Family, Life Course, and Society Commons^™

Trauma In Veterans With Substance Use Disorder: Similar Treatment Need Among Urban And Rural Residents, Lance Brendan Young, Christine Timko, Kimberly A. Tyler, Kathleen M. Grant

Department of Sociology: Faculty Publications

Purpose: The objective of this study is to determine whether rural residence is associated with trauma exposure or posttraumatic stress disorder symptoms among military veterans seeking treatment for substance use disorder (SUD) through the Department of Veterans Affairs (VA). Delivering mental health services to veterans in rural areas is a challenge, so identifying differences in the causes and outcomes of trauma exposure would assist in effectively targeting service delivery.

Methods: Veterans (N = 196) entering SUD treatment at 3 Midwestern VA treatment centers were designated as either urban or rural, based on rural-urban commuting area (RUCA) codes. The …

Public Health Framing And Attribution: Analysis Of The First Lady’S Remarks And News Coverage On Childhood Obesity, Jennifer A. Andersen, Lindsey E. Wylie, Eve M. Brank

Department of Sociology: Faculty Publications

First Lady Michelle Obama’s public health promotion “Let’s Move” seeks to place children on a path to better health by giving families access to health education and fostering healthier environments. We examined the use of public health framing and attribution of responsibility in the First Lady’s remarks and newspaper articles reporting on childhood obesity. We coded the Whitehouse.gov website for remarks made by the First Lady regarding the childhood obesity prevention program “Let’s Move.” Of the 103 remarks coded, 35% of the remarks used public health framing. The First Lady’s remarks attributed responsibility and solutions for the childhood obesity crisis …

“I Wanted To Raise My Hand And Say I’M Not A Feminist”: College Men’S Use Of Hybrid Masculinities To Negotiate Attachments To Feminism And Gender Studies, Rachel Schmitz, Trenton M. Haltom

Department of Sociology: Faculty Publications

Using a hybrid masculinities framework, we qualitatively analyzed 15 college men’s experiences with feminism and gender scholarship in Women’s and Gender Studies (WGS) courses. Men described adopting particular strategies of discourse in their social interactions to manage varied reactions to feminism and gender studies. As a way of justifying their choice of academic study, these men also learned to navigate social relationships by highlighting or downplaying their own masculinity (i.e., creating or deconstructing a hybrid masculinity). Finally, men reconciled the multiple meanings of feminism and WGS studies by drawing from dominant cultural norms and expectations in attempts to make sense …

Head Injury And Substance Use In Young Adults, Lisa Kort-Butler

Department of Sociology: Faculty Publications

Background: Prior studies suggest a link between head injuries and substance use but do not routinely capture mechanisms connecting the two.

Objectives: The goal of the study was to explore whether past head injuries predicted current substance use among young adults, taking factors such as stress, self-esteem, temper, and risk-taking into consideration.

Methods: Data were drawn from a web-based survey conducted in 2014 and 2015 at a public university in the United States (n = 897). Questions were asked about history of head injuries as well as past 12-month binge drinking, marijuana use, and prescription drug …

Rural And Urban Comparisons Of Polysubstance Use Profiles And Associated Injection Behaviors Among People Who Inject Drugs In Puerto Rico, Dane Hautala, Roberto Abadie, Bilal Khan, Kirk Dombrowski

Department of Sociology: Faculty Publications

Introduction—In contrast to urban populations, little is known about polysubstance use among rural people who inject drugs (PWID), particularly in Puerto Rico where injection drug use and related health consequences are prevalent. The aim of the study is to compare injection and non-injection substance use profiles among separate urban and rural samples of Puerto Rican PWID.

Material and Methods—Data for the urban sample come from 455 PWID who participated in the CDC's National HIV Behavioral Surveillance survey of injection drug use in San Juan. The data for the rural sample come from 315 PWID residing in four rural cities approximately …

Contextualizing The Relationship Between Culture And Puerto Rican Health: Towards A Place-Based Framework Of Minority Health Disparities, Giovani Burgos, Fernando I. Rivera, Marc A. Garcia

Department of Sociology: Faculty Publications

In both the culture of poverty literature and the acculturation literature, Puerto Ricans are portrayed in negative terms. The culture of poverty framework attributes Puerto Rican poverty to the mental, behavioral, and moral pathology of Puerto Rican individuals and to Puerto Rican culture. Similarly, outdated acculturation frameworks also trace the poor health of immigrants and racialized minorities, such as Puerto Ricans, to equivalent perceived deficiencies. In this paper, we argue that both the culture of poverty and acculturation frameworks are two pillars of the White Racial Frame (Feagin 2009) that sustains racial inequality in the United States. To build our …

Stress Exposure And Physical, Mental, And Behavioral Health Among American Indian Adults With Type 2 Diabetes, Melissa L. Walls, Kelley J. Sittner Hartshorn, Benjamin D. Aronson, Angie K. Forsberg, Les B. Whitbeck, Mustafa Al'absi

