Family, Life Course, and Society Commons^™

Too Many Choices Confuse Patients With Dementia, Ronald C. Hamdy, J. V. Lewis, Amber Kinser, Audrey Depelteau, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen

ETSU Faculty Works

Choices are often difficult to make by patients with Alzheimer Dementia. They often become acutely confused when faced with too many options because they are not able to retain in their working memory enough information about the various individual choices available. In this case study, we describe how an essentially simple benign task (choosing a dress to wear) can rapidly escalate and result in a catastrophic outcome. We examine what went wrong in the patient/caregiver interaction and how that potentially catastrophic situation could have been avoided or defused.

Hepatitis C Serosorting Among People Who Inject Drugs In Rural Puerto Rico, Ian Duncan, Ric Curtis, Juan Carlos Reyes, Roberto Abadie, Bilal Khan, Kirk Dombrowski

Department of Sociology: Faculty Publications

Due to the high cost of treatment, preventative measures to limit Hepatitis C (HCV) transmission among people who inject drugs (PWID) are encouraged by many public health officials. A key one of these is serosorting, where PWID select risk partners based on concordant HCV status. Research on the general U.S. population bySmith et al. (2013) found that knowledge of one's own HCV status facilitated serosorting behaviors among PWID, such that respondents with knowledge of their own status were more likely to ask potential partners about their status prior to sharing risk. Our objective was to see if this held true …

The Potential Scientist’S Dilemma: How The Masculine Framing Of Science Shapes Friendships And Science Job Aspirations, G. Robin Gauthier, Patricia Wonch Hill, Julia Mcquillan, Amy N. Spiegel, Judy Diamond

Department of Sociology: Faculty Publications

In the United States, girls and boys have similar science achievement, yet fewer girls aspire to science careers than boys. This paradox emerges in middle school, when peers begin to play a stronger role in shaping adolescent identities. We use complete network data from a single middle school and theories of gender, identity, and social distance to explore how friendship patterns might influence this gender and science paradox. Three patterns highlight the social dimensions of gendered science persistence: (1) boys and girls do not differ in self-perceived science potential and science career aspirations; (2) consistent with gender-based norms, both middle …

Bi-Cultural Dynamics For Risk And Protective Factors For Cardiometabolic Health In An Alaska Native (Yup'ik) Population, Jacques Philip, Toves K. Ryman, Scarlett E. Hopkins, Diane M. O'Brien, Andrea Bersamin, Jeremy Pomeroy, Kenneth E. Thummel, Melissa A. Austin, Bert B. Boyer, Kirk Dombrowski

Department of Sociology: Faculty Publications

Alaska Native people experience disparities in mortality from heart disease and stroke. This work attempts to better understand the relationships between socioeconomic, behavioral, and cardiometabolic risk factors among Yup'ik people of southwestern Alaska, with a focus on the role of the socioeconomic, and cultural components. Using a cross-sectional sample of 486 Yup'ik adults, we fitted a Partial Least Squares Path Model (PLS-PM) to assess the associations between components, including demographic factors [age and gender], socioeconomic factors [education, economic status, Yup'ik culture, and Western culture], behavioral factors [diet, cigarette smoking and smokeless tobacco use, and physical activity], and cardiometabolic risk factors …

Social Determinants Of Hiv/Hcv Co-Infection: A Case Study From People Who Inject Drugs In Rural Puerto Rico, Roberto Abadie, Melissa L. Welch-Lazoritz, Bilal Khan, Kirk Dombrowski

Department of Sociology: Faculty Publications

Worldwide there are an estimated 130 million people infected with hepatitis C (HCV), 40 million living with HIV, and between 4 and 5 million co-infected with HIV and HCV (Alter, 2006; Perz, Farrington, Pecoraro, Hutin, & Armstrong, 2004; WHO. AIDS epidemic update, 2004). In Western Europe and the United States, co-infection tends to concentrate among people who inject drugs (PWID) mainly driven by blood contained in shared syringes and contaminated injection equipment (Hahn, Page-Schafer, Lum, et al., 2002; Doerrbecker, Behrendt, Matheu-Gelabert et al., 2013). Epidemiological data shows wide discrepancies in HIV/HCV prevalence among PWID across the world (Bao & Li, …

