Dissertations / Theses on the topic 'Mortality – United States – Sociological aspects'

The objective of this study was to examine if intra-racial income inequality contributes to higher infant mortality rates (IMRs) for African-Americans. The conceptual framework for this study is derived from Richard Wilkinson's psychosocial environment interpretation of the income inequality and health link. The hypotheses examined were that race/ethnicity-specific IMRs are influenced by intra-race/ethnicity income inequality, and that these effects of income inequality on health are mediated by level of social mistrust and/or risk profile of the mother. Using state-level data from several sources, the 2000 National Center for Health Statistics Linked Birth Infant Death database, 2000 U.S. Census, and 2000 General Social Survey, a number of regression equations were estimated. Results indicated that the level of intra-racial/ethnic income inequality is a significant predictor of non-Hispanic Black IMRs, but not the IMRs of non-Hispanic Whites or Hispanics. Additionally, among Blacks, the effect of their intra-racial income inequality on their IMRs was found to be mediated by the risk profile of the mother, namely, the increased likelihood of smoking and/or drinking and/or less prenatal care by Black women during pregnancy. Implications of the findings are discussed.

This study analyzes the concept of auditor independence and develops a theoretical model for examining an auditor's independence and the methods that can be used to assess, instill and maintain independence. In addition, this research reports the results of an empirical test of a portion of the model. In this work, independence is described as a multifaceted concept that includes both independence in appearance and independence in fact. By incorporating literatures from economics and sociology, relationships between these two forms of independence are developed to show that the observable structures and behaviors of the profession (independence in appearance) form the basis for implying the level of an individual auditor's independence (independence in fact). In this context, independence is operationally defined as: an auditor's perceived right to make audit judgments free from client and firm influences. The model further suggests that the observable structures of the profession form the socialization contexts for an individual's professional development. A survey of newly hired employees from five national accounting firms was conducted to examine the multidimensional aspects of auditor independence and the link between educational socialization processes and professional development. The results provide some support for the theoretical model and provide a basis for refining the linkages between educational socialization and professional development.

This study sought to explore the lived experiences of five female, first-generation, low-income students who attend a metropolitan commuter university, and investigate how a structured undergraduate research experience exerts influence on the women's academic and social involvement. A qualitative case study with a narrative and grounded theory analysis was selected as the most appropriate approach for exploring this topic and addressing the guiding research questions. Interview and journal data were collected and analyzed to identify significant themes. The importance of finding an academic home, the significance of interacting with faculty and peers, and the validation of a metropolitan commuter university education through a scholar development process emerged as significant findings. Implications and recommendations on programmatic and institutional levels are included, as well as suggestions for future research.

Belly dance classes have become increasingly popular in recent decades in the United States. Many of the predominantly white, middle-class American women who belly dance proclaim that it is a source of feminist identity and empowerment that brings deeper meaning to their lives. American practitioners of this art form commonly explain that it originated from ritual-based dances of ancient Middle Eastern cultures and regard their participation as a link in a continuous lineage of female dancers. In contrast to the stigmatization and marginalization of public dance performers in the Middle East today, the favorable meaning that American dancers attribute to belly dance may indicate an imagined history of this dance. Based on ethnographic fieldwork conducted on the West Coast of the United States and Morocco in 2008-2009, I explore American belly dance utilizing theoretical contributions from feminism, Foucauldian discourse analysis, and postmodernism. I argue that an anthropological investigation of American belly dance reveals that its imagery and concepts draw from a larger discourse of Orientalism, connected to a colonial legacy that defines West against East, a process of othering that continues to inform global politics and perpetuates cultural imperialism. But the creative identity construction that American women explore through belly dance is a multi-layered and complex process. I disrupt the binary assumptions of Orientalist thinking, highlighting the heterogeneity and dynamic quality of this dance community and exploring emergent types of American belly dance. Rather than pretending to be the exotic Other, American belly dancers are inventing a new exotic Self. This cultural anthropological study contributes to a greater understanding of identity and society by demonstrating ways that American belly dancers act as agents, creatively and strategically utilizing discursive motifs to accomplish social and personal goals.

