Family, Life Course, and Society Commons^™

To Enroll Or Not To Enroll? A Researcher Struggles With The Decision To Involve Study Participants In A Clinical Trial That Could Save Their Lives, Roberto Abadie

Department of Sociology: Faculty Publications

Hundreds of thousands of clinical trials are conducted annually around the world, working to further scientific knowledge and expand medical treatment. At the same time, clinical trials also present novel challenges to researchers who have access to large pools of research participants and are routinely approached by pharmaceutical companies seeking to recruit subjects for clinical trials. This case study discusses the ethical dilemmas faced by a community health investigator who received an invitation to enroll people who inject drugs (PWID) into a clinical trial of a drug that promised a new treatment option for Hepatitis C. The author elaborates on …

Science Possible Selves And The Desire To Be A Scientist: Mindsets, Gender Bias, And Confidence During Early Adolescence, Patricia Wonch Hill, Julia Mcquillan, Eli Talbert, Amy N. Spiegel, G. Robin Gauthier, Judy Diamond

Department of Sociology: Faculty Publications

In the United States, gender gaps in science interest widen during the middle school years. Recent research on adults shows that gender gaps in some academic fields are associated with mindsets about ability and gender-science biases. In a sample of 529 students in a U.S. middle school, we assess how explicit boy-science bias, science confidence, science possible self (belief in being able to become a scientist), and desire to be a scientist vary by gender. Guided by theories and prior research, we use a series of multivariate logistic regression models to examine the relationships between mindsets about ability and these …

Social Isolation, Survey Nonresponse, And Nonresponse Bias: An Empirical Evaluation Using Social Network Data Within An Organization, Megumi Watanabe, Kristen Olson, Christina Falci

Department of Sociology: Faculty Publications

Survey researchers have long hypothesized that social isolation negatively affects the probability of survey participation and biases survey estimates. Previous research, however, has relied on proxy measures of isolation, such as being a marginalized group member within a population. We re-examine the relationship between social isolation and survey participation using direct measures of social isolation derived from social network data; specifically, instrumental research and expressive friendship connections among faculty within academic departments. Using a reconceptualization of social isolation, we find that social network isolation is negatively associated with unit response. Among women (a numerical minority group within the organization), we …

The Role Of The Broker In Mixed-Methods Collaboration: A Case Study Of Social Networks And Risk Practices Among People Who Inject Drugs In The Rural United States, Roberto Abadie

Department of Sociology: Faculty Publications

One of the most recent innovations in social epidemiology is the combination of epidemiological data collection with ethnographic fieldwork in order to produce algorithmic models that estimate rates of disease prevalence over time. This paper uses a case study about a multi-year study of social networks and risk among people who inject drugs (PWID) in a rural community in the US to document the challenges raised by this form of knowledge production. As the anthropologist in charge of overseeing data collection, I had a privileged position to reflect on the tensions inherent in mixed-methods collaboration in health research. The research …

Social Factors, Alcohol Expectancy, And Drinking Behavior: A Comparison Of Two College Campuses, Kimberly A. Tyler, Rachel M. Schmitz, Scott A. Adams, Leslie Gordon Simons

Department of Sociology: Faculty Publications

Background: Though college students have high rates of heavy drinking, few studies have examined the various pathways through which risks affect drinking and whether this varies by institution. We examined whether alcohol expectancy mediates the relationship between social factors (i.e., hooking up, friends drinking, Greek affiliation, entitlement) and drinking behavior comparing college students from one Midwestern and one Southeastern university. Methods: In the 2013–14 academic year, 1,482 college students (51% female) enrolled in undergraduate courses at two public universities completed a paper and pencil survey of attitudes and experiences about dating, sexuality, and substance use. Multiple group path …

Lgbtq+ Young Adults On The Street And On Campus: Identity As A Product Of Social Context, Rachel M. Schmitz, Kimberly A. Tyler

Department of Sociology: Faculty Publications

Lesbian, gay, bisexual, queer, and other sexual and gender minority (LGBTQ+) young adults face unique identity-related experiences based on their immersion in distinctive social contexts. The predominant framework of performing separate analyses on samples of LGBTQ+ young people by their primary social status obfuscates more holistic understandings of the role of social context. Using 46 in-depth interviews with LGBTQ+ college students and LGBTQ+ homeless young adults, we ask: How are LGBTQ+ young adults’ capacities for “doing” their gender and sexual identities shaped by their distinctive social contexts? In developing their identities, both groups of LGBTQ+ young adults navigated their social …

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 …

“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 …

Domicile Dismantled, Kerry Abrams, Kathryn Barber

Faculty Scholarship

No abstract provided.

Quality Improvement Initiative To Reduce Fall Risk In The Snf, Ramona C. Lancaster

Walden Dissertations and Doctoral Studies

Residents who fall in SNF either sustain significant decline to quality of life or die from their injuries. The average fall costs about $34,000 per incident. On average, 19.8% of residents fall at least once per month. The purpose of this project was to assess, identify, and advance nursing practice to decrease falls by evaluating current facility standard of practice, fall policy, procedures, and protocol. The objective was to create actions that would close the communication gap between clinicians and residents. This project encourages clinicians to intertwine resident feedback and strategies into the plan of care to help reduce fall …

Age Of Migration Life Expectancy With Functional Limitations And Morbidity Among Mexican Americans, Marc A. Garcia, Luis M. Valderrama-Hinds, Chi-Tsun Chiu, Miriam S. Mutambudzi, Nai-Wei Chen, Mukaila Raji

Department of Sociology: Faculty Publications

The U.S. Mexican American population enjoys longer life expectancies relative to other racial/ethnic groups but is disproportionately affected by chronic conditions and functional limitations. Studying the impact of heterogeneity in age, time and other characteristics of migration among older Mexican Americans can inform our understanding of health disparities and health care needs in later-life. This research employed 20 years of data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to assess the proportion of life spent with functional limitations and one or more morbidity (by age of migration and gender) in the United States Mexican American …