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- Genre: Doctoral Dissertation
Description
Communication skills within dating contexts are developed during the adolescent years, and are associated with a lifelong ability to have satisfying, enduring, and non-violent partnerships. As such, they are currently and increasingly implemented into both more general forms of healthy relationship education, as well as that targeting the prevention of teen dating violence specifically. Reaching Mexican American youth with culturally and developmentally appropriate relationship education, including communication skills, may be particularly important given their earlier transitions to marital and parenting relationships, acculturative stressors that present them with unique coupling challenges, and their higher rates of teen dating violence as compared to European American youth. We know very little about how Mexican American dating couples communicate about areas of conflict. This dissertation research utilizes Bell and Naugle's (2008) framework of interpersonal violence to explore how cultural and developmental considerations may be integrated in order to better understand how communication behaviors contribute to Mexican American middle adolescents' experiences with dating conflict. I use an observational study design in order to 1.) Qualitatively explore the communication strategies used by a sample of committed couples, including integration of culturally- and developmentally-relevant contexts, 2.) Quantitatively examine whether couple-level discrepancies in acculturation are associated with observed negativity, including whether this relationship may be mediated by dissimilar gender-related beliefs, and to 3.) Review empirical findings pertaining to the communication behaviors of Mexican American adolescents and to integrate ecodevelopmental theory in said framework as informed by Papers 1, 2, and literature specific to this topic area. The ultimate aim of this dissertation research is to generate findings that may improve the dating health of Mexican American adolescents living in the United States.
ContributorsAdams, Heidi (Author) / Rankin Williams, Lela (Thesis advisor) / Marsiglia, Flavio (Committee member) / Anthony, Elizabeth (Committee member) / Arizona State University (Publisher)
Created2013
Description
This study explores the ways in which LGBTQ young adults describe the aspects of their identities, and how those identities shape their service needs and experiences. A participatory action research component was explored as a research and service approach that is sensitive to LGBTQ young people living at the intersections of multiple identities. Although it is understood that LGBTQ young people come from a variety of backgrounds, research is limited in its understanding and exploration of how aspects of identity, such as race and class, influence the lives and service needs of this population. The data was collected through an initial set of interviews with fifteen LGBTQ-identified young adults ages 18 to 24. The interviewees were recruited from an LGBTQ youth-serving organization using a purposive sampling approach to reflect racial/ethnic and gender identity diversity. Following the interviews, eight of the participants engaged as co-researchers on a participatory action research (PAR) team for sixteen weeks. The process of this team's work was assessed through a reflective analysis to identify factors that impacted the participants' lives. Analysis of the interviews identified key themes related to identity among the LGBTQ young people. The interviewees experienced a multiplicity of identities that were both socially and individually constructed. These identities were impacted by their immediate and social environments. The young people also identified ways that they used their identities to influence their environments and enhance their own resilience. The service experiences and needs of the LGBTQ young people in this study were directly influenced by their multiple identities. Implications for intersectional approaches to serving this population are explored. Analysis of the PAR process identified four areas in which the young people were most impacted through their work and interactions with one another: relationships, communication, participation, and inclusion. Implications for research and service approaches with LGBTQ young people are discussed.