Sociologists of punishment generally agree that the American prison exacerbates social inequality, but the mechanisms by which it does so remain somewhat fuzzy. This thesis pulls from the tradition of Pierre Bourdieu (1930-2002), a canonical theorist of power and inequality, and specifically his three "thinking tools" of field, capital, and habitus, to unveil these mechanisms. Empirically, I turn to ethnographic data I collected in a minimum-security men's prison that is generally reserved for convicts who will be released to one of the three most populated counties in Oregon. I explore how soon-to-be-released prisoners (i.e., prisoners who will be released within six months) understand and prepare for their exit. Data suggest most prisoners approaching release want to adopt an honest working class style of living, and that many take proactive steps they perceive as likely to increase their chances of accessing this lifestyle (sometimes called the "straight life"). However, I argue that any (re)integrative potential emerging from these conscious and interest-oriented strategies are at risk of being trumped by two processes I title "capital erosion" and "habitus adjustment." I frame these as unintended, but nevertheless strong, consequences of imprisonment. Ultimately, I suggest imprisonment worsens existing patterns of inequality by means of draining power from the nearly powerless and disintegrating the poorly integrated.

The purpose of this phenomenological study was to understand how pre-tenure female faculty members perceived their socialization experiences into the culture of higher education. This study viewed higher education as a distinct culture where members underwent socialization processes such as enculturation and acculturation throughout the pre-tenure years. Participants were eight pre-tenure female faculty members from Midwestern land grant institutions. Women were interviewed for 90-120 minutes on one occasion. Data was analyzed using the Constant Comparative Method (CCM).The women's perceptions resulted in four emergent themes: Balance, Place, Support, and Trust. Balance contained the themes of Workload, including promotion and tenure and time, and Roles, including sub-themes of personal and professional roles. Place described women's feelings of fit regarding age, sex, their student response and their personal response to their culture. Support highlighted people, groups and mentoring perceived as influential in their socialization. Lastly, the theme of Trust emerged as a key element of their cultural understanding regarding higher education. These pre-tenure female faculty members perceived socialization as filled with incongruency, uncertainty and rejection, and political astuteness. The women felt incongruence in terms of their personal values and those values rewarded professionally. The women's socialization was shaped by uncertainty in the promotion and tenure process and in where to put their time and energy. In addition, the women described the need for political astuteness in their professional communications and actions during their pre-tenure years. These perceptions werefurther examined through post-colonial feminist theory. The emphasis post-colonial feminist theory places on power and voice in the historically male-dominated system of higher education informed the analysis. This led to the argument for Boyer's (1990) reconstruction of scholarship as an opportunity for women to become co-creators of an environment which better promotes congruency between their personal values with elements evaluated for professional success.Embracing Boyer's (1990) concepts for re-conceptualizing scholarship may offer a potential solution which would allow the women to experience more integrated lives instead of disparate circles of personal and professional activity. Integrated lives would ease their adjustment in these pivotal pre-tenure years.
Department of Educational Studies

In this thesis, I address the dichotomy between liberal arts education and terminal vocational training in the American community college. The need is for reform in the community college in relation to philosophical instruction in order to empower citizens, support justice and create more sustainable communities. My call for reform involves a multicultural integration of philosophy into terminal/vocational programs as well as evolving the traditional liberal arts course to exist in a multicultural setting. Special attention is focused on liberating the oppressed, social and economic justice and philosophy of education.

In the United States there exists a clear and disconcerting racial disparity in the distribution of good health, which can be seen in differential levels of morbidity and mortality affecting blacks and whites. Previous research has examined the role of SES in shaping racial health disparities and recent studies have looked specifically at the effect of education on health to explain the racial disparity in health. Higher levels of education are robustly associated with good overall health for both blacks and whites and this association has been examined over the life-course. This research explores racial differences in the effect of education on health in general as well as over the life-course. Specifically, this paper examines race differences in the effects of education on health over the life-course. Pooled data from the National Health Interview Survey were analyzed using multivariate logistic regression to estimate the effects of race, education and age on health. The results of these analyses indicate that blacks receive lower education returns on their health than whites. The effect of education on health was shown to grow in the beginning of the life-course and diminish at the end of the life course in accordance with the mortality-as-leveler hypothesis. The black white health disparity was shown to grow over the life-course among the highly educated, whereas the disparity was consistent over the life-course for the poorly educated.

