Regional Sociology Commons^™

Job Satisfaction And Stressors: The Direct Support Professional's Experience, Saralynn Emery

Master's Theses

The current service system for individuals with intellectual and developmental disabilities is provided in the form of community-based support. This support is carried out by Direct Support Professionals (DSPs) who provide one-on-one services to individuals in their homes, workplaces, and communities. The current system is undergoing a turnover crisis and there is an enormous need for a quality and reliable workforce of DSPs to continue to carry out services. Previous research has explored factors that contribute to DSP burnout and ultimately turnover. By researching the DSP role from the DSP experience directly, this study examines other factors that contribute to …

Effects Of Sleep Duration On Falls In A West Virginia Population-Based Study, Brfss, 2018, R. Constance Wiener, Christopher Waters

Journal of Appalachian Health

Introduction: West Virginia is a state in which most counties are rural, as well as a state with multiple health disparities among its population. The purpose of this study was to determine the association of sleep duration and falls for non-institutionalized West Virginia adults, aged 40 years and above, using the National Sleep Foundation’s definition of “may be appropriate” and “not recommended” sleep durations for specific ages.

Methods: Behavior Risk Factor Surveillance System (BRFSS) 2018 data concerning West Virginia residents were extracted for sleep duration and number of falls within the previous year. Data were analyzed with Chi square and …

Diseases Of Despair: A Commentary, Andrew Howard

Journal of Appalachian Health

Across the nation, and within Appalachia, communities that struggle economically experience greater health challenges, with disparities observed across leading causes of death. Within our region, these disparities are particularly notable across diseases of despair.

Catholics & Cultures As An Act Of Improvisation: A Response, Thomas M. Landy

Journal of Global Catholicism

This essay responds to seven articles published in the same issue of the Journal of Global Catholicism on the use of Catholics & Cultures, a multimedia website, as a pedagogical resource for college classrooms. The site is deliberately presented in a fashion that undermines notions of center and periphery and presents Catholicism from a lay, lived-religion perspective as the multicultural faith that it is, minimizing reference to religious typologies. Particular attention is given to how to navigate tensions around theorizing, categorizing and sorting information for cross-cultural comparison. Given scholars’ current state of knowledge, writing about and teaching about global Catholicism …

Catholics & Cultures: A Panoramic View In Search Of Greater Understanding, Stephanie M. Wong

Journal of Global Catholicism

While internet-based technologies can open up greater awareness of the world or create self-perpetuating echo-chambers, the Catholics & Cultures project aspires to do the former. Aiming to ‘widen the lens’ on the variety of Catholic communities and practices, the site delivers on this goal by introducing viewers to a vast array of articles, pictures and videos from around the world. The organization of the site by country and by certain key features of lived Catholicism offers some interpretive guidance. However, the project could be strengthened as a pedagogical resource if it were more extensively thematized and hosted reflections on potential …

The Value Of Online Resources: Reflections On Teaching An Introduction To Global Christianity, Hillary Kaell

Journal of Global Catholicism

Reflecting on my experience teaching Introduction to Global Christianity, this essay ponders questions at the heart of undergraduate teaching: How can we encourage students to utilize online sources? How can we empower them to seek out answers to their questions? It offers practical examples of how I have used the Catholics & Cultures website in my classroom at a large public university. In particular, I reflect on my experience working with students who are mostly of Catholic heritage, but from many cultural and social contexts.

Teaching Sexuality On The Catholics & Cultures Website: A Refreshing Turn Toward The Longue Durée, Marc Roscoe Loustau

Journal of Global Catholicism

I present a close reading of the Catholics & Cultures (C&C) website’s treatment of sexuality-related issues and discuss this material in relation to debates about how to teach sexuality in religious studies and theology classrooms. The C&C website occasionally and intermittently uses a typical “contemporary issues” approach that considers sexuality in relation to legal and legislative decisions and government policies. In contrast, country profiles consistently situate sexuality in relation processes like nation building, urbanization, and lay Catholics’ growing authority. My interpretation highlights the site’s decision to emphasize the longue durée, long-term and deep structural processes driving cultural and religious changes. …

Ritual Among The Scilohtac: Global Catholicism, The Nacirema, And Interfaith Studies, Anita Houck

Journal of Global Catholicism

More than six decades after its publication, Horace Miner’s 1956 article “Body Ritual among the Nacirema” remains a reliable pedagogical tool, remarkably successful in helping students see their own ethnocentric biases. Catholics & Cultures has potential to do similar work. The site lacks some of what makes Miner’s text so effective, in particular its capacity to bring about a sudden shift in perception. The site also shares some of the article’s limitations, particularly in focusing on ritual to the relative exclusion of other aspects of religion. That said, the site can help students gain the religious literacy and develop the …