Increasing Burden Of Complex Multimorbidity Across Gradients Of Cognitive Impairment, Siran M. Koroukian, Nicholas K. Schiltz, David F. Warner, Kurt C. Stange, Kathleen A. Smyth

Department of Sociology: Faculty Publications

Introduction: This study evaluates the burden of multimorbidity (MM) across gradients of cognitive impairment (CI). Methods: Using data from the 2010 Health and Retirement Study, we identified individuals with no CI, mild CI, and moderate/ severe CI. In addition, we adopted an expansive definition of complex MM by accounting for the occurrence and co-occurrence of chronic conditions, functional limitations, and geriatric syndromes. Results: In a sample of 18 913 participants (weighted n = 87.5 million), 1.93% and 1.84% presented with mild and moderate/severe CI, respectively. The prevalence of most conditions constituting complex MM increased markedly across the …

Book Review: Some Men: Feminist Allies & The Movement To End Violence Against Women, By Michael A. Messner, Max A. Greenberg, And Tal Peretz, Trenton M. Haltom

Department of Sociology: Faculty Publications

In their book, Some men: feminist allies & the movement to end violence against women, Michael A. Messner, Max A. Greenberg and Tal Peretz outline the history and contributions by men to feminist, gendered, anti-violence activism. As empirical research, Some men is a formative work in two key ways: it is a historical overview of men’s place in feminist activism, and an inspiration for men looking into how to get involved.

The authors provide an in-depth examination of the kinds of anti-violence work men do and how that work has shifted over time, by relying on 64 life history interviews …

Aging And Disability Among Hispanics In The United States: Current Knowledge And Future Directions, Marc A. Garcia, Brian Downer, Michael Crowe, Kyriakos S. Markides

Department of Sociology: Faculty Publications

Background and Objectives: Hispanics are the most rapidly aging minority population in the United States. Our objective is to provide a summary of current knowledge regarding disability among Hispanics, and to propose an agenda for future research.

Research Design and Methods: A literature review was conducted to identify major areas of research. A life course perspective and the Hispanic Paradox were used as frameworks for the literature review and for identifying future areas of research.

Results: Four research areas were identified: (1) Ethnic disparities in disability; (2) Heterogeneity of the U.S. older Hispanic population; (3) Risk factors for disability; and …

Complex Multimorbidity And Health Outcomes In Older Adult Cancer Survivors, David F. Warner, Nicholas K. Schiltz, Kurt C. Stange, Charles W. Given, Cynthia Owusu, Nathan A. Berger, Siran M. Koroukian

Department of Sociology: Faculty Publications

Objective: To characterize complex multimorbidity among cancer survivors and evaluate the association between cancer survivorship, time since cancer diagnosis, and self-reported fair/poor health, self-rated worse health in 2 years, and 2-year mortality. Methods: We used the 2010–2012 Health and Retirement Study. Cancer survivors were individuals who reported a (nonskin) cancer diagnosis 2 years or more before the interview. We defined complex multimorbidity as the co-occurrence of chronic conditions, functional limitations, and/or geriatric syndromes. In addition to descriptive analyses, we used logistic regression to evaluate the independent association between cancer survivor status and health outcomes. We also examined whether cancer survivorship …

The Religious And Political Origins Of Evangelical Protestants’ Opposition To Environmental Spending, Philip Schwadel, Erik Johnson

Department of Sociology: Faculty Publications

Evangelical Protestants are less likely than most other Americans to support environmental policies and spending to protect the natural environment. We use almost three decades of repeated cross-sectional data to examine the factors that promote evangelicals’ opposition to environmental spending. Mediation models with bootstrapped standard errors show that affiliation with the Republican Party, biblical literalism, and religious service attendance mediate differences in support for environmental spending between evangelical Protestants and other Americans. The importance of these mediating variables, however, varies over time and by the group evangelicals are being compared to. Differences in support for environmental spending between evangelical and …

Voices Of Cully: A Case Study Of The Living Cully Weatherization And Home Repair Project 2.0, Lucy J.T. Cultrera

Cal Poly Humboldt theses and projects

The Cully neighborhood is situated in the Northeast quadrant of Portland, Oregon. It is 2.75 square mile plot of land and home to roughly 13,000 people. In addition to being one of the most diverse neighborhoods in Portland, it is the most densely populated, with the smallest amount of parkland per capita. Over the last two decades, home value has increased 203% in Cully, compared to a 90% citywide increase. Amidst these development trends are stories of incredible resilience, resistance and activism from the affected community. My project is a case study of one anti-displacement initiative, which was developed and …