In 2007, juveniles were involved in a minimum of 1,063 murders in the United States (Federal Bureau of Investigation, 2008), and a concern over juvenile homicide offenders remains. While increasingly more macrolevel research on juvenile homicide offending has been accumulated, particularly since the 1980s, research focusing on macrolevel correlates of juvenile homicides is still relatively scarce (MacDonald & Gover, 2005; Ousey & Campbell Augustine, 2001). In the first part of this study, several variables relating to the offender, victim, setting, and precursors to the homicide by race and gender were examined in order to provide details on the context of youth homicides between 1965 and 1995 in Chicago. The Homicides in Chicago, 1965-1995 data set and Census data for 1970, 1980, and 1990 were used in this study. The results indicate that changes in youth homicides over the 31-year time period involved increases in lethal gang altercations, particularly among Latinos, and increases in the use of automatic weapons. Young females had very little impact on homicide rates in Chicago. The second part of the study examined whether measures of social disorganization can aid in the prediction of homicides committed by youths, and a total of ten negative binomial models were run. The results of the analyses in the three time periods indicate that racial/ethnic heterogeneity, educational deprivation, unemployment, and family disruption are significantly and positively related to homicides. Foreign-born population and median household income were found to be significantly and negatively related to homicides. The significant indicators of social disorganization varied in the seven models for the disaggregated groups. Overall, the results reflect support for social disorganization theory. Limitations, suggestion for future research, and policy implications are also addressed.
Ph.D.
Department of Sociology
Sciences
Sociology

Today, raising children under the best of circumstances represents a daunting endeavor as any parent and a growing body of research confirm. When a single parent is on active duty in one of the U.S. armed forces, there are additional challenges involved that may not exist among civilian counterparts. The phenomenon of single parents on active duty with its unique difficulties associated both with single parenting and with military service was the basis of this study. The purpose of the research was twofold: to describe the experiences of Air Force single parents as related to social support and work-life theory in the context of bureaucracy and to use that understanding to identify needed improvements in support services. The specific aim of this study was to gain an understanding of single parents in the military through a phenomenological approach. Purposive sampling was utilized to identify the 13 participants. The central question for the study was the following: What are the experiences of single parents serving on active duty in the United States Air Force? The seven themes that were identified as part of the single parent experience were: (a) transition to single parent in the Air Force, (b) better life (c) parental responsibilities, (d) work responsibilities, (e) support provided by the work organizations, (f) informal social supports, and (g) work-life conflict. Major findings include the importance of family-friendly supervisors that alleviated work-family conflict. Participants also noted the military family as being significant to their adjustment and acceptance of military life. Finally, participants were seeking a better life for themselves and their children by either joining as a single parent or deciding to stay as a single parent. This study offers an opportunity to change policy and practice to enhance and encourage the retention of single parents. One application of study findings is the reexamination of the Family Care Plan to alleviate work-family conflict. Another area identified for practice enhancement is the education and training of family-friendly supervisors.

