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, …

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 …

The portrayals of mothers and fathers in children's literature as companions, disciplinarians, caregivers, nurturers, and providers were documented in this research. The impact of time of publication, sex of author, award-winning status of book, best-selling status of book, race of characters, and sex of characters upon each of the five parental roles was assessed using descriptive statistics, cross-tabulation, and multinomial logistic regression techniques. A survey instrument developed for this study was completed for each of the 300 books randomly selected from the list of easy/picture books in the Children's Catalog (H.W. Wilson Company, 2001). To ensure all time periods were represented, the list was stratified by decades before sampling. It was expected that parental role portrayals would become more egalitarian and less traditional in each successive time period of publication. Male authors were expected to portray more egalitarian parental roles, and the race and sex of the young characters were not expected to influence parental portrayals. Award-winning books were expected to represent more egalitarian parental roles. Books that achieved the Publisher's Weekly all-time best-selling status were expected to portray parents in less egalitarian roles. Secondary analyses explored the prevalence of mothers' occupations, parental incompetence, and dangerous, solo child adventures. While …

The older adult population in the United States is rapidly expanding both because of longer life expectancies as well as the aging of the baby boomers. While vision impairment is a growing concern among older adults, there have been few, mostly small studies, of the impact of vision impairment on this population. The present study uses a national data set, the Second Supplement on Aging (1994 -1996) from the National Health Interview Survey, in a cross-sectional study of 9,447 civilian non-institutionalized persons, aged 70 years and over at the time of their interview. The SOA II has been studied in the context of a social theory of aging that emphasizes interdependence through the life course using a stress process model that has been refined into a disability model. Disability is understood as a social construction outcome rather than as a medical outcome. Vision impairment is the stressor which is mediated by health (falls, functioning and self-health report), financial resources (education, income and having only public health insurance) and social support (marital, living along, having no living children, social activities in number and intensity). Depression is a possible, but not a necessary result of vision impairment. Disability may result when a …

This research examines the coping processes of African American women with breast cancer and how those processes relate to low usage of cancer support groups by these women. Prior coping research has utilized predominantly White samples. The limited research on African American coping responses is conflicting and characterized by small samples and non-probability sampling techniques. In this study, 26 respondents from Central and North Texas metropolitan areas were interviewed, including 9 key informants, 9 African American breast cancer survivors, and 8 White survivors. The data suggest that African American and White women cope with breast cancer in significantly different ways. Culture appears to account for the differences. All African American breast cancer survivors identified faith as their primary coping strategy. In contrast, only half of the White survivors claimed faith as their primary coping strategy, but like the other White survivors, tended to rely on multiple coping strategies. The African American survivors conceptualized God as an active member of their support network. Most prayed for healing, and several attributed examples of healing to God's intervention. The White survivors found God's presence in the actions of other people. They prayed for strength, peace, and courage to endure the illness. The use …

This study evaluated the Say It Straight™ (SIS) Training Program for its ability to improve straightforward communication, increase self-esteem, increase an individual's overall perception of group and family belonging or cohesiveness within a residential treatment setting and decrease an individual's perceived level of anomie. Effectiveness of SIS training was evaluated with paired sample t-tests (2-tailed) on six objective questionnaires given before and after training. Participation in the study was voluntary. Of the 39 patients in residence, 26 participated in SIS training, (23 attended over 80% of the sessions and 3 attended over 50%). Three were excluded from the study due to developmental or dementia-related diagnoses, 3 chose not to participate, 5 were discharged routinely prior to completion and were not post-tested; and 2 were discharged against medical advice during the training. It is interesting to notice that on the average there are about 5 discharges against medical advice per month at the facility, but during the five weeks of SIS there were only 2. Self-reports of empowering behaviors, quality of family and group life and self-esteem showed highly significant increases following SIS. Self-reports of disempowering behaviors (placating, passive-aggressive, blaming, irrelevant, intellectualizing) showed highly significant decreases following SIS and anomie showed …

This dissertation examines predictors of juror-determined damage awards among 377 juror eligible mock jurors. Citizens reporting for jury duty in a large metropolitan county on five days when the study was conducted were invited to participate. Scenarios were created that varied both case facts and witness emotion during trial testimony. Results indicate that Affect Control Theory can be applied to the situation of juror-determined damage awards and is helpful in scientifically explaining some of the variation of both compensatory and punitive damage awards.

