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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
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
All ethnic groups in the U.S. have suffered from elder maltreatment (EM), but literature on this topic among Chinese Americans is sparse. Only one group of researchers has exclusively focused on the EM experiences of Chinese Americans in the U.S. A recent study indicated the prevalence rate of EM was 24% among residential-dwelling Chinese American elders and the most prevalent forms of EM are psychological maltreatment (10%) and financial maltreatment (10%). However, the effect of family relationship and cultural factors on EM have not yet been explored. The traditional Chinese culture emphasizing family cohesion and filial piety, along with the acculturation stress and language barriers may increase the risks of EM in this population.
This exploratory research aimed to understand EM perpetrated by family members in residential settings among Chinese American elders and the risk factors of EM in this population, focusing on the Phoenix metropolitan area. Particularly, understanding EM through both a cultural lens and a legal lens shed light on the roles of socio-cultural variables (family support and cultural variables) associated with EM among Chinese American elders, one of the fastest growing ethnic groups in the U.S.
To achieve these research aims, a larger quantitative component building on a small qualitative component was utilized. In Phase I, focus groups were conducted to ensure subsequent survey questions were culturally and linguistically appropriate. Feedback from the focus groups was used to refine the questionnaire designed for this study. In Phase II, revised questionnaires were distributed to 266 Chinese American older adults to detect EM prevalence and to identify the factors associated with victimization. The ecological theory provides guidance for the study.
In the end, one of ten Chinese American elders experienced general EM perpetrated by family members. The dominant forms of EM, elder neglect and emotional maltreatment, may have serious emotional outcomes and threaten the well-being of Chinese elders. To prevent the occurrence and recurrence of EM, service professionals and gatekeepers in the community need to work with Chinese American families to reduce elders’ depression levels, promote family cohesion and eliminate the intergenerational culture/acculturation differences.
This exploratory research aimed to understand EM perpetrated by family members in residential settings among Chinese American elders and the risk factors of EM in this population, focusing on the Phoenix metropolitan area. Particularly, understanding EM through both a cultural lens and a legal lens shed light on the roles of socio-cultural variables (family support and cultural variables) associated with EM among Chinese American elders, one of the fastest growing ethnic groups in the U.S.
To achieve these research aims, a larger quantitative component building on a small qualitative component was utilized. In Phase I, focus groups were conducted to ensure subsequent survey questions were culturally and linguistically appropriate. Feedback from the focus groups was used to refine the questionnaire designed for this study. In Phase II, revised questionnaires were distributed to 266 Chinese American older adults to detect EM prevalence and to identify the factors associated with victimization. The ecological theory provides guidance for the study.
In the end, one of ten Chinese American elders experienced general EM perpetrated by family members. The dominant forms of EM, elder neglect and emotional maltreatment, may have serious emotional outcomes and threaten the well-being of Chinese elders. To prevent the occurrence and recurrence of EM, service professionals and gatekeepers in the community need to work with Chinese American families to reduce elders’ depression levels, promote family cohesion and eliminate the intergenerational culture/acculturation differences.
ContributorsGao, Xiang, Ph.D (Author) / Sun, Fei (Thesis advisor) / Bonifas, Robin (Committee member) / Marsiglia, Flavio (Committee member) / Arizona State University (Publisher)
Created2015