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Full-Text Articles in Social and Behavioral Sciences

Examining Effective And Realized Healthcare Access In The West South Central Division., Katherine Cameron Dec 2022

Examining Effective And Realized Healthcare Access In The West South Central Division., Katherine Cameron

Electronic Theses and Dissertations

This study explores realized and effective access domains outlined by Andersen’s Behavioral Model of Health Services Use. Exploring other domains of access is critical to understanding how the healthcare system functions (Kirby & Yabroff, 2020). This study evaluates rural-urban and racial/ethnic differences in access to care using two underresearched domains of healthcare access. It also allows for exploring access disparities within rural communities amongst minority populations. This dissertation is divided into five chapters. Chapter One provides an overview of health disparities and inequities and a brief overview of the study. Chapter Two details a high-level history of racism and its …


La Casita Center: An Accompaniment Based Approach To Social Justice And Social Service., Ben Harlan Dec 2022

La Casita Center: An Accompaniment Based Approach To Social Justice And Social Service., Ben Harlan

Electronic Theses and Dissertations

La Casita Center is a Louisville based nonprofit organization that accompanies Latinx immigrants in the Louisville Metro area. and that is led and staffed by Latina immigrants. In this thesis, I investigate how employees of this Latinx-immigrant led nonprofit organization, navigate challenges to both administer service and build community using the model of accompaniment. Organizations like La Casita are critically important for Latinx newcomer communities in the United States and as neoliberal and nativist-inspired policiescontinue to oppress and marginalize, La Casita provides a model for what it means to center inclusion, belonging, community, and solidarity. In a global landscape of …


The Effects Of Stigma On Quality Of Life And Psychological Outcomes In Participants With Varying Reports Of Subjective Cognitive Decline., Lauren Flaherty Dec 2022

The Effects Of Stigma On Quality Of Life And Psychological Outcomes In Participants With Varying Reports Of Subjective Cognitive Decline., Lauren Flaherty

Electronic Theses and Dissertations

Background: Diagnostic labels such as cognitive impairment, dementia or MCI often carry associated stigmatization. Stigma can lead to social isolation and rejection; increasing the likelihood of loneliness, depression, and anxiety. Depression and anxiety can be predictive of cognitive function; depression and anxiety are linked to stigma. Subjective cognitive decline (SCD) can be indicative of actual cognitive impairment. Subjective impairment and stigma can significantly predict quality of life. The aim of the proposed dissertation study was to explore whether higher SCD scores associate with more internalized stigma, and if this stigma mediates the relationship between SCD and depression, SCD and …


Sro Roles And Teacher Behavioral Intervention Strategies: An Analysis On Behavioral Approaches And Student Suspensions., Ivan Benitez Dec 2022

Sro Roles And Teacher Behavioral Intervention Strategies: An Analysis On Behavioral Approaches And Student Suspensions., Ivan Benitez

Electronic Theses and Dissertations

Recently there have been nationwide calls for schools to end their contracts with local police departments in efforts to remove school resource officers (SROs) due to their criminalizing effect on students. Aiming towards racial equity in safety and discipline, advocates have suggested re-envisioning discipline through a restorative lens to minimize student harm. One approach which has been promising in student outcomes are behavioral intervention strategies. The current study contributes to the literature by examining the direct effects of SRO roles and teacher behavioral intervention strategies on student suspensions. Using factor analysis, I found three SRO roles: law enforcement officer, mentor, …


Reaching Syrians In Need: An Analysis Of Humanitarian Aid In The 21st Century., James Clark Dec 2022

Reaching Syrians In Need: An Analysis Of Humanitarian Aid In The 21st Century., James Clark

Electronic Theses and Dissertations

The objective of this dissertation is two-fold. One is to critically consider humanitarian aid delivery to and through Syria via a lens that combines the humanities and social sciences. The fields of anthropology, political science and postcolonialism are employed to accomplish this. The second is to investigate the process involved in this delivery amid the country’s ongoing conflict. Combining these two facets provides a view of humanitarian aid as it relates to the conflict in Syria while applying a liberal arts-humanities approach. The introduction establishes the basis to discuss the existence of aid providers and those in need of aid …


Foreign Policy In Media: An Examination Of The Captain America Films., Kat Hernandez Dec 2022

