The effect of frequency of nursing home contact on family perceptions of quality care is the focus of this research. A family member characteristic, such as geographic distance from the nursing home, affects his or her frequency of contact with the nursing home. Frequency of contact, in turn, affects family perceptions of the care his or her loved one receives in the nursing home. The theoretical framework for this study is based on Allport's intergroup contact theory, which posits that when four contact conditions - institutional support, equal status, common goals, and intergroup cooperation - are present in an intergroup situation, a reduction in anxiety between groups is likely to occur. Regression analysis tested the stated hypotheses using survey data collected from 275 family members of residents in 10 Dallas-Ft. Worth area nursing homes. This study is among the first to quantify family geographic distance, finding that family geographic distance is a significant negative predictor of nursing home contact. Additionally, results build on Allport's theory by extending its' usefulness to nursing home organizations in two distinct ways. First, findings support Allport's premise that contact alone between groups - i.e., family members and nursing home staff - is insufficient for increasing …

This purpose of this dissertation was to examine the attitudes of retirees toward mental illness treatment. Secondary data from the Survey Research Center at the University of North Texas was utilized for this study. The focus was on the influence that gender, income, education, race/ethnicity, personal experience, fear, goodwill, and social control might have had on retirees' attitudes toward mental illness treatment. An n = 225 was selected out of the existing data to serve as the sample population. Binary logistic regression was utilized to analyze the data. Results indicated that the obtained significant findings were consistent with existing literature.

Improving the retention and graduation of African Americans and other minority groups in higher education is an important but highly politicized issue on college and university campuses. Prior studies emphasize the relationship between minority retention and achievement, cultural diversity, and racial policies and climates at predominantly White colleges and universities in the United States. In response to the need for further research, the effects of institutional actions related to diversity, minority group and African American retention, and social integration initiatives on African American graduation rates were examined for a national sample of United States (U.S.) colleges and universities. From a potential list of 7,018 colleges and universities, 2,233 met the inclusion criteria for the study. But necessary and complete information from national directories and the census could only be found for the final sample of 1,105. After dropping 30 outliers, several multiple regression analyses identified the institutional actions, social, and demographic factors that best predicted graduation rates. Public U.S. colleges and universities located in the Midwest region had lower African American graduation rates than private colleges and universities located in the South. Higher African American graduation rates occurred in colleges and universities with Black cultural centers, higher first-year retention rates, …

The purpose of this exploratory study was to examine resident, family member and staff perceptions of electronic monitoring and their effect on resident rights. The sample consisted of 53 nursing home residents, 104 staff and 25 family members, in the Dallas Fort Worth metroplex, from a nursing facility in which residents utilize video cameras in their rooms (Nursing Facility 1), two nursing facilities that have video cameras in their common rooms areas (Nursing Facility 2 and 3) and a nursing facility that does not utilize video cameras (Nursing Facility 4). The interview questions and self-administered surveys were in regard to the participant's perceptions of electronic monitoring, perceived risks and benefits of video cameras, awareness of resident rights and consciousness of potential risks to resident rights. Data were analyzed using a mixed methods approach using both ATLAS t.i and SAS. Study findings revealed that residents, family members and staff are aware of the potential benefits of electronic monitoring in nursing facilities. While respondents are hesitant to have electronic monitoring in resident rooms, they are interested in utilizing electronic monitoring in common areas. While residents and staff believe that electronic monitoring compromises resident rights, family members believe resident rights are protected. Different …

This study focuses on exploring the reasons behind dating choices concerning religion and race. Studies report that race is more important than religion in choosing dating partners. Understanding religious and racial dating preferences and choices can help uncover group relations in the larger society. The present study examines the reasons why someone may be willing to date a group outside their religion but not a group outside their race. A pre-interview survey questionnaire was used to locate interview participants. The first 20 respondents who met the specific criteria of being White, single, and a conservative Christian were selected for a qualitative phone interview. To qualify, the respondents needed to be willing to date at least one group that was not Christian, but unwilling to date certain groups outside their race. The interviews were transcribed and the content was analyzed for patterns and themes using the Grounded theory. The results revealed that all the respondents except one were unwilling to date a Black individual and five were unwilling to date any race but White. The least likely to be considered as dating partners for religious groups were the Muslims and atheists. For race, many of the participants viewed Hispanics and Asians …