Department of Sociology: Faculty Publications

American Indian (AI) communities experience disproportionate exposure to stressors and health inequities including type 2 diabetes. Yet, we know little about the role of psychosocial stressors for AI diabetes-related health outcomes. We investigated associations between a range of stressors and psychological, behavioral, and physical health for AIs with diabetes. This community-based participatory research with 5 AI tribes includes 192 AI adult type 2 diabetes patients recruited from clinical records at tribal clinics. Data are from computer-assisted interviews and medical charts. We found consistent bivariate relationships between chronic to discrete stressors and mental and behavioral health outcomes; several remained even after …

The Republicanization Of Evangelical Protestants In The United States: An Examination Of The Sources Of Political Realignment, Philip Schwadel

Department of Sociology: Faculty Publications

Although the association between evangelical Protestant and Republican affiliations is now a fundamental aspect of American politics, this was not the case as recently as the early 1980s. Following work on secular political realignment and the issue evolution model of partisan change, I use four decades of repeated cross-sectional survey data to examine the dynamic correlates of evangelical Protestant and Republican affiliations, and how these factors promote changes in partisanship. Results show that evangelical Protestants have become relatively more likely to attend religious services and to oppose homosexuality, abortion, and welfare spending. Period-specific mediation models show that opposition to abortion, …

Period And Cohort Changes In Americans’ Support For Marijuana Legalization: Convergence And Divergence Across Social Groups, Philip Schwadel, Christopher G. Ellison

Department of Sociology: Faculty Publications

We cast fresh light on how and why Americans’ views on marijuana legalization shifted between 1973 and 2014. Results from age-period-cohort models show a strong negative effect of age and relatively high levels of support for legalization among baby boom cohorts. Despite the baby boom effect, the large increase in support for marijuana legalization is predominantly a broad, period-based change in the population. Additional analyses demonstrate that differences in support for legalization by education, region, and religion decline, that differences by political party increase, and that differences between whites and African Americans reverse direction. We conclude by discussing the implications …

The Positives And Negatives Of Higher Education: How The Religious Context In Adolescence Moderates The Effects Of Education On Changes In Religiosity, Philip Schwadel

Department of Sociology: Faculty Publications

Although longitudinal research suggests that declines in religiosity associated with higher education vary across religious traditions, it tells us little about variation in the effects of higher education on changes in religiosity more broadly. Higher education may promote increases in religiosity for some, particularly with many Americans now being raised in relatively secular homes. This research note uses multilevel growth curve models and four waves of longitudinal data to examine how the religious context in adolescence moderates the effects of higher education on changes in emerging adult religiosity, regardless of the direction of change. Religious tradition and parent religious service …

Assessing Potential Errors In Level-Of-Effort Paradata Using Gps Data, James Wagner, Kristen M. Olson

Department of Sociology: Faculty Publications

Surveys are a critical resource for social, economic, and health research. The ability to efficiently collect these data and develop accurate post-survey adjustments depends upon reliable data about effort required to recruit sampled units. Level-of-effort paradata are data generated by interviewers during the process of collecting data in surveys. These data are often used as predictors in nonresponse adjustment models or to guide data collection efforts. However, recent research has found that these data may include measurement errors, which would lead to inaccurate decisions in the field or reduced effectiveness for adjustment purposes (Biemer, Chen, & Wang, 2013; West, 2013). …

Contextualization Of Survey Data: What Do We Gain And Does It Matter?, Lindsay R. Wilkinson,, Kenneth F. Ferraro, Blakelee R. Kemp

Department of Sociology: Faculty Publications

Survey research designs that integrate contextual data have become more prevalent in recent decades, presumably to enable a more refined focus on the person as the unit of analysis and a greater emphasis on interindividual differences due to social forces and contextual conditions. This article reviews varied approaches to contextualizing survey data and examines the value of linking two data sources to respondent information: interviewer ratings and neighborhood information (measured via census tracts). The utility of an integrative approach is illustrated with data from the Health and Retirement Study. The results reveal modest gains by using a contextualized approach but …

Implementation Of A Standardized Multifactorial Fall Prevention Program In A Rehabilitation Facility, Shanetta Monique Ancrum-Lee

Walden Dissertations and Doctoral Studies

One and a half million people are currently living in residential care facilities; as the baby boomer generation ages, this number will increase to 3 million. Approximately 3 out of 4 residents of these facilities fall each year, and 10% to 20% of those falls result in serious injuries such as fractures, disability, and a decreased quality of living. The BOUNCE Back fall initiative is a multifactorial program that uses a systematic approach starting on admission and to re-evaluate a resident following a fall. Nursing and therapy uses the Morse Fall Scale and the Elderly Mobility Scale to assess and …