Thesis (MA (Political Science))--Stellenbosch University, 2009.
ENGLISH ABSTRACT: Over the past few decades the secular world has witnessed an increasing assault, specifically from the monotheistic religious fundamentalist community, on their beliefs and values. The undeniable intolerance shown by the religious fundamentalist community has often translated into violent terrorist attacks against the secular world. The fact that religious beings can resort to such atrocious acts of violence has certainly baffled many onlookers. It surely comes as no surprise that religious fundamentalism is generally viewed as a ''hard-to-understand‟ phenomenon. This literature review will describe the ''hard-to-understand‟ phenomenon that is religious fundamentalism by employing social identity theory. The social identity of religious fundamentalists is generally derived from sacred texts and what they consider to be absolute truths. These presumed absolute truths not only provide ample opportunity for the development of the ''us‟/''them‟ duality, but also provide a platform for an intense intolerance of the ''other‟, also referred to as the out-group. Of course, the ''us‟/''them‟ duality can be created on many social dimensions, but religion has proven to bring quite an extensive, even murderous, intolerance to in- and out-group characterizations. The ever increasing actions of religious fundamentalist groups over the past few decades have certainly illustrated this point with some conviction. The importance of social identity has been recognised in many major traditions of the social sciences, not excluding political science. Social identity forms the basis of any group‟s actions or reactions. Therefore, its significance stretches far beyond simply providing an identity to a social group. Social identity also acts as a preamble to how a social group, in this case religious fundamentalists, chooses to deal with invidious comparisons. By employing social identity in this particular way we can go beyond investigating how religious fundamentalists act and react to the point of understanding why they act and react the way they do. In this study it was found that although a number of options to deal with invidious comparisons are available to social groups, only a few of these options are likely to be pursued by religious fundamentalists in order to remain a relevant and competitive social group within the social hierarchy. This approach will provide important insights into a formerly ''hard-to-understand‟ phenomenon namely religious fundamentalism.
AFRIKAANSE OPSOMMING: Oor die laaste paar dekades het die sekulêre wêreld 'n toenemende aanslag op sy oortuigings en waardes waargeneem, spesifiek vanaf die monoteïstiese godsdienstige fundamentalistiese gemeenskap. Die onloënbare onverdraagsaamheid wat deur hierdie godsdienstige fundamentalistiese gemeenskap getoon word ontaard dikwels in geweldadige terroriste aanvalle op die sekulêre wêreld. Die feit dat godsdienstige individue hulself begwewe tot sulke wreedaaardige dade van geweld het verseker baie toeskouers verydel. Dis is sekerlik dan nie 'n verrassing dat godsdienstige fundamentalisme gesien word as 'n ''moelik-om-te-begryp‟ fenomeen nie. Hierdie literatuur oorsig sal die ''moelik-om-te-begryp‟ fenomeen wat godsdienstige fundamentalisme is beskryf deur gebruik te maak van die sosiale identiteits teorie. Die sosiale identiteit van godsdienstige fundamentaliste spruit oor die algemeen uit heilige teks en absolute waarhede. Hierdie absolute waarhede bied nie slegs ruim geleenthede vir die ontwikkeling van die ''ons‟/''hulle‟ dualiteit nie, maar bied ook 'n platform vir 'n intense onverdraagsaamheid van die 'ander‟, wat ook verwys word na as die buite-groep. Natuurlik kan die ''ons‟/''hulle‟ dualiteit op grond van baie ander sosiale dimensies ontwikkel word, maar godsdiens het telke male al gedemonstreer dat dit 'n omvattende, selfs moordadige, onverdraagsaamheid na binne- en buite-groep karakterisering bring. Die al ewige toenemende aksies van godsdienstige fundamentalistiese groepe oor die laaste paar dekades illustreer sekerlik hierdie punt met oortuiging. Die belangrikheid van sosiale identiteit word erken deur verskeie tradisies van die sosiale wetenskappe en politieke wetenskap word nie hier uitgesluit nie. Sosiale identiteit vorm die basis van enige groep se aksies en reaksies. Vir hierdie rede strek die betekenisvoheid ver verby die feit dat slegs 'n identiteit aan 'n sosiale groep verskaf word. Sosiale identiteit tree op as 'n voorrede vir die manier waarop 'n sosiale groep, in ons geval godsdienstige fundamentaliste, verkies om onbenydenswaardige vergelykings te hanteer. Deur sosiale identiteit op hierdie besondere manier aan te spreek kan ons verder gaan as om slegs ondersoek in te stel in hoe godsdienstige fundamentaliste optree en reageer tot die punt waar ons kan verstaan hoekom hulle optree en reageer op hierdie spesifieke manier. In hierdie studie is gevind dat alhoewel daar 'n aantal opsies beskikbaar is vir sosiale groepe om onbenydenswaardige vergelykings te hanteer, is daar slegs 'n paar van hierdie opsies wat mees waarskynlik nagestreef sal word deur godsdienstige fundamentaliste ten 'n einde 'n relevante en kompeterende sosiale groep binne die sosial hïerargie te wees. Hierdie benadering sal belangrike insigte bring tot die voormalige 'moeilik-om-te-begryp‟ fenomeen genaamd godsdienstige fundamentalisme.

The purpose of the current study was to examine delinquent pre-adolecents. It was hypothesized that both predictor variable [exposure to community violence (number of events; preception of events) and stressful life events (number of events)] would impact delinquent behavior (violent thoughts, violent behaviors, and promiscuity).