Guided by the life course perspective, this study examined the frequency of caregiving provided by older adults to kin and non-kin. A telephone survey produced a random sample of adults 60 years of age and older, which was predominantly White, with higher income and education levels (n = 278). Bivariate and multivariate analyses tested the impact of demographic characteristics and other variables, conceptualized as physical, human, and social capital, on the frequency of caregiving. Gender, age, health, limitations, education, income, household composition, social contact, and reciprocity were analyzed in multinomial logistic regressions. Caregiving was defined as care provided to sick or disabled persons, with frequency of providing care classified as often, sometimes, and never. The majority of older adults provided at least some care to others over a one-year period, with almost one-third doing so often and only one-quarter never doing so. Most provided care to more than one person, with over one-quarter providing care to multiple friends only. Age failed to predict caregiving involvement when physical and social capital variables were considered. The odds of often providing care are higher for women, although gender did not predict those who never provided care. Having at least some college only significantly …

This study is a secondary analysis of survey data collected in fall 2000 from patients of a safety-net hospital and its eight community health outreach clinics in Fort Worth, Texas. The study examined three objectives. These include explaining the utilization of Pap smear tests among the sample who were low-income women, by ascertaining the determinants of using these services. Using binary logistic regressions analyses primarily, the study tested 10 hypotheses. The main hypothesis tested the race/ethnicity/immigration status effect on Pap smear screening. The remaining hypotheses examined the effects of other independent/control variables on having a Pap smear. Results from the data provide support for the existence of a race/ethnicity/immigration status effect. Anglos were more likely to have had a Pap smear, followed by African Americans, Hispanic immigrants, and finally, by Hispanic Americans. The persistence of the race/ethnicity/immigration status effect, even when the effects of other independent/control variables are taken into account, may be explained by several factors. These include cultural differences between the different groups studied. The race/ethnicity/immigration status effect on Pap smear screening changed with the introduction of age, usual source of care, check-up for current pregnancy, and having multiple competing needs for food, clothing and housing into the …

This dissertation research project was conducted to investigate religion as a coping resource in later life. The major proposition of the study was that intrinsic religious orientation is positively associated with mental health in late life. A forty three-item questionnaire was distributed to residents of four independent retirement communities resulting in a sixty-six percent return rate. The convenience sample of 214 individuals, with a mean age of 81.94 years, consisted of 156 female and 58 male respondents. Intrinsic religious orientation was held as the independent variable, while mental health was the dependent variable. Stress vulnerability characteristics were held as control variables including age, gender, education, stressful life events, marital status, perceived social support, and physical health. The zero order correlation between the independent and dependent variables was r = .128, sig. = .034 (1 tailed). When all control variables were entered, the relationship between intrinsic religious orientation and mental remained, r = .116, sig. = 046 (1 tailed). Regression analysis produced three predictors of mental health for females: stressful life events, age, and intrinsic religious orientation. Intrinsic religious orientation did not significantly change the relationship between stressful life events and mental health. A highly narrow variability in the sample limited …

The development of tourism and more importantly eco-tourism has emerged as a primary objective for the government of Belize, Central America. This study examines two villages Seine Bight and Placencia located on a peninsula occupied by separate ethnic groups (Garifuna and Creole) that is located on a peninsula in Southern Belize. Seine Bight and Placencia are undergoing a change in economic activity to tourism. The study attempts to understand the role of ethnicity, socio-economic status, amount of contact with tourists, and the environment in regard to attitudes towards tourism utilizing quantitative and qualitative methods. The study also attempts to understand the organization and disorganization of productive activity on the peninsula and ethnicity over space and time. The point of diffusion and contact of different groups is reflected archeologically and historically in the marine landscape. The peninsula served not only as a natural harbor for those sailing up and down the coastline over time but also served as a point of diffusion of different groups reflected in changing place names, such as Placentia, Point Patient, and Pasciencia.