Many college students have reported struggling with mental health problems while dealing with challenging demands of college. The initial theoretical framework for this research was Pearlin's stress process model (SPM). Building on the SPM, the three additional mediating variables of perceived control, meaninglessness, and financial worries were added to create a composite model for the research. Mental health outcomes in the model were measured by a comprehensive range of factors, which included: psychological distress, suicide, substance abuse, and anger. Data were collected from a non-probability convenience sample of 463 undergraduate students attending a large state supported university in the southwestern region of the United States. Among the social status variables measured, being married, female, and white were significant predictors of poor mental health in the sampled college students. Poor self-image, feeling of meaninglessness, and worrying about current and future finances were significant mediating variables. Poor mental health could make individuals overwhelmed and discouraged. This is a formula for failure in college. The results of this study contribute to a better understanding of the correlates of mental health problems among college students. A greater understanding means that families and college administrations will have better ideas about how to intervene to reduce …

This study examined if domestic violence shelters in Texas are responding to the needs of older female victims of intimate partner violence. Data for this study was collected through online questionnaire surveys of 45% of Texas domestic violence shelters. Findings of this study indicated that less than 10% of Texas shelters are providing specialized programming for older victims of IPV. In Texas, the demographic growth of older adults has remained comparable to increased national trends. The state of Texas will face several policy implications and social issues related to an older population that is rapidly growing. This includes, the importance of addressing certain members of an aging population who continue to fall victim to domestic violence. Furthermore, an unchanged resource of safety for victims of IPV is domestic violence shelters. Therefore, this study challenges current domestic violence shelter policies to address this issue of a rapidly growing segment of the Texas population. This study found less than 10% of shelters in Texas, who participated in this study, were providing specialized programming and outreach for older victims. Important practical implications for domestic violence shelter programming in Texas is provided.

The United States of America is a country composed of various ethnicities. This country is considered to be a multi-cultural society. There are various cultural traditions values, norms and superstitious practices within each ethnic group. Attitudes toward end of life care are complex and vary differently across each ethnic group. This study explored factors that explained African Americans' disproportionate use of hospice. Access to hospice care was address, experience with hospice was explored, and recommendations were provided. This study conducted non-experimental research. The design of this exploratory study was quantitative in nature. A survey approach was utilized to collect data that was statistically analyzed. The important concept was African American disproportionate use of hospice. The variable willingness to use was employed to try to explain African Americans' disproportionate use of hospice. The independent variables African Americans who mistrust formal healthcare providers and knowledge about hospice services were operationalized using multiple indicators. The independent variable experience with hospice services did not use a scale. The research findings supported all three study hypotheses. This research results recommend that an important focus of the future be to counsel persons on the availability of hospice as an option for end-of-life care. Well-structured programs of …

Marijuana is the most prevalent illicit drug used in the world and among Turkish juveniles. Although studies have examined marijuana use among Turkish juveniles, none has tested Hirschi's social bonding theory, one of the most frequently tested and applied criminological theories in the United States and other Western and developed countries. This study investigated the empirical validity and generalizability of Hirschi's theory to juveniles' marijuana use in Turkey, a non-Western and developing country. Data on 2,740 Turkish tenth grade students from the 2006 Youth in Europe survey were used. Results from binary logistic regression analyses were generally consistent with the propositions of Hirschi's theory and the findings of previous empirical studies. Regarding the attachment component of the theory, Turkish juveniles who lived in two-parent families and those who were closely monitored by their parents were less likely to have tried marijuana. In addition, teens who were strongly attached to their school and religion were also less likely to have used the drug. As for the commitment component, language grade was negatively associated with marijuana use. None of the involvement items had significant effects on marijuana use in the predicted direction. Participation in club sports had a positive effect on marijuana …

This dissertation examines the relationship between social structural factors and violent crime rates in Turkey. The relationship between social structural characteristics and violent crime is worth exploring in areas that have attracted little academic attention, such as violent crime in Turkey. In order to understand and prevent the occurrence of crime, researchers have long investigated possible factors related to crime. Examining how crime varies across different regions can help us to understand underlying reasons for violent crime, which is considered one of the enduring problems in society. The findings of this research, to some extent, support the assumptions of social disorganization theory regarding the distribution of violent crime. Both the findings of multivariate and bivariate analysis indicated that poverty, unemployment, and family disruptions may have a positive effect on the distribution of violent crime in the cities of Turkey. The analysis of the effects of the social structure variables through the mediating variables, such as religious institutions, libraries and voluntary associations on the number of violent crimes and violent criminals, to some extent, support the tenets of social disorganization theory. However, all mediating variables cannot mediate all the indirect effects of social structural covariates. In brief, none of their indirect …

