Social and Behavioral Sciences Commons^™

A Population-Based Investigation Of Health-Care Needs And Preferences In American Adults With Multiple Sclerosis, Chungyi Chiu, Malachy Bishop, Bradley Mcdaniels, Byung-Jin Kim, Lebogang Tiro

Early Childhood, Special Education, and Counselor Education Faculty Publications

Background: Comprehensive and effective multiple sclerosis (MS) health care requires understanding of patients’ needs, preferences, and priorities. Objective: To evaluate priorities of patients with MS for their MS care. Methods: Participants included 3003 Americans with MS recruited through the National MS Society and the North American Research Committee on Multiple Sclerosis patient registry. Participants completed a comprehensive questionnaire on aspects of their health-care experiences. Results: Participants identified the top 3 health-care priorities as (1) the affordability of MS health care, (2) ensuring that non-MS health-care providers have more education about MS and how it can interact with other conditions, and …

Reviewer Acknowledgments For 2019, F. Douglas Scutchfield Md, Erin N. Haynes, Erin Bouldin, Robert M. Shapiro Ii, Tim Marema, Charlotte S. Seidman

Journal of Appalachian Health

The Editorial Team extends a heart-felt “thank you” to those who have given their time and expertise in the past year to participate in this process with the Journal of Appalachian Health. We know that you have many competing pressures on your time, and that you are not financially compensated for the time you spend reviewing manuscripts. We hope that there are other forms of compensation that make the sacrifice worth the effort.

A Healthy Attitude: Rural Leaders In Tn County Organize To Address Well-Being In Appalachia, Tim Marema, Erin Bouldin

Journal of Appalachian Health

When it came to formal philanthropy, Grundy County was not on the map. That changed with the 2012 establishment of South Cumberland Community Fund, which serves the plateau portions of Grundy, Franklin, and Marion counties.

The Nuclear Legacy In Appalachia, Michele Morrone, Harold Perkins

Journal of Appalachian Health

Nestled in the rolling hills of Appalachia Ohio is a reminder of the role that the region played in winning the Cold War. For more than 40 years in rural Pike County, the 3,700-acre Portsmouth Gaseous Diffusion Plant (PORTS), or the “A-Plant” as the locals refer to it, enriched uranium for use in nuclear weapons. While the facility produced nuclear fuel for national security, it simultaneously exposed plant workers to chemicals and radiation and discharged pollution into the surrounding community. The A-Plant is now being demolished and the site repurposed. However, the site continues to affect the community as, for …

Appalachian Environmental Health Literacy: Building Knowledge And Skills To Protect Health, Anna G. Hoover, Annie Koempel, W. Jay Christian, Kimberly I. Tumlin, Kelly G. Pennell, Steven Evans, Malissa Mcalister, Lindell E. Ormsbee, Dawn Brewer

Journal of Appalachian Health

Environmental health literacy (EHL) is an emerging, multidisciplinary field that promotes understanding of how environmental exposures can affect human health. After discussing the regional relevance of environmental health knowledge and skills, this article describes three ongoing Appalachian projects that are focused on measuring and building EHL.

Development And Early Outcomes Of The Watauga Compassionate Community Initiative, North Carolina, Tim Marema, Erin Bouldin

Journal of Appalachian Health

Addressing adverse childhood experiences has become a public health imperative, and communities across the United States are working to develop and implement programs and policies to both prevent childhood trauma and support adults who experienced trauma as children. Here we describe the development of the Watauga Compassionate Community Initiative (WCCI) in Watauga, County, North Carolina.

Access To Autism Spectrum Disorder Services For Rural Appalachian Citizens, Angela Scarpa, Laura S. Jensen, Denis Gracanin, Sharon L. Ramey, Angela V. Dahiya, L. Maria Ingram, Jordan Albright, Alyssa J. Gatto, Jen P. Scott, Lisa Ruble

Journal of Appalachian Health

Background: Low-resource rural communities face significant challenges regarding availability and adequacy of evidence-based services.

Purposes: With respect to accessing evidence-based services for Autism Spectrum Disorder (ASD), this brief report summarizes needs of rural citizens in the South-Central Appalachian region, an area notable for persistent health disparities.