Many researchers have sought to identify the antecedents of deviant behavior. The purpose of this study was to explore whether family rituals might contribute to social control, and thereby reduce deviant behavior. Walter Reckless' containment theory provided the theoretical framework for the study. This theory suggests that both inner and outer containment variables control social behavior. It was proposed that meaningful family rituals would contribute to the development of inner and outer containment, and therefore, reduce the number of deviant behaviors committed by the respondents. In this study, the inner containment variable was self-esteem, and the outer containment variables were participation in conforming activities with family members both inside and outside the home, and participation in extracurricular activities. Two hundred and seven incarcerated respondents and 217 college students responded to three survey instruments, the Family Rituals Questionnaire, the Culture Free Self-Esteem Inventory, and a Family Information Inventory. Findings indicated that the college students reported experiencing more meaningful family rituals than the incarcerated respondents. Results indicate that the two groups differed significantly on all of the major variables. However, meaningful family rituals had little association with self-esteem, and self-esteem had no relationship with deviant behavior. Meaningful family rituals did account for …

Theory: The literature on volume of tourism in developing nations, does not provide empirical measures necessary for rigorous hypotheses testing. While there have been ample studies on volume of tourism among developed nations, very little has been done regarding developing nations. Several theories from the dependency school, world systems and modernization offer theoretical explanations, but these explanations have not been adequately translated into empirical models, for studying the volume of tourism. Hypotheses: To improve the ability to explain volume of tourism and to identify the factors that affect the volume of tourism in developing countries, the study tests four hypotheses based on the theories of Modernization, World System and Push- Pull. Methodology: The study uses Confirmatory Factor Analysis to examine the factors that are likely to influence the volume of tourism. Shift Share analysis is also used to study regional variations in volume of tourism. Findings: The study found support for the fact that aspects of modernization are some of the most important determinants of volume of tourism. This finding has policy implications for developing nations trying to encourage tourism as an important economic sector. Shift Share analysis revealed that in the last decade Sub - Saharan Africa, East Asia …

Questionnaires were sent by mail and e-mail to 143 members of the Sociological Practice Association. The purpose of the questionnaire was to measure the role expectations as qualities (competencies), role expectations as actions, and role enactments of the respondents'. An additional goal was to examine how respondents perceived their work to be sociological in nature, and how they saw their work as different from the practices of social workers, counselors, and psychologists. The first question that was addressed was, “Do sociological practitioners have clear and unambiguous role expectations for their work as practitioners?” The data showed that most role expectations measured as competencies were clear and unambiguous, and only a few were ambiguous and unclear. The second question addressed was, “Do sociological practitioners perceive their role enactments to differ from other helping professionals such as social workers, counselors, and psychologists?” The data showed that sociological practitioners do perceive their role enactments to be different because of their use of sociological theory and their focus on social structures. The final question asked was, “How do sociological practitioners perceive their work as sociological in theory, methods, or both?” The data showed that sociological practitioners perceive their work as sociological based on their …

The political economy transformations of the countries of Central and Eastern Europe have received a great deal of attention over the past decade. The focus of much research has been to examine the internal national reorientations of the countries with regard to the changes in political and economic conditions. The importance of the international reorientation of these countries toward Western Europe in general and the European Union in particular has been generally overlooked. This dissertation examines public opinion on the political and economic transformations within the framework of the direction of the international reorientations of the countries. The countries were divided into three categories, those that can be expected to be invited to join the European Union in the next enlargement, those that can be expected to join the European Union in a subsequent enlargement, and the countries not seeking European Union membership. Public opinion on democracy and the market economy and attitudinal factors that influence these opinions are compared in 16 countries in Central and Eastern Europe. The data are from the Central and East European Barometers 3-7 (1992 - 1996). The findings suggest that general opinions regarding satisfaction with democracy are not related to the status of the …