The purpose of this dissertation was to understand how genetics, socioeconomic status (SES), and lifestyle factors influence the development of age-related macular degeneration (AMD), glaucoma, and diabetic retinopathy in an adult population in Dallas County. Two hundred fifty-three older adults participated in this study as the sample. Crosstabulation and binary logistic regression were utilized to analyze the data. Results indicated a disparity among participants' test scores, visual health status, and perceptions of their visual impairment and highlighted the fact that many seniors are not educated about age-related retinal disorders. Furthermore, variables reaching statistical significance were consistent with the literature included race/ethnicity, age, having a family history of both AMD and diabetes, frequency of eye exams, and level of education. The results not consistent with the literature as affecting visual health included health insurance, access to health care, body weight, and smoking status. Recommendations for future study included applied research focusing on determining risk factors, raising awareness, educating, and providing early detection of these diseases among low to middle income Caucasian, African American, and Hispanic older adults.

This dissertation is a mixed methods analysis investigating postpartum depression as it is experienced by self-reported depressed Mexican American adolescent and adult mothers. The qualitative portion of this study explores pregnancy and motherhood to better understand meanings attached to depression. Six adolescent and six adult mothers, were recruited from the Dallas/Fort-Worth area. Each was interviewed twice, using semi-structured interview guides. The quantitative phase utilizes a national sample of self-reported depressed Hispanic mothers to identify breastfeeding behavior and mothers' perceptions of the physical health of their babies. Specifically, a secondary analysis of the National Survey of Children's Health, 2003 was used to supplement the qualitative data. This study provides a theoretical framework of fragmented identity to explain socio-cultural factors contributing to postpartum depression among Mexican American adolescent and adult mothers. Common themes leading to a fragmented identify were indentified. Contributors to postpartum depression include: unplanned pregnancy, internal struggle between cultures, body image and family conflict. Stigma associated with teen motherhood also contributed to depression among adolescent mothers while the medicalization of childbirth was a contributing factor of depression among the adult mothers. Additionally, the duration of breastfeeding and mothers' perceptions of their babies' physical health were impacted by depression, but breastfeeding …

This analysis of secondary data collected from family members of nursing home residents in North Texas (n = 422) used a mixed methods approach to determine if there is a difference in perspectives on quality care among family members of Alzheimer’s/Dementia Special Care Unit (ADSCU) residents compared to those of non-ADSCU residents. Descriptive content analysis was used identify and condense responses to an open-ended question into four meaningful categories of qualities of care. An independent t-test was employed to determine if there was a difference between family members of ADSCU residents and family members of non-ADSCU residents regarding their rating of their loved-ones’ nursing home on the important qualities of care they identified from the open-ended question. Closed-ended questions were organized into indices of these qualities of care, and ordinary least square regression was employed to determine if there were significant differences between perceptions of family members of ADSCU residents and those of non-ADSCU residents regarding care their loved-ones are receiving on these qualities of care, controlling for frequency of visit.

The objective of this study is to investigate the variations in the type of trauma (post-traumatic stress disorder (PTSD) and disorder of extreme stress not otherwise specified (DESNOS) resulting first from group membership, and second from variations in socioeconomic status, and last, from exposure to physical and psychological methods of interrogation due to imprisonment. I use a diverse sample of 202 child ex-detainees who served sentences in Israeli prisons and were 17 years of age or less at the time of arrest. Various regression techniques were utilized to determine the most parsimonious way to distinguish between the three groups in their trauma responses. The key finding in this study is that child refugee ex-detainees living in refugee camps, in general, did not report PTSD or DESNOS reactions compared to their counterparts. Continuing PTSD and DESNOS symptoms were more prevalent among the group of refugees living outside the camps. However, there is at least one finding that supported what I hypothesized: refugees living in camps were more likely to experience elevated levels of alterations in attention or consciousness (DESNOS2). For refugees in camps, the DESNOS absence tells us that the volatile childhood these children experienced was not associated with severe pathological …