Wealth has been found to be associated with financial wellbeing in ways not captured by income as well as increased social connections, improved physical and mental health, and increased emotional, cognitive, and behavioral development among children. Preliminary research indicates that a gender disparity in net worth exists in the U.S. However, research in the U.S. thus far has been limited to unmarried households. Research conducted in Germany finds that the gender wealth gap is substantially larger among married households as compared to unmarried households. Using the 2008 panel of the Survey of Income and Program Participation, this dissertation is the first to examine whether the same is true in the U.S. This dissertation is comprised of three papers: Paper 1 descriptively examines the individual wealth holdings of men and women among married, widowed, divorced, and never married individuals. Results further consider the intersectionality of gender and race in relation to asset ownership and liabilities. Paper 2 provides the first examination of the determinants of the gender wealth gap in the U.S. among the married as well as the unmarried. Blinder-Oaxaca decompositions are conducted in order to examine how much of the gender wealth gap can be explained by labor market characteristics, education, demographic characteristics, and receipt of benefits. DiNardo, Fortin, and Lemieux decompositions are additionally conducted to determine if determinates differ across the wealth distribution. Paper 3 is the first attempt to merge the gender earnings and net worth disparities literature. Weisbrod & Hansen (1968)’s augmented earnings measure is utilized to combine net worth and earnings into one annual measure. Annual earnings, net worth, and augmented earnings are descriptively compared. Paper 1 multivariate results indicate that divorced and never married women own less than $0.30 of wealth for each dollar owned by comparable men while married women own $0.92 for each dollar owned by married men. Black women experience a substantially larger gender wealth gap. Paper 2 finds that the gender wealth gap among divorced and unmarried individuals is not explained by the characteristics listed above and is instead primarily attributable to differences in the rewards or penalties men and women receive for characteristics. Among married individuals, the gender gap can be explained largely by differences in characteristics, particularly labor market characteristics. Paper 3 finds that the gender gap in augmented earnings very slightly increases the disparity as compared to earnings alone. Results indicate that the gender wealth gap among married individuals in the United States is substantially smaller than among unmarried individuals. Paper 2 indicates that for the most part, married couples share assets and debts. The remaining differences in wealth may then be a direct result of the division of labor as determined by the labor market characteristics. Racial differences in the gender wealth gap are stark and particularly concerning. Lastly, Paper 3 indicates that although the augmented earnings measure increased gender disparities only slightly, it suggests that the gender wealth gap captures additional aspects of disparities not captured by earnings. Future research is needed to determine the impact this disparity has on wellbeing.

Meanings when consuming sport are socially constructed, culturally patterned, and cognitively organized. In order to identify common elements and explore national differences in the meanings of sport consumption, this study used the Zaltman Metaphor Elicitation Technique (ZMET) to interview fans of professional basketball in the United States and China. Sixteen fans of professional basketball from each country were interviewed. Six categories of themes emerged from the interview data. They were: fanship socialization, fanship in life, the NBA/CBA interpretation, sport definition, identity orientation, and experience orientation. A model of fanship meaning and structure was then developed to represent fanship across the two national cultures. The model reveals that sport fanship can be conceptualized as mental maps with largely universal and interconnected cognitive constructs substantiated with meanings woven into fabrics using threads derived from the fans’ social and cultural contexts. Because of this social and cultural embeddedness, there is substantial cross-cultural variation in the ways that sport is interpreted. In particular, the two national groups have developed different definitions of what it means to be a fan. Americans focus on the team’s symbolic representation of their home city whereas Chinese see their connection with basketball-as-a-sport to be central to their fanship. This is a result of variation in the ways that fans were socialized into sport, the social significance of sport, and the fact that most Chinese fans follow NBA teams. The differences in fanship definition consequently exert cascading effects on the ways fans identify with basketball and experience the game. Findings of this study piece together different research streams to render a holistic conceptualization of fanship across the social, cultural, and psychological spheres. Based on the findings, a research program for a Sport Consumption Culture Theory (SCCT) was conceptualized. It is proposed that an emphasis on symbolism enabled by sport for identity construction and the characteristics of sport as consumption objectives form the core of a SCCT research program, and distinguish it from the general consumer research.
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Families of remarriage constitute a growing number of American families. The spiraling divorce rate of the 1970s was accompanied by a concomitant increase in the number of remarriages. Forty percent of American families today contain at least one spouse that has been previously married, thus studying relationships within families of remarriage is crucial to understanding the experiences of both children and adults in American families. This study uses a life-span perspective to examine the qualitative accounts of 62 women 43 of whom divorced, spent some time as a single parent of at least one child, and remarried and 19 of whom had divorced and did not remarry. Some of those women also had a remarriage end in divorce. Both qualitative and quantitative analysis techniques were used to both explore relationships within families of remarriage, and differences between those women that remarried and those who remained single parents. Quantitative analyses revealed that women who did not remarry were better educated and had more conflict with their former spouse over time. Women who were younger when they became a single parent for the first time, had more children, had jobs rather than careers, and had less education reported more marriages overall. Qualitative analyses showed that particular problem areas in families of remarriage centered around the adjustment period between the children and the new partner, finances, and communication. Remarriages that failed were characterized by problematic relationships between children and their mother's partner. As this was predominantly a white, middle-class sample, generalizations to other populations should be made with caution. Directions for future research are discussed.
Graduation date: 1994

