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- Journal of Appalachian Health (56)
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Articles 61 - 86 of 86
Full-Text Articles in Social and Behavioral Sciences
Social Networks, Identity, Health, And Quality Of Life Among Older Gay And Lesbian Individuals In Rural Environments, Marc Aaron Guest
Social Networks, Identity, Health, And Quality Of Life Among Older Gay And Lesbian Individuals In Rural Environments, Marc Aaron Guest
Theses and Dissertations--Gerontology
The goal of this dissertation was to explore aging lesbian and gay individuals living in rural communities, in terms of their social networks and the relationships between these networks, identity, health, and quality of life. Guiding the study were three overarching questions. Using a multi-method design, the research was grounded within a socio-ecological context and focused on how structural systems create pathways for health and are affected by social position (intersectionality). Participants (n=25) were recruited from Kentucky (n=20), West Virginia (n=3), and Tennessee (n=2). Thirteen participants self-identified as gay and twelve as lesbian. Findings highlight the complexity of the aging …
Clinician Identified Barriers To Treatment For Individuals In Appalachia With Opioid Use Disorder Following Release From Prison: A Social Ecological Approach, Amanda M. Bunting, Carrie B. Oser, Michele Staton, Katherine S. Eddens, Hannah K. Knudsen
Clinician Identified Barriers To Treatment For Individuals In Appalachia With Opioid Use Disorder Following Release From Prison: A Social Ecological Approach, Amanda M. Bunting, Carrie B. Oser, Michele Staton, Katherine S. Eddens, Hannah K. Knudsen
Sociology Faculty Publications
Background: The non-medical use of opioids has reached epidemic levels nationwide, and rural areas have been particularly affected by increasing rates of overdose mortality as well as increases in the prison population. Individuals with opioid use disorder (OUD) are at increased risk for relapse and overdose upon reentry to the community due to decreased tolerance during incarceration. It is crucial to identify barriers to substance use disorder treatment post-release from prison because treatment can be particularly difficult to access in resource-limited rural Appalachia.
Methods: A social ecological framework was utilized to examine barriers to community-based substance use treatment among individuals …
Growing Economic Possibility In Appalachia: Stories Of Relocalization And Representation On Stinking Creek, Kathryn Engle
Growing Economic Possibility In Appalachia: Stories Of Relocalization And Representation On Stinking Creek, Kathryn Engle
Theses and Dissertations--Sociology
This project explores the agricultural heritage and current social landscape of the Stinking Creek community of Knox County, Kentucky, and the legacy of the local nonprofit organization the Lend-A-Hand Center. Through participatory research, this project presents a reflexive account of the Lend-A-Hand Center Grow Appalachia Gardening Program examining the diverse economy of the Stinking Creek watershed and possibilities for new economic imaginings and post-coal futures for central Appalachia. This dissertation includes an oral history project, a theoretical examination, and an ethnographic reflection, bridging several literatures in the fields of agricultural history, Appalachian Studies, Participatory Action Research, research within the diverse …
Between A Rock And A Hard Place: Urbanormativity And Rural Located Private Higher Education, Jonathan Jared Friesen
Between A Rock And A Hard Place: Urbanormativity And Rural Located Private Higher Education, Jonathan Jared Friesen
Theses and Dissertations--Sociology
As urban areas have come to increasing dominate the social landscape, rurality is often defined in negative ways such as being backwards, simple, or even deviant. Urbanormativity is a theoretical approach developed to capture the normative and structural impacts and implications of privileging the urban. The result is not only the construction of urban as correct and positive and rurality as abnormal and backwards, the cultural ideology impacts the structural flow of resources which negatively impacts and results in a marginalization of rural areas.
