Social Work Commons^™

Responding To The Call: Building A Training Program To Diversify The Academy In Alzheimer's Disease Research, Lucy Annang Ingram Phd, Mph, Marvella E. Ford, Christiana L. Johnson, Brianna Ashford-Carroll, Quentun Mccollum, Daniela B. Friedman Ph.D., Sue Ellen Levkoff

Faculty and Staff Publications

Alzheimer's disease and related dementias (ADRD) are at the forefront of the United States (US) public health agenda due to their tremendous human and financial burden. Further, disproportionately high ADRD rates among racial/ethnic minorities require incorporating the unique perspectives of racially and ethnically diverse scientists, which will necessitate diversifying the scientific workforce that investigates disparities in aging. The purpose of this paper is to describe the training and mentorship initiatives of the National Institute on Aging (NIA)-funded Carolina Center on Alzheimer's Disease and Minority Research, emphasizing lessons learned from our engagement with underrepresented minority and minoritized (URM) Scientists. We highlight …

Transformative Eating Disorder Research: Qualitative Research Considerations, Margaret Janse Van Rensburg

Faculty and Staff Publications

This letter identifies the potential of qualitative eating disorder research to work within a transformative paradigm that naturalizes the state of living with an eating disorder. The number of qualitative research publications with persons living with eating disorders have increased, however, a substantive proportion of this qualitative research follows traditional research paradigms that are built upon the assumption that eating disorders signify a personal deficit. Transformative qualitative eating disorder research has potential to include those living with eating disorders in all stages of the research process to ensure that research leads to the de-stigmatization of eating disorders promoting health, wellbeing, …

Patterned Adolescent Socially Deviant Behavior, Raymond B. Smith

Theses and Dissertations

Research suggests that most adolescent youth AY (AY) will engage in socially deviant behavior (SDB) beginning from ages 10-14, peak in rate of participation at 16-17, and begin to desist thereafter (ages 17 and older). AY participation in SDB varies by frequency and severity, ranging from minor acts such as smoking cigarettes to behaviors that threaten the safety of self and others. Most AY do not participate in SDB to harm, however, but instead are attempting to express autonomous function from parental and adult oversight. During adolescence, youth become aware of their physical transformation to adulthood and growing sense of …

The Intersection Of Rural Residence And Minority Race/Ethnicity In Cancer Disparities In The United States, Whitney Zahnd, Cathryn Murphy, Marie Knoll, Gabriel A. Benavidez, Kelsey R. Day, Radhika Ranganathan, Parthenia Luke, Anja Zgodic, Kewei Shi, Melinda A. Merrell, Elizabeth L. Crouch, Heather M. Brandt, Jan M. Eberth

Faculty Publications

One in every twenty-five persons in America is a racial/ethnic minority who lives in a rural area. Our objective was to summarize how racism and, subsequently, the social determinants of health disproportionately affect rural racial/ethnic minority populations, provide a review of the cancer disparities experienced by rural racial/ethnic minority groups, and recommend policy, research, and intervention approaches to reduce these disparities. We found that rural Black and American Indian/Alaska Native populations experience greater poverty and lack of access to care, which expose them to greater risk of developing cancer and experiencing poorer cancer outcomes in treatment and ultimately survival. There …

Risk And Protective Factors Associated With Custodial Grandparents’ Psychological Distress In Covid-19, Yanfeng Xu Ph.D., Merav Jedwab, Qi Wu, Sue Levkoff, Ling Xu