Engaging Parents To Promote Children’S Nutrition And Health: Providers’ Barriers And Strategies In Head Start And Child Care Centers, Dipti A. Dev, Courtney Byrd-Williams, Samantha Ramsay, Brent A. Mcbride, Deepa Srivastava, Ashleigh L. Murriel, Chrisa Arcan, Anna M. Adachi-Mejia

Department of Child, Youth, and Family Studies: Faculty Publications

Purpose: Using the Academy of Nutrition and Dietetics benchmarks as a framework, this study examined childcare providers’ (Head Start [HS], Child and Adult Care Food Program [CACFP] funded, and non-CACFP) perspectives regarding communicating with parents about nutrition to promote children’s health.

Design: Qualitative.

Setting: State-licensed center-based childcare programs.

Participants: Full-time childcare providers (n ¼ 18) caring for children 2 to 5 years old from varying childcare contexts (HS, CACFP funded, and non-CACFP), race, education, and years of experience.

Methods: In-person interviews using semi-structured interview protocol until saturation were achieved. Thematic analysis was conducted.

Results: Two overarching themes were barriers and …

Role Of Food Preoccupation And Current Dieting In The Associations Of Parental Feeding Practices To Emotional Eating In Young Adults: A Moderated Mediation Study, Natalie A. Williams, Dipti A. Dev, Maren Hankey, Kimberly A. Blitch

Department of Child, Youth, and Family Studies: Faculty Publications

Parental feeding practices reflecting coercive control are related to children’s later eating behaviors, but the mechanisms underlying these effects remain poorly understood. This study examined the relationships between recalled childhood experiences of parental pressure to eat and restriction and current food preoccupation, dieting, and emotional eating in a racially diverse sample of college students (N = 711). Results revealed that parental restriction, but not pressure to eat, was associated with more emotional eating (r = 0.18, p < 0.0001). Food preoccupation mediated the association between restriction and emotional eating (95% CI [3.6495–7.2231]); however, a moderated mediation model revealed that the strength of the indirect effect of restrictive feeding on emotional eating through food preoccupation was significantly different for dieters and non-dieters (index of moderated mediation = 1.79, Boot SE = 0.79; 95% bias-corrected bootstrap CI [–3.5490 to –0.4515]). These findings provide unique insight into the mechanisms linking parental feeding practices with emotional eating in young adulthood. Future studies attempting to clarify the processes through which child feeding practices impact later eating behaviors should consider the role of current dieting.

Implementing The Academy Of Nutrition And Dietetics Benchmarks For Nutrition Education For Children: Child-Care Providers’ Perspectives, Dipti A. Dev, Virginia Carraway-Stage, Daniel J. Schober, Brent A. Mcbride, Car Mun Kok, Samantha Ramsay

Department of Child, Youth, and Family Studies: Faculty Publications

Background — National childhood obesity prevention policies recommend that childcare providers educate young children about nutrition to improve their nutrition knowledge and eating habits. Yet, the provision of nutrition education (NE) to children in child-care settings is limited.

Objective — Using the 2011 Academy of Nutrition and Dietetics benchmarks for NE in child care as a guiding framework, researchers assessed child-care providers’ perspectives regarding delivery of NE through books, posters, mealtime conversations, handson learning, and sensory exploration of foods to young children (aged 2 to 5 years).

Design — Using a qualitative design (realist method), individual, semistructured interviews were conducted …

Classroom Readiness For Successful Inclusion: Teacher Factors And Preschool Children’S Experience With And Attitudes Toward Peers With Disabilities, Kyong-Ah Kwon, Soo-Young Hong, Hyun-Joo Jeon

Department of Child, Youth, and Family Studies: Faculty Publications

The current study examined (1) associations among teachers’ experiences regarding children with disabilities (i.e., education, specialized training, years of work experience), their attitudes toward disabilities, and their classroom practices in relation to inclusion and (2) associations among children’s attitudes toward peers with disabilities and child and teacher factors. Ninety-one 4- and 5-year-old children participated in an interview, and their teachers completed a survey. Teachers’ specialized training and bachelor’s degree in early childhood education (ECE) were positively associated with their inclusive practices in the classroom; teachers’ bachelor’s degree in ECE and experiences working with children with disabilities were positively associated with …

