Family, Life Course, and Society Commons^™

Impulsive, Disinhibited Behavior—Dining In A Restaurant, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Kathleen Whalen

ETSU Faculty Works

Dining in a restaurant with a loved one who has dementia can be an ordeal, especially if the expectations of the caregiver do not match those of the patient and the restaurant environment is not suitable for patients with dementia. The size of the dining area, lighting, background music or noise, décor of the room, number of customers, variety of the items on the menu, number of plates and cutlery on the table, in addition to flowers, candles, and other decorations on the table are all potent distractors. There are so many stimuli; the patient can be overwhelmed with information …

Driving And Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, K. Whalen, J. Culp

ETSU Faculty Works

Driving is a symbol of autonomy and independence, eagerly awaited during adolescence, cherished during adulthood and reluctantly rescinded during old age. It is nevertheless an individual’s privilege, not right, especially as driving may affect other drivers and pedestrians on the road. It is therefore not only the individual patient who is at stake but essentially the entire community. In this case scenario, we describe the situation that arose when a patient with multi-infarct dementia wanted to go for a drive and his son and grandson tried to convince him that he could no longer drive. What went wrong in the …

Photography And Mourning: Excavating Memories Of My Great-Grandmother, Eva Weiner

Scripps Senior Theses

This paper explores how photographs have affected mourning processes in the past and how photo-technology may be able to change the way in which we mourn in the future. It includes an overview of the history of post-mortem photography and discusses the perspectives of well-known media theorists such as Roland Barthes and Susan Sontag. It engages with psychologists by including their perspectives on the effect that photographs have on the mourning process. A project was created to investigate how photo-technology can affect the bereaved. The project places photographs of a mother into pictures of her children taken after she had …

Impact Of Patient Demographics And Health Insurance On Hospital Discharge, Ana Acosta

Open Access Theses & Dissertations

Based on discharge data collected with 241 patients who received medical care from a fall injury between 2014 and 2015 at the emergency room in a general hospital in El Paso, Texas, I will examine whether individuals over age 55 have health insurance and the type of care that is recommended to patients after being discharged. In particular, I will examine demographics, including ethnicity, age, and language on whether the patient paid with insurance and the disposition of discharge from the emergency department after a fall. Additionally, I will examine which demographic factors are associated with disposition of discharge- facility, …

Adults Aged 65+ And The Societal Pressure To Exercise, Susan Murphy

Walden Dissertations and Doctoral Studies

Globally, by 2050, the older adult population will be larger than other age segments of the population. Government programs and health care guidelines are being put in place to help encourage exercise. However, there is little information on how the societal pressure presented in these government programs makes people feel, especially those over the age of 65. The purpose of the present study was to understand what the societal pressure to exercise means to adults over the age of 65 using a qualitative, phenomenological approach and employing in-depth interviews using the health belief model as the guiding framework. The interview …

The Experiences And Perceptions Of African American Women Who Reside In Nursing Homes, Lakeisha De Lon Riley

Walden Dissertations and Doctoral Studies

The purpose of this qualitative case study was to examine the experiences and perceptions of African American women who reside in a nursing home and to understand African American women's decisions for admitting to the facility. Social Learning Theory was applied to answer the question of how African American women's experiences and perceptions toward long-term care influence healthcare decisions and admission to a nursing home. Eleven participants interviewed in the study were at least 60 years old, admitted into the facility within the past two years and who had not previously resided in a nursing home. Yin's five step approach …

The Impact Of Depakote On Agitation And Short-Term Memory In Nursing Home Dementia Residents, Kristin E. Fazzolari-Pleace

Walden Dissertations and Doctoral Studies

Researchers have linked dementia to common psychiatric symptoms such as agitation and aggression, known as behavioral and psychological symptoms of dementia (BPSD). To treat residents manifesting BPSD, nursing homes (NHs) use psychoactive medications. However, research is limited and inconsistent regarding the impact of Depakote treatment on agitation and short-term memory (STM) in NH residents who have dementia. The purpose of this nonexperimental quantitative study was to evaluate for 1 year the impact of Depakote treatment on agitation and STM in NH residents as measured by each resident's Minimum Data Set (MDS). Moncrieff and Cohen's drug-centered theory served as the theoretical …

Very Long Engagements: The Persistent Authority Of Bridewealth In A Post-Apartheid South African Community, Michael W. Yarbrough

