Sociology Commons^™

Making Home: The Role Of Social Networks On Identity, Health, And Quality Of Life Among Rural Lesbian And Gay Older Adults, Marc A. Guest, Elizabeth G. Hunter, Nancy E. Schoenberg

UK CARES Faculty Publications

Background and Objectives: Gay and lesbian older persons face a host of health inequalities related to their identity as they age. Challenges to health access and appropriate social support may be even more exacerbated for those living in rural environments; this may be due to the lack of supportive and affirming social connections. This project aimed to explore and describe the social networks and the relationship of these social networks to identity, health, and quality of life of gay and lesbian individuals in rural communities.

Research Design and Methods: Social network data on network type, size, and social capital were …

Realizing Innovation And Sustainability: A Case Study Of Macau Sar’S Smart City Development Capabilities, Yujia He, Felix Ter Chian Tan, Carmen Leong, Jingbo Huang, Don Rodney Junio

Patterson School of Diplomacy and International Commerce Faculty Publications

The emergence of digital technologies has transformed organizational innovation with important implications for a city, its economy and policymaking. Despite this, research on how capabilities underpin innovation through smart city initiatives is still lacking. To address this gap, we conduct an empirical investigation of smart city initiatives in Macau, a former Portuguese colony and now special administrative region (SAR) of China. The case study adopts a qualitative approach, using data collected through fieldwork observations and in-depth interviews with stakeholders, and analysis of secondary documents. The study develops a stage-based assessment of innovation capabilities related to the use of technologies in …

The Last Of Us In Therapy: How Mind-Controlling Fungi And Gut Bacteria Affect Your Mental Health, Anastasia Lyon

Journal of Pharmacology & Nutritional Sciences

The "psilocybiome" represents the mutually beneficial relationship between ourselves, our bacteria, and psychedelic drugs. This short review briefly discusses the benefits and limitations surrounding the potential for psychedelic therapy to synergize with gut bacteria to help regulate and maintain proper balance in the immune system, diet, and stress levels. Psychedelic therapy is a novel treatment strategy that has the potential to improve patient mental health, and, by identifying the types of gut bacteria present in patients, it can aid in personalizing medicine by determining how well their "psilocybiome" may respond.

Reviewer Acknowledgments, Randy Wykoff Md, Mph & Tm, Rachel E. Dixon Mphil

Journal of Appalachian Health

As we reach our fifth year, we are particularly thankful for the contributions of our peer reviewers. The knowledge, expertise, and guidance offered by the people listed below have ensured that we can continue to share timely research to effect health and well-being across Appalachia.

We Welcome Findings From Further Afield, Randy Wykoff Md, Mph & Tm, Rachel E. Dixon Mphil

Journal of Appalachian Health

For the past five years, the Journal of Appalachian Health has published timely, high-quality research from within Appalachia. We also welcome submissions from those working outside of Appalachia who produce quality research of direct relevance to our region.

Adult Asthma Associated With Roadway Density And Housing In Rural Appalachia: The Mountain Air Project (Map)., W Jay Christian, John Flunker, Beverly May, Susan Westneat, Wayne T Sanderson, Nancy Schoenberg, Steven R Browning

UK CARES Faculty Publications

BACKGROUND: Appalachian Kentucky is a rural area with a high prevalence of asthma among adults. The relative contribution of environmental exposures in the etiology of adult asthma in these populations has been understudied.

OBJECTIVE: This manuscript describes the aims, study design, methods, and characteristics of participants for the Mountain Air Project (MAP), and focuses on associations between small area environmental exposures, including roadways and mining operations, and lifetime and current asthma in adults.