What influence Alevi-Sunni intermarriage has on spouses’ individual religious affiliation after marriage was the initial research question addressed in this study. No official or unofficial data exist regarding the Alevi-Sunni intermarriage in Turkey. This study responded to the need to describe extant relationships by using a qualitative approach to gather detailed information from a sample of married couples in Corum city, Turkey. A case study method was applied to a sample of ten couples. Couples were selected using snowball and purposive sampling techniques. A team of researchers conducted forty face-to-face interviews. Each of the ten husbands and ten wives in Alevi-Sunni intermarriages were interviewed twice using semi-structured questionnaires. Additional demographic and observational data were gathered. Spouses in the Alevi-Sunni intermarriages sampled did not change their religious affiliation after marriage. The spouses reported few if any problems in their marital relationships and in child rearing. However, spouses did report many problems with parental families, in-laws, and other relatives. The disapproval and punishments from extended family members are related to the social stigma attached to Alevi-Sunni intermarriages. However, intermarriage, modernization including secularism and pluralism are challenging this stigma. Because of this transition further interdisciplinary studies on Alevi-Sunni intermarriage that explore different dimensions …

This study provides a measurable model of the concept of place vulnerability for HIV/AIDS that incorporates both community and structural level effects using data provided at the ZIP code level from the Texas Department of State Health Services. Sociological literature on the effects of place on health has been growing but falls short of providing an operational definition of the effects of place on health. This dissertation looks to the literature in medical/health geography to supplement sociology’s understanding of the effects of place on health, to the end of providing a measurable model. Prior research that has recognized the complexity of the effects of place still have forced data into one scale and emphasized individual-level outcomes. A multilevel model allows for keeping the associated spatial unit data, without aggregating or parsing it out for convenience of model fit. The place vulnerability model proposed examines how exposure, capacity and potentiality variables all influence an area’s HIV/AIDS count. To capture the effects of place vulnerability at multiple levels, this dissertation research uses a multilevel zero-inflated poisson (MLZIP) model to examine how factors measured at the ZIP code and county both affect HIV/AIDS counts per ZIP code as an outcome. Furthermore, empirical Bayes …

The primary focus of this study is to investigate the effects of social control mechanisms on public order crimes in Turkey. Supporting efforts of parochial control is a rising trend in crime control activities. Statements regarding the relationship between social disorganization variables, parochial control variables, and spatial distribution of crime have long been studied by researchers. Using the same assumptions in this study, I test their applicability to public order crimes in Turkey. The poverty and residential mobility variables had significant positive effect on public order crimes holding other structural and parochial variables constant. The number of public order crimes seems to be higher in provinces where there are more disrupted families. The number of public order crimes seems to be lower in provinces where there are more religious institutions. Overall, the results reveal that social structural variables and parochial control factors affect the institutional bases of provinces and partly affect the occurrence of public order crimes. Based on the study findings, several policy implications and recommendations for future research are suggested.

Organized crime and terrorism taking place in the Turkish provinces get more attention in the public agenda than other type of crimes. Although property crimes receive less attention, they pose a serious threat to public order and the social welfare of Turkish society. Academic researchers have also paid little attention to the analysis of property crimes at the macro level in Turkey. For these reasons, this study focused on the analysis of property crimes for three years period, 2005, 2006 and 2007 in Turkey, using a conceptual model of social disorganization. Provincial level data from Turkish governmental agencies were used. The findings of multivariate analyses showed that social disorganization approach, as measured in this study, provided a partial explanation of property crime rates in Turkey. Family disruption and urbanization had significant effects on property crime rate, while remaining exogenous elements of social disorganization (i.e., SES, population heterogeneity and residential mobility) did not have any expected effects. In mediation analysis, using faith-based engagement and political participation rates as mediators between the structural factors of social disorganization and property crime rate provided marginal support for the theory. Political participation rate partially mediated the relationship between property crime rate and urbanization rate, while …

Every day, individuals commit acts which are considered immoral, unethical, even criminal, often to gain material advantage. Many people consider cheating on taxes, cheating on tests, claiming false benefits, or avoiding transport fare to be wrong, but they do them anyway. While some of these acts may not be formally illegal, they are, at best, considered morally dubious and is labeled “everyday crime.” Anomie theory holds that individuals make decisions based on socialized values, which separately may be contradictory but together, balances each other out, producing behavior considered “normal” by society. When one holds an imbalanced set of values, decisions made on that set may produce deviant behavior, such as everyday crime. RD theory holds that individuals who perceive their own deprivation, relative to someone else, will feel frustration and injustice, and may attempt to ameliorate that feeling with deviant behavior. Data from the 2006 World Values Survey were analyzed using logistic regression, testing both constructs concurrently. An individual was 1.55 times more likely to justify everyday crime for each calculated unit of anomie; and 1.10 times more likely for each calculated unit of RD. It was concluded from this study that anomie and relative deprivation were both associated with …

