Barriers to Managing Coronary Artery Disease Among Older Women

Numerous barriers to managing coronary artery disease (CAD) among older women are reported in the literature; however, few studies adjust for demographic and health status differences. A survey assessing barriers and other factors was distributed to a stratified random sampling of older women with CAD. Factor analysis and multiple logistic regression procedures were used to estimate the impact of these issues on receiving a CAD-related office visit. The most problematic barriers included denial and low health literacy. Efforts to promote patient awareness of heart health and better communication between patients and clinicians may alleviate these barriers.     

Religion in the Lives of Older Women Serving Life in Prison

This exploratory qualitative study examined the roles of religiousness in the lives of 21 older women (mean age = 63) serving life sentences in one southern state. Based on survey and focus group methodology, several themes emerged as important focal points, including early religious experiences prior to incarceration, imprisonment and religious doubt, participation in formal and informal religious activities, and use of religion in coping with stressors such as interpersonal relationships, trauma, and health statuses. Irrespective of their religious upbringing, all participants agreed that religiosity/spirituality played a key role in their ability to cope with their prison experience as well as for maintaining hope and the opportunity for release.     

Military Cultural Competence

This article offers a new definition of military cultural competence based on a review of the literature. As a starting point, the defining characteristics of military culture is discussed and includes the chain of command, military norms, and military identity. Having laid this groundwork, the multidimensionality of military cultural competence—attitudinal, cognitive, behavior—is discussed. Clinical applications of these various competencies are provided.     

Impact of Parenting Behaviors on Recent Alcohol Use Among African American Students

Parenting is a critical factor in substance abuse prevention. Positive parenting behaviors are identified as a protective factor for substance abuse among youth. Limited research exists that investigates the role of parenting practices on minority youth substance use. The present study seeks to examine correlates between parenting and recent alcohol use among African American youth. Specifically, to what extent do African American students report experiencing specific parenting behaviors that are measured by the National Household Survey on Drug Use and Health?, do specific parenting behaviors increase the risk of recent alcohol use among African American youth?, does the impact of parenting behaviors on recent alcohol use among African American youth differ based on sex (males and females) and age category (12–13, 14–15, and 16–17 years old) were examined in this study? Logistic regression analysis of the National Household Survey on Drug Use and Health was conducted to examine the research questions. Findings indicated that parenting behaviors was associated with recent alcohol among youth. Significant differences were found for males, females, 12–13, 14–15, and 16–17 years olds. Study findings demonstrate the importance of positive parenting behaviors in youth alcohol prevention. Program specialists may target parenting as a means of preventing and reducing youth alcohol use among African American youth.     

Overcoming Uncertainty: Agency,Stance, and the Rise of Collective Action in Times of Crisis

This article examines how grassroots actors initiate and engage in collective action to transcend dramatic situations of large-scale societal crisis. Merging strands of sociolinguistic scholarship with social movement theory, the concepts of stance and stance-taking are presented to reveal how individuals collectively exert their agency during episodes of macrostructural instability and uncertainty. Stance is defined as the agentive and solidaristic position taken up by a group of actors to navigate and overcome moments of social rupture. Stance-taking is the situational ensemble of discursive, organizational, and dramaturgical practice through which stances are developed and deployed. Analysis of the social construction of stance promotes multidimensional understandings of how social movements intensify and expand under conditions of crisis. To illustrate the analytical purchase of these concepts, the study describes the stance-taking practices that fueled the rise of mass public protests in Buenos Aires, Argentina, at the height of a national crisis in 2001.     

Assessing Value Differences Between Leaders of Two Social Venture Types: Benefit Corporations and Nonprofit Organizations

This study considers key value differences between leaders of two types of social ventures: for-profit social benefit corporations and nonprofit organizations. The research question asks to what degree the value sets of leaders of benefit corporations are congruent with those of similarly situated individuals in nonprofit organizations. The results show the values of leaders working in benefit corporations and nonprofit organizations are in many ways aligned, but there are notable statistical differences. A sectoral association of values is also present with employees in both types of organization, especially when the previous work experience of employees is considered.     

Defender–Attacker Decision Tree Analysis to Combat Terrorism

We propose a methodology, called defender–attacker decision tree analysis, to evaluate defensive actions against terrorist attacks in a dynamic and hostile environment. Like most game‐theoretic formulations of this problem, we assume that the defenders act rationally by maximizing their expected utility or minimizing their expected costs. However, we do not assume that attackers maximize their expected utilities. Instead, we encode the defender's limited knowledge about the attacker's motivations and capabilities as a conditional probability distribution over the attacker's decisions. We apply this methodology to the problem of defending against possible terrorist attacks on commercial airplanes, using one of three weapons: infrared‐guided MANPADS (man‐portable air defense systems), laser‐guided MANPADS, or visually targeted RPGs (rocket propelled grenades). We also evaluate three countermeasures against these weapons: DIRCMs (directional infrared countermeasures), perimeter control around the airport, and hardening airplanes. The model includes deterrence effects, the effectiveness of the countermeasures, and the substitution of weapons and targets once a specific countermeasure is selected. It also includes a second stage of defensive decisions after an attack occurs. Key findings are: (1) due to the high cost of the countermeasures, not implementing countermeasures is the preferred defensive alternative for a large range of parameters; (2) if the probability of an attack and the associated consequences are large, a combination of DIRCMs and ground perimeter control are preferred over any single countermeasure.     

“Tell Me So That I Can Help You”: Private Information and Privacy Coordination Issues in the Context of Eldercare

In order to provide competent care to aging parents, adult children, and older parents must renegotiate long-standing privacy boundaries that allow caregivers access to parents’ private information. It is reasonable to surmise that caregivers encounter privacy coordination issues when attempting to care for their aging parent. This study utilizes Communication Privacy Management theory to explore what content is considered private and what privacy coordination issues arise in the context of eldercare. Results from 27 in-depth interviews with adult children caring for an aging parent suggest that information concerning parents’ future care, health and well-being, and (in)capabilities were marked private. The findings also detail three disruptions to privacy coordination, including parental caregivers’ ambivalence toward managing parents’ care-related information. Critical implications of the study are discussed, which include how privacy turbulence may be a functional catalyst for boundary recalibration.