This study provides a measurable model of the concept of place vulnerability for HIV/AIDS that incorporates both community and structural level effects using data provided at the ZIP code level from the Texas Department of State Health Services. Sociological literature on the effects of place on health has been growing but falls short of providing an operational definition of the effects of place on health. This dissertation looks to the literature in medical/health geography to supplement sociology’s understanding of the effects of place on health, to the end of providing a measurable model. Prior research that has recognized the complexity of the effects of place still have forced data into one scale and emphasized individual-level outcomes. A multilevel model allows for keeping the associated spatial unit data, without aggregating or parsing it out for convenience of model fit. The place vulnerability model proposed examines how exposure, capacity and potentiality variables all influence an area’s HIV/AIDS count. To capture the effects of place vulnerability at multiple levels, this dissertation research uses a multilevel zero-inflated poisson (MLZIP) model to examine how factors measured at the ZIP code and county both affect HIV/AIDS counts per ZIP code as an outcome. Furthermore, empirical Bayes …

This dissertation examines the relationship between social structural factors and violent crime rates in Turkey. The relationship between social structural characteristics and violent crime is worth exploring in areas that have attracted little academic attention, such as violent crime in Turkey. In order to understand and prevent the occurrence of crime, researchers have long investigated possible factors related to crime. Examining how crime varies across different regions can help us to understand underlying reasons for violent crime, which is considered one of the enduring problems in society. The findings of this research, to some extent, support the assumptions of social disorganization theory regarding the distribution of violent crime. Both the findings of multivariate and bivariate analysis indicated that poverty, unemployment, and family disruptions may have a positive effect on the distribution of violent crime in the cities of Turkey. The analysis of the effects of the social structure variables through the mediating variables, such as religious institutions, libraries and voluntary associations on the number of violent crimes and violent criminals, to some extent, support the tenets of social disorganization theory. However, all mediating variables cannot mediate all the indirect effects of social structural covariates. In brief, none of their indirect …

In order to better understand variations of health behaviors between US-born and foreign-born elderly Asian Americans (65+) in the United States, the research aims to explore relationships among health outcomes, healthcare utilization, and sociodemographic characteristics. Data from the National Health Interview Survey 1998-2012 is used to construct structural equation models for the US born group and for the foreign born group. The results found that there is a reciprocal relationship between health outcomes and healthcare utilization in both groups. Use of healthcare services can positively affect health outcomes, while better health outcomes reduce the need for healthcare utilization. In addition, some sociodemographic characteristics, such as age, sex, and marital status have a direct effect on health outcomes, but some others, such as education, family size and combined family income, have an indirect effect on health outcomes via healthcare utilization. The region of residency has both direct and indirect effects on health outcomes. Regarding the effects of predictors on health outcomes, US-born elderly Asians usually receive more health advantages from using institutional health services than foreign-born elderly Asians. Practitioners, social gerontologists, and policy makers should be cautious about assuming that there is a positive impact of increased healthcare utilization on health …

Vulnerable populations comprise a growing number of people living with HIV/AIDS and are at increased risk for poorer health outcomes. The purpose of this research was to approximate the effect of the Ryan White CARE Act on the health status of people living with HIV/AIDS who were receiving medical care in the United States. The vulnerable populations model was utilized to identify appropriate variables for analysis as well as to provide a sequencing for the testing of models. Data analyzed in this study came from the 1996 Baseline Survey of the HIV Cost and Services Utilization Study (HCSUS), a cooperative study between RAND and the Agency for Health Care Policy and Research (now known as the Agency for Health Care Quality and Research). Three analyses sequences, using different dependent variables, to estimate health status were conducted. In the first analysis, health status was measured by CD-4 count and stage of illness. In the second analysis, only CD-4 counts were used for health status. In the final analysis, health status was estimated based on AIDS diagnosis. Each of the three analyses included the same independent variables: race, gender, education, sexual orientation, income, insurance status, region of the country, receipt of case …

This research investigated physician and emergency room use among representative samples of children in the Dallas metropolitan area (N = 1606) and among patients who used Children's Medical Center of Dallas' First Care services (N = 612). Through telephone interviewing, caregivers to children under fifteen years of age were asked about an array of health service use behaviors, social-psychological issues related to acquiring health care for their children, and demographic characteristics as outlined by the Andersen & Newman model of health care service use. Children's use of physician services is best predicted by whether or not they have medical insurance, their level of income, and whether or not they have medical homes. Although having commercial managed care and fee-for-service Medicaid insurance consistently predicted increased physician use, neither independently reduced reliance on emergency rooms for non-emergent care. Managed care insurance and Medicaid did, however, significantly improve the odds that children would have medical homes, which significantly decreased emergency room use for non-emergent care. Further, increasing physician use and reducing reliance on hospital emergency rooms for non-emergent care will require ensuring that children have medical homeseither private physicians or community health centersat which they can readily and consistently receive sick and well …