Foreign Policy In Media: An Examination Of The Captain America Films., Kat Hernandez

Electronic Theses and Dissertations

Popular culture and media are consumed daily by billions around the world, media which can contain meaningful and politically relevant material. The three Captain America films from the 2010s represent this phenomenon in the presentation of Captain America as a nationalist superhero with geopolitically relevant storylines. The direction and production of these films illustrate significant parallels to foreign policy choices of the United States. Through an interpretive analysis of the Captain America films: Captain America: The First Avenger, Captain America: The Winter Soldier, and Captain America: Civil War, this project seeks to analyze Captain America’s image and …


Effects Of Top-Down Attention And Individual Differences On Recognition Memory And Recollective Experience., Anna Kelley Dec 2022

Effects Of Top-Down Attention And Individual Differences On Recognition Memory And Recollective Experience., Anna Kelley

Electronic Theses and Dissertations

Memory accuracy and detail hold practical importance, and psychology has studied means to improve memory. One such means is performing visually guided saccades immediately before a memory test. Previous work has found this intervention to improve memory performance, an effect dubbed Saccade-Induced Retrieval Enhancement or SIRE. The top-down attentional control account posits that SIRE occurs because saccades activate attentional control regions in the brain, which contributes to executing top-down attentional control when searching memory. The current experiment tested this account of SIRE by attempting to replicate previous results and investigating whether a different attentional task, the Revised Attention Network Test …


A New Direction For Public Understanding Of Science: Toward A Participant-Centered Model Of Science Engagement., Christopher Rickels Dec 2022

A New Direction For Public Understanding Of Science: Toward A Participant-Centered Model Of Science Engagement., Christopher Rickels

Electronic Theses and Dissertations

Engaging the public with science is not an easy task. When presented, scientific findings, public health recommendations, and other scientific information filter through the personal values, beliefs, and biases of members of the public. Science communicators must contend with these differences in order to be effective in cultivating a public understanding of science. Given the importance of scientific understanding for living well in a complex world, increasing science understanding through science engagement is imperative. The field of public engagement with science is dichotomized by a public information deficit approach and a contextualist approach. The deficit approach prizes the factual content …


Age-Related Differences In The Relationship Between Activity Familiarity And Well-Being., S. Kelly Shryock Dec 2022

Age-Related Differences In The Relationship Between Activity Familiarity And Well-Being., S. Kelly Shryock

Electronic Theses and Dissertations

Background and Objectives: This study explored age-related differences in the relationship between activity novelty/familiarity and well-being, conceptualized within theories including Selection, Optimization, and Compensation (SOC), Self-Determination Theory (SDT), and Socioemotional Selectivity Theory (SST). For all ages, participation in activities has been shown to enhance well-being. Known mediators of this relationship include psychological, physical, and psychosocial benefits. It is less clear what types of experiences are optimal across the lifespan. Research Design and Methods: A online cross-sectional, correlational study (N= 200) was conducted. Measures included demographic data, ratings of three self-identified recent activities, three activity choices of familiar or …


Self-Regulation In Young School-Aged Children With Williams Syndrome., Holley Arnold Dec 2022

Self-Regulation In Young School-Aged Children With Williams Syndrome., Holley Arnold

Electronic Theses and Dissertations

My dissertation included two manuscripts which broadly focused on the self-regulation abilities of young school-aged children with Williams syndrome (WS), a rare neurodevelopmental disorder. Children with WS often exhibit mild to moderate intellectual disability (Kozel et al., 2021), impairments in behavioral and emotional regulation (Greiner de Magalhães et al., 2022), low effortful control (Leyfer et al., 2012), and deficits in adaptive skills (Brawn & Porter, 2018). In the first manuscript, the performance of children with WS on a gift-wrap delay of gratification task was characterized. In the second manuscript, the concurrent effects of the ability to regulate emotions, the ability …


Changing Public Perception Of Dementia: The Effect And Credibility Of Three Informational Models., Diana Hedrick Dec 2022

Changing Public Perception Of Dementia: The Effect And Credibility Of Three Informational Models., Diana Hedrick