Indiana University-Purdue University Indianapolis (IUPUI)
Background: Emile Durkheim (1897/1985) theorized that sociological variables (e.g., social, political, economic) are more helpful for understanding suicide than individual or psychological explanations. This study extends the previous sociological work on suicide by testing a theoretical model that includes economic, political, and social variables. The purpose of this study was the development and testing of a predictive model of firearm suicide among the general population and among older adults in the US.

Long-haul truck drivers are absent from their families for prolonged periods of time. This paper examines the methods trucking families use to remain connected given such absences. Interviews with ten women married to long-haul truck drivers underwent qualitative analysis. Initially, personal profiles were developed to illustrate life experiences of the women. While the trucking industry set the context, the families decided how to cope with the lifestyle. Patterns of coping strategies developed by the families were described by the women. Coping strategies did not result from the efforts of one individual. All family members contributed to it in a dynamic process. One instrumental source of support was the driver's trucking company. Support systems instrumental in helping families utilize coping mechanisms were identified. Women used ambivalent thought to resolve negative emotions. In addition, an environmental analysis that compared the homes of the women and the homes of non-truckers was conducted to determine whether trucking women's homes reflected their lifestyle and attitudes toward their husband's absence. The trucking family engages in an atypical lifestyle, yet their issues are similar to those experienced by families whose husbands and fathers are home every night. Trucking families continually seek to find methods that allow them to think of themselves as normative.
Graduation date: 1999

Ideals of freedom, independence, and land ownership helped form and perpetuate the mythology of ranching in the United States. However, stereotypes emerged as a result of distortion from the media and the move away from the land. Social philosophies changed regarding the environment, land use, and the health and safety of the food supply in the late 20th century. In relation to the mythology, stereotype, and social theory regarding the ranching culture, this research seeks to clarify the fundamental principles, business philosophy, lifestyle, and values of men and women raising beef as a food product on both public and private lands in the 1990's. The mythology surrounding ranchers and cowboys are the result of three historical periods in the United States; however, the last 100 years have had the most profound effect in developing stereotypes. In this survey, 42 ranchers in Lake County, Oregon and Modoc County, California describe the challenges, satisfactions, and the partnership with Nature that is part of their livelihood in the harsh, high desert environment of eastern Oregon and northeastern California. The low ratio of private ground in these counties creates a dependency on use of public lands for grazing. This use if often stereotyped as "welfare ranching," without computation for other variables that make it comparable with private leasing. Historically, the Taylor Grazing Act authorizes fee grazing between ranchers and the U.S. government, but current philosophy has shifted its view of free enterprise on public lands, terming it "resource extraction." Although ranching is high in risk and low in economic return, ranchers stay in the business because they value freedom, hard work, family cohesiveness, and the interaction with Nature and the land. The future of ranching is challenged by environmental policy, government agency relations, public opinion, the high cost of land and production, and a lack of unity in the beef industry. To survive, ranchers need to unify, sharpen communication skills, provide education about ranching practices to the public, and become service-oriented as an organization to change stereotype and meet the social criteria of the next century.
Graduation date: 1998