Publications and Research

This article examines the persistent authority of the customary practice for forming recognized marriages in many South African communities, centered on bridewealth and called “lobola.” Marriage rates have sharply fallen in South Africa, and many South Africans blame this on the difficulty of completing lobola amid intense economic strife. Using in-depth qualitative research from a village in KwaZulu-Natal, where lobola demands are the country’s highest and marriage rates its lowest, I argue that lobola’s authority survives because lay actors, and especially women, have innovated new repertoires of lobola behavior that allow them to pursue emerging needs and desires for marriage …

Introduction: For Better Or For Worse? Relational Landscapes In The Time Of Same-Sex Marriage, Michael W. Yarbrough

Publications and Research

As same-sex marriage has become a legal reality in a rapidly growing list of countries, the time has come to assess what this means for families and relationships on the ground. Many scholars have already begun to examine how marriage is helping some same-sex couples, but in this introduction I call for a broader and more critical research agenda. In particular, I argue that same-sex marriage crystallizes a key tension surrounding families and relationships in many contemporary societies. On the one hand, strict family norms are relaxing in many places, allowing more people to form more diverse types of caring …

Age Of Migration Differentials In Life Expectancy With Cognitive Impairment: 20-Year Findings From The Hispanic-Epese, Marc A. Garcia, Joseph L. Saenz, Brian Downer, Chi-Tsun Chiu, Sunshine Rote, Rebeca Wong

Department of Sociology: Faculty Publications

Background and Objectives To examine differences in life expectancy with cognitive impairment among older Mexican adults according to nativity (U.S.-born/foreign-born) and among immigrants, age of migration to the United States.

Research Design and Methods This study employs 20 years of data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to estimate the proportion of life spent cognitively healthy and cognitively impaired prior to death among older Mexican adults residing in the southwestern United States. We combine age-specific mortality rates with age-specific prevalence of cognitive impairment, defined as a Mini-Mental Status Exam score of less than 21 …

Social Support Theory, Lisa Kort-Butler

Department of Sociology: Faculty Publications

In the study of crime and delinquency, what has come to be called social support theory has. its origins in Cullen’s (1994) presidential address to the Academy of Criminal Justice Sciences. In the address, entitled “Social support as an organizing concept for criminology,” Cullen argued that the notion of social support is threaded through many theories of crime and delinquency. Cullen distinguished between macro-level and interpersonal-level effects of social support, emphasizing how supportive societies and supportive relationships, respectively, can lessen crime rates and individual crime. He also implicated social support in the processes of social control and criminal justice, arguing …

Sharing-Based Social Capital Associated With Harvest Production And Wealth In The Canadian Arctic, Elspeth Ready

Department of Sociology: Faculty Publications

Social institutions that facilitate sharing and redistribution may help mitigate the impact of resource shocks. In the North American Arctic, traditional food sharing may direct food to those who need it and provide a form of natural insurance against temporal variability in hunting returns within households. Here, network properties that facilitate resource flow (network size, quality, and density) are examined in a country food sharing network comprising 109 Inuit households from a village in Nunavik (Canada), using regressions to investigate the relationships between these network measures and household socioeconomic attributes. The results show that although single women and elders have …

Self-Rated Health Trajectories Among Married Americans: Do Disparities Persist Over 20 Years?, Terceira A. Berdahl, Julia Mcquillan

Department of Sociology: Faculty Publications

The purpose of this study is to understand self-rated health (SRH) trajectories by social location (race/ethnicity by gender by social class) among married individuals in the United States. We estimate multilevel models of SRH using six observations from 1980 to 2000 from a nationally representative panel of married individuals initially aged 25–55 (Marital Instability Over the Life Course Study). Results indicate that gender, race/ethnicity, and social class are associated with initial SRH disparities. Women are less healthy than men; people of color are less healthy than whites; lower educated individuals are less healthy than higher educated individuals. Women’s health declined …

The Effects Of Respondent And Question Characteristics On Respondent Answering Behaviors In Telephone Interviews, Kristen Olson, Jolene Smyth, Amanda Ganshert

Department of Sociology: Faculty Publications

In a standardized telephone interview, respondents ideally are able to provide an answer that easily fits the response task. Deviations from this ideal question answering behavior are behavioral manifestations of breakdowns in the cognitive response process and partially reveal mechanisms underlying measurement error, but little is known about what question characteristics or types of respondents are associated with what types of deviations. Evaluations of question problems tend to look at one question characteristic at a time; yet questions are comprised of multiple characteristics, some of which are easier to experimentally manipulate (e.g., presence of a definition) than others (e.g., attitude …

