose: The current study focuses on evaluating The Kentucky Access to Recovery Program (KATR), which provides services to individuals recovering from opioid addiction residing in …

Evaluating The Association Between Depressive Symptoms And Glycemic Control Among Residents Of Rural Appalachia, Brittany L. Smalls, Adebola Adegboyega, Ellen Combs, Eli W. Travis, Felipe De La Barra, Lovoria B. Williams, Nancy Schoenberg

Journal of Appalachian Health

Introduction: Type 2 diabetes mellitus (T2DM) is associated with a range of co-morbid physical and psychological conditions, including depression. Yet there is a dearth of evidence regarding the prevalence of depression among those in Appalachia living with T2DM; this gap persists despite the higher regional prevalence of T2DM and challenging social determinants of health.

Purpose: This study aimed to provide greater detail about the relationships between T2DM and depressive symptoms in adults living in Appalachia Kentucky.

Methods: The present study was a cross-sectional analysis of baseline data derived from an ongoing study of Appalachia Kentucky adults living with T2DM. Outcome …

Association Between Low Health Literacy And Adverse Health Behaviors In North Carolina, 2016, Manan Roy, Adam Hege, Erin D. Bouldin

Journal of Appalachian Health

Introduction: Health literacy (HL) is an urgent public health challenge facing the U.S. HL is a critical factor in health inequities and exacerbates underlying social determinants of health.

Purpose: This study assesses the association between low HL (LHL) and adverse health behaviors, which contribute to poor health.

Methods: Researchers used North Carolina’s 2016 Behavioral Risk Factor Surveillance System data, namely, the Health Literacy optional module which asks respondents to rate how difficult it is for them to get health-related advice or to understand medical information (verbal or written). Health behaviors analyzed were excessive alcohol consumption, lack of adequate exercise and …

Attitudes Of Therapists Surrounding Sand Tray Therapy With Adults, Madalyn Cooke

Theses and Dissertations--Family Sciences

Sand tray therapy provides a unique experience for adults and children to interact with their experiences and feelings from a distance. However, it is not used as frequently as talk therapy techniques in adult therapeutic treatment. The following thesis explores therapists’ attitudes about using sand trays with adults. A qualitative thematic analysis suggests that while some therapists deem sand trays as helpful with treatment, especially for clients who have a history of trauma, there are barriers for therapists to overcome in order to incorporate sand trays more frequently into practice with adult clientele.

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 …

“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 …

The Effect Of Exceptionality Label On School Psychologists During The Evaluation Process, Rachel Jacob

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

School psychologists often lead the evaluation process that is responsible for identifying students with an education-based disability. They are also responsible for providing recommendations for the student following the evaluation. The current study is focusing on the variable of exceptionality label as it is a universally present variable that has the potential to affect all evaluations. Two recent studies have examined and found labeling bias on preservice educators (Allday et al., 2011; Fisher et al., 2022). This study sought to expand this research by looking at labeling bias in school psychologists. The study measured the effect of exceptionality label on …

The Conditions Of Oregon's Latinx Farmworkers, Kevin Alejandrez

Theses and Dissertations--Sociology

The goal of this three-paper dissertation is to better understand inequalities that Latinx farmworkers endure and the ways through which these inequalities can be addressed. As such, this dissertation examines pertinent inequalities Latinx farmworkers experience in the United States, their responses to resulting hardships, and the effects that crises such as the Covid-19 pandemic have in both exacerbating hardship and expanding opportunities to challenge inequitable systems in place. This is done through an intersectional analysis of a multi-year ethnographic study conducted in Oregon’s Willamette Valley.

First, paper one, titled, “Subordinate Adaptation: Intragroup Hierarchies Among Blueberry Pickers,” explores the ways in …

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 …

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 …

Citizen Demand For Cultural Censorship: A Mixed Methods Study, Kelly Grenier

Theses and Dissertations--Political Science

This dissertation investigates the political causes and consequences of cultural censorship. One of the central arguments of this project is that cultural censorship is often a response to citizen demand. Using a mixed methods approach, this dissertation explores the demand for censorship and benefits a regime receives from censoring citizens in an effort to understand the calculus of cultural censorship. This project focuses on the Americas and looks at censorship in both democracies and autocracies across time. Leveraging high quality archival data, a survey experiment, and regional datasets, this project aims to understand the rationale behind cultural censorship and finds …

Estill County "Twin Cities" Consolidation Study, Logan Hart

MPA/MPP/MPFM Capstone Projects

To provide essential services without imposing an unreasonable financial burden on their residents, local governments, particularly those with a declining population or tax base, are seeking ways to maximize their resources. Municipal consolidation is one of the solutions that many local governments have considered. This study aimed to determine if municipal consolidation would improve the efficiency and financial standing of the Estill County, Kentucky cities of Irvine and Ravenna. The study's findings suggest that consolidation could lead to cost benefits for both cities. However, due to the limited availability of data, further research is required to gain a complete understanding …

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 …

Did The Covid-19 Pandemic Cause A Learning Loss In Reading And Mathematics? Empirical Evidence Using 2022 Grade 8 Students In Kentucky., Tiyani Rodrigo

MPA/MPP/MPFM Capstone Projects

In 2020, most United States (U.S.) schools closed abruptly. Due to the pandemic, students and teachers were affected in multiple ways. Nearly three years post-pandemic, it is evident students lost in academic achievement. Lower academic performance may impact the future economy and labor force due to lower productivity. Therefore, understanding the causal impact COVID-19 had on academic achievement is vital to develop policy that will help mitigate the long-term impact. In this capstone, I will estimate the size and direction of the impact COVID-19 had on Mathematics and Reading skills for grade 8 students in Kentucky. Using a Difference-in-Differences (DiD) …