ContributorsWagaman, M. Alex (Author) / Segal, Elizabeth A. (Thesis advisor) / Adelman, Madelaine (Committee member) / Ayón, Cecilia (Committee member) / Arizona State University (Publisher)
Created2013
Description
Exiting prostitution is a process whereby women gradually leave prostitution after a number of environmental, relational, and cognitive changes have taken place. Most women attempting to leave street prostitution reenter five or more times before successfully exiting, if they are able to at all. Prostitution-exiting programs are designed to alleviate barriers to exiting, but several studies indicate only about 20-25% of participants enrolled in such programs are successful. There is little quantitative knowledge on the prostitution exiting process and current literature lacks a testable theory of exiting. This mixed-methods study defined and operationalized key cognitive processes by applying the Integrative Model of Behavioral Prediction (IMBP) to measure intentions to exit street-level prostitution. Intentions are thought to be a determinant of behavior and hypothesized as a function of attitudes, norms, and efficacy beliefs. The primary research objective was to measure and test a theory-driven hypothesis examining intentions to exit prostitution. To accomplish these aims, interviews were conducted with 16 men and women involved in prostitution to better capture the latent nuances of exiting (e.g., attitudinal changes, normative influence). These data informed the design of a quantitative instrument that was pilot-tested with a group of former prostitutes and reviewed by experts in the field. The quantitative phase focused on validating the instrument and testing the theory in a full latent variable structural equation model with a sample of 160 former and active prostitutes. Ultimately, the theory and instrument developed in this study will lay the foundation to test interventions for street prostituted women. Prior research has only been able to describe, but not explain or predict, the prostitution exiting process. This study fills a gap in literature by providing a quantitative examination of women's intentions to leave prostitution. The results contribute to our understanding of the cognitive changes that occur when a person leaves prostitution, and the validated instrument may be used as an intervention assessment or an exit prediction tool. Success in predicting an individual's passage through the exiting process could have important and far-reaching implications on recidivism policies or interventions for this vulnerable group of women.
ContributorsCimino, Andrea N (Author) / Gerdes, Karen E. (Thesis advisor) / Sun, Fei (Committee member) / Gillmore, Mary R (Committee member) / Arizona State University (Publisher)
Created2013
Description
This dissertation project is a legal and policy analysis of California's involuntary psychiatric commitment laws and policy as applied to American Indians (AI). Mental health-based civil commitment and conservatorships constitute some of the most severe intrusions into personal liberties and freedom outside of the criminal justice system. In the context of AI peoples and tribal Nations, however, these intrusions implicate not only individual freedoms and well-being but also larger notions of tribal sovereignty, self-determination, culture, and the dialectic relationship between individual identity and community knowledge related to definitions of health, illness and the social meaning of difference. Yet, in the context of involuntary psychiatric commitments, the law reflects a failure to understand this relationship, alternating between strategic use of the sovereignty doctrine to deny access to services or, alternatively, wholly absenting issues of sovereignty and Indigenous worldviews from legal discourse. This project explores the nuanced ways in which these issues are weaved into the fabric of mental health law and policy and how they function to codify, enact and maintain colonization for AI peoples and Nations.
ContributorsGough, Heather Robyn (Author) / Brayboy, Bryan Mck. J. (Thesis advisor) / Romero, Mary (Committee member) / Molidor, Christian (Committee member) / Arizona State University (Publisher)
Created2013
Description
Sexual exploitation is a problem faced by women victimized by sex trafficking and are involved in the commercial sex industry as a result of limited employment options. Negative consequences associated with engaging in sex work in the United States include violent victimization, physical and mental health problems, addiction, isolation from positive social support, and economic instability. These consequences make exiting difficult, and recently Baker, Williamson, and Dalla (2010) created an integrated prostitution exiting model to help explain the exiting process, accounting for the impact of these consequences and identifying the role that failed exiting attempts play in leading women to a final exit. Currently, much remains unknown regarding the usefulness of the model and researchers have yet to explore the process of exiting from the perspective of former sex workers. This dissertation examines the process of exiting commercial sex work from the perspective of 19 adult women who exited the sex industry and had not engaged in sex work for at least two years. The goal of the study was to compare findings from these interviews to Baker et al.'s (2010) integrated model and to further understand the experience of exiting sex work. A narrative approach to data collection was taken (Wells, 2011), and individual interviews were conducted with each participant in order to elicit narratives about their experiences exiting sex work. A phenomenological approach was utilized to analyze the data (van Manen, 1990), and five overarching themes encompassing 21 subthemes emerged as key findings. Many of these themes supported the stages of Baker et al.'s (2010) model, including the experience of becoming disillusioned with the prostitution lifestyle as a precursor to successfully exiting, the likelihood that women will attempt to exit and then re-enter sex work a number of times before finally exiting, and the presence of specific barriers that inhibited the exiting process. Additional themes emerged, offering new information about the importance of involving former sex workers in treatment, the role that children, customers, and other relationships play in helping or hindering the exiting process, and the development of resiliency among women undergoing the exiting process. Recommendations for research and practice are discussed.