METHODS: A cohort of residents, aged 21 and older, in two Kentucky counties, was enrolled in a community-based, cross-sectional study. Stratified cluster sampling was used to select …

Connections Network: Harnessing The Collective Influence Of Grassroots Leaders To Address Health-Related Problems In Hawkins And Hancock County, Tn, Dr. Jodi L. Southerland, Teresa Buttry, Connie Johnson, Sheldon Livesay, Lisa Nichols, Priscilla Rogers

Journal of Appalachian Health

In March 2021, grassroots leaders in two counties in northeast Tennessee formed a new network called Connections. Leaders are working to strengthen the capacity of the network and member organizations by promoting partnerships as vital to address effectively rural social determinants of health. Connections provides network members with capacity-building tools and resources, including two funding opportunities, to achieve their missions and sustain impact. Network members are also aligning around common goals to address the socioeconomic conditions affecting health outcomes. Connections will utilize findings from network activities and collaborations to identify synergies that can accelerate improvements in community health and …

Evaluating The Association Between Depressive Symptoms And Glycemic Control Among Residents Of Rural Appalachia, Brittany L. Smalls, Adebola Adegboyega, Ellen Combs, Eli W. Travis, Felipe De La Barra, Lovoria B. Williams, Nancy Schoenberg

Journal of Appalachian Health

Introduction: Type 2 diabetes mellitus (T2DM) is associated with a range of co-morbid physical and psychological conditions, including depression. Yet there is a dearth of evidence regarding the prevalence of depression among those in Appalachia living with T2DM; this gap persists despite the higher regional prevalence of T2DM and challenging social determinants of health.

Purpose: This study aimed to provide greater detail about the relationships between T2DM and depressive symptoms in adults living in Appalachia Kentucky.

Methods: The present study was a cross-sectional analysis of baseline data derived from an ongoing study of Appalachia Kentucky adults living with T2DM. Outcome …

Social Ecological Factors And Medication Treatment For Opioid Use Disorder Among Justice-Involved Rural And Urban Persons: The Geographic Variation In Addiction Treatment Experiences (Gate) Longitudinal Cohort Study Protocol, Carrie B. Oser, Evan Batty, Marisa Booty, Kate Eddens, Hannah K. Knudsen, Brea Perry, Maria Rockett, Michele Staton

Sociology Faculty Publications

Introduction Three medications are Food and Drug Administration approved for the treatment of opioid use disorder (OUD); however, these medications are underused within prisons, which elevates the risk of relapse and overdose when persons with opioid use disorder (POUD) are released. Research is scant regarding the multilevel factors associated with POUDs’ willingness to initiate medication treatment for opioid use disorder (MOUD) while in prison and their continued engagement in treatment after release. Furthermore, rural and urban populations have not been compared. The Geographic variation in Addiction Treatment Experiences (GATE) study seeks to identify multilevel factors (ie, individual, personal network, and …

Deep Community Partnerships: The Future Of Community-Based Senior Care In A Value-Driven Era, Diana Wilcox

DSW Capstone Projects

This capstone reviews three scholarly products that examine how chronically ill older adults interact with healthcare systems and senior service delivery systems in the United States. The systematic literature review examines how community-based senior programs that are funded by the Older Americans Act (OAA) positively impact health outcomes and promote health and wellness among the older adult population. The conceptual paper examines how Accountable Care Organizations (ACOs), Managed Care Organizations (MCOs), Area Agencies on Aging (AAA) interact with the patient and with one another using the lens of Systems Theory. The practice application paper examines best practices regarding care coordination …

The Effect Of Mandatory Reporting Policy Knowledge On College Sexual Assault Disclosure, Amelia Ann Stanley

Theses and Dissertations--Educational, School, and Counseling Psychology

The purpose of this study was to examine the association that objective knowledge of mandatory reporting policies has with recent college sexual assault survivors’ disclosure. Chi-square analyses were used to determine if any differences exist between groups of sexual assault survivors who demonstrated various levels of knowledge of mandatory reporting policies and who disclosed or did not disclose their assault to various sources. This study was a secondary analysis of a large Southern university’s campus climate survey, collected in the spring semesters of 2015, 2016, and 2017. Data from those students who indicated being a survivor of any type of …

Disparities In Mental Health Technology Among African Americans: Breaking Cultural Inclusion Barriers, Nyoki Cosey-Brown

DSW Capstone Projects

Mental health technology is a healthcare delivery model of the future. The engagement in virtual healthcare was intensified when traditional healthcare methods were inaccessible during the federal restrictions implemented due to the COVID-19 pandemic. Utilizing digital apparatuses for healthcare improved the convenience, efficiency, and accessibility of various mental health services that were inoperable in past healthcare models. However, the historical constructs of stigma, discrimination, inequity, exclusion, and structural racism in mental healthcare were prevalent problems that remained present in virtual mental health platforms concerning the experiences of African-American patients and professionals who utilized the spaces.

