As Yancey (2003) has pointed out, the intentional character of racially integrated churches tends to lessen the social distance between Whites and minorities. The purpose of this study is to examine how racially hierarchy-attenuating and hierarchy-enhancing environments affect classism and sexism attitudes among congregations. The finding shows that multiracial churches promote H-A environment for class and race diversity, but not for gender equality. The class and race diversity is affected by organizational structure; on the other hand, gender equality is influenced by theologies. This study finds the answers to this discrepancy from the effect of biblical teachings on classist and sexist attitudes and the cumulative effect of structured domination of women.

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, …

Six serial focus groups were used to explore the perceptions of postpartum depression among nine adolescent mothers. The discussions were tape recorded, transcribed and analyzed using symbolic interaction theory, specifically Goffman's concept of stigma. Participants identified major stigma themes in relation to postpartum depression, teenage pregnancy and motherhood, all of which were portrayed negatively in the media. Several key causes of adolescent postpartum depression were also found including self esteem relating to poor body image and social support. The findings indicate a much needed change in the way adolescent mothers are identified and treated for postpartum depression. Additionally, the importance of social support in preventing and treating adolescent postpartum depression is highlighted and programs addressing such concerns must be implemented.

This study is a multi-method, two-city, intensive, in-depth qualitative study of Huntington's disease (HD) caregivers (HDCs) in Colombia. I explored the Colombia HDCs' experience through the Hispanic culture of caring. I develop the theory of the subrogate agency based on 5 functional stages of HD from Shoulson and Fanh (1979). This study was conducted in two different regions of Colombia, Medellin and Juan de Acosta, in which high rates of HD cases have been identified. The data were collected through three methods: (a) 56 interviews with HDCs and 8 with physicians; (b) 28 participant observations of Huntington's disease sufferers (HDSs); (c) 4 interviews and 8 focus groups of 6 members each with HDCs of late HDSs. Human agency is the ability to monitor one's own action. This study showed that the gradual and serious loss of all capabilities in HDSs has a social effect on the HDSs' agency. HDSs' survival depends on the subrogation that the HDC offers to the HDS. The HDS retains self-hood, i.e. agency, through the HDC's action. This subrogation causes a paradoxical consequence, resulting in both negative and positive effects on the caregiver. The theory of surrogate agency is supported by the data. Through the progressive …

In late 20th century America, multiculturalism emerged as a doctrine of equal respect and a popular ideological framework for resolving intergroup relations. Despite its dramatic presence, many sociologists conclude that the rather vigorous and often contentious academic inquiries into multiculturalism left us without a solid understanding of its significance. In this dissertation I examine survey and personal interview data to more clearly identify patterns of ideological support for multiculturalism or assimilation in the U.S. public and to isolate the motivations for their preferences. Findings based on the survey data indicate that, despite multiculturalism's symbol appeal, it does not seem to guide preferences in favor of or opposition to assimilation/multiculturalism among members of most groups. According to the quantitative data, support for intermarriage is one of the few variables that positively correlates with preferences for assimilation. The interview data indicate a strong tendency among many participants to conflate the meaning of multiculturalism and assimilation. Despite their stated aspirations, many self-identified multiculturalists do not favor cultural pluralism. Apparently a significant number of the interview participants use a synthesis of multiculturalism and assimilation to frame their preferences for social convergence within an assimilationist paradigm - a perspective that only marginally resembles multiculturalism's doctrine …