American businesses have confronted a changing world economy marked by increasing competition , technological innovation, and instability. Many more women have entered the labor force. Many families' caregiving needs are now being met by family members who also are holding down jobs. This, in turn, has fueled the rising need among employees for workplace policies that enable them to meet the often competing demands of job and home. In 1993, Congress passed the Family and Medical Leave Act (FMLA of the Act) to provide a national policy that supports families in their efforts to strike a workable balance between the competing demands of the workplace and the home. The objective of this study is to examine the amount of FMLA lost time at one particular company in order to determine a demographic and job characteristic profile of employees who take time away from their jobs for reasons that are protected by the Act.

This study seeks to provide information relevant to public policy that will lead to increased access and utilization among this vulnerable population and to reinforce the validity of the behavioral model for vulnerable populations. This study is a secondary analysis of data collected in a study that examined adult, working-aged patients within the John Peter Smith Health Network, which is a large, urban, tax supported county health care system in Fort Worth, Texas. From a sampling frame of 10,000 patients, the study analyzed data for 243 low-income, white, working-age males, collected from computer assisted telephone interviews in 2000. Cross-tabulations and bivariate logistic regressions were used to analyze the effect of 8 independent variables (age, marital status, insurance, employment status, a usual source of care, competing needs, experiences with paperwork, and perceived health status upon 5 dependent variables pertaining to unmet health care, unmet prescription medicine needs, unmet dental needs, utilization of doctors in emergency departments, and overnight hospital stays. The results show the safety net system is failing to meet the needs of this vulnerable population. The findings indicate white men who found it necessary to forgo health care due to other needs were almost five (4.973) times as likely …

Health and well-being of older adults has become a worldwide public health concern and has been attracting increasing attention from scholars across the globe. But little is known about the health of the Chinese elderly. Using data from the China Health and Retirement Longitudinal Study (CHARLS) --Pilot, a pilot survey in 2008 in two provinces of China, Gansu and Zhejiang, this dissertation examines the association between social capital at both the individual- and community- levels and three health outcomes among older adults in China. A series of multi-level models were estimated using SAS 9.2. Statistical results indicate that such individual-level social capital variables as perceived help and support in the future, help from others, and birthplace significantly impacted health among older Chinese adults. When examining the relationship between community-level social capital and health, this study confirms the significant association between community-level social capital and good health independent of individual-level predictors. This study also indicates that the impact of gender and rural-urban Hukou status interacts with the province of residence. The results were discussed in terms of cultural legacy in the Chinese cultural setting, the current social dynamics related to old age support, health-related government reforms, and various disparities across different …

Decentralized renewable energy procurement has gained traction in recent years for its potential to alleviate rural energy poverty and environmental degradation in developing countries. Hence, this study investigates if deploying renewable energy can mitigate rural energy poverty in developing countries as often claimed. Because any energy regime cannot be initiated or sustained without the conviction of local political leaders, the study also evaluates the extent to which government investments in the development of renewable energy technologies and the energy sector, affect the environmental quality (i.e. greenhouse gas emissions) of developing countries. Energetic theory and environmental inequality constitute the key conceptual premises guiding this study. Ordinary least squares regression is utilized to analyze the relationship between key variables. The results reveal that as of 2010, use of renewable energy can indeed support rural electrification. Higher GNI per capita and use of conventional fuels are also positively related to rural electrification, all else equal. As for environmental degradation in 2005 and 2008, R&D investments actually tend to increase GHG emissions; procuring energy from either renewable or non-renewable sources is however, found to be environmentally detrimental, net of all other variables. Finally, some evidence is found for the role of aid funds and …

Family structure as a predictive variable of juvenile delinquency has been studied for the last hundred years. This relationship originated due to societal belief that divorce was detrimental to adolescents. Due to the changing societal roles in the United States, family structure has been changing. More children are growing up in non-intact families, such as single-parent households, households with stepparents, cohabitating families, and households without a parent present. To study the effect family structure has on juvenile delinquency, researchers have utilized social control theory, differential association, self-control theory and general strain theory to conceptualize variables to explain why family structure influences delinquent behavior. A review of previous literature on this topic indicates that living in intact households, which are households with two biological parents who are married, have, on average, the lowest rates of delinquency. This thesis investigates the relationship between family structure and lifetime marijuana use among eighth and tenth grade adolescents in the United States through the use of secondary data analysis of Monitoring the Future Study, 2012. The results provide support for the relationship between family structure and lifetime marijuana use.