“I Have A Hippopotamus!”: Preparing Effective Early Childhood Environmental Educators, Julia C. Torquati, Jennifer Leeper Miller, Erin Hamel, Soo-Young Hong, Susan Sarver, Michelle Rupiper

Department of Child, Youth, and Family Studies: Faculty Publications

This article describes an early childhood teacher-preparation program that infuses environmental education and nature experiences into courses, practicum, and student-teaching experiences. Program philosophy, pedagogy, materials, and methods are described and linked to the Early Childhood Environmental Education Programs: Guidelines for Excellence, the Guidelines for the Preparation and Professional Development of Environmental Educators, and state-level early learning guidelines that focus on connecting young children with nature. Preservice teachers build knowledge, skills, and dispositions for effective environmental education beginning from an awareness level and progressing to application and refinement. The value of nature is communicated explicitly and implicitly throughout the program. Preliminary …

Patterns Of Psychotropic Medication At Admission For Youth In Residential Care, Jonathan C. Huefner, Gail L. Smith, Jay L. Ringle, Amy L. Stevens, W. Alex Mason, Gilbert R. Parra

Department of Child, Youth, and Family Studies: Faculty Publications

High levels of psychotropic medication use and polypharmacy are common for emotionally and behaviorally troubled youth entering residential care. Polypharmacy has often been characterized as an especially serious problem in this vulnerable population. Latent Class Analysis was used to identify medication subgroups for 636 youth in an intensive residential program. Additionally, auxiliary analyses (e.g., diagnoses, demographics, expressed problem behaviors) were used to identify the personal and behavioral attributes associated with individuals in each of the latent classes. Three distinct medication patterns emerged: low/no psychotropic medication, the combination of antidepressant and antipsychotic medications, and multiple psychotropic medications. The latent classes were …

Attentional Demands Of Executive Function Tasks In Indoor And Outdoor Settings: Behavioral And Neuroelectrical Evidence, Julia C. Torquati, Anne R. Schutte, John Kiat

Department of Child, Youth, and Family Studies: Faculty Publications

This study explored the influence of green environments on children’s cognitive functions by using an experimental, within-subjects design to compare children’s neural responses as they engaged in assessments of attention, inhibitory control, and spatial working memory in two different environments: a natural outdoor area and an indoor laboratory room. Ten children ages 6 to 11 years (M= 9.3; SD= 1.5) participated. Children performed significantly better on the spatial working memory task outdoors compared to indoors. There were no significant differences in attention or inhibitory control, but two markers of neurological activity were significantly larger indoors than outdoors, suggesting that more …

Adolescent Perceptions Of Dating Violence: A Qualitative Study, Sarah Taylor, Carrie A. Calkins, Yan Ruth Xia, Rochelle L. Dalla

Department of Child, Youth, and Family Studies: Faculty Publications

Scholars have identified dating violence as a public health issue among adolescents. Yet, minimal research has detailed adolescents’ perceptions of dating violence, specifically gender differences in perceptions. Research suggests that in order for dating violence prevention and intervention to be effective, services need to be delivered in a manner that is understood by adolescents. Therefore, this study used a qualitative phenomenology study to investigate adolescents’ perceptions of dating violence, including gender differences in adolescents’ perceptions. Thirty adolescents between the ages of 14 and 19 from a Midwest public high school participated in focus groups. Focus group participants were asked semistructured …

“After Your Honor Is Gone …”: Exploration Of Developmental Trajectories And Life Experiences Of Women Working In Mumbai’S Red-Light Brothel Districts, Rochelle L. Dalla, Lee Kreimer

Department of Child, Youth, and Family Studies: Faculty Publications

This investigation was intended, first, to examine the early life and childhood experiences of adult women working in the red-light districts of Mumbai, India. A corollary to this goal was determination of processes that led to entry into the commercial sex industry (CSI). Second, we sought better understanding of women’s adult relationships with family of origin and key players of the brothel-based sex industry (e.g., peers, clients, brothel-keepers). Finally, we explored exiting options. In other words, to what extent is it possible to leave India’s brothel-based sex industry if one wanted to do so? Guided by the life-course theory of …