The Effects Of Mismatches Between Survey Question Stems And Response Options On Data Quality And Responses, Jolene Smyth, Kristen Olson

Department of Sociology: Faculty Publications

Several questionnaire design texts emphasize a dual role of question wording: the wording needs to express what is being measured and tell respondents how to answer. Researchers tend to focus heavily on the first of these goals, but sometimes overlook the second, resulting in question wording that does not match the response options provided (i.e., mismatches). Common examples are yes/no questions with ordinal or nominal response options, open-ended questions with closed-ended response options, and check-all-that apply questions with forced-choice response options. A slightly different type of mismatch utilizes a question stem that can be read as asking for two different …

Bullying At School And On The Street: Risk Factors And Outcomes Among Homeless Youth, Kimberly A. Tyler, Rachel Schmitz

Department of Sociology: Faculty Publications

Though rates of bullying among general population youth are high, there is elevated prevalence among certain subgroups, in particular sexual minority homeless youth. Enduring bullying can have devastating consequences, including poor mental health, revictimization, and substance abuse. The current study compares risk factors (i.e., sexual orientation, gender, and child abuse) for being bullied both at school and on the street among homeless youth. We also examine the associations of both contexts of bullying (i.e., at school and on the street) with physical and sexual victimization while on the street, with illicit drug use. From July 2014 to October 2015, we …

Logics Of Freedom: Debating Religious Freedom Laws And Gay And Lesbian Rights, Emily Kazyak, Kelsy Burke, Mathew Stange

Department of Sociology: Faculty Publications

In the wake of marriage equality for same-sex couples, many states have introduced and passed laws that provide religious exemptions for certain services and benefits for LGBTQ (lesbian, gay, bisexual, transgender, and queer) persons. The authors use data from a general population survey of Nebraskans as a mixed-methods case study to examine public opinion of religious freedom laws. Drawing on data from both closed-ended (n = 1,117) and openended (n = 838) questions, the authors show that opposition to religious freedom laws is quite high, as 64 percent of respondents report that they oppose laws that would allow business owners …

A Demands And Resources Approach To Understanding Faculty Turnover Intentions Due To Work–Family Balance, Megumi Watanabe, Christina Falci

Department of Sociology: Faculty Publications

Using data collected on tenure-line faculty at a research-intensive Midwestern university, this study explored predictors of faculty job turnover intentions due to a desire for a better work–family balance. We adopted Voydanoff’s theoretical framework and included demands and resources both within and spanning across the work and family domains. Results showed that work-related demands and resources were much stronger predictors of work–family turnover intentions than family-related demands or resources. Specifically, work-to-family negative spillover was positively associated with work–family turnover intentions, and two work-related resources (job satisfaction and supportive work–family culture) were negatively associated with work–family turnover intentions. On the other …

Does Insulin Therapy Matter? Determinants Of Diabetes Care Outcomes, Jennifer A. Andersen, Larry Gibbs

Department of Sociology: Faculty Publications

Objective: To evaluate adherence to care standards for people with diabetes (PWDs) on insulin therapy versus PWDs who are not on insulin therapy, controlling for social determinants.

Research design and methods: Utilizing the United States 2015 Behavioral Risk Factor Surveillance System Survey, this study used logistic regression analyses to estimate differences in self-care behaviors, healthcare provider quality of care, and diabetic complications for individuals on insulin therapy and individuals not on insulin therapy.

Results: PWDs on insulin therapy are more likely to adhere to self-care measures (self-glucose checks [OR: 7.57], self-foot checks [OR: 1.27], diabetes class participation [OR: 1.96]), adherence …

Book Review: Savin-Williams, Ritch C. 2017. Mostly Straight: Sexual Fluidity Among Men, Trenton M. Haltom

Department of Sociology: Faculty Publications

In his book Mostly Straight: Sexual Fluidity among Men, Savin-Williams offers an analysis of new shifts in millennial men’s not-so-heterosexual sexual identities. Some “mostly straight” men admit romantic crushes on close male friends, while others attest to fantasizing about sex with other men. All the while, they maintain that their primary sexual and romantic attraction is to women. Bisexuality is not on the table for these men; they are straight—well, mostly. ...

An easy-to-read work, Mostly Straight consists of a number of substantive chapters broken up by individual interviews. The intended audience for Mostly Straight varies from the academically inclined …