Faculty and Staff Publications

The fear and anxiety of COVID-19 and its related policy measures have increased individuals’ psychological distress. The objective of this study was to examine relationships between material hardship, parenting stress, social support, and resilience and custodial grandparents’ psychological distress during the COVID-19 pandemic and further investigate the moderating role of kinship license status. A cross-sectional survey was administered to collect data from custodial grandparents (N = 362) in the United States. T-tests, chi-square tests, and logistic regression models were conducted using STATA 15.0. Results indicated that material hardship (OR = 1.77, p < 0.001) was associated with higher odds of psychological distress, whereas custodial grandparents’ resilience (OR = 0.08, p < 0.001) and social support (OR = 0.39, p < 0.001) were associated with lower odds of experiencing psychological distress. Increased parenting stress in COVID-19 was not significantly associated with psychological distress. Kinship license status moderated the relationships between social support (OR = 0.23, p < 0.05), resilience (OR = 5.06, p < 0.05) and psychological distress. To address custodial grandparents’ psychological distress, more allocated emergency funds and tailored financial services should be provided to meet material needs, and interventions with a focus on resilience and social support are particularly needed. Although licensed custodial grandparents were more likely to experience psychological distress due to their pre-existing vulnerability than unlicensed counterparts, parallel services should be provided to all kinship caregivers.

Time-Resolved In Situ Visualization Of The Structural Response Of Zeolites During Catalysis, Jinback Kang, Jerome Carnis, Dongjin Kim, Myungwoo Chung, Jaeseung Kim, Kyuseok Yun, Gukil An, Wonsuk Cha, Ross Harder, Sanghoon Song, Marcin Sikorski, Aymeric Robert, Nguyen Huu Thanh, Heeju Lee, Yong Nam Choi, Xiaojing Huang, Yong S. Chu, Jesse N. Clark, Mee Kyung Song, Kyung Byung Yoon, Ian K. Robinson, Hyunjung Kim

Faculty and Staff Publications

Zeolites are three-dimensional aluminosilicates having unique properties from the size and connectivity of their sub-nanometer pores, the Si/Al ratio of the anionic framework, and the charge-balancing cations. The inhomogeneous distribution of the cations affects their catalytic performances because it influences the intra-crystalline diffusion rates of the reactants and products. However, the structural deformation regarding inhomogeneous active regions during the catalysis is not yet observed by conventional analytical tools. Here we employ in situ X-ray free electron laser-based time-resolved coherent X-ray diffraction imaging to investigate the internal deformations originating from the inhomogeneous Cu ion distributions in Cu-exchanged ZSM-5 zeolite crystals during …

Parenting Stress And Risk Of Child Maltreatment During The Covid- 19 Pandemic: A Family Stress Theory-Informed Perspective, Qi Wu, Yanfeng Xu Ph.D.

Faculty and Staff Publications

The risk of child maltreatment is heightened during the pandemic due to multiple COVID-19 related stressors, such as physical and mental health concerns, economic stress, challenges in homeschooling, marital conflicts and intimate personal violence, and intensified child–parent relationships. Both parental internal (e.g., parenting styles) and external resources (e.g., social support), and parental perceptions toward stressors will affect how parents cope with these stressors, which may exacerbate or mitigate the risk of child maltreatment. Guided by family stress theory, this article identifies COVID-19 related stressors at the family level, and further elaborates on how these stressors are associated with child maltreatment …

Factors That Influence Screening, Brief Intervention, And Referral To Treatment (Sbirt) Implementation In Non-Medical Settings, Andrew Joseph Flaherty

Theses and Dissertations

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidenced-based intervention model designed to reduce substance use. While initially used in a variety of medical settings, SBIRT is increasingly implemented in non-medical settings. Unfortunately, very little is known about SBIRT implementation in non-medical settings. Therefore, the purpose of this exploratory qualitative study is to understand if professionals recently trained in SBIRT are using it and factors that influence implementation of SBIRT from their perspective.