Electronic Theses and Dissertations

Background: Since the 1970s, Alzheimer’s disease and dementia have been portrayed in a medicalized, symptom-focused manner to help spread awareness, improve diagnosis, and push for treatment research. In recent decades, there has been movement towards a biopsychosocial, person-centered approach that considers social and psychological factors that interact with biological diseases processes. Common biopsychosocial approaches retain an emphasis on deficits and symptoms. New research has integrated positive psychology constructs and dementia. This integration of positive psychology principles and dementia care and research has the potential to more accurately capture the experience of having dementia. Objectives: This dissertation tested how the portrayal …


Investigating The Shared And Unique Mechanisms Of The Development Of Comorbid Eating Disorder-Anxiety Symptoms During Adolescence., Leigh Cara Brosof Aug 2022

Investigating The Shared And Unique Mechanisms Of The Development Of Comorbid Eating Disorder-Anxiety Symptoms During Adolescence., Leigh Cara Brosof

Electronic Theses and Dissertations

Introduction: Eating disorders are associated with significant morbidity, psychiatric comorbidity, and impairment. Despite the detrimental outcomes associated with eating disorders, effective treatments for eating disorders are lacking. One factor that has impeded the identification of targets for intervention in eating disorders is the high comorbidity rate with other psychiatric disorders. Comorbidity models can inform treatments by showing which mechanisms are shared in comorbidity and which mechanisms are unique to specific disorders. Anxiety disorders are the most frequently co-occurring disorders with eating disorders, as 85% of individuals with eating disorders have a comorbid anxiety disorder. One mechanistic process in both anxiety …


Meeting The Mental Health Needs Of College-Aged Young Adults: Evaluating The Value And Impact Of Digital Mental Health Interventions., Sara Atherton Choate Aug 2022

Meeting The Mental Health Needs Of College-Aged Young Adults: Evaluating The Value And Impact Of Digital Mental Health Interventions., Sara Atherton Choate

Electronic Theses and Dissertations

BACKGROUND: The growing prevalence of common mental health problems poses a serious hindrance to young adults, and the majority of those in need of mental health support do not seek professional psychological services. Digital mental health interventions (DMHIs) that allow for self-management of mental health symptoms could provide a useful adjunctiveto traditional one-on-one counseling or therapy and offer a useful prevention tool for students at risk for experiencing mental health crises. This dissertation explored the efficacy of self-guided DMHIs targeting college students, the factors associated with help-seeking in young adults, and the impact of implementing an evidence-based DMHI at a …


The Combined Benefits Of Dispositional Mindfulness And Trait Self-Compassion As Potential Buffers Of The Effects Of Perceived Stress On Sleep Quality In College-Aged Young Adults., Jackie Ma Aug 2022

The Combined Benefits Of Dispositional Mindfulness And Trait Self-Compassion As Potential Buffers Of The Effects Of Perceived Stress On Sleep Quality In College-Aged Young Adults., Jackie Ma

Electronic Theses and Dissertations

Using a nonclinical sample of 108 undergraduates between the ages of 18 to 25 years old, this cross-sectional study investigated the relationship between dispositional mindfulness (as measured by the Five Facet Mindfulness Questionnaire; Baer et al., 2006) and sleep quality (as measured by the Pittsburgh Sleep Quality Index; Buysse et al., 1989). Second, it evaluated the association between trait self-compassion (as measured by the Self-Compassion Scale; Neff, 2003b) and sleep quality. Third, it aimed to test for an interaction effect between dispositional mindfulness and trait self-compassion as buffers against the adverse effects of perceived stress on sleep quality. Results showed …


Unraveling Dna And Identity: A Humanistic Perspective On Epistemologies And Ethics Of Genetic Ancestry Testing., Eve Carlisle Polley Aug 2022

Unraveling Dna And Identity: A Humanistic Perspective On Epistemologies And Ethics Of Genetic Ancestry Testing., Eve Carlisle Polley

Electronic Theses and Dissertations

The advent of DNA ancestry testing motivated a burst of human activities that constitute a scientific-technological-industrial-personal-social movement of immense scale, infused with epistemological and ethical questions of great and important variety. This movement has motivated many discourses in the social sciences, with study subjects ranging from the language usage of geneticists, to moral conundrums faced by test-takers, to potential ramifications in global structures of political power. At the same time, and especially in recent decades, the discourses of the comparative humanities have included with increasing frequency and urgency research and theorization about concepts and consequences of human social identities, alongside …


