This dissertation is a mixed methods analysis investigating postpartum depression as it is experienced by self-reported depressed Mexican American adolescent and adult mothers. The qualitative portion of this study explores pregnancy and motherhood to better understand meanings attached to depression. Six adolescent and six adult mothers, were recruited from the Dallas/Fort-Worth area. Each was interviewed twice, using semi-structured interview guides. The quantitative phase utilizes a national sample of self-reported depressed Hispanic mothers to identify breastfeeding behavior and mothers' perceptions of the physical health of their babies. Specifically, a secondary analysis of the National Survey of Children's Health, 2003 was used to supplement the qualitative data. This study provides a theoretical framework of fragmented identity to explain socio-cultural factors contributing to postpartum depression among Mexican American adolescent and adult mothers. Common themes leading to a fragmented identify were indentified. Contributors to postpartum depression include: unplanned pregnancy, internal struggle between cultures, body image and family conflict. Stigma associated with teen motherhood also contributed to depression among adolescent mothers while the medicalization of childbirth was a contributing factor of depression among the adult mothers. Additionally, the duration of breastfeeding and mothers' perceptions of their babies' physical health were impacted by depression, but breastfeeding …

The purpose of this dissertation was to understand how genetics, socioeconomic status (SES), and lifestyle factors influence the development of age-related macular degeneration (AMD), glaucoma, and diabetic retinopathy in an adult population in Dallas County. Two hundred fifty-three older adults participated in this study as the sample. Crosstabulation and binary logistic regression were utilized to analyze the data. Results indicated a disparity among participants' test scores, visual health status, and perceptions of their visual impairment and highlighted the fact that many seniors are not educated about age-related retinal disorders. Furthermore, variables reaching statistical significance were consistent with the literature included race/ethnicity, age, having a family history of both AMD and diabetes, frequency of eye exams, and level of education. The results not consistent with the literature as affecting visual health included health insurance, access to health care, body weight, and smoking status. Recommendations for future study included applied research focusing on determining risk factors, raising awareness, educating, and providing early detection of these diseases among low to middle income Caucasian, African American, and Hispanic older adults.

Limited research has been conducted with regards to the applicability of topic extraction techniques in Sociology. Addressing the modern methodological opportunities, and responding to the skepticism with regards to the absence of theoretical foundations supporting the use of text analytics, I argue that Latent Semantic Analysis (LSA), complemented by other text analysis techniques and multivariate techniques, can constitute a unique hybrid method that can facilitate the sociological interpretations of web-based textual data. To illustrate the applicability of the hybrid technique, I developed two case studies. My first case study is associated with the Sociology of media. It focuses on the topic extraction and sentiment polarization among partisan texts posted on two major news sites. I find evidence of highly polarized opinions on comments posted on the Huffington Post and the Daily Caller. The highest polarizing topic was associated with a commentator’s reference on Hoodies in the context of the Trayvon Martin’s incident. My findings support contemporary research suggesting that media pundits frequently use tactics of outrage to provoke polarization of public opinion. My second case study contributes to the research domain of the Sociology of knowledge. The hybrid method revealed evidence of topical divides and topical “bridges” in the intellectual …

This study assessed falls efficacy and confidence-related changes among participants attending the a Matters of Balance/Volunteer Lay Leader (AMOB/VLL) falls prevention program for older adults, based on their residential location. Data were examined from 431 older Texans enrolled in AMOB/VLL during a two-year period, and assessed at baseline and post-intervention. Results indicate that participants significantly increased falls efficacy, reduced activity interference due to their health, and decreased the number of days limited from usual activity. Regression models show that participants, despite entering the program with lower reported health status, reported greater rates of positive change for falls efficacy and health interference compared with their baseline pre-intervention counterparts. Overall program attendance and attendance at major sessions showed the greatest influence. Findings contribute to the understanding of cognitive restructuring and strengthening variations with falls prevention program outcomes.