In-depth qualitative interviews were conducted using a purposive sampling frame, comprised of practitioners recently trained in SBIRT. Interviews were recorded, and then transcribed verbatim, transcripts …

Covid19, The Pandemic Which May Exemplify A Need For Harm-Reduction Approaches To Eating Disorders: A Reflection From A Person Living With An Eating Disorder, Margaret Janse Van Rensburg

Faculty and Staff Publications

This reflective piece, written by a woman with an eating disorder aims to identify the impact of COVID-19 on persons living with eating disorders and provide a social justice approach as a resolution. The author identifies that eating disorder behaviors may be the only coping tool available for many persons with eating disorders during this time of uncertainty. While she acknowledges the risks associated with eating disorder behaviors, she identifies that this time of uncertainty may be a time to embrace harm-reduction in approaching the health and wellness of persons with eating disorders.

Applying Time Series Modeling To Assess The Dynamics And Forecast Monthly Reports Of Abuse, Neglect And/Or Exploitation Involving A Vulnerable Adult, Nelís Soto-Ramírez, Janet Odeku, Courtney Foxe, Cynthia Flynn, Diana Tester

Faculty and Staff Publications

Background

Application of time series modeling to predict reports related to maltreatment of vulnerable adults can be helpful for efficient early planning and resource allocation to handle a high volume of investigations. The goal of this study is to apply: (1) autoregressive integrated moving average (ARIMA) time series modeling to fit and forecast monthly maltreatment reports accepted for assessment reported to adult protective services (APS), and (2) interrupted time series analysis to test whether the implementation of intake hubs have a significant impact in the number of maltreatment reports after the implementation period.

Methods

A time series analysis on monthly …

The Association Of Infant Feeding Patterns With Food Allergy Symptoms And Food Allergy In Early Childhood, Joacy G. Mathias, Hongmei Zhang, Nelis Del C Soto-Ramirez, Willfried Karmaus

Faculty and Staff Publications

Background: The role of infant feeding for food allergy in children is unclear and studies have not addressed simultaneous exposures to different foods. The goal of this study was to analyze existing data on feeding practices that represent realistic exposure and assess the risk of food allergy symptoms and food allergy in children.

Methods: The Infant Feeding Practices Study II conducted by the CDC and US-FDA enrolled pregnant women and collected infant feeding information using nine repeated surveys. Participants were re-contacted after 6 years. Food allergy data were collected at 4, 9, 12, and 72 months. In total, 1387 participants …

Younger Residents Through The Looking Glass: Perceptions Of The Residential Experience Of Non-Traditionally Aged Residents Living In The Long Term Care Setting, Sara J. English

Theses and Dissertations

This embedded case study describes perceptions of the residential experience of non- traditionally aged persons (between the ages of 18-64), living in the Long Term Care (LTC) setting. Prior research identifies non-traditionally aged persons as the fastest growing group admitting to residential LTC care. Due to the complexity of need, younger residents may potentially languish in LTC for twenty, thirty, or more years. Non-traditionally aged residents currently comprise about 15% of the total residential LTC population; yet, little is known about this burgeoning group of younger persons, including how they perceive themselves as residents in LTC settings and how they …

Precarious Work Schedules As A Source Of Economic Insecurity And Institutional Distrust, Susan J. Lambert, Julia R. Henly, Jaeseung Kim

Faculty and Staff Publications

Work schedules may fuel precariousness among U.S. workers by undermining perceptions of security, both economic and societal. Volatile hours, limited schedule input, and short advance notice are all dimensions of precarious work schedules. Our analyses suggest that scheduling practices that introduce instability and unpredictability into workers’ lives undermine perceptions of security in unique ways for hourly and salaried workers. Although the data suggest that precarious scheduling practices are widespread in the labor market, workers who are black, young, and without a college degree appear to be at highest risk. The findings highlight the importance of examining constellations of scheduling practices …

Correlates Of Attitudes Toward Violence And Dating Violence Perpetration Among U.S. College Students, Jeongsuk Kim

