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Racial Stereotypes and Racial Assimilation in a Multiracial Society

Description: Interest in a multiracial society has increased in recent years and including on racism and prejudice and in the propensity to stereotype out-groups. Theories on racism help explain the dominant group's prejudice toward subordinate groups. Yet they only explain why dominant group members stereotype subordinates or if the dominant group's propensity to stereotype is different from that of subordinate groups. Recent assimilation theories suggest that some minorities are assimilating with Whites but Blacks are not undergoing assimilation. Classic assimilation theory suggests that when a subordinate group assimilates with the dominant group then they will also take on the dominant group's values and beliefs, including their prejudices and propensities to stereotype. The use of racial stereotypes in support of the assimilation of a minority group has not been tested. Results from the LSAF national survey provide support for Asians to be assimilating with Whites. However, Hispanics do not appear to be taking on Whites' propensity to stereotype, contradicting the prediction that Hispanics are assimilating with Whites.
Date: December 2009
Creator: Youngblood, Thomas

The Impact of Legal Sanctions on Recidivism Rates among Male Perpetrators of Domestic Violence

Description: Using a Cox proportional hazards regression model, this dissertation explores three factors currently not addressed in the literature on men who batter women and who are court ordered to participate in a battering intervention program. These factors are the cumulative effects of civil and criminal legal sanctions (dose-response of sanctions) for domestic violence related offenses on recidivism, reduced opportunities to recidivate, and whether the number of legal sanctions imposed has an effect on how long a man maintains his non-recidivism status. Because one domestic violence case may involve multiple sanctions, this study uses the Legal Sanction Dose-Response Index to gauge the cumulative impact of civil and criminal sanctions upon recidivism of domestic violence. The Cox proportional hazards model indicates that the risk of recidivism is 45% lower for men who experienced two legal sanctions (typically arrest and probation) in response to the index case, relative to men who experienced one legal sanction (typically civil protective order). In other words, those with two legal sanctions are able to maintain their non-recidivism status longer relative to those with one sanction. Men with prior criminal court involvement for domestic violence related offenses are more likely to recidivate. Additionally, rather than incarceration reducing opportunities to recidivate, this study finds that incarceration for any offenses committed during the follow-up period is a predictor of recidivism of domestic violence related offenses. It is possible that, rather than incarceration reducing opportunities, recidivists are persistent and use whatever opportunities are available to them to commit domestic violence, despite legal sanctions.
Date: December 2009
Creator: Cosimo, S. Deborah

The Effect of Social Support on Risky Sexual Behavior in Homeless Adolescent Youth.

Description: This study examines the relationship between social support and youth's high-risk behaviors. The data were obtained from the Midwest Homeless and Runaway Adolescent Project (MHRAP) in 1996. In the Midwestern United States, this study examines the hypothesis that youth with high social support will have low sexual risk behaviors. The study found that youths who had someone to turn to, a greater number of close friends, and someone they could count on were less likely to engage in risky sexual behaviors. The implications of the findings are discussed.
Date: December 2009
Creator: Ford, Alison Nicole

Health Status and Access Disparities Among the Uninsured Working-Age Population in a Safety-Net Healthcare Network in Tarrant County, Texas

Description: The objective of this research was to determine if healthcare access disparities exist across race and gender in a publically funded safety-net healthcare system in Texas. Data were examined from a representative random sample of 1468 adults aged 18-64 who were patients in this safety-net system in July and August of 2000 and were analyzed using binary logistic regression and chi-square measures of significance. Major Findings: On measures of health status - overall health rating (p =.051), limited employment (p =.000), energy level (p =.001), and worry (p =.012) - Anglos reported the worst health; Mexican Americans, the best health; with African Americans intermediate. Mexican Americans were more likely to have never had health insurance, and to also have had insurance in the past year; Anglos were least likely to have ever had insurance (p =.015) or to have had insurance in the past year (p =.000). On use of EDs (p =.028), problems getting prescription medicines (p =.029), and foregoing other necessities of life to pay for healthcare, Mexican Americans were least disadvantaged with African Americans reporting greatest use of EDs among both men and women, and Anglos the most problems with prescription medicines and foregoing care, especially among women. Logistic regression revealed that health status was the strongest predictor of problems accessing healthcare in all groups; the poorer health status of safety-net patients, the more problems they had accessing care. Patterns of poor reported health status and greater problems accessing care among Anglos relative to other groups is discussed in terms of social drift and relative deprivation.
Date: December 2009
Creator: Queen, Courtney M.