Hispanic youth living in the U.S. share a disproportionate burden of risk for HIV, other STIs, and teen pregnancies. They also tend to report lower rates of condom use and higher rates of inconsistent condom use than other racial/ethnic groups. Furthermore, immigrant Hispanic adolescents experience a unique burden of sexual risk compared to their non-immigrant counterparts. These negative sexual health outcomes can severely derail the overall health, social mobility, and life opportunities of these adolescents. Social researchers have tried to explain these sexual risk disparities using the concept of immigrant acculturation, which is broadly defined as the process of adopting the cultural values and beliefs of a host society. Immigrant acculturation has been shown to play a key role in shaping youth attitudes and behaviors, including sexual risk behaviors (see Lee & Hahm, 2010). Yet, studies have largely overlooked the contextual components of acculturation that have been proposed in theoretical literature, specifically characteristics of the immigrant's receiving community. Furthermore, studies have not adequately explored the influence of acculturation on two crucial measures of sexual risk: teen pregnancy norms and condom use. Therefore, the current dissertation consists of two unique studies that examine the influence of acculturation, at both the individual …

Using a logistic regression model, this dissertation employed a macro level Gateway Provider Model to explore eight factors that may influence community health center HIV testing approach. The logistic regression model indicated that three variables related to community health center HIV testing approach. First, all else equal, the odds of offering routine HIV testing for community health centers that perceived their patients and community to be at average risk for HIV were 3.676 times the odds for those centers that perceived their patients and community to be at low or no risk for HIV. Further, the odds of offering routine HIV testing for community health centers that perceived their patients and community to be at high risk for HIV were 4.693 times the odds for those centers that perceived the community to be at low or no HIV risk. Second, all else equal, the odds of offering routine HIV testing for community health centers in which an HIV testing policy exists were 2.202 times the odds for those centers in which an HIV testing policy does not exist. Third, all else equal, the odds of offering routine HIV testing for community health centers that received funding specifically for HIV testing …

The purpose of this research is to explicate the relationship between commuting behavior, stress, and mental health. The overall results from the regression analysis turned out to be inconclusive given the researcher's initial hypothesis. The commute time reported by respondents did not have a statistically significant bearing on mental health outcomes. This was true for both the normal sample, and the sample that was split by gender.

HIV/AIDS can affect individuals of any age. Efforts to educate those considered to be most at-risk, based on the age at which the most individuals are infected, are ongoing and public. Less work and mainstream education outreach, however, is being directed at an older population, who can be more likely to contract HIV, is more susceptible to the effects of HIV, and more likely to develop AIDS, than younger persons. Guided by the Health Belief Model theory, research was conducted to determine what, if any, relationship existed between age of an individual and the possibility that an HIV test will be sought. Factors of gender, education, ethnicity and marital status were included in analyses. the research indicated that as age increased, likelihood for getting an HIV test decreased. Overall, most individuals had not been tested for HIV. the implications of an aged and aging population with HIV include a need for coordinated service delivery, increased education and outreach.

Using the stress process model, the relationship between pregnancy and depressive symptoms among adolescent girls was investigated. This model posits that stress resulting from social location and related disruptive life events may indirectly affect health by eroding coping, mastery, or social support mechanisms. The effect of low income, minority status and pregnancy on coping processes in adolescent girls was hypothesized and tested. Communication with parents, involvement in activities, and success in school were examined as positive coping strategies. Smoking tobacco, heavy alcohol use, and drug use were examined as negative coping. Data from the National Survey on Drug Use and Health were analyzed. After combining the available cases from the 2006, 2007, and 2008 datasets, selecting girls aged from 12 to 17 years, and removing missing cases; the sample consisted of a total of 22,854 adolescents. A series of binary logistic regression models were estimated. Findings included that coping strategies partially mediate the relationship between pregnancy and depressive symptoms. In particular, success in school, smoking tobacco, and drug abuse played a mediating role. When coping was accounted for, the relationship between pregnancy and depressive symptoms was reduced and became only marginally significant. Implications of the study include a focus on …

The aim of this study was to describe the dimensions of Turkish Gazis' transition to civilian life, to explore the main factors that make this process easier or more difficult, and their psychological integration, that is, specifically, satisfaction with their life. To that end, this study examined the impact of combat-related traumatic stressor (e.g., functional limitations), personal resources (social support, sense of mastery), perceived mental health on Turkish veterans' adjustment into civilian life and their psychological integration. The data was collected in Turkey in 2015 by the researcher with the help of Türkiye Harp Malulü Gaziler Şehit Dul ve Yetimler Derneği, a non-profit veteran organization. The final sample included 240 Turkish Gazis. The level of perceived transition into civilian life and veterans' life satisfaction were the dependent variables in this study. A series of ordinary least squares (OLS) regression was conducted. Hayes' PROCESS macro 3.0 was utilized to measure the direct, indirect and moderation effects of variables on transition and life satisfaction among Gazis. The results demonstrated that perceived available social support, perceived sense of mastery and mental health partially mediated the association between Gazis' functional limitations and transition into civilian life and they fully mediated the association between functional …