Disparate Sense Of Exclusion Between Young People Of Color Living Within Variable Social Infrastructures., James M. Joyce Aug 2022

Disparate Sense Of Exclusion Between Young People Of Color Living Within Variable Social Infrastructures., James M. Joyce

Electronic Theses and Dissertations

I analyzed transcripts of listening sessions with youth/young adults of color in 2021-2022 for the purpose of addressing local racial inequity during COVID-19. I used inductive coding methods and found three themes on sense of exclusion to be most salient. These themes related to racial exclusion, exclusion of social infrastructures in the community, exclusion of young people of color by people working in schools and other public settings, and exclusion or disconnection of young people of color from opportunities for building community. I show how these themes vary across some dimensions of the local social infrastructure, and I discuss implications …


Investigating The Relationships Between Socioeconomic Status, Kratom Legislation, And The Covid-19 Pandemic On Opioid Overdose Mortality In The United States., Lyndsey Blair Aug 2022

Investigating The Relationships Between Socioeconomic Status, Kratom Legislation, And The Covid-19 Pandemic On Opioid Overdose Mortality In The United States., Lyndsey Blair

Electronic Theses and Dissertations

Background: 585,000 people have died from an opioid overdose in the US between 1999 and 2020. The current opioid epidemic has been described as a quadruple wave of overdoses, due in part to the changes in prescription and illicit opioid supply as well as the underlying social and structural factors that led to a subsequent increase in demand. In order to mitigate the opioid epidemic through prevention and protection strategies, we must first understand the social and structural factors that are driving the increase in opioid misuse and abuse. To better understand the socioeconomic factors, we described socioeconomic profiles of …


Media Portrayal Of Private Prisons And Inmates., Ladye Anna L. Adams Aug 2022

Media Portrayal Of Private Prisons And Inmates., Ladye Anna L. Adams

Electronic Theses and Dissertations

Private prisons have existed in the United States since 1986, but research about prison privatization has been limited. To date, there have been two published studies examining how mainstream media sources frame prison privatization to their audiences. This thesis attempts to address this gap in the literature. Using content analysis, I evaluate how mainstream media frames prison privatization and inmates housed in private prisons. The analysis is conducted in two parts. The first tests if private prison reduction or expansion is the focus of the news story if framed using economic benefits, ethical concerns, or prisoner violence. The second tests …


Pediatric Oncology Social Work Job Analysis., Alyssa Ashlyn Middleton Aug 2022

Pediatric Oncology Social Work Job Analysis., Alyssa Ashlyn Middleton

Electronic Theses and Dissertations

This dissertation is an examination of the tasks most important to the pediatric oncology social work role. It begins with an argument that pediatric oncology social work is a blend of four social work specialties: generalist medical social work, oncology social work, pediatric social work, and hospice and palliative care social work. Studies report pediatric oncology social workers feel unprepared for numerous tasks related to their role. Despite calls for increased education and training opportunities, few are available. Until now, there has been no study evaluating the tasks that pediatric oncology social workers deem most important to their role, nor …


The Effects Of Gang Membership And Transitions In A Gang On Within-Individual Changes In Offending., Leon Sergio Garduno Aug 2022

The Effects Of Gang Membership And Transitions In A Gang On Within-Individual Changes In Offending., Leon Sergio Garduno

Electronic Theses and Dissertations

Researchers have established that joining a gang exposes individuals to factors and environments that promote and increase antisocial and illegal behaviors, which decrease after leaving the gang (Decker & Van Winkle, 1994; Melde & Esbensen, 2014; Thornberry, Krohn et al., 1993). Scholars, by analyzing qualitative data, bivariate statistics, and by comparing gang members with non-gang members, have found that as individuals join and leave a gang they experience changes in the frequency with which they carry firearms, sell drugs, and engage in property crimes (Bjerregaard & Lizotte, 1995; Hagedorn, 1994; Thornberry et al., 1993). Researchers also have established that within-individuals’ …


Barriers And Opportunities To Sustainable Urban Agriculture: The Case Of Louisville, Kentucky., Sait Sarr Aug 2022

Barriers And Opportunities To Sustainable Urban Agriculture: The Case Of Louisville, Kentucky., Sait Sarr