Gender and Juvenile Case Processing: A Look at Texas

Description: This dissertation examines the role gender plays in predicting referral beyond juvenile court intake. Using referral data from Texas for 1999-2003, multinomial logistic regression is used to examine case processing decisions. Males were found to be more likely than females to be processed beyond intake for both status and delinquent offenses. Legal variables were found to influence processing decisions for delinquent offenses more than non-legal variables. In contrast, non-legal variables were found to influence processing decisions more than legal variables for status offenses. Finally, overall, minority females were not found to be more likely to be processed beyond intake than white females. Further research is needed to determine if the same finding is true for males.
Date: August 2009
Creator: Johnson, Dustin Paul

Income Inequality and Racial/Ethnic Infant Mortality in the United States

Description: 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.
Date: December 2008
Creator: Jesmin, Syeda Sarah

Television viewing habits of Christians.

Description: This dissertation examines possible differences in media habits and tastes between Christians and non-Christians. The study utilizes data from singles Internet personal advertisements to determine whether or not Christians, especially those with high levels of religiosity or who may be part of the Christian Right, have different television viewing patterns. Three models were developed using multivariate data analysis and logistic regression to examine Christians' television viewing habits regarding reality shows, soap operas, and news. The first model looks at the viewing habits of Christians, the second model examines the viewing habits of Christians attending religious services at least monthly, and the third model analyzes the viewing habits of Christians attending religious services at least monthly and having conservative political views. No significant differences were found in viewing habits between Christians and non-Christians for any of the three models. Although the results of this study cannot be generalized to Christians as a whole, they suggest that Christians in this sample might have adopted secular practices with regard to their television viewing habits.
Date: December 2008
Creator: Dutke, Linda Jean

Social (Dis)organization and Terror related Crimes in Turkey

Description: The primary focus of this study is to explore the relationship between structural factors of a specific society and occurrence of terror related crimes. Accordingly, the objective of this study is to examine how or to what extent social disorganization theory, which is the basic theoretical foundation of this study, can explain terrorism related crimes in Turkey. Although several previous studies investigated the social and structural dimensions of terrorism in a country, many of those studies did not go beyond investigating the impacts of traditional structural factors such as poverty, inequality, and education on terrorism. This study goes a step further by adding the mediating factors between those primary social disorganization variables and terror related crimes. Direct, indirect and, total effects of structural variables on terrorism through the mediating variables, that is prevalence of voluntary associations and religious institutions, are examined. Findings obtained from multivariate and mediation analyses show that while some structural variables such as education and poverty are directly related to distribution of terror related crimes, this relationship became indirect through the mediating variables for other structural variables such as residential mobility and unemployment. Results suggest that rather than overreliance on traditional antiterrorism strategies which are mostly depending on the public level control such as law enforcement process, programs supported by other levels of social control, that is, parochial and private levels must be encouraged.
Date: December 2008
Creator: Başıbüyük, Oğuzhan

An Analysis of the Opinions of University Students about the Current Situation of the Headscarf Dispute in Turkey

Description: This study examined the opinions of university students about the current situation of the headscarf dispute on the wearing of headscarves in Turkey. The influence of gender, the level of secularism, socioeconomic status and encounter with women wearing headscarves on opinions about the wearing of headscarves were analyzed in this study. The sample of this study was composed of 400 university students among whom there were 240 female and 160 male students. Moreover, the sample comprised university students from 50 universities from Turkey. The results indicated that the level of secularism and encounter with women wearing headscarves were distinguished as two determining factors of the diverse opinions of the university students on the topic. No association was found between the perceptions of university students about the issue and the independent variables of gender and socioeconomic status.
Date: December 2008
Creator: Aydemir, Dilek

Retiring in a Foreign Land: Health Care Issues of US Retirees in Mexico

Description: This research examined the health care related issues of the American seniors retiring in Mexico. Data for this study were collected through in-person questionnaire surveys and case studies. Findings of this study indicate that US seniors retiring in Mexico are predominantly non-Hispanic whites, married, and more likely to be college graduates. This study challenges the general perception that US seniors move to foreign countries is "amenity-led." The case studies clearly show that many US seniors move there because they are afraid that with reduced income and increased health care needs they would not be able to maintain the same lifestyle after retirement in the US. Climate and the slower pace of life are two other big attractions for seniors' to move to Mexico. A major finding of this study is age, gender, education, use of Medicare for medical care coverage, and chronic medical condition are significant predictors of US seniors' health behavior and health outcomes in Mexico. The policy implications of the findings have been discussed.
Date: December 2008
Creator: Amin, Iftekhar