The media are powerful agents of socialization in modern society influencing values, beliefs, and attitudes of the culture that produces them. Both the quantity and quality of Latino images in the media may reflect and reinforce the place of Latinos in United States society. This study examines how Latinos are portrayed in television entertainment programming by addressing two major research questions: 1) What is the extent of Latino recognition on prime-time television? and 2) What is the extent of respect accorded Latinos on prime-time television? A one-week sample of prime-time television programming airing on three networks yielded 47 programs and 807 characters for analysis. Using content analysis methodology, recognition is identified by examining the frequency and proportional representation of Latino television portrayals and respect is measured by examining the types and significance of these roles. The results indicate an overall lack of diversity on prime-time television with only 11 of the 47 programs analyzed reaching 50% or more of the maximum possible diversity in their racial and ethnic portrayals. Specifically, Latinos represent only 3% of primetime television characters, less than one-fourth of their proportion of the nation's population. Compared to non-Hispanic Whites, Blacks, and Asians, Latinos are the group least …

This study of adoption procedures in Tarrant County, Texas provides evidence with which the program in Tarrant County may be evaluated. In addition, the study outlines a general idea of the adequacy or inadequacy of the adoption statutes of Texas.

City officials are in the position to adopt and implement policies within their jurisdiction that can have lasting impacts for businesses, people, and the environment. Sustainability research has highlighted the need to protect the environment by adopting policies which support the three E's of sustainable development (environment, equity, and economy). Stepping aside from the traditional mechanisms for building a successful city focused on economy first can be challenging for policy makers. The problem city officials face is that changes towards environmental protectionism have long been considered harder on city economy than traditional development focused on economic prosperity. Additionally, sustainability planning is thought to mitigate potential negative impacts that planning for environmental protectionism and social equity may have on economic prosperity. To examine this problem faced by city officials, ordinal regression analyses was used to analyze (1) the possible effects of environmental protectionism and social equity on a city's economic prosperity, and (2) whether sustainability planning has a moderating affect between environmental protectionism, social equity, and economic prosperity. This analysis demonstrates that environmental protectionism and social equity are not associated with a decline in economic prosperity. Sustainability planning was directly associated with increased economic prosperity but did not moderate the relationship …

Various forms of complementary and alternative medicine (CAM) are increasingly being used in the United States and globally over time. Among CAM, natural products, including herbal medicines, are the most used type. However, the increase in the use of CAM has gone on with minimal or without a corresponding increase in the rate of disclosure of use to the health care providers. The theories of care-seeking behavior and the behavioral model of health services use guided most of the study. Data from the 2012 National Health Interview Survey were analyzed to determine the health factors that affect the nondisclosure of herbal medicine usage by respondents (N = 423) who used herbs as their first choice of CAM therapy. Data were analyzed using descriptive statistics and a binary logistic model. About one quarter of herb users did not disclose their use of herbs to the health care provider. Nondisclosures were likely to be associated with herb users who also used homeopathy and those who used herbs to treat diseases that are usually short-term. The nondisclosure rate of the use of CAM, including herbal therapy, remains a recurring concern. As part of the practical implications, the study creates and supports the awareness …

The problem examined is community solidarity in a well-established prison town. The primary question addressed in this study is "what is the reported impact of a correctional facility's presence on community solidarity?" This study is concerned with the community's perception about the problems, as well as the benefits involved in the housing of a prison and in particular the solidarity of the community. The relevant literature dates from 1929 to 2004 and examines a wide range of concepts associated with community studies and prison studies. Based on themes found in the review of prison literature; work issues, safety, concern about children, stress, community image, benefits, community identity, and community cohesion, seven research questions were constructed. A semi-structured interview was conducted of 81 residents of Walker County in Huntsville, Texas. Huntsville houses 9 prisons. The prison system is the primary employer in the county. A qualitative data analysis using Altius/tr as a tool for content analysis was used. Throughout the data, community residents consistently indicated solidarity. Emerging from the data were seven themes associated with community solidarity:(a) unqualified community pride, (b) normalization, (c) defensiveness against the media, (d) qualified community pride, (e) denial, (f) community and myths, (g) economics.