Theses and Dissertations

Objective: Dating violence is a serious and prevalent problem among college students. Research on dating violence has pinpointed early exposure to violence as a strong predictor of violence perpetration in later life. However, little is known about the particular correlates or mechanisms that facilitate college students’ attitudes supporting violence and dating violence perpetration after early exposure to violence. The goals of this three-manuscript dissertation were (1) Chapter 2: to examine the relationship between three forms of violent socialization during childhood and attitudes supporting interpersonal violence; (2) Chapter 3: to examine the moderating effect of pro-violence messages in the relationship between …

Association Between Behavioral And Psychological Symptoms In Persons With Alzheimer's Disease And Depression In Caregivers From Low Income Families, Weizhou Tang

Theses and Dissertations

Alzheimer’s disease (AD) is the most common neurodegenerative disease and is a leading cause of dementia. Behavioral and psychological symptoms (BPS) represent a heterogeneous group of non-cognitive symptoms and behaviors occurring in persons with Alzheimer’s disease (PwAD), and they are often associated with negative outcomes for AD caregivers. Evidence indicates differences in caregivers’ mental health across race/ethnic groups. However, there is a lack of research that compares racial differences in the association between BPS in PwAD and caregiver depression. The aims of this dissertation, which are grounded in the Stress Process Model, include: 1) To compare racial differences in BPS …

Examining The Impact Of Victimization On Girls’ Delinquency: A Study Of Direct And Indirect Effects, Johanna Peterson, Dana D. Dehart, Emily Wright

Faculty and Staff Publications

Previous research has acknowledged that there is a relationship between victimization and later delinquency, but the specific attributes of this relationship are unclear because measures of both direct and indirect victimization are rarely explored in a single study. We included both indirect and direct victimization to examine which form of victimization was a stronger predictor of substance use, fighting, running away, and sex work among girls committed to a juvenile justice facility. Findings indicated that direct victimization was typically a more salient predictor of delinquency than indirect forms of victimization. Further, running away and sex work appear to be unique …

Examining The Impact Of Victimization On Girls’ Delinquency: A Study Of Direct And Indirect Effects, Johanna Peterson, Dana Dehart, Emily Wright

Faculty and Staff Publications

Previous research has acknowledged that there is a relationship between victimization and later delinquency, but the specific attributes of this relationship are unclear because measures of both direct and indirect victimization are rarely explored in a single study. We included both indirect and direct victimization to examine which form of victimization was a stronger predictor of substance use, fighting, running away, and sex work among girls committed to a juvenile justice facility. Findings indicated that direct victimization was typically a more salient predictor of delinquency than indirect forms of victimization. Further, running away and sex work appear to be unique …

Vietnamese Family Caregivers’ Adjustment Process To Their Caregiving Roles For Family Members With Dementia, Trang Nguyen

Theses and Dissertations

This study explores the psychological process that Vietnamese family members go through to adjust to the caregiving role for their relatives with dementia. Adopting constructivist grounded theory, 30 face-to-face, semi-structured interviews, including 10 follow-up interviews, were conducted with 20 Vietnamese primary family caregivers of relatives with dementia from the National Geriatric Hospital in Vietnam. The study results reveal that Vietnamese family caregivers held limited understanding of dementia. They used a mixed explanatory model, combining both folk (e.g., dementia as normal aging) and biomedical approaches (e.g., dementia as a brain-related disease) to explain causes of dementia. Family cohesion and responsibility are …

An Investigation Into The Relationship Between Academic Pressure And Non-Medical Prescription Stimulant Use Among University Of South Carolina Undergraduate Students, Arslan Valimohamed

Senior Theses

One hundred and six undergraduate students of the University of South Carolina were surveyed to understand misuse of prescription stimulants and how perceived academic pressure may play a role in this behavior. Overall, the survey revealed that 33.0% of participants reported illicit use of prescription stimulants in the last 30 days, and 52.8% reported illicitly using prescription stimulants at least once during their time in college. Data from the survey responses indicated that students perceiving academic pressure were more likely to have misused prescription stimulants at least once during their time in college, but only if these students also reported …