Focus On The Busy Intersections Of Culture And Cultural Change, Laura Elder

Journal of Global Catholicism

The dynamics of religious resurgence reveal the important ways that religious ritual and performance are meaning making spaces which are not self-contained or cut off from the rest of culture, but rather are a key locus of cultural change. A renewed emphasis on the busy intersections of meaning making – as rituals are connected, disconnected, and reconnected to other domains of social life – would improve the utility of the Catholics & Cultures website for understanding global cultural change. And a renewed emphasis on cultural change would also provide a better means for exploring reflexively by seeking to understand both …

A Widened Angle Of View: Teaching Theology And Racial Embodiment, Mara Brecht

Journal of Global Catholicism

Today’s undergraduate students are digital natives, shaped by constant access to information and countless experiences of encountering the world through the convenience of a screen. The ostensible comfort students have with difference gives way to a paradox, and one that’s made especially apparent in the theology classroom: Students are comfortable with seeing difference and particularity at a distance, but not adept at locating difference and particularity “at home.” I contend that Catholics & Cultures can help students from the dominant culture—namely, white students who comprise the vast majority of Catholic college students—destabilize their notion of the Catholic tradition as tightly …

Introducing Catholics & Cultures: Ethnography, Encyclopedia, Cyborg, Mathew N. Schmalz

Journal of Global Catholicism

In introducing the Catholics & Cultures site and the articles in this special issue, this essay initially locates the overall Catholic & Cultures project within the traditions of ethnography and encyclopedia. Drawing extensively on the work of J. Z. Smith, this essay reflects upon the theoretical implications of emphasizing the diversity of Catholicism in and through a web-based platform that facilitates comparative study and pedagogy. This essay then more specifically considers the web-based aspects of Catholics & Cultures by identifying a nascent cyborgian aesthetic in the site and considering how the site might eventually engage post-modern themes and concerns.

Poll Finds Rural Residents More Hesitant To Get Vaccinated, Tim Marema

Journal of Appalachian Health

Rural residents are more hesitant than their metropolitan counterparts to get a Covid-19 vaccination, even though rural areas have higher rates of infections and deaths from the coronavirus.

Review Of: Ailing In Place: Environmental Inequities And Health Disparities In Appalachia, Jerome A. Paulson Md, Faap, Jennifer A. Mallow Phd

Journal of Appalachian Health

The Journal of Appalachian Health is committed to reviewing published media that relate to contemporary concepts affecting the health of Appalachia. The Appalachian environmental inequities and the health disparities we face have a direct effect on our experience of illness. Dr. Jerome Paulson reviews the book Ailing in Place: Environmental Inequities and Health Disparities in Appalachia.

Impact Of The Covid-19 Shutdown On Mental Health In Appalachia By Working Status, Erin N. Haynes, Timothy J. Hilbert, Susan C. Westneat, Kate Leger, Katie Keynton, Heather M. Bush

Journal of Appalachian Health

Introduction: To slow the spread of COVID-19 in the United States, businesses shutdown in Spring 2020. Research has indicated the impact on frontline workers, yet little is known about the impact on those who were not working outside the home or switched to working remotely.

Purpose: The purpose of this report is to identify the financial and healthcare issues and mental health impact of the COVID-19 shutdown on Appalachians by worker categories.

Methods: An online survey was administered from May 8 – June 6, 2020 to a convenience sample of previous research participants and shared through social …

Students, Research, And The Health Of Appalachia, F. Douglas Scutchfield Md

Journal of Appalachian Health

The notion of publication in the peer-reviewed literature out of your doctoral or master’s thesis/dissertation or capstone is a characteristic of those who choose a career in the academy. This paper illustrates my pleasure by reflecting a student taking the additional step in research achievement by publishing results that contribute new knowledge to evidence-driven research and practice.

What Moves You?: Georges Didi-Huberman’S Arts Of Passage And Pittsburgh Stories Of Migration, Alexandra Irimia

Languages and Cultures Publications

Contemporary art historian, critic, and theorist Georges Didi-Huberman thinks of images not as static objects, but as movements, passages, and gestures of memory and/or desire. For the French “historian of passing images,” as he has been called, “all images are migrants. Images are migrations. They are never simply local” (D2017). His book, Passer, quoi qu'il en coûte ("To Pass at Any Price"), co-written with the Greek poet and director Niki Giannari, takes on precisely the visual dynamics of passages, passengers, and passageways in the context of contemporary migration flows. In April 2018, only several months after the launching of the …

Neither “Post-War” Nor Post-Pregnancy Paranoia: How America’S War On Drugs Continues To Perpetuate Disparate Incarceration Outcomes For Pregnant, Substance-Involved Offenders, Becca S. Zimmerman

