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 …

This dissertation examines the effects of trade liberalization policies (represented by membership in the General Agreement on Tariffs and Trade/World Trade Organization on selected Least Developed Countries' (LDCs) human development (represented by the Human Development Index). In this dissertation, General Agreement on Tariffs and Trade (GATT) and World Trade Organization (WTO) policies are theorized to have two distinct types of effects: their direct effect and their indirect effect. Two questions are focused on: first, what is the effect (total, direct and indirect) of WTO policies on human development for selected LDCs? Second, what is the effect (total, direct and indirect) of WTO policies on human development for selected developing/developed countries (i.e. non-LDCs) holding economic development constant? Using the dependency theory of development as a theoretical basis, this dissertation examines the assumptions of modernization-theory-based policies as expressed in trade liberalization policies (i.e. the implementation of comparative advantage and now market fundamentalism) with world-system analysis techniques. To examine these questions, four panel regression models are constructed to measure the total, direct and indirect effects of WTO policies during the near-term (1998-2003) and during a longer historical term (1975-2000). The data for the analyses are taken from seven different sources of international data. …

Strain theory has a long academic lineage for explaining criminal and deviant behavior from the classical writings of Emile Durkheim to the contemporary writings of Robert Agnew. The purpose of this research is to conduct an empirical test of Agnew's general strain theory utilizing Wave 1 data from the 1994-1996 National Longitudinal Study of Adolescent Health data (Add Health) (N = 6,503). Utilizing the Add Health data set represents a new attempt at empirically evaluating Agnew's theory. Scales were constructed by the author operationalizing the propositions of general strain theory utilizing variables from this data set. Regression was used to find out if juvenile delinquency is associated with Agnew's general strain theory. Research findings show that taken together, the propositions of general strain theory, cumulative measures of failure to achieve goals, loss of valued objects and introduction of stressful events are all statistically significant predictors of juvenile delinquency. Regression and scale correlations indicated a low positive relationship between juvenile delinquency and Agnew's general strain theory propositions. This study represents an attempt in utilizing a data set which has not been used before to empirically test general strain theory.

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 …

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.