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 …

The conduct of young adults has long been a concern in societies. The primary objective of this study was to gain greater understanding of what influences the deviant behavior of young adults in Turkey. Factors assessed in their background included family rituals, self-esteem, religiosity and deviant behavior. It was expected that levels of family rituals, religiosity, self-esteem and other risk factors would be significantly different between incarcerated youth and youth not incarcerated. Overall, these higher levels of family rituals, religiosity, and self-esteem plus lower levels of other risk factors were expected to negatively affect young people's engagement in deviant behavior in Turkey. Walter Reckless' containment theory provided a framework for this study. The non-probability sample of Turkish youths consisted of 205 incarcerated respondents and 200 college students. Each responded to four survey instruments, the Family Rituals Questionnaire, the Culture Free Self-Esteem Inventory, the Religious Background and Behavior Questionnaire, and a Family Information Inventory. Data were gathered cross-sectionally from January through March of 2007. The incarcerated respondents significantly practices less family rituals and had lower levels of religiosity than the college students but they did not differ significantly on self-esteem. Furthermore, overall participation in family rituals was associated with decreased likelihood …

Research has described and many clinicians have reported the anorectic patient as socially disconnected, having a disembodied sense of self, perfectionist expectations, and inadequate and shameful feelings. The more intense the internal war, the more food-focused and self-defeating behavior ensues, thwarting one's ability to receive value, self-acceptance, and love. Addressing the anorexia phenomenon, this study considered, from a sociological perspective, the dynamics of attachment and shame. On the basis of 4 propositions and using a multi-method, case-replication design, attachment and shame patterns for 5 restrictive and 5 normal eaters were compared, as determined by scores from the Parental Bonding Instrument, Inventory of Parental and Peer Attachment, Internalized Shame Scale, and personal interviews. Analysis was progressive, as propositions were tested by pattern-matching steps of rating, comparing, and interpreting recurring responses to self-report and interview questions. All anorectics reported a dominant mother, with whom 4 were over attached and struggled ambivalently for autonomy, and a quiet, inexpressive father, whom 4 considered frequently absent or unavailable. As compared to normal eaters, anorectics' trust and communication scores were lower for both parents and peers. Generally, anorectics showed markedly higher internalized shame. Findings indicated that nonoptimal parental bonding patterns were related to shame. The maternal …

It is commonly assumed that when confronted with an imminent hazard that people will react rationally, and prepare for, or at least attempt to avoid, danger from pending disasters. However, this conventional wisdom is not as evident as it appears. People prepare for, react to, or take social action to avoid hazards when they perceive the risk of danger to be threatening enough to warrant action, providing one has the will, insight and resources to do so. However, not all people perceive risks similarly. Risk is perceived differently by different people which affects risk perception and responses to hazards. This dissertation explores the relationships between American Indian worldviews, risk perceptions and disaster planning. To carry out this research 28 American Indians were interviewed. The sample consists of 14 American Indians residing in a rural are on the northern plains and 14 urban American Indians. The results only partially support that worldview is linked to risk perception and subsequent disaster planning. Other factors found to relate to risk perception and disaster planning for this non-representative sample of American Indians include various forms of social vulnerability.

Medication adherence is a formidable challenge for the elderly who may have several prescribed medications while dealing with limited incomes and declining health. The primary purpose of this study was to evaluate the Liberty 6000, an automated capsule and tablet dispenser that provides proper medication dosages and is intended to encourage and track medication adherence. Seven focus groups were assembled; these comprised 49 men and women ages 65 to 98 years of Black, Anglo, and Hispanic descent who met the following criteria: living independently or semi-independently, had suffered one or more impairments, and were taking at least three prescription medications. Each focus group session lasted 90 minutes and was tape-recorded and transcribed verbatim, resulting in about 2,600 lines of text. Each question was designed to be open-ended to avoid introducing any bias that might influence the response. The Health Belief Model conceptually guided the study that addressed perceptions of illness susceptibility and severity, barriers, benefits, and cues to action associated with medication adherence. Main benefits of taking medications included avoiding inherited illnesses (or tendencies for illnesses), and reducing illness symptoms. Barriers to taking medications included forgetting, dexterity problems, and high cost. Benefits of the proposed intervention included reminding, caregiver notification, …

Using data from the Household Component of the 1996 Medical Expenditure Panel Survey, the study compares (1) the accessibility, and (2) the predictors of health care services utilization among African American and non-Hispanic White males, 18 to 65 years old in the United States. Using ANOVA procedure in comparing the means for use of physicians, hospitals, doctors, and difficulty obtaining care, seven hypotheses were tested in the study. First, it was hypothesized that African American men of working age will have less access to health care services (physicians, hospitals, and dentists), and be more likely to report having experienced delay or difficulty obtaining care, compared to non-Hispanic white males of working age. Second, it was hypothesized that, controlling for health status, African American men of working age will have less access to health care services (physicians, hospitals, and dentists), and will also be more likely to experience delay or difficulty obtaining care, than non-Hispanic white males. This was followed by the third hypothesis which compared utilization of physicians, hospitals, dentists, and difficulty obtaining care among African American and non-Hispanic white males, controlling for health status and insurance coverage (any insurance, private insurance, any public insurance, and Medicaid). Hypotheses four through …