The Socio-Political And Economic Causes Of Natural Disasters, Nicole Southard

CMC Senior Theses

To effectively prevent and mitigate the outbreak of natural disasters is a more pressing issue in the twenty-first century than ever before. The frequency and cost of natural disasters is rising globally, most especially in developing countries where the most severe effects of climate change are felt. However, while climate change is indeed a strong force impacting the severity of contemporary catastrophes, it is not directly responsible for the exorbitant cost of the damage and suffering incurred from natural disasters -- both financially and in terms of human life. Rather, the true root causes of natural disasters lie within the …

Aging Trends & Challenges In Nevada, Jennifer R. Keene, Jacqueline Ragin

Social Health of Nevada Reports

Societal aging is one of the most important social trends of the 21st century. It affects our political, social, and economic institutions and also the nature of our interpersonal and family relationships (Quadagno 2011). In the coming decades, both as individuals and as a society, we will have to make important decisions regarding the consequences of our aging population. Policy makers, families, businesses, local, state, and federal governments, health care providers will have to meet the growing needs of the older population in the U.S. and in Nevada.

By the year 2020, the percent of the U.S. population over age …

Structure And Service Delivery Approach Of The Children’S Bureau’S Resource Centers And Implementation Centers, Tammy Richards, Michelle Graef, Kathy Deserly, Peter Watson, Mark Ells

Center on Children, Families, and the Law: Faculty Publications

The Children’s Bureau (CB) provides a system of training and technical assistance (T/TA) to build the capacity of state and tribal child welfare systems, with the goal of improving outcomes for children and families. During the time period of 2008-2014, this infrastructure included ten National Child Welfare Resource Centers (NRCs), five Child Welfare Implementation Centers (ICs), and a Training and Technical Assistance Coordination Center (TTACC). Individual ICs and NRCs differed in structure and content expertise, yet they served the same jurisdictions and at times provided services concurrently. To increase cohesion and consistency, the NRCs, ICs, TTACC, and CB worked together …

Acculturation, Identity Formation, And Mental Health-Related Issues Among Young Adult Ethiopian Immigrants, Sam A. Wolde

Walden Dissertations and Doctoral Studies

Immigration is a contributing factor to population growth in the United States. Ethiopian immigrants who are residing in the United States constitute the second-largest African immigrant group next to Nigeria. The effect of immigrants' identity formation and acculturation process on their social and emotional wellness has drawn behavioral and social scientists' attention. Still, limited research has been devoted to exploring Ethiopian immigrants' acculturation and identity formation processes and how these processes shape 1.5- and second-generation immigrants' perceptions of mental health-related issues. This phenomenological study explored identity formation, acculturation processes, and mental health beliefs in 1.5- and second-generation Ethiopian immigrants. Face-to-face …

Multifamily Subsidized Housing Seniors' Awareness Of Aging And Disability Resource Center Services, Katrina Polk

Walden Dissertations and Doctoral Studies

Over 75% of adults 60 years of age or older who live in Washington, D.C. are unaware of access to Aging and Disability Resource Centers' (ADRC) community-based services. Approximately 25% of these individuals are low-income and reside in multifamily subsidized housing. With a theoretical basis in Penchansky and Thomas' construct of access, this phenomenological study explored whether increased awareness of access to ADRC service delivery may potentially better meet the needs of this socioeconomically marginalized population. Data were collected through semi-structured interviews with 20 senior citizens in Washington, D.C. who received some programmatic assistance, such as housing or meal delivery, …

Mobile Collaborative Learning For Female Baby Boomer Students In Canadian Higher Education, Holly Cp Chun

Walden Dissertations and Doctoral Studies

Female baby boomer students (born 1946-1964) need to augment their skills in mobile collaborative learning because current knowledge of technologies is essential for making informed decisions. The purpose of this study was to determine the need to promote technologies based on the experiences of female baby boomer students. Andragogy and constructivism provided the conceptual framework for this research. The research questions were devised to investigate female boomer students' collaborative experiences using smart devices and barriers to their adoption of technology. This phenomenological study included 8 participants from a Canadian university recruited through purposeful sampling. Per the Modified Stevick-Colaizzi-Keen method, data …

When ‘Places’ Include Pets: Broadening The Scope Of Relational Approaches To Promoting Aging-In-Place, Ann M. Toohey, Jennifer A. Hewson, Cindy L. Adams, Melanie J. Rock

The Journal of Sociology & Social Welfare

Aging-in-place is a well-established concept, but discussions rarely consider that many older adults live with pets. In a ‘pet-friendly’ city, we conducted semi-structured interviews to explore perspectives of community-based social support agencies that promote aging-in-place, and those of animal welfare agencies. Applying a relational ecology theoretical framework, we found that pets may contribute to feeling socially- situated, yet may also exacerbate constraints on autonomy experienced by some older adults. Pet-related considerations at times led to discretionary acts of more-than-human solidarity, but also created paradoxical situations for service-providers, impacting their efforts to assist older adults. A shortage of pet-friendly affordable housing …