Globalization has facilitated the growth of “market-friendly” religions throughout the world, but especially in developing societies in the global South. A popular belief among these movements is prosperity belief. Prosperity belief has several characteristics which make it compatible with liberal individualism, the dominant value in a globalized society. At the same time, its compatibility with this value may be limited, extending only to economic liberalism, but not to liberal attitudes on social issues. Data from the Pew Forum on Religious and Public Life’s 2006 survey Spirit and Power: Survey of Pentecostals in Guatemala is used to conduct a quantitative analysis regarding the economic and social attitudes of prosperity belief adherents in Guatemala in order to examine the potential, as well as the limits, of this belief’s compatibility with liberal individualism. Results suggest that support for liberal individualism is bifurcated. On one hand there is some support for the positive influence of prosperity belief on economic liberalism in regards to matters of free trade, but on the other hand, prosperity belief adherents continue to maintain conservative attitudes in regards to social issues. As prosperity belief and liberal individualism continue to grow along global capitalism, these findings have implications for the future …

This study examined if domestic violence shelters in Texas are responding to the needs of older female victims of intimate partner violence. Data for this study was collected through online questionnaire surveys of 45% of Texas domestic violence shelters. Findings of this study indicated that less than 10% of Texas shelters are providing specialized programming for older victims of IPV. In Texas, the demographic growth of older adults has remained comparable to increased national trends. The state of Texas will face several policy implications and social issues related to an older population that is rapidly growing. This includes, the importance of addressing certain members of an aging population who continue to fall victim to domestic violence. Furthermore, an unchanged resource of safety for victims of IPV is domestic violence shelters. Therefore, this study challenges current domestic violence shelter policies to address this issue of a rapidly growing segment of the Texas population. This study found less than 10% of shelters in Texas, who participated in this study, were providing specialized programming and outreach for older victims. Important practical implications for domestic violence shelter programming in Texas is provided.

Understanding underlying mechanisms and pathways that lead to chronic homelessness would help develop intervention strategies that could help prevent subsequent episodes of homelessness. Quantitative data for this cross-sectional study was gathered by interviewing individuals who were homeless in the State of Arkansas, using a structured survey between 2007 and 2011. Qualitative data was gathered using semi-structured interviews between 2016 and 2018. Chi-square statistics and a multivariate logistic regression model was used to analyze the quantitative data, while phenomenological methods were used to analyze the qualitative data. Nearly half of the study participants identified themselves as being chronically homeless. Chronically homeless adults in this region were significantly more likely to be older men with no family ties, more likely to be victims of domestic violence, have higher rates of physical health problems, and have alcohol and substance abuse problems. Results from the multivariate nominal regression revealed that individuals who reported themselves as chronically homeless were more likely to be in the 50 years or older age group. In addition, study findings highlighted a dynamic interplay between three biopsychosocial risk factors for homelessness. Fostering development of inclusive sustainable communities, intergenerational relationships, and shared housing practices could help ease such social inequities and …

The purpose of this study was to investigate patient use and presentation of Internet health information and its effect on patient-health professional relationship from a sample of residents at active adult communities in Texas. Five sites were used to recruit the 260 participants between November 2012 and January 2013. The data were received using a self-administered survey. Using Cronbach’s alpha, logistic regression and regression analysis through SAS, the data revealed that older respondents are less likely to discuss web-based information with health professionals. In addition, logistic regression analysis indicated that four of the variables, IHI Sharing, educational status (bachelor degree), marital status (married), and perceived health status (excellent and very good health) predicted varied of the 20 indicators making up the patient-health professional relationship scale. Further studies are needed to enhance this research.

This research project aims to clarify the factors that impact successful aging in Assisted Living facilities (ALFs) in Denton County, Texas. We hypothesize that social disengagement decreases physical and mental components of quality of life. This exploratory research project employed standardized questionnaires to assess residents in the following domains; HRQOL, social engagement status, level of cognition, depression, and the level of functioning. This study collected data from 75 participants living in five ALFs. The average of Physical Component Scale (PCS) and Mental Component Scale (MCS) was 35.33, and 53.62 respectively. None of the participants had five or more social contacts out of facilities, and two-third of them had two or less social contacts. On average, those participants who were more socially engaged had higher score of MCS compared with disengaged counterparts. The level of physical function significantly affects social engagement, when people with more disabilities are more likely to be socially disengaged. Social engagement and depression significantly impact MCS, when depression is a mediating factor between social engagement and mental component of quality of life. Considering the expansion in aging population in the United States within the next three decades, the demand for high quality long-term care will skyrocket consequently. …

