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An Explanation of Racial Attitudes Utilizing Intergroup Threat Theory and Group Empathy Theory

This project examined the effects of threat perceptions and group empathy on racial outgroup attitudes. The relationship between threat perception and increased racial prejudice has been well established within the literature, but the effect of group empathy within this dynamic has been largely undocumented. The following study utilizes data from the American National Election Study 2020 Time Series to analyze racial outgroup attitudes among subsamples of Blacks (n = 726), Hispanics (n = 762), and Whites (n = 5,962). Along with threat perception, group empathy was found to be a salient predictor of outgroup attitudes. These results suggest that an effective technique to reduce negative outgroup attitudes would aim to reduce perceptions of outgroups as threatening and increase group empathy.
Date: August 2022
Creator: Larrison, KayLynn Marie
System: The UNT Digital Library

Latinos for Trump? National Origin, Nativity Status, and Favorability for Trump in 2016

In this study, I examine the relationship between national origin, nativity status, and favorability toward Donald Trump among Latinos in 2016. In particular, I examine the relationship between Cubans, Dominicans, and "other" Latinos to understand how differences in national origin and nativity status influence Trump favorability. The term "Latino" is a pan-ethnic term used to describe individuals with ancestry from Latin America who share a common language, religion and culture. However, studies have shown that Latinos are actually more diverse and political attitudes may differ based on factors like acculturation, national origin, and nativity status. Using data from the 2016 Collaborative Multiracial Post-Election Survey, I find that favorability for Trump differs by national origin and nativity status as immigrants of "other" national origins favor Trump than Cubans and Dominicans. This suggest that Latinos attitudes are not shaped by their pan-ethnic identity and are rather influenced by national origin and nativity status.
Date: August 2022
Creator: Moreno, Vianni Alyssa
System: The UNT Digital Library
The Cost of Higher Education: Impacts of Student Loan Debt on the Life Course for Hispanic Americans (open access)

The Cost of Higher Education: Impacts of Student Loan Debt on the Life Course for Hispanic Americans

Student loan debt continues to be an issue in the U.S., with potential long-term effects on loan repayment and potential wealth accumulation. In particular, minorities face barriers in the educational system and accruing wealth. Hispanics occupy a middling position in the U.S. racial hierarchy. Using the National Longitudinal Survey of Youth 1997 geocode data, in this study I examined how Hispanic-White differences in student debt change over time and how student debt influences wealth. In addition, I accounted for immigration status via parents' nativity status to investigate debt burdens and subsequent wealth for these respondents. I used hierarchical linear growth models to examine debt growth over time and linear decomposition to examine Hispanic-White differences in wealth accumulation and the impact of student debt on these differences. While findings were largely statistically insignificant, I found that Hispanics tended to start with less debt than their White counterparts and that student debt initially grew for both groups. However, White respondents pay off their debt more quickly than Hispanics. In addition, I found that the wealth gap between White and Hispanic respondents grew significantly between the ages of 20 and 35. While Hispanics tended to start with less debt, my findings suggest that …
Date: August 2022
Creator: Knudsen, Jennifer L
System: The UNT Digital Library
Perdóname, Madre, ¿he pecado? An Investigation of Hispanic Catholics in the United States and Their Attitudes toward Women being Allowed to Enter the Priesthood (open access)

Perdóname, Madre, ¿he pecado? An Investigation of Hispanic Catholics in the United States and Their Attitudes toward Women being Allowed to Enter the Priesthood

Hispanic American Catholics are a growing immigrant population in the United States, with Hispanic cultures and Catholicism woven together in unique ways. This situation presents a window through which can be examined the dynamic between individualism and religiosity. Four logistic regression models were estimated utilizing data from the Pew Research Center 2013 Survey of U.S. Latinos, in order to investigate the correlates of Hispanic American Catholic support for women in the Catholic priesthood. Religious individualism (self-determination) was measured in two dimensions, while cultural individualism (acculturation) was measured in one dimension. The first three regression models test three hypotheses related to religious and cultural individualism, while the fourth model factors in all of the variables used. Findings generally supported the saliency of religious individualism over against the hierarchal dogma of the Catholic Church, but not the saliency of cultural individualism. However, findings also exposed the complexities inherent in both Catholic religiosity and acculturation among Hispanic American Catholics.
Date: August 2021
Creator: Kilgore, William S
System: The UNT Digital Library
Increasing Mother and Child Safety: Social Factors Influencing Help Seeking Behaviors amongst Child Welfare-Involved Women Experiencing Family Violence (open access)