This research explored mental health …

Organizational Access Points And Substance Use Disorder Treatment Utilization Among Black Women: A Longitudinal Cohort Study, Sugy Choi, Amanda Bunting, Talia Nadel, Charles J. Neighbors, Carrie B. Oser

Sociology Faculty Publications

Introduction Health and social service organizations, including the emergency department (ED) and public assistance programs, constitute a social safety net that may serve as an “access point” for substance use treatment utilization. Racialization of substance use disorder (SUD) and gender disparities in access to treatment contribute to differences in health and social service utilization, including substance use treatment for Black women. We therefore explored the role of various access points in facilitating the use of substance use treatment among Black women with substance use and involvement in the criminal justice system.

Methods We used data from the Black Women in …

Retention Strategies Among Those On Community Supervision In The South: Lessons Learned During The Covid-19 Pandemic., Breana J. Uhrig Castonguay, Katherine Lemasters, Chris Corsi, Evan J. Batty, Taylor J. Krajewski, Madelene Travis, Craig Waleed, Carrie B. Oser, Kathryn M. Nowotny, Lauren Brinkley-Rubinstein

Sociology Faculty Publications

OBJECTIVES: Cohort studies must implement effective retention strategies to produce internally valid and generalizable results. Ensuring all study participants are retained, particularly those involved in the criminal legal system, ensures study findings and future interventions will be relevant to this group, who are often lost to follow-up: critical to achieving health equity. Our objective was to characterize retention strategies and describe overall retention among an 18-month longitudinal cohort study of persons on community supervision prior to and during the COVID-19 pandemic.

METHODS: We implemented various retention strategy best-practices (e.g., multiple forms of locator information, training study staff on rapport building, …

Rebranding The Battle Against Clinician Burnout, Taylor Albitar

DSW Capstone Projects

The purpose of this capstone project is to take a deep dive into the issue of burnout among marginalized healthcare providers. This paper will dissect key points in history that target wellness and define terms that are relevant to understanding the effects of burnout on a person’s work-life balance. It will be divided into several sections, including an overview of the problem and contributing factors, a thorough review of relevant literature, a conceptual idea that will explore both the problem at hand and theories that can help with its effects, and finally a practice application that will serve as the …

Removing The Masc: Dismantling Gendered Occupations Through Social Work Education, Austin M. Raines

DSW Capstone Projects

The “Masculine mystique” refers to a psychological mask that men wear, enabling them to maintain power and distance themselves from traits associated with femininity” (Kahn, 2009, p. 283). This capstone project seeks to solve the Social Work Grand Challenge of improving the lives that hegemonic masculinity harms and limits. It emphasizes the relationship between the two areas of life (work-home), once thought to exist in different realms but are today more interwoven than ever (Lin & Burgard, 2018; Sok et al., 2014). Men have higher rates of traumatic injuries and exposure to significant physical risks, violence hazards, and stricter normative …

Foster Caregiving: How Interactions With The Child Welfare Agency Impact Foster Parent Satisfaction, Recruitment, And Retention, Ethan Engelhardt

Theses and Dissertations--Social Work

Professionals of the child welfare system in Kentucky have continuously worked to retain and recruit new foster parents for the foster care system. Foster parents are uniquely placed in a surrogate caring position for children removed from their homes for reasons of abuse or neglect. Foster parents accept this role and step in to provide a safe and loving household for many children. There are more than 9,000 children placed in Out of Home Care (OOHC) on any given day in Kentucky, leaving many children in need of a loving and supportive household. Foster parents hang in the balance between …

Factors Associated With Successful Military-To-Civilian Transition Among Special Forces Veterans, Edward Richter

Theses and Dissertations--Social Work

The purpose of this study was to explore the military-to-civilian transitional experience in a sample of Special Forces veterans. Acknowledging challenges in accessing the veteran population, most existing research on the military-to-civilian transition consolidates military occupations into a single sample. This method fails to address the intricacies that may exist within individual military occupations, especially that of U.S. Army Special Forces soldiers. Special Forces qualified soldiers represent the largest portion of all U.S. Military Special Operations Forces and are responsible for the majority of all Special Operations activities, yet their experience in transitioning out of the Army is largely unknown. …