This study assessed falls efficacy and confidence-related changes among participants attending the a Matters of Balance/Volunteer Lay Leader (AMOB/VLL) falls prevention program for older adults, based on their residential location. Data were examined from 431 older Texans enrolled in AMOB/VLL during a two-year period, and assessed at baseline and post-intervention. Results indicate that participants significantly increased falls efficacy, reduced activity interference due to their health, and decreased the number of days limited from usual activity. Regression models show that participants, despite entering the program with lower reported health status, reported greater rates of positive change for falls efficacy and health interference compared with their baseline pre-intervention counterparts. Overall program attendance and attendance at major sessions showed the greatest influence. Findings contribute to the understanding of cognitive restructuring and strengthening variations with falls prevention program outcomes.

Promoting physical activity in older adults is an important part of healthy aging. With an increasing older foreign-born population in the United States, there is limited information on physical activity participation in this group and even less for those experiencing difficulties in physical functioning and chronic illnesses. The primary objective of the study was to determine how physical factors, psychological issues, chronic illnesses, pain symptoms, perceived health status, and number of years living in the U.S. influence physical activity participation in older foreign-born respondents. The secondary objective was to identify the difference of predictors of physical activity participation between older foreign-born and older native-born respondents. The study is based on data collected from the National Health Interview Survey (NHIS) conducted from 2002 to 2009 for adults aged 50 or older. Ordinal logistic regression analysis was used to predict and explain the physical activity participation in older foreign-born respondents. Factors associated with more physical activity participation included a higher level of education, more time living in the U.S., more positively perceived health status, and having at least one chronic illnesses, or pain symptoms. Having more difficulties in physical functioning caused older foreign-born respondents to participate less in physical activity. This study …

Access to healthcare is needed and wanted by people of all ages and especially by those of the older population. The number of people in the 65 years of age and older population is rapidly growing with their needs expected to have a significant impact on the existing healthcare system and healthcare providers. The impact will be critical given the severe shortage of healthcare providers, especially of nurses and the rate of services being more often provided in non-hospital settings. The objectives of the study were to discover the plans of graduating nursing students as they choose their first place of employment, if they have future plans to pursue a nursing advance practice degree, and if they are very happy with their decision to become a nurse. Data for the study were obtained from a questionnaire presented to senior graduating nursing students. The findings were: (a) Most students prefer a hospital setting. (b) Younger students are three times as likely to seek out the hospital, and 1/3 of the students seek out the hospital setting because they were encouraged to become a nurse. (c) About 70% of the students want to work with their friends while 1/3 will seek the …

HIV/AIDS can affect individuals of any age. Efforts to educate those considered to be most at-risk, based on the age at which the most individuals are infected, are ongoing and public. Less work and mainstream education outreach, however, is being directed at an older population, who can be more likely to contract HIV, is more susceptible to the effects of HIV, and more likely to develop AIDS, than younger persons. Guided by the Health Belief Model theory, research was conducted to determine what, if any, relationship existed between age of an individual and the possibility that an HIV test will be sought. Factors of gender, education, ethnicity and marital status were included in analyses. the research indicated that as age increased, likelihood for getting an HIV test decreased. Overall, most individuals had not been tested for HIV. the implications of an aged and aging population with HIV include a need for coordinated service delivery, increased education and outreach.

This research study examines the decreased agitation level utilizing nonpharmacological therapeutic interventions in dementia patients, age 65 and older. The study examined the following question: Will a therapeutic art program diminish agitated behaviors in persons diagnosed with dementia, aged 65 and older? In this quasi-experimental research design, the sample consisted of 19 participants in 3 groups, selected using these criteria: must be receiving services from a long term care facility, be diagnosed with dementia, display agitated behaviors, and be age 65 and older. This research measures the reduction of agitated behaviors in demented patients with the use of a therapeutic art program. The therapeutic art group pretest, midtest and posttest means were separated into Factor 1: aggressive behavior, Factor 2: physically nonaggressive behaviors, and Factor 3: verbally aggressive behavior. A multivariate analysis of covariance (ANCOVA) was conducted on the data for Factor 1, Factor 2, and Factor 3. The ANCOVA was not statistically significant for Factor 1. The ANCOVA indicated statistically significant findings when using a one tailed test for Factor 2 and Factor 3. The ANCOVA indicated statistically significant findings using a two tailed test for overall agitation. These findings inform professionals about the efficacy of therapeutic art programs …