This study investigates the effects of postmodern factors on the relationship between maternal distress and children's delinquency. It seeks to understand the factors associated with distress levels of mothers whose children exhibit delinquency in order to potentially decrease the cost associated with mental health problems especially in mothers. Another goal of this study is to contribute to the sociological analysis of mental health problems which seem to be the reserved domain of the discipline of psychology and related subfields. The data came from the third wave of the 3-city study with N = 1835. The ages of the children range from 5 to 18 years old. The analysis of the data using regression analysis suggests children's delinquency significantly affects maternal distress in mothers. The study also indicates postmodernity factors did not moderate the association between maternal distress and children's delinquency. However, postmodern factors have significant, separate, and direct effects on maternal distress. For example, employment and religion have positive influences on maternal distress. The research points toward weakness in the postmodern perspective. It also underlines the importance of a sociological approach to the assessment and treatment of distress problems among mothers with low-income. Agencies working with low-income families should integrate …

The primary objective of this research was to explore the impact of possible social factors on non-institutionalized adults 18 years of age or older residing in the United States who exhibited severe mental illness (SMI). A holistic sociological model was developed to explain SMI by incorporating elements of social learning theory, social disorganization theory, and gender socialization theory with social demographic factors. Based on the holistic sociological model, the following factors were investigated: demographic aspects of age, education, income and gender; gender socialization; influence of neighborhood area; social network influence based on communication and interaction among peers and family members; and socially deviant behaviors such as frequently smoking cigarettes, drinking alcohol and using drugs specifically marijuana. The impact of these factors on SMI was examined. A sample of 206 respondents drawn from National Survey on Drug Use and Health, 2003 was assessed. These respondents had answered all the questions related to SMI; social deviant behaviors; neighborhood environment; and communications among peers, family members and friends; and the other studied factors. Ordinary linear regression with interaction terms was employed as a statistical tool to assess the impact of social determinants on SMI. Being female, living a disorganized neighborhood, and frequent and …

This analysis of secondary data collected from family members of nursing home residents in North Texas (n = 422) used a mixed methods approach to determine if there is a difference in perspectives on quality care among family members of Alzheimer’s/Dementia Special Care Unit (ADSCU) residents compared to those of non-ADSCU residents. Descriptive content analysis was used identify and condense responses to an open-ended question into four meaningful categories of qualities of care. An independent t-test was employed to determine if there was a difference between family members of ADSCU residents and family members of non-ADSCU residents regarding their rating of their loved-ones’ nursing home on the important qualities of care they identified from the open-ended question. Closed-ended questions were organized into indices of these qualities of care, and ordinary least square regression was employed to determine if there were significant differences between perceptions of family members of ADSCU residents and those of non-ADSCU residents regarding care their loved-ones are receiving on these qualities of care, controlling for frequency of visit.

Access to healthcare is needed and wanted by people of all ages and especially by those of the older population. The number of people in the 65 years of age and older population is rapidly growing with their needs expected to have a significant impact on the existing healthcare system and healthcare providers. The impact will be critical given the severe shortage of healthcare providers, especially of nurses and the rate of services being more often provided in non-hospital settings. The objectives of the study were to discover the plans of graduating nursing students as they choose their first place of employment, if they have future plans to pursue a nursing advance practice degree, and if they are very happy with their decision to become a nurse. Data for the study were obtained from a questionnaire presented to senior graduating nursing students. The findings were: (a) Most students prefer a hospital setting. (b) Younger students are three times as likely to seek out the hospital, and 1/3 of the students seek out the hospital setting because they were encouraged to become a nurse. (c) About 70% of the students want to work with their friends while 1/3 will seek the …

This research examined two interrelated issues relevant to maternal and neonatal health in Pakistan, namely, the rising rates of C-section delivery and low rates of exclusive breastfeeding. By using the Andersen's health behavioral model to frame two empirical studies, the data from the Pakistan Demographic and Health Survey (PDHS) 2012-13 was used. The first empirical study examined the correlation between place of delivery and the odds of cesarean section in Pakistan. Not all Pakistani women have an equal chance of delivering at a health facility where C-section delivery takes place; therefore, the study modeled mode of delivery as a two-step process. In the first step, place of delivery was a function of medical indications and various sociodemographic and community factors. Women who delivered at a health facility were included in the second step, where C-section was a function of medical indications and type of facility (private, public). It is found that women who delivered at a private health facility were more likely to have a C-section, even after controlling for the effects of medical/clinical factors, which is concerning. Findings suggest that the private maternal health sector in Pakistan may be over-medicalizing childbirth. The second study examined this paradox of low …