Methods: A mixed-methods approach was used to collect quantitative and qualitative data during focus groups with 33 service providers and 15 caregivers of children with ASD in rural southwest Virginia.

Results: Results supported the barriers of availability and affordability of ASD services in this region, especially relating to the need for more ASD-trained providers, …

Introduction To The New “Early Reports Of Innovation” Section, Erin Bouldin, Tim Marema

Journal of Appalachian Health

The Journal of Appalachian Health is introducing a new section this issue. While the journal is centralizing some of the best research and commentary on Appalachian health, the editorial team felt that practice-focused groups, organizations, and agencies may not be fully represented in the publication.

Barn-Raising On The Digital Frontier: The L.A.U.N.C.H. Collaborative, Bradford W. Hesse, David Ahern, Michele Ellison, Eliah Aronoff-Spencer, Robin C. Vanderpool, Karen Onyeije, Michael C. Gibbons, Timothy W. Mullett, Ming-Yuan Chih, Victoria Attencio, Grant Patterson, Jessica Boten, Christopher Hartshorn, Ben Bartolome, Katie Gorscak, Melanie Mccomsey, Alexandra Hubenko, Bin Huang, Corey Baker, Don Norman

Journal of Appalachian Health

A meta-analysis of oncology papers from around the world revealed that cancer patients who lived more than 50 miles away from hospital centers routinely presented with more advanced stages of disease at diagnosis, exhibited lower adherence to prescribed treatments, presented with poorer diagnoses, and reported a lower quality of life than patients who lived nearer to care facilities. Connected health approaches—or the use of broadband and telecommunications technologies to evaluate, diagnose, and monitor patients beyond the clinic—are becoming an indispensable tool in medicine to overcome the obstacle of distance.

Introducing The L.A.U.N.C.H. Collaborative, F. Douglas Scutchfield Md, Kevin Patrick

Journal of Appalachian Health

The L.A.U.N.C.H. Collaborative: Linking & Amplifying User-Centered Networks through Connected Health: A Demonstration of Broadband-Enabled Connected Health and Community-Based Co-Design brings together a group of organizations that are eager to use Appalachian Kentucky as a site for the development of a project aimed at creating an environment that addresses two of the nation’s major concerns about cancer. First, individuals who live in rural and remote areas are more likely to die of cancer than those who live in urban or suburban settings. And second, geographic obstacles hinder their ability to access evidence-based strategies that can prevent cancer or treat it …

Students’ Perceptions Of Justice: Application Of Sanctions, Guilt, And Responsibility In Campus Sexual Assault Cases, Diane R. Follingstad, Caihong R. Li, Jaspreet K. Chahal, Claire M. Renzetti

CRVAW Faculty Journal Articles

Despite growing attention to adjudication of campus sexual assault cases, little is known how students perceive “justice” for such cases. The present study examined whether victim, perpetrator, and assault characteristics influenced students’ perceptions of: whether a sanctionable violation occurred; the type of sanction to be applied; perceived severity of the sanction; proportion of guilt attributable to the victim and perpetrator; and level of responsibility of the victim and perpetrator. Fourteen factors pertaining to potential negative evaluation of rape victims were derived; thus, a non-factorial vignette survey design focusing only on each main effect was employed. 846 college students responded to …

Mentoring Multi-College Bystander Efficacy Evaluation – An Approach To Growing The Next Generation Of Gender-Based Interpersonal Violence Intervention And Prevention (Vip) Researchers, Ann L. Coker, Danielle Davidov, Heather M. Bush, Emily R. Clear

Obstetrics and Gynecology Faculty Publications

The Centers for Disease Control and Prevention provided funding (U01 CE002668) to evaluate bystander program efficacy to reduce gender-based violence on college campuses (Aim 1) and to create a mentoring network (Aim 2) for young campus-based researchers interested in violence intervention or prevention (VIP). While an evaluation of this mentoring program is ongoing, our purpose here was to document the strategies used to create, implement, and begin evaluation of this national multi-college mentoring network. As each public college was recruited into this evaluation named multi-college Bystander Efficacy Evaluation (mcBEE), each college was invited to nominate a researcher interested in receiving …

Harnessing Artificial Intelligence Capabilities To Improve Cybersecurity, Sherali Zeadally, Erwin Adi, Zubair Baig, Imran A. Khan