The rise in America’s drug poisoning rates has been described as a public health crisis and has long been attributed to the rapid rise in opioid supply due to increased volumes of medical prescribing in the United States that began in the mid-1990s and peaked in 2012. In 2016, the introduction of the “deaths of despair” hypothesis provided a more nuanced explanation for the rising rates of drug poisoning deaths: increasing income inequality and stagnation of middle-class worker wages, driven by long-term shifts in the labor market, reduced employment opportunities and overall life prospects for persons with a high school degree or less, driving increases in “deaths of despair” (i.e., deaths from suicide, cirrhosis of the liver, and drug poisonings). This focus on economic and social conditions as capable of shaping geospatial differences in drug demand and attendant drug-related harms (e.g., drug poisonings) provides a larger context to factors potentially underlying the heterogeneous distribution of prescription opioid supply across the United States. However, despite the likelihood that economic and social conditions may be important demand-side factors that also interact with supply-side factors to produce the rates of fatal drug poisonings, little information exists about the effect of area-level socioeconomic conditions on fatal drug poisoning rates, and no study has investigated whether socioeconomic conditions interact with prescription opioid supply to affect area-level rates of fatal drug poisonings. The overarching goal of this dissertation was to test the independent and joint effects of supply- and demand-side factors, operationalized as prescription opioid supply and socioeconomic conditions, on fatal drug poisoning in the U.S. First, a systematic review of the literature was conducted to critically evaluate the evidence on the ecological relationship of prescription opioid supply and socioeconomic conditions on rates of drug poisoning deaths. The systematic review provides robust evidence of the independent effect of each prescription opioid supply and socioeconomic conditions on rates of drug poisoning deaths. The gap in the literature on the joint effects of prescription opioid supply and socioeconomic conditions was clear, with no study examining the interaction between supply- and demand-side factors on rates of fatal drug poisonings. Moreover, although greater prescription opioid supply was associated with higher rates of fatal drug poisonings in most of the studies, two studies presented contradictory findings, with one study showing no effect of supply on drug poisoning deaths and the other showing locations with higher levels of prescription opioid supply were associated with fewer drug-related deaths. Three limitations were also identified in the reviewed studies that could partially explain the observed associations. First, although studies aggregated data on drug poisoning deaths to a range of administrative spatial levels, including census tract, 5-digit ZIP code, county, 3-digit ZIP code, and state, no study investigated the sensitivity of findings to the level of geographic aggregation. Second, spatial modeling requires the assessment of spatial autocorrelation in both the unadjusted and adjusted data, but few studies even assessed spatial autocorrelation in the data, and fewer still incorporated spatial dependencies in the model. This is important because when spatial autocorrelation is present, the independence assumption in standard statistical regression models is violated, potentially causing bias and loss of efficiency. Third, studies operationalized prescription opioid supply and socioeconomic conditions using a variety of different measures, and no study assessed the sensitivity of findings to the different measures of supply and socioeconomic conditions. Second, the ecological relationship between prescription opioid supply and fatal drug poisonings was examined. For this, pooled cross-sectional time series data from 3,109 U.S. counties in 49 states (2006-2016) were used in Bayesian Poisson conditional autoregressive models to estimate the effect of county prescription opioid supply on four types of drug poisoning deaths: any drug (drug-related death), any opioid (opioid-related death), any prescription opioid but not heroin (prescription opioid-related death), and heroin (heroin-related death), adjusting for compositional and contextual differences across counties. Comparisons were made by type of drug poisoning (any drug, any opioid, prescription opioids only, heroin), level of geographic aggregation (county versus state), and measure of prescription opioid supply (rate of opioid-prescribing per 100 persons and morphine milligram equivalents per-capita). Results indicated a positive association between prescription opioid supply and rates of fatal drug poisonings consistent across changes in type of drug poisoning, level of aggregation, and measure of prescription opioid supply. However, removing confounders from the model caused the direction of the effect estimate to reverse for drug poisoning deaths from any drug, any opioid, and heroin. These results suggested that differences in adjustment for confounding could explain most of the inconsistent findings in the literature. Finally, a rigorous test of the hypothesis that worse socioeconomic conditions increase risk of fatal drug poisonings at the county level, and interact with prescription opioid supply was conducted. This analysis used the same pooled cross-sectional time series data from 3,109 U.S. counties in 49 states (2006-2016). The analysis modeled the effect of five key socioeconomic variables, including three single socioeconomic variables (unemployment, poverty rate, income inequality) and two index variables (Rey index, American Human Development Index [HDI]) on four types of drug poisoning deaths: any drug (drug-related death), any opioid (opioid-related death), any prescription opioid but not heroin (prescription opioid-related death), and heroin (heroin-related death). Using a hierarchical Bayesian modeling approach to account for spatial dependence and the variability of fatal drug poisoning rates due to the small number of events, the independent effect of socioeconomic conditions on rates of drug poisoning deaths and their joint multiplicative and additive effect with prescription opioid supply were estimated. Results showed that rates of fatal drug poisonings were higher in more economically and socially disadvantaged counties; the five key indicator variables were differentially associated with drug poisoning rates; and the American Human Development Index (HDI) and income inequality were most strongly associated with fatal drug poisoning rates. Finally, the results indicate that both HDI and income inequality interact with county-level prescription opioid supply to affect drug poisoning rates. Specifically, the effect of higher prescription opioid supply on rates of fatal drug poisonings was greater in counties with higher HDI and more equal income distributions than counties with lower HDI and less equal income distributions. Overall, this dissertation increased knowledge about the separate and conjoint roles of supply- and demand-side factors in the geospatial distribution of fatal drug poisonings in the U.S. The idea that area-level prescription opioid supply are key drivers of prescription drug use, misuse, and addiction and the attendant consequences, including nonfatal and fatal drug poisonings, has been in the literature for well over a decade. However, no study to date has shown that area-level socioeconomic conditions modify the effect of prescription opioid supply on fatal drug poisonings. By identifying important contextual factors capable of modifying the effect of prescription opioid supply reductions on mortality, high-risk geographic areas can be prioritized for interventions to counter any unintended effects of reducing the prescription opioid supply in an area. As federal and state policies continue to target the rising rates of fatal drug poisonings, these findings show that area-level socioeconomic conditions may represent an important target for policy intervention during the current drug poisoning crisis and a critical piece of information necessary for predicting any future drug-related crises.