Many college students have reported struggling with mental health problems while dealing with challenging demands of college. The initial theoretical framework for this research was Pearlin's stress process model (SPM). Building on the SPM, the three additional mediating variables of perceived control, meaninglessness, and financial worries were added to create a composite model for the research. Mental health outcomes in the model were measured by a comprehensive range of factors, which included: psychological distress, suicide, substance abuse, and anger. Data were collected from a non-probability convenience sample of 463 undergraduate students attending a large state supported university in the southwestern region of the United States. Among the social status variables measured, being married, female, and white were significant predictors of poor mental health in the sampled college students. Poor self-image, feeling of meaninglessness, and worrying about current and future finances were significant mediating variables. Poor mental health could make individuals overwhelmed and discouraged. This is a formula for failure in college. The results of this study contribute to a better understanding of the correlates of mental health problems among college students. A greater understanding means that families and college administrations will have better ideas about how to intervene to reduce …

Despite the accessibility of online news and availability of sophisticated methods for analyzing news content, no previous study has focused on the simultaneous examination of news coverage on human trafficking and audiences' interpretations of this coverage. In my research, I have examined both journalists' and commenters' topic choices in coverage and discussion of human trafficking from the online platforms of three British newspapers covering the period 2009–2015. I used latent semantic analysis (LSA) to identify emergent topics in my corpus of newspaper articles and readers' comments, and I then quantitatively investigated topic preferences to identify convergence and divergence on the topics discussed by journalists and their readers. I addressed my research questions in two distinctive studies. The first case study implemented topic modelling techniques and further quantitative analyses on article and comment paragraphs from The Guardian. The second extensive study included article and comment paragraphs from the online platforms of three British newspapers: The Guardian, The Times and the Daily Mail. The findings indicate that the theories of "agenda setting" and of "active audience" are not mutually exclusive, and the scope of explanation of each depends partly on the specific topic or subtopic that is analyzed. Taking into account further …

The objective of this study is to investigate the variations in the type of trauma (post-traumatic stress disorder (PTSD) and disorder of extreme stress not otherwise specified (DESNOS) resulting first from group membership, and second from variations in socioeconomic status, and last, from exposure to physical and psychological methods of interrogation due to imprisonment. I use a diverse sample of 202 child ex-detainees who served sentences in Israeli prisons and were 17 years of age or less at the time of arrest. Various regression techniques were utilized to determine the most parsimonious way to distinguish between the three groups in their trauma responses. The key finding in this study is that child refugee ex-detainees living in refugee camps, in general, did not report PTSD or DESNOS reactions compared to their counterparts. Continuing PTSD and DESNOS symptoms were more prevalent among the group of refugees living outside the camps. However, there is at least one finding that supported what I hypothesized: refugees living in camps were more likely to experience elevated levels of alterations in attention or consciousness (DESNOS2). For refugees in camps, the DESNOS absence tells us that the volatile childhood these children experienced was not associated with severe pathological …

What influence Alevi-Sunni intermarriage has on spouses’ individual religious affiliation after marriage was the initial research question addressed in this study. No official or unofficial data exist regarding the Alevi-Sunni intermarriage in Turkey. This study responded to the need to describe extant relationships by using a qualitative approach to gather detailed information from a sample of married couples in Corum city, Turkey. A case study method was applied to a sample of ten couples. Couples were selected using snowball and purposive sampling techniques. A team of researchers conducted forty face-to-face interviews. Each of the ten husbands and ten wives in Alevi-Sunni intermarriages were interviewed twice using semi-structured questionnaires. Additional demographic and observational data were gathered. Spouses in the Alevi-Sunni intermarriages sampled did not change their religious affiliation after marriage. The spouses reported few if any problems in their marital relationships and in child rearing. However, spouses did report many problems with parental families, in-laws, and other relatives. The disapproval and punishments from extended family members are related to the social stigma attached to Alevi-Sunni intermarriages. However, intermarriage, modernization including secularism and pluralism are challenging this stigma. Because of this transition further interdisciplinary studies on Alevi-Sunni intermarriage that explore different dimensions …