Information Science Faculty Publications

Cybersecurity is a fast-evolving discipline that is always in the news over the last decade, as the number of threats rises and cybercriminals constantly endeavor to stay a step ahead of law enforcement. Over the years, although the original motives for carrying out cyberattacks largely remain unchanged, cybercriminals have become increasingly sophisticated with their techniques. Traditional cybersecurity solutions are becoming inadequate at detecting and mitigating emerging cyberattacks. Advances in cryptographic and Artificial Intelligence (AI) techniques (in particular, machine learning and deep learning) show promise in enabling cybersecurity experts to counter the ever-evolving threat posed by adversaries. Here, we explore AI's …

50 Economic Facts And Figures About Kentucky, 2020, Michael Childress

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50 ECONOMIC FACTS AND FIGURES ABOUT KENTUCKY, 2020

We Died And Were Reborn: An Anthropological Study Of Health-Seeking Strategies For Mental And Emotional Distress In Post-War Eastern Sri Lanka, Daniel Ball

Theses and Dissertations--Anthropology

Since the early 2000s, Sri Lanka has made major gains in decentralizing and expanding state-based mental healthcare access and services outside of Colombo. However, little evidence exists related to on-the-ground experiences of Sri Lankans who access these services, the quality and sustainability of services, and the effects services have on individual therapy management of mental and emotional distress. In addition to an extensive historical review of mental health service provision, this dissertation explores strategic health-seeking practices among Tamil-speaking communities in eastern Sri Lanka—an area ravaged by high rates of poverty, 26 years of civil war, and the 2004 tsunami catastrophe. …

Carceral Extractivism, Livelihood Strategies, And “Acting Right” In The U.S. South, Edward L. Bullock

Theses and Dissertations--Anthropology

Mass incarceration and its effects are well documented and carceral privatization is hotly contested on moral and economic grounds. This dissertation examines the local effects of carceral privatization in the U.S. south in historical context. Tallulah is a small, rural predominately African American town in northeastern Louisiana that endures high rates of poverty, unemployment, and low educational attainment. It also hosts four private prisons operated by LaSalle Corrections, LLC. Two primary and overlapping questions guide the research. 1) How has an history of carceral entrepreneurship and mass incarceration impacted the way persons and communities create livelihoods and imagine futures, and …

Village-Temple Consciousness In Two Jaffna Tamil Villages In Post-War Sri Lanka, Pathmanesan Sanmugeswaran

Theses and Dissertations--Anthropology

This dissertation investigates how community rebuilding is occurring in a gravely damaged, post-conflict society. Specifically, it looks at how people in two villages in Tamil, Hindu, Jaffna, Sri Lanka, are using their ‘sense of place’ and ‘place-making practices’ or what I call here their ‘village-temple consciousness’ or village consciousness, to maintain and rebuild their communities after war to make them, once again, places in which they feel a comfortable sense of belonging. This is a comparative study because Inuvil and Naguleswaram were affected differently by the Sri Lankan civil war. That is, while Inuvil, was physically damaged and socially disrupted …

Communication Technology Intention To Use And Use By Cognitively Intact Long-Term Nursing Home Residents, Amy M. Schuster

Theses and Dissertations--Gerontology

The goal of this dissertation was to gain an in depth understanding of intention to use and use of communication technology (CT) by long-term cognitively intact nursing home residents. This study also explored the value of the unified theory of acceptance and use of technology (UTAUT) as a framework for investigating the CT use of long-term cognitively intact nursing home residents. A convergent mixed methods design was used to gather data through semi-structured interviews, a nursing home resident communication technology checklist, a modified UTAUT questionnaire, the UCLA loneliness scale 10 item version, and the self-rated health scale. Participants (n …

The Effects Of E-Cigarette Taxes On E-Cigarette Prices And Tobacco Product Sales: Evidence From Retail Panel Data, Chad Cotti, Charles J. Courtemanche, Joanna Catherine Maclean, Erik Nesson, Michael F. Pesko, Nathan Tefft