This dissertation uses the reading patterns of New York’s earliest elites, including a significant portion of the founding fathers, who checked out books from the New York Society Library (NYSL), to evaluate the shifting meanings of political thought, affiliation, and action in the years between the ratification of the Constitution and the War of 1812. The reading data come from two charging ledgers spanning two periods –1789 to 1792, and 1799 to 1806 – during which a new country was built, relations with foreign nations defined, and contestation over the character of a new democracy was intense. Using novel combinations of text and network analysis, I explore the political nature of reading and the extent to which social, economic, and political positions overlapped with what people read. In the process, I identify the key social and cultural dimensions on which New York, and by extension, American, elite society was politically stratified in its early years.

Indiana University-Purdue University Indianapolis (IUPUI)
The Ideology of Stadium Construction seeks to define the application of community power in the process of building sports stadiums. Using data culled from a literature review, this project examines the recent construction of sports venues and the political, economic, and social ideas driving their proliferation. A three dimensional approach to applied power provides a theoretical tool to illustrate and analyze the blueprint of stadium construction. Taking a more broad view of the culture of business in the United States suggests the public funding of stadium construction arching towards Antonio Gramsci’s sense of hegemony. Beyond attempting to merely define the political process driving stadium construction as a significant social problem, this project introduces potential alternatives to the organizational method currently in place.

Indiana University-Purdue University Indianapolis (IUPUI)
Evidence based practice (EBP) is essential to the practice of nursing for purposes of promoting optimal patient outcomes. Research suggests that the implementation of EBP by staff nurses is problematic and influenced by beliefs, nursing leadership and the work environment. The purpose of this descriptive study was to examine variables that describe the relationship among beliefs about EBP, the work environment and nursing leadership on the EBP implementation activities of the staff nurse. The variables of interest were 1) individual staff nurse characteristics, 2) beliefs about EBP, 3) the EBP work environment and 4) nursing leadership for EBP. A descriptive, quantitative method was used. A sample of 422 Registered Nurses from two urban hospitals (one Magnet and one non-Magnet) completed an online 58 item survey that included questions related to individual belief’s about EBP, the EBP work environment and nursing leadership for EBP as well as EBP implementation activities. Education, tenure and Magnet status were not significantly related to EBP implementation activities in either the univariate or multivariate analysis. EBP beliefs had a significantly positive relationship with EBP implementation activities in both the univariate and multivariate analyses. Work environment and nursing leadership support for EBP had significant positive relationships with self-reported implementation activities in only the univariate analysis. The most surprising finding was that there were no differences between Magnet and non-Magnet work environments for EBP implementation scores, yet the Magnet hospitals reported higher means on the EBP Beliefs Scale than the non-Magnet hospital. The results of this have implications for identifying and testing strategies to influence EBP implementation activities through development of nursing leadership skills for EBP and creating a more EBP friendly work environment.