Family Perception of Quality in Nursing Home Care: Impact of Gender, Level of Involvement, and Utilization of Empowered CNA Teams

Description: As the United States' baby boom generation ages, the future of nursing home care becomes increasingly important. Through this study the researcher seeks to understand quality in nursing home care from the family's perspective. Surveys were collected at one North Texas nursing home, and data were analyzed to determine how gender and level of family involvement impact their concept of quality. Further, the information in this study is aimed at clarifying if interventions, specifically empowered CNA teams, have an impact on how family members view quality. Findings are identified and recommendations for future study are made.
Date: August 2008
Creator: Lansmon-Winter, Erin

Terrorism and strain: An exploratory analysis of the impact that individual strain and negative affect have on violent behavior among trained Turkish Hezbollah members.

Description: This study attempts to explore the strains that terror organization members experience prior to the training process in the organization. The primary goal of this research is to understand the relationship between the earlier experienced strains of terrorists and their violent behaviors. In the study a Turkish Hezbollah terror organization sample (N = 144) was utilized in the frame of Agnew's (1992) general strain theory. Initially, quantitative methods, such as bivariate analysis and multivariate analysis, were utilized to identify the cumulative effect of strains on the violent behaviors of terrorists. Later, by utilizing case studies with a qualitative approach the mediating effect of negative emotions (anger, frustration, depression and fear) were identified. This study found that among Turkish Hezbollah members, prior to joining the terrorist organization, individuals who experience higher levels of strain are more likely to perform violent acts when compared to individuals who experience lower levels of strain. This study affirmed earlier studies on strain-crime relationship. Moreover, utilized case studies support that negative emotions -specifically anger- mediate between strains and violent actions. In sum, this research retests and builds on Agnew's theory and argues that general strain theory can help terrorism studies to understand the sources of strains of terrorists and the effect of strains on their violent behavior.
Date: August 2008
Creator: Kayaoglu, Mustafa

An Analysis of Established Terrorist Identity in Political and Military Wings of Turkish Hizbullah

Description: The influence of the role identity expectations of Turkish Hizbullah's leadership on actual members' terrorist identities was documented in this dissertation. This study explored the leadership's identity expectations from members through content analyses of four books written by major figures of Hizbullah. Those books were selected following comments of the literature and expert suggestions. Eleven identity features stood out. These content analyses also revealed that leadership had different expectations from political wing members and military wing members. The following six identity features were listed as expected more from military wing members: belief in jihad and resistance, desire for martyrdom, embracing the hierarchical structure, depersonalization, hatred against enemies of God, and aloneness. Whilst cemaat (religious congregation), being religiously educated, patience (gradualism), dedication to a Muslim brotherhood, and being politically active were listed as expected identity attributes of political wing members. Qualitative analyses investigated these identity features using the available literature and 144 handwritten reports of actual Hizbullah members. To confirm the findings of content and qualitative analyses, quantitative analyses were conducted on the relatively representative sample (144 reports). The results of cross-tabulation and logistic regression demonstrated that two (out of 6) military wing and two (out of 5) political wing identity expectations were not manifested on actual members' Hizbullah identities.
Date: August 2008
Creator: Cinoglu, Huseyin

Opinions of Turkish immigrants living in Houston about the conflict between secularism and Islam in Turkey.

Description: This study was designed to examine the opinions of Turkish immigrants living in the Houston metropolitan area about the conflict between secularism and Islam in Turkey. The study examined the role of the practice of religion on the opinions about the clash between secularism and Islam. A final sample consisted of 40 immigrants recruited through purposeful and snowball sampling. In-depth interviews and a survey including screening questions were conducted. The results indicated that practice of religion has a partial impact on the opinions of Turkish immigrants about the conflict between secularism and Islam. Future research should further examine if the experience of living abroad for a long period influence Turkish immigrants' opinions about the same issue.
Date: August 2008
Creator: Balkan, Betul

Deviant Behavior Among Young Adults: Turkish Case with an Emphasis on Family Rituals, Self-esteem and Religiosity.