Institute for the Study of Free Enterprise Working Papers

We explore the effect of e-cigarette taxes enacted through 2017 in eight states and two large counties on e-cigarette prices, e-cigarette sales, and sales of other tobacco products. We use the Nielsen Retail Scanner data for the years 2011 to 2017, comprising approximately 35,000 retailers nationally. We calculate a Herfindahl–Hirschman Index of 0.251 for retail-based purchases of e-cigarettes, indicating high market concentration. We estimate a tax-to-price pass-through of 1.55 (p < 0.01) and an e-cigarette own-price elasticity of -2.6 (p < 0.01) for the average e-cigarette tax. We also estimate a positive cross-price elasticity of demand for e-cigarettes and traditional cigarettes of roughly 1.1 for the average tax, suggesting that e-cigarettes and traditional cigarettes are economic substitutes. Our results suggest that higher e-cigarette taxes would increase e-cigarette prices and reduce e-cigarette sales, with an unintended effect of increasing traditional cigarette sales. We simulate that for every one standard e-cigarette pod (a device that contains liquid nicotine in e-cigarettes) of 0.7 ml no longer purchased as a result of an e-cigarette tax, the same tax increases traditional cigarettes purchased by 6.2 extra packs.

Supporting Interests And Sharing Power: Insights From A Scottish Youth Program, Daniela Kruel Digiacomo

Information Science Faculty Publications

Light Up Learning (LUL) is a youth program in Scotland that supports young people in pursuing their curiosities and exploring their interests in a school-based informal learning setting. This article draws on interview and participant observation data to examine the social organization of teaching and learning activity within LUL. As a school-based program focused on supporting youth in pursuing their interests through the cultivation of a caring adult–youth relationship, LUL offers an empirical case that brings together insights from youth development and interest-driven learning research. Examination into the verbal and material interactions that shape adult–youth interactions yields insight into how …

Values, Risks, And Power Influencing Librarians' Decisions To Host Drag Queen Storytime, Diana Floegel, Sarah C. Barriage, Vanessa Kitzie, Shannon M. Oltmann

Information Science Faculty Publications

This paper reports preliminary qualitative findings from a survey of public library staff who work at libraries that have and have not hosted drag queen storytimes (DQS), a popular but contested children's program. Three constructs—values, risks, and power—are developed to describe how individual, library, and institutional forces combine to determine whether DQS occur. Findings contribute to limited scholarly work on DQS by including locations that have not hosted DQS and by engaging critically with how institutional forces shape library staffs' decision-making around DQS. It is critical to understand factors contributing to this decision-making to inform contextually appropriate strategies for encouraging …

Development And Psychometric Properties Of The Sussex-Oxford Compassion Scales (Socs), Jenny Gu, Ruth A. Baer, Kate Cavanagh, Willem Kuyken, Clara Strauss

Psychology Faculty Publications

Compassion has received increasing societal and scientific interest in recent years. The science of compassion requires a tool that can offer valid and reliable measurement of the construct to allow examination of its causes, correlates, and consequences. The current studies developed and examined the psychometric properties of new self-report measures of compassion for others and for the self, the 20-item Sussex-Oxford Compassion for Others Scale (SOCS-O) and 20-item Sussex-Oxford Compassion for the Self Scale (SOCS-S). These were based on the theoretically and empirically supported definition of compassion as comprising five dimensions: (a) recognizing suffering, (b) understanding the universality of suffering, …

The Construction Of The American Catholic Church: Gender, Sexuality, And Patriotism In U.S. Catholic Media, 1917–1970, William Korinko

Theses and Dissertations--Gender and Women's Studies

This project explores the complex relationship between religion, culture, and politics in the United States during the twentieth century by examining a largely unexplored pocket of Roman Catholic pamphlet literature, as well as other forms of Catholic media, including newspapers, magazines, radio programs, and television shows. During the twentieth century Catholic media makers spent a considerable amount of energy speaking and writing about issues related to gender and sexuality, and they often did so in racially coded terms. In addition to making prescriptions of what was appropriate and moral sexual and gendered behavior, these media makers repeatedly made the case …

From Hobbes To Habermas: The Anti-Cultural Turn In Western Political Thought, Ralph Gert Schoellhammer

Theses and Dissertations--Political Science

The theme of this dissertation is the anti-cultural turn of Western Political Thought that has emerged out of Enlightenment thinking and was first turned into a comprehensive political idea by Thomas Hobbes.