Family And School Impact On Psychological Functioning From Childhood To Late Adolescence: A Longitudinal Study Of Rural Chinese Youth, Yang Yue

Theses and Dissertations

The transition from childhood to adolescence can be a significant stressor for youth, leading to increases in internalizing problems for those who are vulnerable. Compared to the mounting research conducted on U.S. youth, children and adolescents in China have received less attention on their psychological adjustment. As Chinese youth constitute roughly 15% of the world’s population (World Health Organization, 2010), and the disproportionate quantity of longitudinal investigation on Chinese youth psychological functioning, understanding the influence of risk and protective factors, and their interactive effects on internalizing problems among Chinese youth is critical.

According to Life Course Theory, Ecological Systems Theory, …

Broke But Not Without Hope: Exploring Exits From Housing First And Returns To Homelessness, Jennie Ann Cole

Theses and Dissertations

“…he succeeded in giving the impression of being broke but not without hope.”

Nels Anderson, The Hobo, 1923

Introduction: This research offers a thick and rich, multidimensional and situational look, into a Housing First program in Charlotte, North Carolina. This dissertation focuses on individuals who have experienced chronic homelessness who exit Permanent Supportive Housing (PSH) programs that employ a Housing First (HF) model and return to homelessness. The ultimate goal of my research was to address the gap in knowledge service providers have in housing retention for the chronically homeless and to break the cycle of misunderstanding around why people …

African American End-Stage Renal Disease And Medication Adherence: What Are The Effects Of Everyday Racism?, Tamara Estes Savage

Theses and Dissertations

This dissertation explored the racial medication adherence disparity in end-stage renal disease (ESRD) patients. Prior research suggests that there are poor rates of medication adherence in the African American ESRD population. However, the reasons for this racial inequity are not understood. This dissertation explored the impact of everyday racism in the healthcare system in general and dialysis centers in particular on medication adherence. To gain an understanding of the possible contribution of everyday racism to medication nonadherence, Critical Race Theory (CRT) was used as the theoretical foundation of the study.

A total of 46 African American ESRD patients participated in …

Acculturation Stress And Depression Among First-Year International Graduate Students From China And India At The University Of South Carolina, Kyunghee Ma

Theses and Dissertations

This cohort study used a mixed-methods pretest/posttest measurement study design. The quantitative method was used to explore the relationship between acculturation stress and depression among first-year international graduate students from China and India enrolled at the University of South Carolina(UofSC), examine the role that social support plays in that relationship, and identify changes in acculturation, social support, and depression over one academic year. The qualitative method helped to further explore how Chinese and Indian international graduate students experienced acculturation stress and to what extent social support helped them cope with their stress.

The sample included 55 students. Primary data were …

People Who Live Unsheltered: The Role Of Trust In The Bond Component Of Their Working Alliances, Candice Morgan

Theses and Dissertations

An estimated 240,000 individuals are unsheltered, sleeping on the street, under abandoned buildings, in ditches and fields, and other locations in communities each night. Using semi-structured interviews, I sought to understand the nature of the working alliances of people living unsheltered and the role of trust in the bond component of those working alliances. Findings highlight that people who live unsheltered engage in alliances with either strangers or acquaintances to complete a simple task, which often results in the attainment of a basic item or assistance. In some but not all alliances trust plays a role. Trust alliances in-volve vulnerability …

On Becoming An Ecologically Conscious Social Worker: Exploring Professional Identities That Include A Response To The Environmental Crisis, Meredith C. F. Powers

Theses and Dissertations

Mounting scientific evidence about the global environmental crisis has created an urgent call to action for all people to promote sustainable environmental practices that enhance the well-being of humans and the ecological systems in which they live. Despite the increasing body of social work literature or the recent social work leadership’s emphasis on this call to action, the social work profession as a whole has been slow to embrace an “expanded professional identity” that includes a response to the environmental crisis. Further insight is needed from individual social workers who have expanded professional identities. Knowledge is needed from their specific …