While a great deal of historical literature has concentrated on the effects of industrialization on town development, most of the accounts relate to the introduction of industrialization into an established town. This study attempts to analyze, in sociological terms, the effects of industrialization (in this case, the emergence of the railroad) on the social structure of Denison, Texas which was created by industrialization. It is an attempt to combine Marxian and Weberian theory to produce a multi-dimensional theory that can explain town development without the usual economic bias as evident in most contemporary theory. This study proceeds on the assumption that the social order of a newly formed community is not based solely on economic factors. While economic considerations were important for the town of the study, social stability of the town was maintained by other “non-economic” elements. The purpose of the study is to construct a composite theory that can be utilized to analyze town development. The thrust is not the creation of new theory, rather it attempts to combine existing “classical” theories to present a balanced and, to an extent, “objective” explanation of community development. Adding the social aspects of Weber's theory to Marx's theory results in a …

Several developing countries introduced family planning programs to reduce their population growth rates. The rapid spread of birth control programs in the developing countries was at times accompanied by measures which violated human rights. In response to the ethical violations and coercive policies on population control, toward the end of 1980s various international committees formulated a reproductive health approach to overcome the limited population control approach. Unlike other population control programs, the focus of reproductive health program is on “reproductive process,” where as the most immediate focus of family planning programs is on fertility. Although studies refer to reproductive health approach as an extension of fertility control approach, literature on reproductive health provides very few systematic approaches toward developing explanations of reproductive health. The current approaches on population control are influenced by the ideological shift towards a broad-based approach which involves fertility or family size as one of the components of reproductive health. The present study uses intermediate variables framework suggested by Davis and Blake to organize reproductive health explanations. The proposed framework suggests that the state of reproductive health is indicated by intercourse, conception, and gestation variables and assumes that reproductive health is a latent dimensional outcome indicated by …

Changes in income and representation in managerial occupations is explored separately for women and men among the United States' eight largest race/ethnic minority groups for each decennial census of 1960, 1970, 1980 and 1990 to determine how much change has occurred between 1960 and 1990 in race and ethnic inequality, and in gender inequality within each race/ethnic group. Insights from gender theory are applied to minority group inequality and insights from minority group theory are applied to gender inequality with some degree of success. Economic change is uneven among the groups, with the largest specific change being the movement of women into managerial jobs. A clear pattern also emerged indicating that the higher the average representation of a minority group in managerial jobs, the greater the gap between women and men. The income of all persons with income, however, did not exhibit such a clear pattern across the different groups.

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 …

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 focuses on four common factors believed to affect resistance to change in public organizations. It contributes to existing literature by examining the effect of higher education and trust on the police officer's level of resistance to change and the effects of participation and communication on trust. 286 police officers from two north Texas towns responded to the survey. Regression analysis and bivariate correlations were used to determine the relationship between, resistance to change, and participation, trust, communication, information, and education and the relationship between trust and the other independent variable. The analysis failed to support previous research, which listed participation as the most important factor, but did support the concept that participation and communication improved trust.

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 …

This study addresses the issue of household disaster preparedness. This work contributes two elements to disaster research. The first contribution improve the knowledge of the factors that affect household disaster preparedness. The review of literature yielded three categories of variables that can jointly explain household disaster preparedness: household structure, demographics, and risk-perception factors. In this study 19 variables compose these factors. A second contribution constitutes a theoretical exploration of the concept of disaster preparedness. In this work, four different constructs of disaster preparedness were tested. These constructs include material preparedness, preparedness activities, a combined index, and a weighted and combined index. The study presents the logic and methodology of the index construction and validation. The data used in this study came from households in the Montreal Urban Community (MUC) in Canada. A random sample of 1,003 English- and French-speaking heads of households adequately represents the 1.8 million persons within the MUC. An independent survey firm conducted the interviews in 1996. Results show that the weighted combined household disaster preparedness index constitutes the best construct to represent the concepts under study. Study results also reveal that risk-perception variables (attitudinal factors) offered the strongest explanatory power. Household structure and demographic variables collectively …