Increasing Mother and Child Safety: Social Factors Influencing Help Seeking Behaviors amongst Child Welfare-Involved Women Experiencing Family Violence

The purpose of this study is to determine social factors that influence help seeking behaviors by mothers who are concurrently involved in two social service systems: Child Protective Services (CPS) and family violence advocacy programs. Through the application of the behavioral model (of service use) for vulnerable populations, this study seeks to determine predisposing, enabling and need characteristics that impact help seeking behaviors at a family violence agency after participation in an ADVANCE (Acknowledging Domestic Violence and Navigating Child Protection Effectively) course, a group intervention class developed specifically for women involved with CPS. The research design is a mixed-method approach with an ADVANCE course evaluation embedded within the overall analysis of help seeking behaviors. The analytic strategies include pre-test/post-test means comparisons through paired t-tests, qualitative thematic analysis through arts-based methodology, and ordinary least squares and logistic regression analysis. This study considers six outcome variables related to protective help seeking behaviors: seeking services, seeking protective actions related to children, seeking a safety plan, seeking a protective order, seeking safe housing, and seeking financial independence. Several social factors identified influenced help seeking behaviors amongst child welfare involved women experiencing violence, namely, number of children, age of children, level of interest in services, …
Date: August 2021
Creator: Baker, Cassidy A.
System: The UNT Digital Library

Embodied Acts of Resistance: Portraits of Urban Breastfeeding Mothers

This dissertation examines how breastfeeding mothers develop distinct geographies due to the stigma, symbolic and structural violence they encounter while breastfeeding if different spaces. I utilize multiple in-depth semi-structured interviews, participant observation and photo elicitation to develop portraits of four urban mothers. My findings highlight the complexity of motherhood and demonstrate how distinct socio-spatial power dynamics situate and contextualize the experiences of breastfeeding mothers. I find that breastfeeding behaviors are influenced and maintained by broader social inequalities related to their social positions. Mothers seem caught in a paradoxical position, in which they must constantly discipline their bodies to maintain modesty while simultaneously ensuring their continued success breastfeeding. These issues are compounded by a mother's intersecting identities and their own social and cultural contexts.
Date: August 2020
Creator: Veselka-Bush, Alexandra V.
System: The UNT Digital Library
Exploring the Transnational Meaning of Home Amid Insecure, Hazardous Housing (open access)

Exploring the Transnational Meaning of Home Amid Insecure, Hazardous Housing

This project examines refugees' experiences of insecure housing and perceptions of home in the U.S. Many scholars of migration have focused on the resettlement experiences of refugees, including access to housing, yet refugees' experiences with housing in the U.S. remain largely undocumented. The following analyzes a case study of an apartment fire that displaced 16 refugee families in Dallas, Texas. Based on 18 in-depth interviews with tenants and members of refugee support organizations and non-profits who responded to the fire, this study reconstructs the events surrounding the fire to explore refugees' perceptions of housing conditions in a low-income neighborhood. This case study contributes to research on housing in two important ways. First, insecure housing conditions preceded the fire at Oakland Place and overall perceptions of housing quality varied among respondents. I find that case managers and members of refugee support organizations identify refugees' housing conditions as insecure, yet refugees express positive feelings about their homes, emphasizing community relations over building quality. Additionally, members of refugee support organizations and non-profits blamed the property manager of Oakland Place for insecure conditions experienced by refugees and perceived the manager as a barrier in refugees' lives. Second, I find that understandings of housing insecurity …
Date: August 2020
Creator: Fessenden, Deborah June
System: The UNT Digital Library
Resettled: How Refugees Experience Employment and Unemployment in the United States (open access)

