Digital Commons Network^™

Adolescence And Contraception, Donald E. Greydanus, Carolyn M. Lentzsch-Parcells, Hatim A. Omar, Colleen B. Dodich

Pediatrics Faculty Publications

The age of adolescence is the time when most adolescents in the world become sexually active with resultant millions of pregnancies and sexually transmitted diseases. This paper considers methods of contraception for these adolescents, including oral contraceptions, transdermal contraception, mini-pills, intravaginal ring, injectable contraception, intrauterine devices, barrier contraceptives, implants, and others. It is important for clinicians caring for sexually active youth to provide information regarding contraception and appropriate contraceptive prescriptions.

Sexually Transmitted Diseases In Adolescence, Donald E. Greydanus, Jane Seyler, Hatim A. Omar, Colleen B. Dodich

Pediatrics Faculty Publications

High rates of unprotected sexual behavior in adolescents result in millions of sexually transmitted diseases (STDs) in the world. This paper reviews factors inducing high STD rates, specific STDs, and their management based on 2010 US Centers for Disease and Prevention (CDC) STD guidelines. Clinicians should screen all their sexually active adolescent patients for STDs and provide preventive education as well as treatment measures.

Child Food Security And The Food Stamp Program: What A Difference A Month Makes, Yiran Li, Bradford Mills, George Davis, Elton Mykerezi

University of Kentucky Center for Poverty Research Discussion Paper Series

Most Americans believe that children should not have either persistent concerns about the quality and quantity of food to eat or lack of actual access to food due to low household resources. However, in 2007, approximately 3.3 million households (8.3 percent of households with children) had food insecure children who did not have consistent access to adequate and safe foods (Nord and Golla, 2009). This implies less than complete coverage of children by the food-assistance safety net.

The United States’s Supplemental Nutrition Assistance Program (SNAP), historically and commonly known as the Food Stamp Program (FSP), is a federal-assistance program designed …

Low Income Preschoolers' Non-Parental Care Experiences And Household Food Insecurity, Colleen Heflin, Irma Arteaga, Sara Gable

University of Kentucky Center for Poverty Research Discussion Paper Series

Rates of food insecurity in households with children have significantly increased over the past decade. The majority of children, including those at risk for food insecurity, participate in some form of non-parental child care during the preschool years. To evaluate the relationship between the two phenomenon, this study investigates the effects of child care arrangements on food insecurity in households with children. To address the selection bias problem that arises from the fact that enrollment in different types of child care is not a random process, this study uses propensity scores techniques. The authors compare outcomes across five child care …

Multiracial Churches: An Unusual Arrangement, David John Luke

Theses and Dissertations--Sociology

It is commonly said that 11:00 A.M. Sunday morning is the most segregated hour in America. The contact theory explains how interracial contact can help to ameliorate racism - and this type of interaction can easily be fostered in a church environment. Durkheim's idea of the "collective effervescence" felt in ritual experiences would be beneficial for crossing racial lines and improving race relations in the U.S. in multiracial churches. A great deal of recent sociological work has focused on the phenomenon of church segregation on a nationwide scale. This paper compares characteristics found in nationwide religious congregation surveys and case …

Voter Ideology, Tax Exporting, And State And Local Tax Structure, John M. Foster

Theses and Dissertations--Public Policy and Administration

State and local governments play an important role in financing and delivering public services in the United States. In 2008, state and local governments collected 57 percent of total federal, state, and local revenue (Urban Institute and Brookings Institution, Tax Policy Center, 2009). The decentralization of fiscal responsibility has enabled a high degree of variation in state and local tax structures to emerge. This dissertation presents two empirical studies that extend the positive literature on state and local tax policy.

The extant literature contains evidence of a direct relationship between voter ideology and state and local tax progressivity. However, the …

Applying Specific Arts Activities To Improve The Quality Of Life For Individuals With Alzheimer’S Disease And Dementia, Ann Christianson Tietyen

Theses and Dissertations--Art and Visual Studies

This study examined the effectiveness of a combination of seven different visual art activities, hat decoration, collage, embossing, painting, ceramics, photography, and printmaking, on quality of life for eight veterans with Alzheimer’s disease and dementia. The eight veterans were selected from the population of residents at the Thomson‐ Hood Veterans facility in Wilmore, Kentucky. These veterans were administered the seven art activities mentioned above, which ranged from less difficult to increasing difficulty. Three standard self‐reporting instruments, the Quality of Life‐AD, the Rosenberg Self‐Esteem Scale, and the Smiley‐Face Mood Assessment, as well as systematic observation and surveys were used to explore …

