Major themes emerging from the data included illness perception, support, and the process of medication adherence. Acceptance of the diabetes diagnosis was imperative for medication adherence. Stigmatization of diabetes was salient in the recruitment process and as it related to mechanisms for adherence. Furthermore, many informants were not aware of a family history of diabetes before their own diagnosis. Four gendered emerging typologies were identified, which further illuminated major themes. Moreover, an eight-step process of medication adherence model is discussed. The researcher was able to identify culturally compatible strategies that may be extended to those struggling with medication adherence. The implications section suggests a set of strategies that healthcare providers can present to people with diabetes in order to increase medication adherence.
Much attention has been given to food justice in both academic and activist communities as of late. This project adds to the growing discourse around food justice by using creative works produced by members of the black community as case studies to analyze the relationship between food justice and the criminal justice system in their neighborhoods. In particular, this project examines two unique sources of creative expression from the black community. The first is the novel Been ‘Bout Dat, the story of a young boy Fattz, who is born into the projects of New Orleans and takes to street life in order to provide for his siblings and struggling single mother. Written in prison by Johnny Davis it offers a valuable perspective that is combined with historical context and statistical support to construct an understanding of how concepts of food and criminal justice influence each other. The second source is the lyrical content of several hip-hop songs from rappers such as Tupac Shakur, Mos Def, Nas, and Young Jeezy. Comparing the content of these works and the lived realities expressed in both brings new and useful insights about food justice and criminal justice as experienced in poor minority communities. Recognizing this relationship may illuminate solutions to food justice issues through criminal justice reform as well as inform fresh efforts at community renewal.
The majority of trust research has focused on the benefits trust can have for individual actors, institutions, and organizations. This “optimistic bias” is particularly evident in work focused on institutional trust, where concepts such as procedural justice, shared values, and moral responsibility have gained prominence. But trust in institutions may not be exclusively good. We reveal implications for the “dark side” of institutional trust by reviewing relevant theories and empirical research that can contribute to a more holistic understanding. We frame our discussion by suggesting there may be a “Goldilocks principle” of institutional trust, where trust that is too low (typically the focus) or too high (not usually considered by trust researchers) may be problematic. The chapter focuses on the issue of too-high trust and processes through which such too-high trust might emerge. Specifically, excessive trust might result from external, internal, and intersecting external-internal processes. External processes refer to the actions institutions take that affect public trust, while internal processes refer to intrapersonal factors affecting a trustor’s level of trust. We describe how the beneficial psychological and behavioral outcomes of trust can be mitigated or circumvented through these processes and highlight the implications of a “darkest” side of trust when they intersect. We draw upon research on organizations and legal, governmental, and political systems to demonstrate the dark side of trust in different contexts. The conclusion outlines directions for future research and encourages researchers to consider the ethical nuances of studying how to increase institutional trust.
This ethnographically inspired study begins with a historical analysis of Olde Towne East (OTE), a gentrifying community in Columbus, Ohio and then moves to a contemporary analysis of relevant data to demonstrate the vast disparities across myriad measures between the neighborhood’s Black and White residents. The crux of the dissertation features interviews with Black residents (N=17) who shared their stories about life in OTE and reflected upon the dynamics they perceive and ascribe to be associated with the transformation of their community.
Using grounded theory to analyze the values, attitudes, and beliefs contained in participant reflections, findings indicate that Black folks in this study are keenly aware of the systemic forces, including institutionalized racism, that have resulted in the gentrifying of their community. In addition to the systemic factors these participants ascribe to be associated with the transformation of OTE, they also contend that a lack of Black critical consciousness exacerbated the racially inequitable outcomes associated with gentrification.