In order to more fully inform moves toward equity in emergency management (EM), this research seeks to describe a general landscape of professional Tribal EM, and in particular, to examine how Tribal emergency managers and Tribal Nations are situated in relation to the EM enterprise (EME), and how they are doing resilience in their Tribal Nations. The findings presented in this dissertation reflect efforts to explore and document Tribal emergency managers' descriptions of their work and their perceptions about its context as they seek to do resilience in their Tribes. Specifically, qualitative interviews were conducted with Tribal emergency managers whose Tribal Nations span the United States. Findings indicate that there is significant variation among Tribal nations in terms of EM structures and capacities; Tribal emergency managers engage in a wide array of activities to promote resilience in their communities; and Tribal EM is becoming increasingly professionalized. Importantly, however, the research also uncovered a paradox in which Tribal emergency managers, both implicitly and explicitly excluded from the EME in many ways, find themselves doing resilience in the context of an increasingly popular disaster resilience paradigm that both increasingly shifts the burden of resilience to the local level, and expands the range …

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, …

A model of social stressor variables, social integration variables and demographic control variables was tested to assess their impact on alcohol use among the elderly. A secondary analysis of a survey on alcohol use among the elderly in Edmonton, Alberta, Canada, was conducted to test the major hypotheses of the study. Contingency table analysis, using gamma and partial gamma as correlation coefficients, was utilized in the data analysis. The first hypothesis, in regard to the positive relationship of social stressors with alcohol use, was confirmed. The best predictors of alcohol use among the social stressor variables were usual occupation, length of retirement, annual income, and subjective health status. The second hypothesis, that the social integration variables would be negatively related to alcohol use, received only moderate support. The results of the analysis indicated that six of the ten social integration variables were negatively related to alcohol use. Only three of these variables, retirement status, religious participation, and marital status, were statistically significant. Hypothesis three also was not confirmed. The introduction of the social integration variables did not substantially decrease the strength of the relationship between social stressors and alcohol use. Gender and age were also introduced as control variables for …

This study delineates the basic concepts and analytical techniques of contemporary French structuralists, namely Levi-Strauss, Lacan, Barthes, Althusser, and Foucault, and critically examines the contribution of their formulations to sociological theory and the implication of such formulations on the methodological orientation in sociology.