The primary question motivating this research is how does urbanormativity shape the interactions between rural towns …
Mental Health Treatment Seeking Patterns And Preferences Of Appalachian Women With Depression, Claire Snell-Rood, Emily Hauenstein, Carl G. Leukefeld, Frances Feltner, Amber Marcum, Nancy E. Schoenberg
Mental Health Treatment Seeking Patterns And Preferences Of Appalachian Women With Depression, Claire Snell-Rood, Emily Hauenstein, Carl G. Leukefeld, Frances Feltner, Amber Marcum, Nancy E. Schoenberg
Behavioral Science Faculty Publications
This qualitative study explored social-cultural factors that shape treatment seeking behaviors among depressed rural, low-income women in Appalachia—a region with high rates of depression and a shortage of mental health services. Recent research shows that increasingly rural women are receiving some form of treatment and identifying their symptoms as depression. Using purposive sampling, investigators recruited 28 depressed low-income women living in Appalachian Kentucky and conducted semistructured interviews on participants’ perceptions of depression and treatment seeking. Even in this sample of women with diverse treatment behaviors (half reported current treatment), participants expressed ambivalence about treatment and its potential to promote recovery. …
In The Butternut Big Time: Food Hubs, Farmers, And The Development Of Community Agro-Food Economies, Lilian Brislen
In The Butternut Big Time: Food Hubs, Farmers, And The Development Of Community Agro-Food Economies, Lilian Brislen
Theses and Dissertations--Sociology
Food hubs, a new model of values-based agro-food enterprise, are promoted by their advocates as a means to simultaneously improve the livelihoods of small and mid-sized farmers, increase the social and environmental sustainability of the food system, and supply the ever increasing consumer demand for health, local food. Noting the contradictions embedded in the promise of simultaneously generating both social values and economic value, this study explores how goals of promoting positive social, economic, or environmental change are achieved and/or inhibited when implemented though marketbased activities. Through a series of three in-depth case studies of food hubs in the Southeastern …
“I Wonder What You Think Of Me”: A Qualitative Approach To Examining Stereotype Awareness In Appalachian Students, Chelsea G. Adams
“I Wonder What You Think Of Me”: A Qualitative Approach To Examining Stereotype Awareness In Appalachian Students, Chelsea G. Adams
Theses and Dissertations--Educational, School, and Counseling Psychology
Historically, Appalachia has been stereotyped as being a culture bred in poverty and ignorance. Much research has shown that stereotyping reveals a pattern of behavioral change and an impact on psychological well-being for the stereotyped (e.g., Pinel, 1999; Woodcock, Jernandez, Estrada, & Schultz, 2012), and has largely been centered on race and gender (e.g., Byrnes, 2008; Tuckman & Monetti, 2011). Less is known about the development of culture-specific stereotypes such as those related to Appalachians – a highly stigmatized group (Daniels, 2014; Otto, 2002). The purpose of this study was to gain an understanding of how adolescents in rural Appalachia …
Cultivating A Culture Of Food Justice: Impacts Of Community Based Economies On Farmers And Neighborhood Leaders In The Case Of Fresh Stop Markets In Kentucky, Heather Hyden
Theses and Dissertations--Community & Leadership Development
In this thesis, I focus on two tensions within the alternative agro-food movement. First is a question of who/what community is allowed to define food systems problems and then implement solutions. For example, food desert metaphors rely discursively on defining communities as being “without”, which perpetuates needs-based narratives, in which only professional “experts” know how to solve problems of food access. These representations ignore the creativity, agency, and resiliency of everyday food justice mobilizations happening at the grassroots level. Second, what form can solutions take within hegemonic constructions of development? I build a theoretical model based on Black geographies (McKittrick, …
[Review Of] Saving Seeds, Preserving Taste: Heirloom Seed Savers In Appalachia, Julene L. Jones
[Review Of] Saving Seeds, Preserving Taste: Heirloom Seed Savers In Appalachia, Julene L. Jones
Library Faculty and Staff Publications
No abstract provided.
Colorectal Cancer Prevention: Perspectives Of Key Players From Social Networks In A Low-Income Rural Us Region, Nancy E. Schoenberg, Kathryn Eddens, Adam Jonas, Claire Snell-Rood, Christina R. Studts, Benjamin Broder-Oldach, Mira L. Katz
Colorectal Cancer Prevention: Perspectives Of Key Players From Social Networks In A Low-Income Rural Us Region, Nancy E. Schoenberg, Kathryn Eddens, Adam Jonas, Claire Snell-Rood, Christina R. Studts, Benjamin Broder-Oldach, Mira L. Katz
Behavioral Science Faculty Publications
Social networks influence health behavior and health status. Within social networks, “key players” often influence those around them, particularly in traditionally underserved areas like the Appalachian region in the USA. From a total sample of 787 Appalachian residents, we identified and interviewed 10 key players in complex networks, asking them what comprises a key player, their role in their network and community, and ideas to overcome and increase colorectal cancer (CRC) screening. Key players emphasized their communication skills, resourcefulness, and special occupational and educational status in the community. Barriers to CRC screening included negative perceptions of the colonoscopy screening procedure, …
Rural Reality: How Reality Television Portrayals Of Appalachian People Impact Their View Of Their Culture, Ivy Jude Elise Brashear
Rural Reality: How Reality Television Portrayals Of Appalachian People Impact Their View Of Their Culture, Ivy Jude Elise Brashear
Theses and Dissertations--Community & Leadership Development
Appalachian people have faced stereotyping of their culture and region in popular culture, news media, and art for generations. For more than 150 years, images of the region have been extracted by outside media makers and disseminated widely, solidifying the “hillbilly” stereotype in the national lexicon. This study focuses on such images in reality television shows about Appalachia, and seeks to determine whether or not those images, and the proliferation of them, has an impact on the ways in which Appalachian people understand and accept their own culture.
