Social and Behavioral Sciences Commons^™

Shame And Silencing Of Amejo In Okinawa: Examining Gendered And Militarized Violence, Katie Hashimoto

University Honors Theses

Off the southern part of Japan is the small archipelago of Okinawa. Of Japan's total land mass, Okinawa makes up only 0.6% of the country, yet it hosts over 70% of the land occupied by U.S. military bases. Since the end of World War II, Okinawa has existed under dual-subjugation by Japan and the U.S., which has created the grounds for systemic gendered and militarized violence. Rape and sexual violence perpetrated by U.S. military servicemen continue to be the primary concern of Okinawan feminists pushing for the demilitarization of Okinawa. However, these concerns often get lost within heteronormative and male-masculinist …

Exploring Associations Between Military Identity And Well-Being Outcomes Among Post-9/11 Veterans After Separation, James David Lee

Dissertations and Theses

Approximately 200,000 service members exit the military each year; as of 2016, there were 19 million veterans in the U.S. As service members transition out of the military and acclimate to civilian life, they face a multitude of stressors. For example, estimates vary from 44 to 72% of veterans reportedly experience increased stress during their transition which often entails securing civilian employment, navigating interpersonal difficulties, and adapting to the challenges of civilian life. These stressors have harmful consequences and have been linked to physical and mental health, and suicide risk. Despite these findings, research examining the well-being of veterans following …

Incarceration And Suicide: Do The Risk Factors Differ For Civilians And Veterans?, Rheannon Gail Ramsey

Dissertations and Theses

Suicide is one of the leading causes of death in United States jails and prisons. Many researchers have looked at suicides in prisons and what can potentially cause suicidal ideation but there are conflicting findings among civilian incarcerated populations and United States military veteran incarcerated populations.

The intent of this study is to examine which risk factors are most prevalent among adults in custody, with a focus on mental health and substance use or abuse and how these risk factors differ between incarcerated civilians and incarcerated veterans. Using survey data from the 2002 Survey of Inmates in Local Jails conducted …

Home Resources Supporting Workplace Resources: An Investigation Of Moderated Intervention Effects From The Study For Employment Retention Of Veterans (Serve), Sarah Nielsen Haverly

Dissertations and Theses

Social support directly impacts psychological outcomes both within the home and work domains. Hammer and colleagues suggest that social support at work from supervisors is related to a number of positive workplace outcomes. Kossek et al. elaborated that social support from supervisors is additionally effective when it is tailored to the unique needs of workers (i.e., role demands). The Veteran Supportive Supervisor Training (VSST) educates supervisors how to better support former service-members employed within the civilian workplace. Additional sources of social support are also key to positive outcomes for workers. Research shows that support from a partner or spouse can …

An Investigation Of The Temporal Relationship Between Agitation And Sleep Disturbances, Emily Catherine Denning

Dissertations and Theses

Suicide rates in the United States have increased almost 30% since 1999, making it the tenth leading cause of death in the country. This problem is especially prominent for veterans of the U.S. Armed Forces, as veterans comprise 8.5% of the U.S. population, yet they account for 18% of all deaths by suicide. These increasing rates have spurred the need for a better understanding of suicide risk, especially for this high-risk group. Previous research has focused mostly on chronic risk factors, which are useful for identifying who from a population may be more likely to engage in suicidal behaviors, but …

A Daily Examination Of Anger And Alcohol Use Among Post-9/11 Veterans, James David Lee

Dissertations and Theses

Anger problems have been commonly reported among military service-connected individuals. Current estimates of self-reported anger issues among post-9/11 veterans are around 57%. Alarmingly, it's been reported that anger does not decrease over the course of the post-deployment period; left unmanaged, it has been associated with a higher risk for suicide, post-traumatic stress, and hazardous alcohol use. Heavy drinking within military-connected samples has also been a well-documented phenomenon. Recent findings suggest that service-connected individuals may cope with adversity and regulate emotions through alcohol use, which may put them at risk for developing alcohol use disorders. While some evidence has observed a …

Outsiders Within Inequality Regimes: A Sociological Framework To Advance The Lives Of Women Veterans, Sarah Louise Aktepy

Dissertations and Theses

This three-paper dissertation examines pervasive gender inequalities across two institutions: the US military and Department of Veterans Affairs (VA). The first paper, "'Don't Rock the Boat:' Experiences and Perceptions of Gender-Based Violence in the U.S. Military" uses qualitative interviews to better understand the experiences of gendered harassment and violence of women veterans in the US military. The second paper, "First Do No Harm: Assessing Veterans Affairs Screening for Military Sexual Abuse among our Nations Veterans" uses survey data and qualitative interviews to identify factors that contribute to inaccurate results of clinical screening for veterans with military sexual violence histories within …

Examining The Narratives Of Military Sexual Trauma Survivors, Maria Carolina GonzáLez-Prats