Description: The conduct of young adults has long been a concern in societies. The primary objective of this study was to gain greater understanding of what influences the deviant behavior of young adults in Turkey. Factors assessed in their background included family rituals, self-esteem, religiosity and deviant behavior. It was expected that levels of family rituals, religiosity, self-esteem and other risk factors would be significantly different between incarcerated youth and youth not incarcerated. Overall, these higher levels of family rituals, religiosity, and self-esteem plus lower levels of other risk factors were expected to negatively affect young people's engagement in deviant behavior in Turkey. Walter Reckless' containment theory provided a framework for this study. The non-probability sample of Turkish youths consisted of 205 incarcerated respondents and 200 college students. Each responded to four survey instruments, the Family Rituals Questionnaire, the Culture Free Self-Esteem Inventory, the Religious Background and Behavior Questionnaire, and a Family Information Inventory. Data were gathered cross-sectionally from January through March of 2007. The incarcerated respondents significantly practices less family rituals and had lower levels of religiosity than the college students but they did not differ significantly on self-esteem. Furthermore, overall participation in family rituals was associated with decreased likelihood of committing deviant behavior. Religiosity, which was measured by expression of a God consciousness and performance of formal religious practices, had mixed results. While having a God consciousness decreased the likelihood of committing deviant behavior, performing formal religious practices increased the likelihood of committing deviant behavior. Moreover, higher levels of self-esteem played no significant role in reducing deviant behavior. No significant support was found for Reckless' emphasis on the role of inner containment as an element of social control. However, support was found for the outer containment variable of family rituals playing a significant role in reducing deviant behavior for ...
Date: May 2008
Creator: Gunes, Ismail Dincer

Breast implants for graduation? Parent and adolescent narratives.

Description: The purpose of this research is to examine through sociological and psychological theories how women make sense of the desire and attainment of breast implants for graduation. The study used a qualitative approach and focused on women ages 18-35 in the state of Texas who have received breast implants for graduation. The sample size in this study included 10 high-school graduates receiving implants as a gift and their 10 mothers. Seven theoretical paradigms provided a better understanding for why the daughters asked for breast implants and why the parent(s) paid for them. Symbolic interaction theory explained why the daughters wished to replace their "fake" cotton padded self with their augmented self, to become the most authentic woman possible. Social construction of reality theory explained why both mothers and daughters wanted to conform to the social construction of gender, and to accomplish their gender well. Conspicuous consumption theory demonstrated how cosmetic surgery practices allow women to appear wealthy, gain status, and "flash" their assets. Feminist theory explained why some women were motivated to capture the attention of men and others altered the body out of empowerment. Reference group and social comparison theories explained how the women in this study were influenced to undergo cosmetic surgery by ranking themselves in attractiveness against real friends and media icons. Lastly, self-discrepancy theory showed how the daughters in this study felt they needed surgery to fix a discrepancy between their real and ideal self. The majority of respondents expressed complete comfort with their gifting and receiving of breast implants for graduation, claiming it was a great decision. They also agreed surgery was worth any risk to increase their daughter's confidence. Most of the mothers expressed that they were comfortable with their decision to gift surgery to their daughters, despite knowing that their gift of augmentation ...
Date: May 2008
Creator: Fowler, Lori Ann

Family Rituals and Deviant Behavior

Description: 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 some variation in participation in conforming activities with family members inside and outside the home and for participation in extracurricular activities. However, the variables that were most significant for explaining deviant behavior were the risk factors of age, sex, race/ethnicity, education, neighborhood crime, and parents's deviance. Future research should explore the role of risk factors in explaining deviant behavior and study the role of meaningful family rituals and the role they might play in creating a qualitative difference in family life.
Date: August 2002
Creator: Roberts, Joanne

Hopelessness, Self-Efficacy, Self-Esteem and Powerlessness in Relation to American Indian Suicide