Pitzer Senior Theses

This thesis investigates the unique interactions between pregnancy, substance involvement, and race as they relate to the War on Drugs and the hyper-incarceration of women. Using ordinary least square regression analyses and data from the Bureau of Justice Statistics’ 2016 Survey of Prison Inmates, I examine if (and how) pregnancy status, drug use, race, and their interactions influence two length of incarceration outcomes: sentence length and amount of time spent in jail between arrest and imprisonment. The results collectively indicate that pregnancy decreases length of incarceration outcomes for those offenders who are not substance-involved but not evenhandedly -- benefitting white …

The Effects Of Racial Capitalism On Poor White Laborers, Amy Whittaker

Liberal Studies (MA) Final Essays

While always remembering that racial capitalism’s very nature ensures that non-white Americans suffer incomparable racial oppression, this paper will endeavor to expose the devastation caused to American society as a whole by explaining the ways in which racial capitalism destroyed poor white labors ability to participate fully in the economic system and strangled its chances of living the American dream. It is my hope that by discussing the missing piece of the poor white laborers’ experience under racial capitalism will unite poor white laborers and poor black laborers to work together to end racial capitalism, policing, and the carceral system. …

Rural Appalachia Battling The Intersection Of Two Crises: Covid-19 And Substance Use Disorders, Margaret Miller, Rebekah Rollston, Kate E. Beatty, Michael Meit

Journal of Appalachian Health

During the COVID-19 pandemic, rural Appalachia is at great risk of unforeseen side effects including increased mortality from substance use disorders (SUDs). People living with SUDs are at increased risk for both exposure to and poor outcomes from COVID infection. The economic impacts of COVID-19 must also be considered. As rural Appalachia combats the substance use crisis amidst the COVID-19 pandemic, the geographic economic, health and social inequities within our region must be considered. As a national recovery is sought, we should reimagine federal policies that center the economic and public health of rural Appalachia addressing the two crises.

Review Of: From The Front Lines Of The Appalachian Addiction Crisis Healthcare Providers Discuss Opioids, Meth And Recovery, Carl G. Leukefeld

Journal of Appalachian Health

The Journal of Appalachian Health is dedicated to reviewing various types of media related to contemporary concepts that affect the health of Appalachia. As the opioid-related overdose deaths ravish Appalachia, now more than ever, we each must devote energy to understanding addiction and pathways to recovery. Dr. Carl Leukefeld reviews the book From the Front Lines of the Appalachian Addiction Crisis: Healthcare Providers Discuss Opioids, Meth and Recovery.

In Their Own Words: How Opioids Have Impacted The Lives Of “Everyday” People Living In Appalachia, Patricia Nola Eugene Roberson, Gina Cortez, Laura H. Trull, Katherine Allison Lenger

Journal of Appalachian Health

Introduction: The opioid epidemic is ravaging people, families, and communities in Appalachia. However, limited research has examined how “everyday” people (e.g., not chronic pain patients, not medical professionals) living in these communities how opioids have impacted their lives.

Objective: Identify the perception of the opioid epidemic on individuals, families, and communities from people living in region most impacted regions.

Methods: Patients were recruited at Remote Area Medical clinics throughout Central and Southern Appalachia to complete interviews online (N = 169) or over the phone (N = 26), including one open-ended question about how opioids have impacted their lives.

Results: Using …

Improving Access To Treatment For Opioid Use Disorder In High-Need Areas: The Role Of Hrsa Health Centers, Michael Topmiller, Jennifer Rankin, Jessica L. Mccann, Jene Grandmont, David Grolling, Mark Carrozza, Hank Hoang, Josh Bolton, Alek Sripipatana

Journal of Appalachian Health

Introduction: Despite the opioid epidemic adversely affecting areas across the U.S. for more than two decades and increasing evidence that medication-assisted treatment (MAT) is effective for patients with opioid use disorder (OUD), access to treatment is still limited. The limited access to treatment holds true in the Appalachia region despite being disproportionately affected by the crisis, particularly in rural, central Appalachia.

Purpose: This research identifies opportunities for health centers located in high-need areas based on drug poisoning mortality to better meet MAT care gaps. We also provide an in-depth look at health center MAT capacity relative to need …

Rural Community Toolbox To Help Battle Opioid Epidemic, Liz Carey

Journal of Appalachian Health

An online data repository and toolbox created by the Office of National Drug Control Policy is designed to provide communities with knowledge and resources to fight the opioid epidemic according to their unique needs.