Dissertations and Theses

Background: The return of military sexual trauma (MST) to the national spotlight has been fueled by a combination of continued reports of sexual assaults across the various military branches, increased visibility of sexual abuse scandals in the media, and mounting calls for accountability from veteran advocacy groups and legislators. Although there have been numerous reforms implemented by the military, there still exists a significant gap between the military's official efforts and the reality of the survivors' experiences. Consequently, more research is needed to understand how survivors perceive the military's efforts, how these efforts affect their experiences, and how future …

Combat Exposure And Mental Health In The Military: The Role Of Collective Identity, Philip G. Bouleh

University Honors Theses

Significant evidence links combat exposure to psychiatric disorders and poor mental health outcomes in service members, creating the need to elucidate the factors associated with promoting psychological health and resilience in the military. Social identity theory postulates that an individual’s identification with a group, such as the military, can be instrumental in the provision of a sense of belongingness that is crucial for social integration, meaning and support during times of difficulty. This study examined how collective military identification interacted with the effects of combat exposure on mental health outcomes, in light of the protective capacity of social belongingness to …

Opioid Agonist Therapy During Hospitalization Within The Veterans Health Administration: A Pragmatic Retrospective Cohort Analysis, Kelsey C. Priest, Travis I. Lovejoy, Honora Englander, Sarah Shull, Dennis Mccarty

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background

Hospitalization of patients with opioid use disorder (OUD) is increasing, yet little is known about opioid agonist therapy (OAT: methadone and buprenorphine) administration during admission.

Objective

Describe and examine patient- and hospital-level characteristics associated with OAT receipt during hospitalization in the Veterans Health Administration (VHA).

Participants

A total of 12,407 unique patients, ≥ 18 years old, with an OUD-related ICD-10 diagnosis within 12 months prior to or during index hospitalization in fiscal year 2017 from 109 VHA hospitals in the continental U.S.

Main Measure

OAT received during hospitalization.

Key Results

Few admissions received OAT (n = 1914; 15%) …

Barriers To Utilization Of Prescription Drug Monitoring Programs Among Prescribing Physicians And Advanced Practice Registered Nurses At Veterans Health Administration Facilities In Oregon, Ginnifer L. Mastarone, Jessica Wyse, Eileen R. Wilbur, Benjamin J. Morasco, Somnath Saha, Kathleen Carlson

OHSU-PSU School of Public Health Faculty Publications and Presentations

Objective

To identify barriers to using state prescription drug monitoring programs (PDMPs) among prescribing physicians and advanced practice registered nurses across a variety of Veterans Health Administration (VA) settings in Oregon.

Design

In-person and telephone-based qualitative interviews and user experience assessments conducted with 25 VA prescribers in 2018 probed barriers to use of state PDMPs.

Setting

VA health care facilities in Oregon.

Subjects

Physicians (N = 11) and advanced practice registered nurses (N = 14) who prescribed scheduled medications, provided care to patients receiving opioids, and used PDMPs in their clinical practice. Prescribers were stationed at VA medical centers (N …

Rheumatology Clinicians’ Perceptions Of Telerheumatology Within The Veterans Health Administration: A National Survey Study, Rachel Matsumoto, Bryant R. England, Ginnifer L. Mastarone, J. Steuart Richards, Elizabeth Chang, Patrick R. Wood, Jennifer Barton

Communication Faculty Publications and Presentations

Introduction: The Department of Veterans Affairs Veterans Health Administration (VA) Strategic Plan (Fiscal Year 2018–2024) identified four priorities for care including easy access, timely and integrated care, accountability, and modernization, all of which can be directly or indirectly impacted by telemedicine technologies. These strategic goals, coupled with an anticipated rheumatology workforce shortage, has created a need for additional care delivery methods such as clinical video telehealth application to rheumatology (ie, telerheumatology). Rheumatology clinician perceptions of clinical usefulness telerheumatology have received limited attention in the past. The present study aimed to evaluate rheumatologists’ perceptions of and experiences with telemedicine, generally, and …

Military Factors Associated With Smoking In Veterans, Sara E. Golden, Sujata Thakurta, Christopher G. Slatore, Hyeyoung Woo, Donald R. Sullivan

Sociology Faculty Publications and Presentations

Introduction: Given the high prevalence of smoking among Veterans and the economic, social, and clinical implications, it is important to understand the factors that contribute to smoking in order to focus efforts to mitigate these factors and improve smoking cessation efforts among Veterans. The availability of research on smoking in Veterans compared with civilians is limited given the military-specific differences in their life course. We aimed to identify military-specific factors combined with sociodemographic factors for ever smoking and current smoking among Veterans to inform future interventions. Materials and Methods: We used data from the 2010 National Survey of Veterans, the …

Drinking Motives And Alcohol Use: The Serve Study Of U.S. Current And Former Service Members, Cynthia D. Mohr, Cameron T. Mccabe, Sarah N. Haverly, Leslie B. Hammer, Kathleen F. Carlson

Psychology Faculty Publications and Presentations

Objective: Hazardous drinking in the armed forces is a signifi cant problem. Alcohol use motivations, known risk factors for problem drinking, have been underexplored in this population. Our study extends knowledge about drinking motives among current and former U.S. service members and provides recommendations on their utility in identifying alcohol-related problems by examining the factor structure of multidimensional drinking motives and their association to alcohol use.