Placing Rural Poverty In The Political Economy: Farm Policy In The American Midwest, Aimee Imlay

Theses and Dissertations--Sociology

Approaches to explaining rural poverty highlight the social, economic, and political processes that contribute to poverty in rural communities, yet the political economy of agriculture has rarely been considered a determinant of rural poverty. Within rural sociology, peasant studies, and rural poverty are distinct subdisciplines; thus, farm and nonfarm poverty are viewed as mutually exclusive. This dissertation uses a three-paper format to: 1) examine the impact of changes to commodity programs on rural poverty rates in the Midwest; 2) investigate the impact of direct payments on rural poverty rates in the Midwest; and 3) explore the linkages between peasant studies, …

Assessing 4-H And Its Circle Of Courage In A Psychiatric Residential Treatment Facility: A Case Study, Elizabeth Steering

Theses and Dissertations--Family Sciences

This 4-H case study takes place in a psychiatric residential treatment facility (PRTF) in Kentucky. The PRTF provides clinical services to youth that are not able to be safely maintained in their homes due to having demonstrated unsafe or harmful behaviors. Youth admitted to the PRTF stay for an average of three to six months while they receive intensive therapeutic and psychiatric care as well as medical treatment and public schooling. The current case study incorporates programming from 4-H, which is the youth development program of the Cooperative Extension System (CES) and the National Institute of Food and Agriculture (NIFA), …

Exploring The Distinction Between Support And Enabling In Families With Substance Use Disorder, Krystal N. King

Theses and Dissertations--Family Sciences

Substance use disorders (SUD) are a pervasive public health problem facing families in the United States. Although families are frequently urged to support loved ones who have SUD and cautioned against enabling them, there is a dearth of literature that distinguishes between supporting and enabling. Through qualitative interviews, this phenomenological study examined the experiences of eight parents with adult children with SUD who were currently in recovery. Five themes emerged from the data including: (a) living in despair, (b) addiction and recovery knowledge, (c) support group philosophy, (d) coping with addiction, and (e) differentiation. The results from this study suggest …

Conceptualizing Asexual Identities, Miranda L. Bejda

Theses and Dissertations--Family Sciences

In current literature, there is little congruence on an inclusive definition of human asexuality. This study explored individuals’ self-identification with asexuality as well as their conceptualization of that identity via thematic analysis. Using a Qualtrics XM survey, 374 individuals (18+ years old) answer questions regarding their experience as a person identifying themselves as asexual. Identity label authenticity, perceived impact of compulsory heterosexuality and heteronormativity on participants' current identity within the asexual spectrum, and prescribed heteronormative ideals were correlated. Thematic analysis revealed themes such as confusion about identity membership, feeling abnormal, the burden of living in a heteronormative society, and identity …

The Basil Technique: Bias Adaptive Statistical Inference Learning Agents For Learning From Human Feedback, Jonathan Indigo Watson

Theses and Dissertations--Computer Science

We introduce a novel approach for learning behaviors using human-provided feedback that is subject to systematic bias. Our method, known as BASIL, models the feedback signal as a combination of a heuristic evaluation of an action's utility and a probabilistically-drawn bias value, characterized by unknown parameters. We present both the general framework for our technique and specific algorithms for biases drawn from a normal distribution. We evaluate our approach across various environments and tasks, comparing it to interactive and non-interactive machine learning methods, including deep learning techniques, using human trainers and a synthetic oracle with feedback distorted to varying degrees. …

Sugar And Spice: Sex, Money, And Social Media, Rachel Elizabeth Davis

Theses and Dissertations--Sociology

Interest in transactional sex, or the provision of a sexual relationship in exchange for gifts and/or money, has increased in recent years among researchers, nongovernmental organizations, and law enforcement officials as increasing numbers of women self-identify as hypergamous, indicating their interest in forming heterosexual partnerships with men of higher status. Hypergamous women may identify as sugar babies, spoiled girlfriends, or high-value women. A sugar baby is a woman providing romantic companionship to an older man, known as a sugar daddy, in exchange for money and/or gifts. A spoiled girlfriend is a woman whose partner provides her with money and/or gifts …