Gender Matters: Masculinities Among African American Men Farming In North Carolina, Marcus K. Bernard
Gender Matters: Masculinities Among African American Men Farming In North Carolina, Marcus K. Bernard
Theses and Dissertations--Sociology
The residue of racism, institutional discrimination, and class warfare continue to displace constructions of masculinity for African-American men in farming by shifting the drive for success onto the sidewalk of survival. The shifting focus migrates from goals of economic and political gain to simply shielding masculinity through acts of providing for and protecting the family. African-American men’s failure to acknowledge these quandaries in Western society’s social structure entraps their masculine identity by keeping their focus on issues of race and social class which overshadow the broad gender transformations. The deceptive social forces underlying this social structure hurl African conditions are …
Gold Mining And Unequal Exchange In Western Amazonia: A Theoretical Photo Essay, Gordon L. Ulmer
Gold Mining And Unequal Exchange In Western Amazonia: A Theoretical Photo Essay, Gordon L. Ulmer
disClosure: A Journal of Social Theory
I combine fieldwork photography and ethnographic documentation of gold mining in Madre de Dios, Peru, to examine the localized material, social, environmental, and health outcomes of the global gold boom. This 'theoretical photo essay’ examines how local and global forces coalesce around gold mining and influence peoples and environments in Western Amazonia. I use embodiment theory in anthropology, ecological economics, and theories of underdevelopment to understand local consequences of the global gold trade and to elucidate how opulence and the machinations of capital accumulation in economic centers of the world occur at the expense of human lives and environments in …
Talking Food: Motivations Of Home Food Preservation Practitioners In Kentucky, Lisa Conley
Talking Food: Motivations Of Home Food Preservation Practitioners In Kentucky, Lisa Conley
Theses and Dissertations--Sociology
Recent reports detail a rise in the practice of home food preservation in the United States due to economic woes, nutritional concerns, and increasing devotion to local food production.Home food preservation is the processing of foods in order to extend its shelf-life. Current common approaches to preserving foods at home include pressure canning, freezing, drying, water bath canning, and cellaring/storing. Local food production in four Kentucky counties were examined through in-depth qualitative interviews with home food preservation practitioners to yield a rural/urban comparison. Forty home food preservation practitioners were interviewed between Fall 2009 and Fall 2013. The primary question driving …
Dating Violence On Small Rural College Campuses: Are Administrator And Student Perceptions Similar?, Jean Allen Oldham
Dating Violence On Small Rural College Campuses: Are Administrator And Student Perceptions Similar?, Jean Allen Oldham
Theses and Dissertations--Kinesiology and Health Promotion
In recent years dating violence has become more and more prevalent on college campuses. Reports of the range of dating violence vary widely, with studies reporting from 20% to 85% of college women experiencing dating violence. However, almost all research has been conducted among urban and/or large colleges and universities, with virtually no attention to what is happening on small and/or rural college and university campuses.
When a possible 20% of college women have experienced dating violence on college campuses, there becomes a crucial need for administration at a college to have an accurate assessment of the college’s liability, and …
Untangling Neoliberalism’S Gordian Knot: Cancer Prevention And Control Services For Rural Appalachian Populations, George F. Bills
Untangling Neoliberalism’S Gordian Knot: Cancer Prevention And Control Services For Rural Appalachian Populations, George F. Bills
Theses and Dissertations--Sociology
In eastern Kentucky, as in much of central Appalachia, current local storylines narrate the frictions and contradictions involved in the structural transition from a post-WWII Fordist industrial economy and a Keynesian welfare state to a Post-Fordist service economy and Neoliberal hollow state, starving for energy to sustain consumer indulgence (Jessop, 1993; Harvey, 2003; 2005). Neoliberalism is the ideological force redefining the “societal infrastructure of language” that legitimates this transition, in part by redefining the key terms of democracy and citizenship, as well as valorizing the market, the individual, and technocratic innovation (Chouliaraki & Fairclough, 1999; Harvey, 2005). This project develops …
What Rocks The Vote? Citizens' Views Of Community Leaders And Political Engagement, Cecil J. Shelton
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
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 …
Local Ghanaian Stakeholder Perceptions After One Year Of A New School Feeding Program In Adjeikrom, Ghana, Monica E. Fowler
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 …
Master Status Between Race And Region, Myrah R. Scruggs
Master Status Between Race And Region, Myrah R. Scruggs
Kaleidoscope
No abstract provided.