Method: Post-9/11 separated service members and current reservists were recruited from 35 Oregon employers to participate in a workplace study of supervisor support. The resulting sample (N = 509; 84% male; mean age = …

To What Extent Did Blood Transfusion Systems And Technologies Modernize During World War Ii?, Hannah J. Leblanc

Young Historians Conference

This investigation will explore changes in blood transfusion during World War II (1939-1945). Medical technology and collection systems for whole blood and blood plasma in particular will be examined. The focus of this investigation will be the United States, but Great Britain will also be mentioned due to its close blood transfusion-related interactions with the United States during this period. Additionally, blood transfusion prior to World War II and in modern times will also be considered in this investigation to provide context and to allow assessment of modernization during the war. However, artificial blood substitutes will not be considered, nor …

The Art Of War: Battles Won And Wars Lost, Mark W. Dekay

Young Historians Conference

Sun Tzu is one of the most influential military figures of all time; his treatise The Art of War provides the framework for waging an effective war. War is much more than a game of numbers or pawns on a board, Sun Tzu identifies the underlying factors that determine the outcome of every war, past or present. Follow The Art of War and victory is ensured, but if you ignore Sun Tzu defeat is inevitable. Many wars throughout history are proof of this statement, but there is no greater example than America's defeat in Vietnam. Despite having a much more …

Euthanasia, The Ethics Of Patient Care And The Language Of Propaganda, Elizabeth Maria Krapf

Dissertations and Theses

This thesis is an examination of euthanasia, eugenics, the ethic of patient care, and linguistic propaganda in the Second World War. The examination of euthanasia discusses not only the history and involvement of the facility at Hadamar in Germany, but also discuss the current euthanasia debate. Euthanasia in World War II arose out of the Nazi desire to cleanse the Reich and was greatly influenced by the American eugenics movement of the early 20th century. Eugenics was built up to include anyone considered undesirable and unworthy of life and killed many thousands of people before the invasion of allied troops …

Understanding The Experience Of Air Force Single Parents: A Phenomenological Study, Samantha Everhart Blanchard

Dissertations and Theses

Today, raising children under the best of circumstances represents a daunting endeavor as any parent and a growing body of research confirm. When a single parent is on active duty in one of the U.S. armed forces, there are additional challenges involved that may not exist among civilian counterparts. The phenomenon of single parents on active duty with its unique difficulties associated both with single parenting and with military service was the basis of this study. The purpose of the research was twofold: to describe the experiences of Air Force single parents as related to social support and work-life theory …

Veterans In Higher Education: What Every Adviser May Want To Know, Jose Coll, Hans Oh, Craig Joyce, Lazara C. Coll

School of Social Work Faculty Publications and Presentations

With the current influx of soldiers returning from war in Iraq and Afghanistan, the newly revised Post-9/11 GI Bill affords veterans the opportunity to attend state colleges free of charge, which may result in a dramatic increase in enrollment of veterans in colleges across the country. However, most learning institutions are ill-equipped to accommodate the special needs of those veteran students who may experience adjustment problems when reintegrating into a civilian setting. Veterans return with a newly acquired value system shaped by military service that can create dissonance when interacting with non-military people. Moreover, veterans may suffer from complex physical …

The Influence Of Military Culture And Veteran Worldviews On Mental Health Treatment: Practice Implications For Combat Veteran Help-Seeking And Wellness, Eugenia Weiss, Jose E. Coll

School of Social Work Faculty Publications and Presentations

The influence of military cultural values consisting of unit cohesion (or the subordination of individual needs over the needs of the collective)the devotion to duty and to the mission,stoicism (emotional restraint)and the importance of adhering to the chain of command become guiding belief systems for military personnel.In fact,military culture has been recognized as a distinct sub-culture of American civilian society.

The Military Genogram: A Solution-Focused Approach For Resiliency Building In Service Members And Their Families, Eugenia Weiss, Jose Coll, Jennifer Gerbauer, Kate Smiley, Ed Carillo

School of Social Work Faculty Publications and Presentations

In recent decades, it has become evident among mental health practitioners that the military is a unique culture that is comprised of distinct ethics, core values, codes of conduct, and strict hierarchical roles. In light of the war in Afghanistan and the war in Iraq, veterans and their families are seeking mental health services due to a variety of psychosocial issues; however, mental health practitioners are lacking military-specific knowledge in understanding individuals within the military subculture. In addition, they are ill-equipped with interventions aimed at supporting the military family. Historically, the genogram has been an effective tool in delineating intergenerational …