Description: The purpose of this study is to examine the relationship between the independent variables of age, gender, residence, tribal affiliation, and perceived government control over tribal rights and the dependent variables of hopelessness, self-efficacy, and self-esteem. These attitudes are then explored as to their relationship to possible feelings of powerlessness among American Indians. The survey instruments used are the Beck Hopelessness Scale consisting of 20 items (Beck, Weissman, Lester, and Trexler, 1974), (Reproduced by permission of publisher, Psychological Corporation), the Self-Efficacy Scale consisting of 30 items (Sherer, Maddox, Merchandante, Prentice-Dunn, Jacobs, and Rodgers, 1982) (Reproduced by permission of Dr. Ronald W. Rogers), the Rosenberg Self-Esteem Scale consisting of 10 items (Rosenberg, 1972) (Reproduced by permission of Dr. Florence Rosenberg) and a demographic questionnaire consisting of 6 items. These instruments were administered to 60 American Indians that make up the sample population of 25 respondents from tribal lands (reservation setting) and 35 respondents from an urban setting. Statistical analysis consists of crosstabulations using Chi-Square and t-tests (used to verify Chi-Square) to determine the significance of the relationship of the independent variables to the dependent variables previously mentioned. Fifteen hypotheses (page 10) were tested to explore the relationships between the above independent variables and the dependent variables. Out of the 15 hypotheses that were investigated two were supported. The two hypotheses are hypothesis 10 and 11. Hypothesis 10 states; American Indians who live on a reservation have more hopelessness than those who live in an urban setting. This hypothesis was indicated to be marginal by Chi-Square analysis but when a t-test was conducted it was shown to be significant. Hypothesis 11 states; American Indians in urban residency will have more self-efficacy than reservation residents. While the data provided minimal support for the theory that hopelessness, self-efficacy, and self-esteem have a relationship to ...
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Date: August 2000
Creator: Edmonson, Jimmie R.

Explaining Juvenile Delinquency: A Test of Robert Agnew's General Strain Theory, Utilizing the National Longitudinal Study of Adolescent Health Data

Description: Strain theory has a long academic lineage for explaining criminal and deviant behavior from the classical writings of Emile Durkheim to the contemporary writings of Robert Agnew. The purpose of this research is to conduct an empirical test of Agnew's general strain theory utilizing Wave 1 data from the 1994-1996 National Longitudinal Study of Adolescent Health data (Add Health) (N = 6,503). Utilizing the Add Health data set represents a new attempt at empirically evaluating Agnew's theory. Scales were constructed by the author operationalizing the propositions of general strain theory utilizing variables from this data set. Regression was used to find out if juvenile delinquency is associated with Agnew's general strain theory. Research findings show that taken together, the propositions of general strain theory, cumulative measures of failure to achieve goals, loss of valued objects and introduction of stressful events are all statistically significant predictors of juvenile delinquency. Regression and scale correlations indicated a low positive relationship between juvenile delinquency and Agnew's general strain theory propositions. This study represents an attempt in utilizing a data set which has not been used before to empirically test general strain theory.
Date: December 2006
Creator: Gullion, John Gregory

The Effects of Trade Liberalization Policies on Human Development in Selected Least Developed Countries

Description: This dissertation examines the effects of trade liberalization policies (represented by membership in the General Agreement on Tariffs and Trade/World Trade Organization on selected Least Developed Countries' (LDCs) human development (represented by the Human Development Index). In this dissertation, General Agreement on Tariffs and Trade (GATT) and World Trade Organization (WTO) policies are theorized to have two distinct types of effects: their direct effect and their indirect effect. Two questions are focused on: first, what is the effect (total, direct and indirect) of WTO policies on human development for selected LDCs? Second, what is the effect (total, direct and indirect) of WTO policies on human development for selected developing/developed countries (i.e. non-LDCs) holding economic development constant? Using the dependency theory of development as a theoretical basis, this dissertation examines the assumptions of modernization-theory-based policies as expressed in trade liberalization policies (i.e. the implementation of comparative advantage and now market fundamentalism) with world-system analysis techniques. To examine these questions, four panel regression models are constructed to measure the total, direct and indirect effects of WTO policies during the near-term (1998-2003) and during a longer historical term (1975-2000). The data for the analyses are taken from seven different sources of international data. The analyses seemingly demonstrate that there are quantifiable negative effects of GATT/WTO membership (trade liberalization policies) on human development in selected LDCs. The current implementation of trade liberalization policies does not benefit the well-being of all concerned as promoted by the WTO.
Date: December 2006
Creator: Ray, Elizabeth Thompson

Working Lifestyles and Sleepless Nights: The Role of Work in Patient Explanatory Models of Insomnia