Resettled: How Refugees Experience Employment and Unemployment in the United States

Research on immigration in the United States has commonly studied the employment experiences of refugees. Few studies on refugees have focused on both, refugees' employment and unemployment experiences in the United States. This article draws on twenty in-depth interviews with refugees, along with ethnographic observation at a local refugee resettlement agency, to investigate how refugees make sense of their employment and unemployment experiences in the United States. I find that refugee men and women experience different employment trajectories in the United States, which are shaped by gender inequality in the public and domestic spheres. I further find that refugees' navigation with work in the United Stated influences their unemployment experiences and work in the informal sector. My study extends previous literature on refugee incorporation by conceptualizing refugees' employment as a gendered process, which includes periods of formal paid work, informal paid work, and unemployment in the United States.
Date: August 2020
Creator: Mumtaz, Mehr
System: The UNT Digital Library

Off the Gender Spectrum: Exploring Agender Experience

With the proliferation of gender identity labels in the last twenty years, more individuals are identifying outside of a binary understanding of gender. Agender individuals are among this group, but we know very little about their experiences. Gender theorists have examined the ways that gender is performative and structural, but present theory does not provide the tools to understand the experiences of those outside of the binary, and even more so those who identify outside of gender altogether. To address this gap, I ask how agender individuals define their experience and how they navigate a binary gendered world. To answer these questions, I draw on 14 in-depth interviews with agender individuals as well as data from the 2015 U.S. Transgender Survey. First, I show the ways that agender individuals can understand this identity and how it shapes their experiences. Second, I develop a framework of four strategies (avoidance, advocacy, performance, and acquiescence) to analyze how agender individuals navigate gendered space. I concluded with a discussion of theoretical and empirical contributions as well as implications for future research.
Date: August 2020
Creator: Clupny, Loren
System: The UNT Digital Library

Cesarean Section Delivery and Exclusive Breastfeeding in Pakistan: Emerging Challenges

Access: Use of this item is restricted to the UNT Community
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 …
Date: August 2019
Creator: Nazir, Saman
System: The UNT Digital Library
Educational Degree and Career Satisfaction: Moderating Effects of Educational Expectations (open access)

Educational Degree and Career Satisfaction: Moderating Effects of Educational Expectations

Prior research supports the relationship between education and status attainment, mobility, and occupational attainment. Today, within an increasingly bifurcated labor market, where education is important for occupational attainment and the associated income and benefits, understanding the processes of status attainment is important. Educational expectations shape educational attainment, while educational attainment influences occupational attainment and satisfaction. Utilizing the National Longitudinal Study of Adolescent Health, this study investigated the moderating effects of expectations on the relationship between education and occupational satisfaction. The results of this study partially support the moderating effects of expectations on the relationship between degree earned and career satisfaction, finding that expectations moderate this relationship for individuals who earned a bachelor's degree.
Date: August 2019
Creator: Knudsen, Jennifer
System: The UNT Digital Library

The Role of Male Fashion in Protests against the Majority Culture: An Exploratory Study

Access: Use of this item is restricted to the UNT Community
Throughout history, the Black Diaspora has used fashion as a form of protest. The element of fashion is often overlooked when considering the history and struggle for Black equality, because it is less tangible or definable in terms of its influence and effect, but it is still important because Black males resist the dominant culture via dress by dressing in military uniforms, creating their own style, and using different colors in their dress. Studying the Black struggle in American history during specific periods is one way to better understand opposition to the majority culture through fashion. We should also consider the mood of a social system when examining the dress of a particular group during conflicts. Hence, the purpose of this study is to investigate the role of fashion as a protest tool against the majority culture, and the social mood that affects the fashion choices of Black males. The study focuses on Black fashion from 1910 to 2015. Text data were collected and analyzed from articles published in The Crisis magazine, and men's fashion was specially examined. Additionally, images were studied via visual ethnography and images were coded based on color choice, fit, and accessories. For conducting sentiment analysis, …
Date: August 2019
Creator: Greenidge, Giselle C. M.
System: The UNT Digital Library