ContributorsHickle, Kristine E (Author) / Roe-Sepowitz, Dominique E (Thesis advisor) / Sabella, Donna (Committee member) / Williams, Lela (Committee member) / Arizona State University (Publisher)
Created2014
Description
There are a number of factors known to influence the occurrence of child maltreatment, including parental history of child maltreatment. Youth aging out of the foster care system have been shown to experience a number of challenges associated with the transition to adulthood, including early unintended pregnancy and parenting. However, despite the presumed risks associated with being in foster care and having a history of child maltreatment, very little research has been conducted to examine the parenting attitudes among youth aging out. This study explored the parenting attitudes and parental risk of child maltreatment among youth aging out of foster care in Arizona and examined the relationship between relational support and parenting. Foster youths' parenting attitudes and parental risk of child maltreatment across five constructs: parental expectations, parental empathic awareness of children's needs, beliefs regarding the use of corporal punishment, parent-child roles, and children's power and independence were assessed. Linear regression analyses were conducted to assess the relationship between youths' perceived social support from friends, family, and significant others and their parenting attitudes and youths' current living arrangements and their parenting attitudes. Findings indicate that youth had lower than the median normed sample scores on two out of the five parenting constructs, parental empathic awareness of children's needs and parent-child roles. Overall, 17% of youth in the sample were considered high risk of child maltreatment as parents, while 79% were considered medium risk. Perceived social support from friends was significantly associated with higher scores regarding youths' attitudes about the use of corporal punishment and children's power and independence. Youth living with foster parents had significantly higher scores than youth living on their own across three out of the five parenting attitude constructs. Youth living with relatives had higher scores than youth living on their own on the empathic awareness of children's needs parenting construct. Findings suggest that youth may rely on friends for social support and may develop more nurturing parenting attitudes if residing with foster parents or relatives. Implications for policy, intervention, and practice are discussed.
ContributorsGeiger, Jennifer Mullins (Author) / Segal, Elizabeth A. (Thesis advisor) / Gerdes, Karen E. (Committee member) / Lietz, Cynthia A. (Committee member) / Arizona State University (Publisher)
Created2014
Description
Families with intellectually disabled caregivers are more likely than families without intellectually disabled caregivers to experience poor child welfare outcomes, including high rates of substantiation. However, little research has examined child maltreatment re-reports among this population. The objectives of this study were to begin to address this gap by examining maltreatment re-report rates, and factors associated with maltreatment re-reports, among child welfare-involved families with intellectually disabled caregivers. Survival analysis was conducted using restricted release data from the National Survey of Child and Adolescent Well-Being (NSCAW) to examine the hazard rate and survival rate of maltreatment re-reports for cases with, and without, intellectually disabled caregivers. Multivariate discrete-time hazard models were run using logistic regression to examine the relationship between various predictors and the hazard of maltreatment re-reports. Results revealed that child protection cases involving caregivers with intellectual disabilities were no more likely than cases without intellectually disabled caregivers to experience maltreatment re-reports. Predictors of maltreatment re-reports varied based on whether or not a case involved a caregiver with an intellectual disability. Child gender, child disability, and child race/ethnicity were significant predictors for cases involving caregivers with intellectual disabilities, whereas prior involvement with CPS, caretaker drug problems, and initial allegation substantiation were significant predictors for cases not involving caregivers with intellectual disabilities. These preliminary findings suggest that prevention, screening, and intervention strategies should consider variability of predictive factors based on caregiver intellectual disability status.