Beginning with an overview of psychological research into the phenomenon of culture I put forward the argument that human beings are by nature social and individualistic, but that they oscillate between their ability to put group-interests before individual interests and vice versa. Culture is the main mechanism that influences which interest we give priority. This mechanism work through emotional attachments that create intuitions about what is morally right …

Southeastern Law Librarian Winter 2020, Seaall

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Time Spent Exercising And Obesity: An Application Of Lewbel’S Instrumental Variables Method, Charles J. Courtemanche, Joshua C. Pinkston, Jay Stewart

Institute for the Study of Free Enterprise Working Papers

This paper examines the role physical activity plays in determining body mass using data from the American Time Use Survey. Our work is the first to address the measurement error that arises when time use during a single day—rather than average daily time use over an extended period—is used as an explanatory variable. We show that failing to account for day-to-day variation in activities results in the effects of time use on a typical day being understated. Furthermore, we account for the possibility that physical activity and body mass are jointly determined by implementing Lewbel’s instrumental variables estimator that exploits …

Will "Social Distancing" Lead To Future "Research Distancing": A Reflection On Covid-19 Impacts On Alzheimer's Disease Research, Shoshana H. Bardach, Allison K. Gibson, Elizabeth K. Rhodus, Gregory A. Jicha

Sanders-Brown Center on Aging Faculty Publications

Coronavirus disease 19 (COVID-19) has dramatically altered everyday life, including the field of Alzheimer's disease (AD) research. This perspective article explores some of the ways in which COVID-19 has already impacted the field, anticipates some of the long-lasting effects, and explores strategies for addressing current and future needs. Areas of impact include study integrity, regulatory and industry issues, and participant engagement. Proposed strategies for addressing these challenges include analytic methods to deal with large degrees of missing data and development of patient-centered, user-friendly, remote data collection tools and assessments. We also highlight the importance of maintaining participant well-being as a …

"No One Can Make That Choice For You": Exploring Power In The Sexual Narratives Of Black Collegians, Candice Hargons, Della V. Mosley, Carolyn Meiller, Jardin Dogan, Jennifer Stuck, Chesmore Montique, Natalie Malone, Joseph Oluokun, Carrie Bohmer, Queen-Ayanna Sullivan, Anyoliny Sanchez, Danelle Stevens-Watkins

Educational, School, and Counseling Psychology Faculty Publications

Power is enacted to oppress others, pursue wellness, or resist oppression. For Black people, societal and relational oppression influences racialized and gendered expressions of power within sexual encounters. The current study analyzed power dynamics within Black university students' first and most recent sexual encounters. Using narrative inquiry within a critical paradigm, five narrative strategies were identified within participants' interviews: 1) Offering a Peek into Powerlessness, 2) Detailing Disempowerment, 3) Privileging Stereotypical Power, 4) Reclaiming Power, and 5) Emphasizing Empowered Sex. Racialized, gendered sexual socialization among Black students is discussed. Counseling considerations to increase sexual wellness for Black people are explored.

Attentional Social Media: Mapping The Spaces And Networks Of The Fashion Industry, Ate Poorthuis, Dominic Powers, Matthew Zook

Geography Faculty Publications

In this article we use big data methods to analyze the attention paid to the fashion industry on social media. The article argues that for the fashion industry, like many industries, the core product is a form of knowledge that is dependent on gaining and holding people’s attention. To understand this attentional economy, social media offers a unique window because it is increasingly a central space within which fashion knowledge is created and shared. Using long-term, geotagged big data from Twitter, we analyze the hitherto difficult-to-explore spaces and places of the global fashion industry. The article suggests that the data …

Exploring Crisis Communication And Information Dissemination On Social Media: Social Network Analysis Of Hurricane Irma Tweets, Xianlin Jin

Communication Graduate Research

This study utilized social network analysis to identify the top 10 Twitter influentials during the Hurricane Irma crisis period and examined the relationship between social media attributes and the bridge influence of controlling information flow. The number of a user’s followers and tweets significantly predicted one’s control of information. Crisis information tended to be shared in scattered subgroups. Social network boundaries impeded information diffusion, and the communication pattern was largely one-way. The findings partially supported the opinion leader argument while indicating that influentials can directly generate information, which is consistent with the social-mediated crisis communication model. Such findings will contribute …