Description: Interviews conducted with patients receiving treatment for insomnia at one of two sleep medicine clinics, located in Texas and Oregon, suggest that work is a pivotal influence in shaping the respondents' interpretations, explanations and behaviors relating to insomnia. "Work" includes such facets as the nature of one's occupation, the associated volume or amount of work required, mental demands related to work, work schedules and work-related stress. Specifically, results reveal: 1) nearly 60% of the sample identify work as a primary or perpetuating cause of their insomnia, 2) respondents often report work as influencing the nature and importance of their sleep, 3) sleep is considered a problem, and medical intervention is solicited, after work is affected, and 4) work performance is a major consideration in determining treatment efficacy and compliance.
Date: December 2006
Creator: McClellen, Dana L.

The Effects of Labeling and Stigma on the Social Rejection of Striptease Performers

Description: This study uses survey data collected from a convenience sample of undergraduate students (N=89). A vignette survey design is employed to measure social rejection of striptease performers compared to a control group. Data is also collected on negative stereotypes held about striptease performers, which are correlated with social rejection. Link and Phelan's conceptualization of the stigma process provides the theoretical framework for this analysis. Findings suggest that striptease performers experience higher levels of social rejection and are perceived more negatively than the control group and that endorsement of negative stereotypes is associated with social rejection.
Date: December 2006
Creator: Ebeid, Omar Randi

Health Care Among Low-income, White, Working-age Males in a Safety Net Health Care Network: Access and Utilization Patterns

Description: This study seeks to provide information relevant to public policy that will lead to increased access and utilization among this vulnerable population and to reinforce the validity of the behavioral model for vulnerable populations. This study is a secondary analysis of data collected in a study that examined adult, working-aged patients within the John Peter Smith Health Network, which is a large, urban, tax supported county health care system in Fort Worth, Texas. From a sampling frame of 10,000 patients, the study analyzed data for 243 low-income, white, working-age males, collected from computer assisted telephone interviews in 2000. Cross-tabulations and bivariate logistic regressions were used to analyze the effect of 8 independent variables (age, marital status, insurance, employment status, a usual source of care, competing needs, experiences with paperwork, and perceived health status upon 5 dependent variables pertaining to unmet health care, unmet prescription medicine needs, unmet dental needs, utilization of doctors in emergency departments, and overnight hospital stays. The results show the safety net system is failing to meet the needs of this vulnerable population. The findings indicate white men who found it necessary to forgo health care due to other needs were almost five (4.973) times as likely as those who did not find it necessary to forgo care due to other needs, to report having a problem getting the health care that they need (p = ≤ .001). The odds of having a problem getting needed dental care are about 66% lower for white men who have private insurance through work compared to those who do not have private insurance through work (p ≤ .05).
Date: August 2006
Creator: Whitworth, Keith Hugh

The health status of people living with HIV/AIDS and in treatment in the United States.

Description: Vulnerable populations comprise a growing number of people living with HIV/AIDS and are at increased risk for poorer health outcomes. The purpose of this research was to approximate the effect of the Ryan White CARE Act on the health status of people living with HIV/AIDS who were receiving medical care in the United States. The vulnerable populations model was utilized to identify appropriate variables for analysis as well as to provide a sequencing for the testing of models. Data analyzed in this study came from the 1996 Baseline Survey of the HIV Cost and Services Utilization Study (HCSUS), a cooperative study between RAND and the Agency for Health Care Policy and Research (now known as the Agency for Health Care Quality and Research). Three analyses sequences, using different dependent variables, to estimate health status were conducted. In the first analysis, health status was measured by CD-4 count and stage of illness. In the second analysis, only CD-4 counts were used for health status. In the final analysis, health status was estimated based on AIDS diagnosis. Each of the three analyses included the same independent variables: race, gender, education, sexual orientation, income, insurance status, region of the country, receipt of case management, perceived health, and level of antiviral therapy. The three analyses suggested similar results. Specifically, that African Americans and women had better health status as compared to whites and men, respectively. Additionally, insurance, case management, and antiviral therapy were associated with poorer health status. Factors such as education, income, and region of the country yielded inconsistent results between models. To better understand the effect of the Ryan White CARE Act on health outcomes for people living with HIV/AIDS, future research should consider inclusion of a variable that more directly measures the CARE Act, such as payer source for medical care.
Date: August 2006
Creator: Tilton, Abigail C.