Let's Not Do Anything Drastic: Processes Of Reproducing Rural Marginalization In Education Policy Decision-Making, Julia M. Miller

Theses and Dissertations--Sociology

At a school board meeting in micropolitan Athens County, parents of children attending the district’s smallest elementary school, Chauncey Elementary, packed in to defend the school against consolidation. They made calls for a levy to cover the impending budget shortfall and offered to reduce their classrooms by half if other schools would also bear some of the costs. They spent their holiday season defending their school, a source of vibrancy in the small town, from being closed. In the meeting, someone advocating for alternatives to closure suggested cutting administrator positions. The board response, according to one parent-leader? “Let’s not do …

The Conditions Of Oregon's Latinx Farmworkers, Kevin Alejandrez

Theses and Dissertations--Sociology

The goal of this three-paper dissertation is to better understand inequalities that Latinx farmworkers endure and the ways through which these inequalities can be addressed. As such, this dissertation examines pertinent inequalities Latinx farmworkers experience in the United States, their responses to resulting hardships, and the effects that crises such as the Covid-19 pandemic have in both exacerbating hardship and expanding opportunities to challenge inequitable systems in place. This is done through an intersectional analysis of a multi-year ethnographic study conducted in Oregon’s Willamette Valley.

First, paper one, titled, “Subordinate Adaptation: Intragroup Hierarchies Among Blueberry Pickers,” explores the ways in …

Parenthood, Mental Health, And Intergenerational Adversity: Exploring Gender Role Ideologies, Household Composition And Work-Family Conflict, Ashley Vowels

Theses and Dissertations--Sociology

To date, research at the intersections of parenting, stress, gender, and mental health has yielded complicated and inconsistent results. The objective of this dissertation was to deepen our understanding of how parenting stress contributes to the mental health of both parents and their children, especially within the context of balancing work and family responsibilities. A three-study approach was used to assess differences by sex, gender role ideology, and household composition. Additionally, it explored the impact of parents’ characteristics on their children’s well-being in adulthood.

This project utilized secondary data from the Panel Study of Income Dynamics (PSID). Multivariate regression analyses …

Black Women And The Weight Of The World: When The Weight Becomes Too Much To Bear, April R. Edmonds

DSW Capstone Projects

ABSTRACT

Black women’s mental health continues to go largely underrepresented. Black women are seen as having many protective factors such as their faith communities, family and friends, and what others see as strength and resilience. A review of the literature depicts Black women as traditionally being caretakers, nurturers, and depicted as strong (Castelin & White, 2022). Because of this perception, terms such as the Strong Black Woman Schema and the Black Superwoman Phenomena are what many equate Black women with. This scholarship instead shows how associations such as these impact Black women negatively and impose additional stigma and hardship. Research …

Engaging Predominantly White Churches In Racial Justice Work, Christopher B. Rakestraw

DSW Capstone Projects

Over the past three years, the tragic deaths of many people of color have renewed nationwide discourse on racial injustices and racism. White churches seeking to become anti-racist are confronted with a number of obstacles. This capstone project addresses the topic of Engaging Predominantly White Churches in Racial Justice Work through three interconnected scholarly products. Each product draws from the research of sociology, psychology, social work, education, and religion to investigate a different aspect of the overarching subject.

The Systematic Literature Review examines the impact of white racial identity on the racial attitudes of Predominantly White Church (PWC) congregants. Evidence …

An Exploration Of Service Needs And Preferences Of Dementia Caregivers In Kentucky, Heehyul Moon, Sunshine Rote, Allison Kacmar, Amy Kostelic, Bari Lewis

Family Sciences Faculty Publications

As Americans live longer, the prevalence of Alzheimer’s disease and related dementias will increase. Caregivers are critical to the care and life quality of people with dementia. Yet, dementia caregivers are at increased risk for health issues, social isolation, and financial challenges. To help educators with the University of Kentucky Cooperative Extension Service work with their local Alzheimer’s Association and the University of Louisville to better support dementia families, we explored caregiver needs and service utilization using an online survey. Our findings highlighted the need for counseling/support, care management skills, resource education, self-care strategies, and legal services. Extension Service Educators …