The Rural-Urban Divide In Tanzania: Residential Context And Socioeconomic Inequalities In Maternal Health Care Utilization, Neema Langa, Tirth Bhatta

Sociology Faculty Research

Background Existing studies in Tanzania, based mostly on rural samples, have primarily focused on individual behaviors responsible for the lower utilization of maternal health care. Relatively less attention had been paid to inequalities in structural circumstances that contribute to reduced utilization of maternal health care. More importantly, scholarship concerning the impact of the rural-urban divide on socioeconomic disparities in the utilization of maternal health care is virtually nonexistent in Tanzania. Methods Drawing from the Demographic Health Survey (2015-2016) conducted in Tanzania, our study includes a total of 3,595 women aged between 15-49 years old, who had given birth in five …

Genetic Ancestry, Skin Color And Social Attainment: The Four Cities Study, Dede K. Teteh, Lenna Dawkins-Moultin, Stanley Hooker, Wenndy Hernandez, Carolina Bonilla, Dorothy Galloway, Victor Lagroon, Eunice Rebecca Santos, Mark Shriver, Charmaine D. M. Royal, Rick Kittles

Health Sciences and Kinesiology Faculty Articles

Introduction
The Black population in the US is heterogeneous but is often treated as monolithic in research, with skin pigmentation being the primary indicator of racial classification. Objective: This paper examines the differences among Blacks by comparing genetic ancestry, skin color and social attainment of 259 residents across four US cities—Norman, Oklahoma; Cincinnati, Ohio; Harlem, New York; and Washington, District of Columbia.

Methods
Participants were recruited between 2004 and 2006 at community-based forums. Cross-sectional data were analyzed using chi-square tests, correlation analyses and logistic regression.

Results
There were variations in ancestry, melanin index and social attainment across some cities. Overall, …

Listening To Voices In Appalachia: Gathering Wisdom From The Field About Substance-Abuse Recovery Ecosystems, Bruce Behringer

Journal of Appalachian Health

New qualitative data collected through six regional community-based listening sessions and community meetings are presented that describe elements of the Appalachian Regional Commission’s Recovery Ecosystem Model. These data informed the Model, which was used in formulating the new ARC Recovery-to-Work initiative. Input was intentionally solicited from multiple sectors, including persons recovering from substance abuse disorder, treatment and recovery service providers, workforce development agencies, employers, and community advocacy groups.

Responding To Appalachian Voices: Steps In Developing Substance-Use Recovery Ecosystems, Bruce Behringer

Journal of Appalachian Health

A description is presented of the four-step process used by the Appalachian Regional Commission to develop a new Recovery to Work initiative. The Commission identified, defined, and described issues facing individuals who complete substance abuse disorder treatment and who seek reentry into the workforce. Key elements were identified for resources and supports to develop and maintain community-based substance abuse recovery ecosystems. The steps included conceptualization, data collection, analysis, and review to formulate recommendations for program and policy development. The full process of development was accomplished in twelve months.

Experiencing Cancer In Appalachian Kentucky, Melanie Mccomsey, David Ahern, Robin C. Vanderpool, Timothy W. Mullett, Ming-Yuan Chih, Meghan Johnson, Michele Ellison, Karen Onyeije, Bradford W. Hesse, Eliah Aronoff-Spencer

Journal of Appalachian Health

Nothing tells the story of people working together better than a community quilt. A diversity of talents, colors, and materials brought together through skill and shared purpose. Perhaps never before have we as Americans needed a stronger reminder that many hands make short work of big problems. The work presented here by the L.A.U.N.C.H. Collaborative offers a new framework for health care that could be compared to a digital quilt, powered by community-based participatory design, with lived expertise and the newest advances in broadband-enabled connected health solutions. This work demonstrates the value and need to engage local communities and what …

Preface: Experiencing Cancer In Appalachian Kentucky, Michele Ellison, Robin C. Vanderpool

Journal of Appalachian Health

Connected cancer care is of increasing importance in light of the COVID-19 pandemic. The Linking & Amplifying User-Centered Networks through Connected Health (L.A.U.N.C.H.) Collaborative in Appalachian Kentucky has pioneered a new roadmap for equipping communities with the transformative power of broadband to innovate around the future of cancer care and to better scale their ideas. The roadmap involves reaching across disciplines, including public health, anthropology, telecommunications, and user-centered design. The goal is to leverage connectivity and cancer communication research and practice to make a real difference for patients and families.

Appalachian Regional Commission Recovery Ecosystem Background And Overview, Kostas Skordas, Andrew Howard

Journal of Appalachian Health

The Appalachian Regional Commission (ARC) has long addressed issues of substance abuse through funded community-based interventions, research, and sponsored conferences. Recently, the opioid crisis created a new urgency for cross-sector collaboration among various partners and funders dealing with this issue. This commentary provides an overview of recent efforts by the ARC to convene stakeholders to focus on assisting individuals with substance abuse disorder to access recovery services while pursuing education and training necessary to reenter the workforce and gain employment. Two papers have been prepared to describe this year-long effort. One paper focuses on the participatory methods used to gather …