Factors Influencing Community Response To Locally Undesirable Land Uses: A Case Study Of Bluegrass Stockyards, Terry Logan Lunsford
Factors Influencing Community Response To Locally Undesirable Land Uses: A Case Study Of Bluegrass Stockyards, Terry Logan Lunsford
University of Kentucky Doctoral Dissertations
Community development is an ongoing issue that faces communities as they develop. This is a case study where two communities where faced with an identical development proposal involving Bluegrass Stockyards. Bluegrass Stockyards a prominent livestock marketing business, located in Lexington, KY needed to relocate its facility and looked at communities in Lincoln and Woodford County Kentucky as possible new locations.
By looking at the case of Bluegrass Stockyards this study is able to use Conflict Theory, Growth Theory and Frame Analysis to look at the development process and issues that was associated with this development proposal. With the two communities …
“You’Re Surviving But I Don’T See How You’Re Living” Appalachian Women Talk About Tanf And Employment In Their Communities, Pon-Chu Tsou
“You’Re Surviving But I Don’T See How You’Re Living” Appalachian Women Talk About Tanf And Employment In Their Communities, Pon-Chu Tsou
University of Kentucky Master's Theses
This thesis studies qualitative data to examine the lived experiences of Kentucky Transitional Assistance Program (K-TAP) recipients in Appalachian Kentucky. This research suggests that PRWORA legislation utilize the importance of place-based analyses to implement and evaluate poverty policy. For women who are attempting to meet PRWORA’s goals, the local services available to the women and the barriers they face to employment highlight the role place has in this national policy discussion. Of the women interviewed, recipients who resided in economically distressed areas had fewer opportunities to participate in employment activities than women in at-risk or transitional areas. While many strived …
Boundaries And Breaches: Complexities And Strategies Down On The Farm, Debra S. Kershaw
Boundaries And Breaches: Complexities And Strategies Down On The Farm, Debra S. Kershaw
University of Kentucky Doctoral Dissertations
Employing a wide range of theoretical and methodological tools, practitioners within an array of disciplines have attempted to gain new understanding about the structural changes in the agricultural system in the United States and around the world. From Agricultural Economists to Sociologists, quantitative and qualitative research has attempted to shed light on structural change in agriculture and its implications for the real lives of farmers, their families, and consumers of their goods. The current research adopts a comparative-historical approach to examining the particular affects of structural change in six counties in central Nebraska. The general theoretical frame on which this …
Quality Of Life And Adolescents In Rural Kentucky, Hatim A. Omar, Søren Ventegodt, Joav Merrick
Quality Of Life And Adolescents In Rural Kentucky, Hatim A. Omar, Søren Ventegodt, Joav Merrick
Pediatrics Faculty Publications
In many rural areas in Kentucky, adolescents lack the basic assets for a good quality of life, such as having caring adults, a safe place and useful activities after school. In this chapter we analyze data from middle and high school students referred to a comprehensive school based health promotion center (SBHPC). From August 2006 to February 2008, a total of 382 students (200 female, 182 male, aged 12-18 years) were referred to the SBHPC for help. Only two (0.5%) students had two parents living with them and 12 (3.1 %) had safe, organized after school activities. 19.9% of the …
Impact Of Poor Quality Of Life On Adolescents In Rural Kentucky: A Brief Report, Hatim A. Omar, Søren Ventegodt, Joav Merrick
Impact Of Poor Quality Of Life On Adolescents In Rural Kentucky: A Brief Report, Hatim A. Omar, Søren Ventegodt, Joav Merrick
Pediatrics Faculty Publications
In many rural areas in Kentucky, adolescents lack the basic assets for a good quality of life, such as having caring adults, a safe place and useful activities after school. Methods: Analysis of data from middle and high school students referred to a comprehensive school based health promotion center (SBHPC). Results: From august 2006 to February 2008, a total of 382 students (200 female, 182 male, aged 12-18 years) were referred to the SBHPC for help. Only two (0.5%) students had two parents living with them and 12 (3.1%) had safe, organized after school activities. 19.9% of the total were …
Impact Of A Proposed Reservoir On Local Land Values, Philip Drucker, Charles R. Smith, Allen C. Turner
Impact Of A Proposed Reservoir On Local Land Values, Philip Drucker, Charles R. Smith, Allen C. Turner
KWRRI Research Reports
This project was designed to study the impact of private preconstruction land acquisition in a Central Kentucky area in which a flood-control dam and reservoir impoundment is planned. The research design was built around use of anthropological concepts and research techniques. By these means it was possible to analyze the perceived values of land to traditionalist residents, among which social and economic security concepts are paramount. Recent land purchases, locally believed to have been made chiefly by "outsiders," (urbanites from nearby Louisville), at prices out of line in terms of local agricultural worth, has been extremely unsettling contributing to the …