Youth And Adult Perceptions Of Their Relationships Within Community-Based Youth Programs, Kenneth R. Jones, Daniel F. Perkins

Community & Leadership Development Faculty Publications

This study examined perceptions and experiences of youth and adults engaged in various types of community-based youth-adult relationships. Involvement and interaction rating scales were completed by 108 participants involved in community groups from 12 communities in 10 states. The rating scale measured three constructs: youth involvement, adult involvement, and youth- adult interaction. Significant gender differences in participants’ perceptions were found on all three constructs, with females being more positive. Rural participants were found to be significantly more positive than urban participants on the construct of youth involvement. Finally, significant differences were found between all participants within categories of the youth-adult …

What Rocks The Vote? Citizens' Views Of Community Leaders And Political Engagement, Cecil J. Shelton

Theses and Dissertations--Community & Leadership Development

Political engagement has an established body of research. However, one key area that has not been investigated in the field is the relationship between political engagement and type of community lived in. This study explores this relationship between type of community, past political engagement, perceptions of community leaders, attitude about political engagement, and socieodemographic characteristics. A conceptual model was developed based on existing literature. Utilizing a statewide survey conducted in 2009 that yielded 1,154 respondents with a response rate of 30.2% was used to explore these relationships. Using statistical procedures that test correlation were utilized to investigate the relationship between …

Male Farmers Coping With Loss Of Spouse: Impacts On Farming Operation And Family Life, Daniel O. Wilson

Theses and Dissertations--Community & Leadership Development

Losing a spouse is as devastating an experience anyone will ever deal with in his or her life. Research, however, shows that men have a harder and longer time coping with the loss of a spouse than women. When the widower’s profession is farming, there are no resources to specifically help that individual with their loss. The purpose of this research was to gain insight into the lives of widowed farmers with particular focus on transitions in their farming operation and their family life. Through their stories, we learn what is happening before the loss of the female spouse on …

Explaining Benefit Utilization Variability In Fmnp In Kentucky: An Application Of Pierre Bourdieu’S Theory, Stephanie M. Holcomb-Kreiner

Theses and Dissertations--Sociology

Research has demonstrated the crucial role fresh fruit and vegetable consumption plays in maintaining good health. However, most Americans do not consume adequate amounts, and low-income Americans consume the lowest quantities of fresh fruits and vegetables. The Farmers’ Market Nutrition Program (FMNP) and Senior Farmers’ Market Nutrition Program (SFMNP) attempts to rectify this situation by providing vouchers to low-income women, children, and elders that can be used only at farmers’ markets for the purchase of locally grown, fresh fruits and vegetables. Unfortunately, FMNP and SFMNP exhibit variable and often low benefit utilization. This variable and often low benefit utilization is …

The Risk Of Violence And Intimate Partner Choice Within A Risk Society, Adam J. Pritchard

Theses and Dissertations--Sociology

This dissertation examines the influence of competing risks in shaping individuals' choices about potential intimate relationships. According to Ulrich Beck's "risk society" theory, the individualization of social risks has direct and measurable consequences for the ways people organize and evaluate potential intimate relationships (Beck & Beck-Gernsheim, 1995, 2002, 2004; Giddens, 1994; Lupton, 2006). This study investigates the ways in which subjective or identity-related risks hypothesized by scholars of late modernity shape the perception and the actual risk of dating violence. Empirical research on dating violence identifies many objective “risk factors” related to a person’s chances of experiencing intimate partner violence; …

Graduate Employees’ Work And Organizing In Today’S University: A New Social Movement Theory Approach To Internal And External Struggles, Michael Carl Ide

Theses and Dissertations--Sociology

This is a mixed-methods comparative study of union and non-union graduate employees’ work experiences, following Wicken’s (2008) call for additional research into the graduate union movement. I used focus group interviews, finding that nonunionized participants had significantly more negative views of their work and faculty members than unionized participants. Non-unionized participants were also more likely to display greater internalization of neoliberal views and neoliberal subjectivity, and were more likely to see their problems in fatalistic terms. I found increased activity with the union to be associated with both decreased fear and anxiety as well as an increased sense of personal …