Electronic Theses and Dissertations

As the urban populations continue to increase, food insecurity will continue to affect urban residents as well, depriving them of access to abundant and nutritious food. This has captured the attention of many policymakers, urban planners, nonprofits, grassroots movements, and other stakeholders. As a result, there is growing interest in developing new sustainable strategies and policy measures that improve food security through the promotion of sustainable urban agriculture. More than 100,000 Louisville residents, of which 20% are from West Louisville, do not have access to adequate and nutritious foods, and are at a higher risk of developing health issues. West …


Quality Of Life And End-Of-Life Plans: The Inclusion Of Sexual Health., Jacinta Dickens Aug 2022

Quality Of Life And End-Of-Life Plans: The Inclusion Of Sexual Health., Jacinta Dickens

Electronic Theses and Dissertations

Sex and intimacy are important components of quality of life (Syme, 2014). Previous research found a positive relation between quality of life and sexual satisfaction (Chao et al., 2011), but how this relation may or may not impact end-of-life plans was unexplored. This study explored if the relation between quality of life and sexual satisfaction determined if community-dwelling middle-aged or older adults in the US have or was willing to incorporate sexual health within their formal or informal end-oflife plan. Correlation analyses examined cross-sectional survey data. Findings revealed a statistically significant correlation between quality of life and sexual satisfaction, no …


“I Don' Want To Upset Anyone - I Just Want To Exist": Nonbinary College Student Experiences At A Public Mid-Southern University., Cat Renee Alexander Aug 2022

“I Don' Want To Upset Anyone - I Just Want To Exist": Nonbinary College Student Experiences At A Public Mid-Southern University., Cat Renee Alexander

Electronic Theses and Dissertations

This study analyzed the experiences of twenty-four nonbinary students at Sunnydale University, using a grounded theoretical approach with a standpoint perspective. Snowball sampling, e-mail advertising, and poster advertising were utilized. Themes and findings came from two areas, those of contrasting experiences and those of consensus opinions. Participants had contrasting experiences based on gender, pronouns, race/ethnicity, student classification, and major. Consensus opinions include suggested changes for campus inclusiveness that many participants discussed. A pre-interview survey was used to filter participants and collect demographic information and then interviews were collected from August 2021 – December 2021. This study found that although Sunnydale …


Not Only Black Or Only A Woman, A Black Woman: Gendered Racial Microaggressions, Colorism And Hair On Trauma Symptoms., Maame-Safowaa Geary Aug 2022

Not Only Black Or Only A Woman, A Black Woman: Gendered Racial Microaggressions, Colorism And Hair On Trauma Symptoms., Maame-Safowaa Geary

Electronic Theses and Dissertations

The intersectionality of racism and sexism of Black women has the possibility of leading to mental health symptoms due to the consistent and persistent experience of insidious trauma, specifically gendered racial microaggressions (GRM). In this study, we examined the relations between gendered racial microaggressions (GRM) and trauma/PTSD symptoms, depressive symptoms, and anxiety symptoms among Black women. Additionally, skin tone and hair style/texture were explored as moderating variables. We hypothesized a positive relation between GRM and symptoms of trauma/PTSD, depression, and anxiety. We also hypothesized that darker skin tones and more Afrocentric hairstyles would moderate GRM and the described mental health …


The Effect Of Typewriting Vs. Handwriting Lecture Notes On Learning: A Systematic Review And Meta-Analysis., Timothy Schaun Lau Aug 2022

The Effect Of Typewriting Vs. Handwriting Lecture Notes On Learning: A Systematic Review And Meta-Analysis., Timothy Schaun Lau

Electronic Theses and Dissertations

This study is a systematic review and meta-analysis of studies examining the effect of note-taking modality during lecture, that is, taking notes by hand using pen and paper vs. taking notes using a keyboard and computer, on learning among secondary and postsecondary students. I begin with a review of the literature and theoretical introduction to the theories and terms used. From a theoretical standpoint, there are strong reasons to believe that taking notes by hand might offer recall benefits relative to taking notes using a computer and keyboard. At the same time, I point out that one problem, which I …


Divided We Fall: Gender-Based Occupational Segregation In Kentucky’S Executive Branch 2012-2020., Hillary Mcgoodwin Abbott May 2022

Divided We Fall: Gender-Based Occupational Segregation In Kentucky’S Executive Branch 2012-2020., Hillary Mcgoodwin Abbott