Association Of Diabetes Prevalence With Labor Force Participation Rates In Kentucky Counties, Ryan Montgomery

MPA/MPP/MPFM Capstone Projects

Compared to other states in the USA, Kentucky has one of the highest rates of diagnosed diabetes and one of the lowest levels of labor force participation. This project employs a multivariable linear regression model to estimate the correlation between county-level diabetes prevalence and county-level labor force participation rates in Kentucky counties from 2015-2019, using publicly available data from the Centers for Disease Control’s Behavioral Risk Factor Surveillance System (BRFSS) and the U.S. Census Bureau’s American Community Survey (ACS). Labor force participation rates serve as the dependent variable and diabetes prevalence rates serve as the primary independent variable, alongside nine …

Budget Models And Methods Used In Higher Education, Brad West

MPA/MPP/MPFM Capstone Projects

The Cambridge Dictionary defines a budget as “a plan to show how much money a person or organization will earn and how much they will need or be able to spend.” (Budget, 2023). The budget of an institution within higher education is how to allocate the planned amount of revenues received to support the planned expenditures across the organization for an upcoming period, usually a fiscal year or project duration. Various public higher education institutions have many different methods for allocating those planned revenues to support expenditures across their colleges, schools, and administrative units to support the university's mission. This …

Expanding The Samat In Kentucky Correction Institutions: Benefits And Funding, Blair Lozier

MPA/MPP/MPFM Capstone Projects

The United States has seen an increasing rate of substance use disorder among individuals. Those convicted and incarcerated are more likely to have substance use disorder. With correctional institutions becoming overcrowded, policymakers struggle to find an answer to the number of individuals incarcerated with substance use disorder. The Cabinet of Health and Family Services and the Department of Corrections created Supportive Assistance with Medication for Addiction Treatment (SAMAT) in Kentucky. SAMAT is an addictive services program focused on preventing overdose and relapse and aiding recidivism for individuals with opioid and alcohol use disorder. The SAMAT has been deemed successful through …

A Brief Mindfulness Intervention And Its Effect On Stress Response And Recovery: Rumination As A Moderator., Kacie Peters

Lewis Honors College Thesis Collection

It is inevitable that every human will encounter many stressors in their life, so research on this topic is generalizable to many and carries a heavy weight. While facing one small stressor may not be enough to have a significant impact, it is the degree of the stressors and the response to them that can dictate whether or not it leads to serious consequences (WHO). Stress can be characterized as a stressor or combined stressors that lead to physical, emotional, and mental strain (WHO). It is important that we know the ways in which to best recover from stress, otherwise …

Early Childhood Language And Literacy Development Programs For Autism Spectrum Disorder And D/Deaf And Hard-Of-Hearing Students, Mayson Spillman

Lewis Honors College Thesis Collection

This paper examines several popular approaches in the United States for enhancing early childhood literacy and language development in two special education populations— d/Deaf or hard-of-hearing (d/DHH) students and students with autism spectrum disorder (ASD). In addition to examining the effectiveness of these approaches, I adopt an educational equity lens to describe how variability in implementation can impact outcomes for these children. Based on my critical reading of the literature, I offer three broad recommendations for school psychologists: (1) Carefully consider dosage and fidelity of implementation, (2) Use caution when modifying existing interventions for these populations, and (3) Increase in-service …

“Local, But Intelligent”: Language Ideologies In The Informant Biographies Of The Linguistic Atlas Project, Nicholas A. Passarelli

Theses and Dissertations--Linguistics

This thesis argues for the relevance of the Linguistic Atlas Project (LAP) for studies of language ideologies, indexicality, and enregisterment. The LAP represents the largest dialect survey of North American English to date, offering an abundance of historical linguistic data for research in dialectology, linguistic geography, and variation over space and time. Additionally, the LAP also contains additional sources of sociolinguistic data, including informant biographies — documents written by fieldworkers at the conclusion of the LAP interview that summarize an informant’s demographic profile, as well as their personality, speech, and caliber as an interviewee. Rife with subjective judgments from the …

A View Into Collaborative Methods Between Minority Organizations And Archivists At The University Of Kentucky, Claudia Elizabeth Benito

Anthropology Presentations

This poster examines the white and male-dominated narrative promoted in the archives. Archivists hold the power to record and contribute to what is included in the archives. The lack of descriptions and identifiers causes archivists to define materials to the best of their ability. A third party is then creating historical notes that may not be complete and the materials lose, to some extent, their meaning and value. This becomes even more problematic when the materials have originated from or highlight minority individuals or groups. Particular language, or lack thereof, can make locating and understanding these materials more difficult for …

Comparing The Efficacy Of Interventions Derived From Concurrent Operant Analysis And Indirect Assessment, Lane Marquardt

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

In this study, a simultaneous treatments design was used to conduct a concurrent operant analysis (COA) to evaluate the choice making behavior of one elementary aged student. The COA results were used as a possible reinforcer for one of the conditions for the intervention to increase work completion. An indirect assessment, Questions about Behavioral Function (QABF), was used identify a hypothesized function to the student’s lack of task completion behavior. The results from thee QABD were used as a possible reinforcer for one of the conditions for the intervention to increase work completion. An alternating treatments design (ATD) was used …