ContributorsJames, Stephen (Author) / Shafer, Michael S (Thesis advisor) / Krysik, Judy (Committee member) / Ayón, Cecilia (Committee member) / Arizona State University (Publisher)
Created2014
Description
Psychological distress occurs at disproportionate rates among minority groups and individuals with lower socioeconomic status. This dissertation focuses on the relationship between living in a disadvantaged neighborhood and distress among Latinos, the formal and informal organizations that mediate the direct and indirect relationship between disadvantage and distress in this population, and the differences of social stress processes based on aspects of Latino social status, linguistic acculturation status, and the percentage of residents in the neighborhood that identify as Latino. This dissertation focuses its investigation on Latinos living in Chicago, specifically asking: In a metropolitan city, can the presence of formal and informal community organizations protect Latinos living in disadvantage neighborhoods from experiencing psychological distress? The findings demonstrate an indirect association between disadvantage and distress though objective disorganization and perception of disorganization. Both the density of community centers and block watch had an indirect protective effect, mediating the relationship between neighborhood disadvantage and distress, but did not decrease the indirect effect of disadvantage on distress through objective or perceptions of disorganization. The results of this dissertation suggest that changes to a neighborhood's environment may decrease population rates of distress in disadvantaged neighborhoods.
ContributorsBooth, Jaime M (Author) / Gerdes, Karen (Thesis advisor) / Marsiglia, Flavio M (Committee member) / Anthony, Elizabeth (Committee member) / Arizona State University (Publisher)
Created2014
Description
Nationally, African Americans suffer disproportionately from diabetes; with 13.2% of African Americans diagnosed with diabetes compared to 7.6% of non-Hispanic whites (CDC, 2014). Nearly one-half of all people with diabetes are non-adherent to their oral medications; adherence to insulin therapy was 60%-80% (Brunton et al., 2011; Cramer, 2004; Rubin, 2005). This study explored the question, "What mechanisms are associated with adherence to diabetes medication, including insulin, for African Americans in the Southwest?" Twenty-three people participated in the study; 17 participated in interviews and six participated in gendered focus groups. A community-based participatory research (CBPR) approach engaged the African American community as partners in research.
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.
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.
ContributorsWardian, Jana (Author) / Marsiglia, Flavio F (Thesis advisor) / Sun, Fei (Committee member) / Shaibi, Gabriel (Committee member) / Arizona State University (Publisher)
Created2015
Description
Recent studies have investigated reproductive coercion, a form of intimate partner violence (IPV) defined as when one partner attempts to control another through pregnancy; however, research has focused only on female victim-survivors. Accordingly, the purpose of this three-paper dissertation was to explore the context of male- and female-perpetrated reproductive coercion via interview data from perpetrators of this abuse. The objective of the first paper was to gain a more complicated understanding of male-perpetrated reproductive coercion, with attention to why the phenomenon only sometimes co-occurs with other forms of IPV. A multiple case study analysis framework was used to interpret interview data from men who self-identified as having perpetrating reproductive coercion (n=5). Several men attempted to impregnate non-consenting partners because they perceived value in fatherhood, or the label of "family man." Many justified their behavior by positioning themselves as the rightful "head of household" and minimized their actions by noting their partners' love for their children. The purpose of the second paper, a close narrative analysis of one male participant's interview (n=1), was to gain deeper understanding of how enactment of a certain type of masculinity influences articulations of power within an intimate relationship. Four interview excerpts were organized into stanzas, which were analyzed for narrative disjuncture as well as minimizations and justifications of coercive behavior, with the finding that desire for biological offspring and enactment of power and control may both be tied to a need to perform masculine identity. Finally, the aim of the third paper was to develop an understanding of the contexts in which women perpetrate reproductive coercion. A modified grounded theory approach was used to interpret interview data from women who self-identified as having perpetrated reproductive coercion (n=8), and an initial explanatory model was developed to illustrate a pathway leading to this behavior. Pregnancy appeared to be a means to end (meeting a critical unmet need) more than an end in itself. Preliminary findings suggest that differences exist between female- and male-perpetrated reproductive coercion. Generalizable research that investigates the function of gender in the perpetration of reproductive coercion can inform the development of targeted, gender-appropriate interventions.
ContributorsThaller, Jonel (Author) / Messing, Jill T (Thesis advisor) / Jackson, Kelly F (Committee member) / Durfee, Alesha (Committee member) / Arizona State University (Publisher)
Created2014