Making Boundaries And Linking Globally: “Material Politics” Of Phytosanitary Regulation On Mexican Mangos, Kiyohiko Sakamoto

Theses and Dissertations--Sociology

This dissertation illuminates how phytosanitary (PS) regulations enable mango exportation from Mexico to the United States. PS regulations are technical and legal measures to prevent plant pests from proliferating or being transported to other places and are important regulatory mechanisms enabling the globalization of agriculture. My case study investigates how PS regulations enable Mexican mango exportation as an aspect of the globalization of agriculture, illustrating the consequences of PS regulations to humans and non-humans. More specifically, three research questions are posed: (1) How does the PS regulation network operate to draw distinctions between pest/non-pest, thereby enabling the export of Mexican …

Do College Football Games Affect The Level Of Crime In The Local Community?, Micah Johnson

MPA/MPP/MPFM Capstone Projects

On the local news channels in major college football towns, there are anecdotal stories during that detail celebratory riots that took place during or after a college football game. Few empirical studies have focused on whether there is a relationship between college football games and crime. This paper attempts to determine that relationship by exploiting the fact that college football games are played in a home stadium and an away stadium.

More specifically, the study addressed the following two questions:

Do jurisdictions in which a home football game is played differ in crime rate from those where an away game …

Kentucky Wic Participants’ Knowledge, Attitudes, And Beliefs Regarding Grains, Dustin Tyler Reed

Theses and Dissertations--Nutrition and Food Systems

Obesity, diabetes, cardiovascular disease, and poor dietary habits are major healthcare problems in the United States. These issues are especially prevalent in the state of Kentucky and among at-risk populations such as Women, Infants, and Children (WIC) participants. Studies have found that whole grains play a role in weight maintenance, protection against type 2 diabetes, and lowering cholesterol. Interventions aimed at improving WIC participant dietary behavior and intake has been successful as well. This study assessed Kentucky WIC participants’ knowledge of the benefits of consuming grains, attitudes and beliefs regarding food purchasing and grains, and identified grains consumed in a …

Local Ghanaian Stakeholder Perceptions After One Year Of A New School Feeding Program In Adjeikrom, Ghana, Monica E. Fowler

Theses and Dissertations--Nutrition and Food Systems

The objective of this qualitative longitudinal study was to assess stakeholder perceptions after one year of a new school feeding program to contrast and compare to pre-program expectations. Semi-structured interviews were conducted using questions reviewed by an in-country collaborator for cultural sensitivity and appropriateness. Follow up questions were determined from participant response. The interviews were analyzed by performing content analysis using open and axial coding to find key concepts in the data. The results showed the school feeding program met stakeholder expectations regarding reduction in absenteeism and truancy, improving classroom behavior and increasing enrollment as well as relieving short term …

Leading Through Listening: Racial Tensions In 1968 New York, Janice W. Fernheimer

Writing, Rhetoric, and Digital Studies Faculty Publications

No abstract provided.

Mild Cognitive Impairment: Statistical Models Of Transition Using Longitudinal Clinical Data, Erin L. Abner, Richard J. Kryscio, Gregory E. Cooper, David W. Fardo, Gregory A. Jicha, Marta S. Mendiondo, Peter T. Nelson, Charles D. Smith, Linda J. Van Eldik, Lijie Wan, Frederick A. Schmitt

Sanders-Brown Center on Aging Faculty Publications

Mild cognitive impairment (MCI) refers to the clinical state between normal cognition and probable Alzheimer's disease (AD), but persons diagnosed with MCI may progress to non-AD forms of dementia, remain MCI until death, or recover to normal cognition. Risk factors for these various clinical changes, which we term "transitions," may provide targets for therapeutic interventions. Therefore, it is useful to develop new approaches to assess risk factors for these transitions. Markov models have been used to investigate the transient nature of MCI represented by amnestic single-domain and mixed MCI states, where mixed MCI comprised all other MCI subtypes based on …

“What Do You Do With A Student Like That?”: Defiance, Disrespect And Lack Of Motivation In The High School Classroom, Cynthia Stallard Glass