Electronic Theses and Dissertations

Fifty-eight years have passed since the Title VII of the Civil Rights Bill of 1964 was signed into law, yet discrimination in employment still occurs; the Kentucky Executive Branch is no exception. This paper will use Theodore Lowi’s agency typology and EEOC categorical data from the 2012 and 2020 Kentucky Office of Diversity and Employment Training Semi-Annual Report on Female and Minority Employment (SAR) to identify gendered occupational segregation in three distinct Executive Branch agencies, address potential contributing factors and areas of change (Alkadry & Tower, 2006; Lowi, 1985; Newman, 1994; Escriche, 2007). Addressing any underlying discriminatory practices that may …


Learning The Language Of America: A Descriptive Phenomenolgical Study Of Black American Racial Conscientization., Kyee A Young May 2022

Learning The Language Of America: A Descriptive Phenomenolgical Study Of Black American Racial Conscientization., Kyee A Young

Electronic Theses and Dissertations

This transcendental phenomenological dissertation is an examination of the lived experience of Black American Racial Conscientization (RCZ). Worded differently, this descriptive phenomenological study investigated how Black Americans learn to perceive racial oppression and the various means by which they resist it. Fourteen in-depth interviews from within the epoché were conducted. The sample was heterogeneous with respect to age, ethnicity, socioeconomic status, educational attainment, career path, martial and parental status, sex, home and current state, and religious affiliation. The sample was homogeneous regarding citizenship status and gender identity. Data explication manifested 97 different codes that were then grouped into five situated …


The Underbelly Of Residential Segregation, Bussing To Integrate And The Educational Ramifications: A Case Study Of Louisville Kentucky., Camara Douglas May 2022

The Underbelly Of Residential Segregation, Bussing To Integrate And The Educational Ramifications: A Case Study Of Louisville Kentucky., Camara Douglas

Electronic Theses and Dissertations

Integration of the American public school system is often examined to figure out if integration worked. This dissertation examined busing to integrate into Louisville, Kentucky. Busing to integrate in Louisville, Kentucky, took place during that 1975-1976 school year. Louisville’s case is somewhat different. Not only did they finally follow federal mandates to integrate, they had to mix two totally separate school systems, one for the county (White) and one from the city (African American). The objectives are: (1) what were the experiences and perceptions of African American students in high school who lived in the West Louisville hyper-segregated neighborhoods and …


Combating Frailty: Application Of A Modified Skeletal Frailty Index In Modern Military And Civilian Populations., Emily M. Frazier May 2022

Combating Frailty: Application Of A Modified Skeletal Frailty Index In Modern Military And Civilian Populations., Emily M. Frazier

Electronic Theses and Dissertations

Conceptualizing, quantifying, and evaluating frailty in human skeletal remains is critical to understanding and interpreting physiological health and stress among past populations. While many researchers focus on frailty in bioarchaeological samples, developing models for mortality risk and individual- and population-specific indices of stress, no current methods directly address frailty in forensic contexts. This study considers the applicability of a modified index for assessing frailty in forensic anthropology by comparing distributions of 8 biomarkers of stress (linear enamel hypoplasia; periodontal disease; caries; osteoarthritis; intervertebral disc disease; rotator cuff disorder; antemortem fracture; and surgical procedure) using the original skeletal frailty index (SFI) …


Public Health Contagion Of White Supremacy: Examining The Pipeline Of Attitudes About Racism And Racial History Education Among High School Students., Trinidad Jackson May 2022

Public Health Contagion Of White Supremacy: Examining The Pipeline Of Attitudes About Racism And Racial History Education Among High School Students., Trinidad Jackson

Electronic Theses and Dissertations

We are living in compounded states of upheaval. Violence and exemption from it across socioecological levels have shaped how humans survive, thrive, and die. While different violence typologies exist, the U.S., prioritizes interpersonal violence as its primary target of intervention, often through structural means that foster and reinforce interpersonal violence. The omission of structural and cultural agents and outcomes of violence allows perpetrators to infiltrate and reproduce savage, dehumanizing ideologies in perpetuity. Instead of sustaining societal pillars that oppress and destroy, we must fertilize public health research, practice, and sociopolitical activism with pillars that both inform and activate liberatory consciousness …