Turkish Gazis' (Injured Veterans) Transition into Civilian Life

Access: Use of this item is restricted to the UNT Community
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 …
Date: August 2019
Creator: Celebi, Mehmet
System: The UNT Digital Library
Suicidality among Turkish Adolescents: Comparing Durkheim's and Tarde's Perspectives (open access)

Suicidality among Turkish Adolescents: Comparing Durkheim's and Tarde's Perspectives

Suicidality is an important problem among adolescents. This study compares Durkheim's and Tarde's perspectives on suicide. While the Durkheimian perspective alleges that integration, regulation, and anomie play the major role on adolescent suicidality, Tarde's theory considers imitation as the most important factor affecting suicidality. Durkheim suggests that individuals with higher integration and regulation are less likely to commit suicide. Individuals with less integration and regulation, on the other hand, are more likely to experience anomie and higher suicidality. Tarde claims that individuals with suicidal peers are more likely to commit suicide. In particular, the effects of school integration, family integration, peer integration, religious integration, neighborhood integration, family regulation, anomie, and suicide imitation on adolescent suicidality in Turkey are examined using binary logistics regression in the current attempt. The results indicate that school integration, family integration, and religious integration have significant negative effects on adolescents' suicidality whereas suicide imitation has a positive effect. The results of the study are expected to help to prevention programs purposed at reducing suicidality among adolescents.
Date: August 2018
Creator: Gurbuz, Suheyl
System: The UNT Digital Library
Religious Identity and Interreligious Communications: Predicting In-Group and Outgroup Bias with Topic-Sentiment Analysis (open access)

Religious Identity and Interreligious Communications: Predicting In-Group and Outgroup Bias with Topic-Sentiment Analysis

Intergroup relations and the factors affecting them constitute a subject of recurring interest within the academic community. Social identity theory suggests that group membership and the value we assign to it drives the expression of in-group favoritism and outgroup prejudice, among other intergroup phenomena. The present study examines how (ir)religious identities are related to topic-sentiment polarization in the form of positive in-group and negative outgroup bias during interreligious debates in YouTube commentaries. Drawing from the propositions of social identity theory, six hypotheses were tested. The data for the study, a product of a natural experiment, are comments posted on YouTube commentary sections featuring videos of interreligious debates between (a) Christian and atheist or (b) Christian and Muslim speakers. Using topic-sentiment analysis, a multistage method of topic modeling with latent semantic analysis (LSA) and sentiment analysis, 52,607 comments, for the Christian - atheist debates, and 24,179 comments, for the Christian - Muslim debates, were analyzed. The results offer support (or partial support) to the hypotheses demonstrating identity-specific instances of topic-sentiment polarization to the predicted direction. The study offers valuable insights for the relevance of social identity theory in real-world interreligious interactions, while the successful application of topic-sentiment analysis lends support for …
Date: August 2018
Creator: Grigoropoulou, Nikolitsa
System: The UNT Digital Library
How eHealth Literacy Impacts Patient-Provider Relationships: A Study on Trust, Self-Care, and Patient Satisfaction (open access)

How eHealth Literacy Impacts Patient-Provider Relationships: A Study on Trust, Self-Care, and Patient Satisfaction

It has been well established, in the literature, the association between low health literacy rates and poor health outcomes. With the increase of technology dependence, more people are using the internet to look up health information. Research has shown that shared decision making between providers and patients can improve patients' health outcomes. This research aims to examine whether electronic health (eHealth) literacy impacts patient-provider relationships. This research will also examine how geography specifically state residency impacts eHealth literacy rates. Data collected from a national sampling of online health and medical information users who participated in the Study of Health and Medical Information in Cyberspace (N=710) is used to construct structural equation models from SPSS AMOS v. 20.0. After path analysis, the results shown that white males with higher education were more likely to have higher eHealth literacy rates and that eHealth literacy rates are associated with better self-care, higher patient satisfaction and increased trust in provider. Also, state residency does not have an impact on eHealth literacy rates. eHealth literacy will be significant in patient-provider relationships. Program development should be established on focusing on eHealth literacy across the lifespan. Also, it will be important to review federal policy on technology …
Date: August 2017
Creator: Cheun, Jacquelyn Joann
System: The UNT Digital Library
Religiousness and Spirituality: How Are They Related to Moral Orientations? (open access)

Religiousness and Spirituality: How Are They Related to Moral Orientations?