Prevalence And Factors Associated With Teen Pregnancy In Vietnam: Results From Two National Surveys, Huong Nguyen, Chengshi Shiu, Naomi Farber

Faculty and Staff Publications

This study asked two broad questions: (1) what is the prevalence of teen pregnancy in contemporary Vietnam; and (2) what selected social, family, and individual factors are associated with teen pregnancy in Vietnam? The study utilized Vietnam Survey Assessment of Vietnamese Youth surveys conducted in 2003 and 2008 to answer the two research questions within the context of fast political, economic, and social change in Vietnam in the last two decades. Results of this study show that the prevalence of pregnancy among Vietnamese teenagers in the surveys was stable at 4%, or 40 pregnancies per 1000 adolescent girls aged 14 …

Race, Place, And Access To Early Intensive Behavioral Intervention Among Children With Autism Spectrum Disorder In South Carolina, Marissa E. Yingling

Theses and Dissertations

Public funding of early intensive behavioral intervention (EIBI) for the 1 in 68 children who meet criteria for autism spectrum disorder (ASD) is rapidly expanding. Evidence indicates that children with ASD experience racial, socioeconomic, and geographic disparities in access to health care services. However, the Interagency Autism Coordinating Committee and the World Health Organization cite disparities in access to early intervention among the most pressing yet understudied areas of research. Currently, ASD service research is dominated by inquiries into the age of diagnosis and enrollment in EIBI. We know little about disparities in the time-lag between diagnosis and treatment onset …

Parent To Parent Support For Parents Of Children With Autism Spectrum Disorders: Perspectives Of Parents And Program Staff, Nina Nelson

Theses and Dissertations

This short-term longitudinal qualitative study used grounded theory methods to explore how parents of children with autism spectrum disorder (ASD) benefit from one-to-one support (P2P), factors affecting success, and how these relationships evolved. In-depth interviews were conducted with 6 staff, 12 referred parents, and 11 support parents.

Most referred parents found P2P helpful, deriving informational/practical, emotional, and a few social benefits. Six interrelated factors affected success including a) parent-support relationship; b) program level; c) support parents’ experiences with P2P and the disability community; d) practical/logistical factors; e) psycho-emotional factors; and f) referred parents’ expectations relationship program level. The relationship was …

Vocational Readiness: The Effect Of Pre-Prison And Incarceration-Based Trauma On Cognitive Appraisals And Self-Perceptions Of Incarcerated Women, Joi Dykes Anderson

Theses and Dissertations

The number of women incarcerated in the United States has grown at an alarming rate. This research study presents a conceptual framework for examining pre-prison and incarceration-based trauma and its effects on cognitive appraisals and self-perceptions. Literature from psychology, feminist psychology and neuropsychiatry are integrated to discuss how pre-prison trauma creates pathways to crime for females, how incarceration serves as a form of traumatization (or retraumatization), how the social dynamics of the prison environment potentially exacerbates mental health issues (i.e., PTSD, anxiety, depression), how this negatively affects a female inmates vocational readiness—the ability to obtain and maintain employment once engaged …

Gender Differences In Material, Psychological, And Social Domains Of The Income Gradient In Mortality: Implications For Policy, Peter Muennig, Meghan Kuebler, Jaeseung Kim, Dusan Todorovic, Zohn Rosen

Faculty and Staff Publications

We set out to examine the material, psychological, and sociological pathways mediating the income gradient in health and mortality. We used the 2008 General Social Survey-National Death Index dataset (N = 26,870), which contains three decades of social survey data in the US linked to thirty years of mortality follow-up. We grouped a large number of variables into 3 domains: material, psychological, and sociological using factor analysis. We then employed discrete-time hazard models to examine the extent to which these three domains mediated the income-mortality association among men and women. Overall, the gradient was weaker for females than for males. …