Theses and Dissertations--Sociology

Educators face multiple forms of misbehavior in the classroom on a regular basis. Quantitative data in the academic literature indicates that some subgroups, particularly minority students, lower income students and boys, face higher rates of disciplinary actions than their peers. Whether this indicates that those students misbehave more often, whether their actions are perceived differently by educators, or whether they are punished more harshly for their misbehavior are issues that are not well-settled by academic research. This research project addresses this gap in the literature, by addressing how the overrepresentation of subgroups may occur and by addressing the decision-making process …

Middle-Class Crisis In The Colonization Transition: Comparing Catalysts And Consequences In Taiwan, 1988-2008, Jui-Chang Jao

Theses and Dissertations--Sociology

The Taiwanese middle class has experienced two waves of crisis over the past three decades in the context of a colonization transition involving globalization and democratization as primary catalysts. On the economic front, Taiwan’s economy has become increasingly integrated into the Chinese market, resulting approximately one million of the Taiwanese middle class relocating to China. Moreover, neoliberal economic reforms have led to a downsized state sector of the Taiwanese economy. These economic changes affect the growth and stability of the Taiwanese middle class. Meanwhile, on the political front, an ongoing democratic consolidation and decolonization efforts have brought about significant political …

Families With Hungry Children And The Transition From Preschool To Kindergarten, Colleen Heflin, Irma Arteaga, Sara Gable

University of Kentucky Center for Poverty Research Discussion Paper Series

This paper exploits a source of variation in the eligibility for federal nutrition programs to identify the program effects on food insecurity. Children are eligible for the WIC program until the day before they turn 61 months old. The result is an age discontinuity in program participation at the 61-month cutoff. Using the Early Childhood Longitudinal Study Birth-cohort dataset, we find strong evidence of a sizeable increase in household food insecurity at the 61- month cutoff. Our findings are robust to different model specifications, datasets, and various bandwidth choices using various non-parametric estimations.

On Persistent Poverty In A Rich Country, T.M. Tonmoy Islam, Jenny Minier, James P. Ziliak

University of Kentucky Center for Poverty Research Discussion Paper Series

We examine differences in income within the U.S., and the regions of persistent poverty that have arisen, using a newly assembled dataset of counties that links historical 19th century Census data with contemporaneous data. The data, along with an augmented human capital growth model, permit us to identify the roles of contemporaneous differences in aggregate production technologies and factor endowments, in conjunction with the historical roles of institutions, culture, geography, and human capital. We allow for possible cross-county factor mobility via a correlated random effects GMM estimator that identifies simultaneously the coefficients on time varying and time-invariant determinants of income. …

Romantic Attachment Among Young Adults: The Effects Of Parental Divorce And Residential Instability, Katherine N. Washington

Theses and Dissertations--Family Sciences

Using an attachment theory perspective, variation in adult romantic attachment style outcomes were examined according to childhood experiences of parental divorce and residential instability. The sample was comprised of 172 individuals in the young adulthood developmental stage that were recruited using snowball sampling via online social networking. Participants completed an online survey containing the 36-item Experiences in Close Relationships scale and 28 author-developed items. The majority of the sample reported stable and predictable living arrangements as children. Those whose parents had divorced reported higher levels of parental conflict during their childhood than those whose parents had never divorced or separated. …

Clients’ Experiences Of Spirituality In Couple’S Therapy: A Phenomenological Approach, Jillian M. Puckett

Theses and Dissertations--Family Sciences

While spirituality has been an increasingly researched topic within the field of marriage and family therapy, it has been largely overlooked within the context of couple’s therapy. The goal of the present study is to enhance the understanding of the role of spirituality in therapy by describing clients’ experiences of spirituality in couple’s therapy. The study utilized a phenomenological approach to come to a better understanding of the essence of clients’ experiences of spirituality in couple’s therapy. Semi-structured interviews with couples enrolled in couple’s therapy were conducted and analyzed. Four major themes emerged: spiritual experiences in couple’s therapy, perception of …

Three Studies To Investigate Biopsychosocial Influences On Marital Conflict, Claire Kimberly

Theses and Dissertations--Family Sciences

Research is beginning to find a positive and significant relationship between marriage and health. Even though the current literature shows that separation and divorce have strong negative consequences for the mental and physical health of both spouses (Dush & Amato, 2005), the answer to why and how this occurs has yet to be solved.

A comprehensive perspective that could greatly benefit the analysis of this connection is the use of social neuroscientific methods in a biopsychosocial model. By including biological factors, social elements, and psychological variables in analyzing marriages, researchers would be able to further understand both the intra- and …