This dissertation examines correlations between religiousness and spirituality, to moral orientations using moral foundations theory as a framework. Using the 2012 Measuring Morality dataset, which provides a representative sample of the population of the United States, I create linear regressions which test associations between religiousness, spirituality, and each of the five moral foundations ((harm/care, fairness, in-group loyalty, respect for authority, and purity). I find that religiousness is negatively associated with concern for harm, and positively associated with respect for authority, a finding which implies that the moral behavior of religious people is rooted in respect for authority more than in any other moral concern. Spirituality is positively associated with concern for fairness. The implications of all findings are discussed, as well as limitations and recommendations for future research.
Date: August 2017
Creator: Gabhart, Elizabeth A.
System: The UNT Digital Library
The Influence of Social and Cultural Factors on Alcohol Use and Abuse among a Sample of Young Males in the Army (open access)

The Influence of Social and Cultural Factors on Alcohol Use and Abuse among a Sample of Young Males in the Army

The purpose of this qualitative study was to understand the social, cultural, and structural factors that contribute to or inhibit alcohol use and abuse in the Army among young males, unmarried or married without a present spouse. Seventeeen single, or separated, young male soldiers stationed at Fort Bragg Army Base were interviewed to provide insight into the research questions. Soldiers were largely located through face-to-face canvassing. The interviews, which lasted from 45 to 90 minutes, took place face-to-face and were then transcribed. Interviews were analyzed using grounded theory approach by locating patterns, themes and relationships to come to generalizations. The themes that emerged from the interviews include: 1) stresses of army work/life; 2) social/entertainment use; 3) tradition/brotherhood/entitlement; 4) fear/consequences; 5) impressionable youth; 6) treatment. While the themes which emerged were reported in discrete terms, there was overlap in them. The functional aspect of alcohol use to these soldiers mixed with the impact of social interaction influencing their use served to encourage and further the use of alcohol. The drinking patterns of young male soldiers can be seen to exist on a continuum of either social integration or social stress, in line with Durkheim's conception of suicide, with the existence of …
Date: August 2017
Creator: Short, J. Rollin
System: The UNT Digital Library
The Impact of Commuting on Mental Health (open access)

The Impact of Commuting on Mental Health

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.
Date: August 2017
Creator: Malek-Ahmadi, John
System: The UNT Digital Library
Using Topic Models to Study Journalist-Audience Convergence and Divergence: The Case of Human Trafficking Coverage on British Online Newspapers (open access)

Using Topic Models to Study Journalist-Audience Convergence and Divergence: The Case of Human Trafficking Coverage on British Online Newspapers

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 …
Date: August 2016
Creator: Papadouka, Maria Eirini
System: The UNT Digital Library
Dimensions of Acculturation and Sexual Health among U.S. Hispanic Youth (open access)

Dimensions of Acculturation and Sexual Health among U.S. Hispanic Youth

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 …
Date: August 2016
Creator: Driver, Nichola D.
System: The UNT Digital Library
Sociological Applications of Topic Extraction Techniques: Two Case Studies (open access)

Sociological Applications of Topic Extraction Techniques: Two Case Studies

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 …
Date: August 2015
Creator: Zougris, Konstantinos
System: The UNT Digital Library
Health-related Quality of Life and Social Engagement in Assisted Living Facilities (open access)

Health-related Quality of Life and Social Engagement in Assisted Living Facilities

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. …
Date: August 2015
Creator: Amini, Reza
System: The UNT Digital Library
Healthcare Utilization and Health Outcomes: US-born and Foreign-born Elderly Asian Americans (open access)

Healthcare Utilization and Health Outcomes: US-born and Foreign-born Elderly Asian Americans

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 …
Date: August 2015
Creator: Huang, Jacob Chao-Lun
System: The UNT Digital Library