School of Public Health
Permanent URI for this communityhttp://hdl.handle.net/1903/1633
The collections in this community comprise faculty research works, as well as graduate theses and dissertations.
Note: Prior to July 1, 2007, the School of Public Health was named the College of Health & Human Performance.
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Item 'Being on Top of It:' A Qualitative Examination of the Processes and Contexts Shaping Pediatric Caregiving among Low-Income, Young, African-American Fathers.(2015) Waters, Damian M.; Roy, Kevin M; Family Studies; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Several studies have noted the positive relationship between father involvement and children's health outcomes (Stewart & Menning, 2009; Bronke-Tinkew, Horowitz, Scott, 2009; Yogman, Kidlon, & Earls, 1995; Lamb, 1997; Dubowitz, Black, & Cox, 2001; Chenning 2008). Recent years have also seen a growing interest in the impact of adolescent fathers' characteristics and involvement on children's outcomes (Black, Dubowitz, & Starr, 1999; Fletcher & Wolfe, 2011). Few studies of public health or pediatric outcomes, however, have examined how fathers provide and shape healthcare for their children. Through semi-structured interviews (n = 29), this study explored how low-income, minority young men care for their children's health. Participants were recruited from two programs that provide integrative medical care, mental health services, and case management support for adolescent and young adult parents in the Washington, DC metropolitan area. Interviews were digitally recorded, transcribed, and entered into Atlas.ti (Friese, 2014). Informed by grounded theory, data were analyzed over three phases of coding. This study explored how the contexts in which young men fathered facilitated and complicated fathers' involvement in pediatric caregiving. These contexts included young men's relationships with the mothers of their children, family and kin-relationships, socioeconomic circumstances, community contexts, as well as proximity and distance from their children. This study found that young men developed their approaches to pediatric caregiving from their general health knowledge, prior caregiving experiences, personal health histories as well as their intimate familiarity with their children. Taken together, the findings suggested a tripartite framework for describing fathers' involvement in pediatric caregiving. This framework also highlights common processes--constructing self as caregiver and a father, navigating coparent relationships, and engaging in medical visits--that young men used to engage in preventative, acute, and chronic caregiving. These common processes helped men negotiate contexts that often challenged their involvement in pediatric caregiving.Item Narratives of Human Agency Among Low Income Incarcerated Fathers(2012) Fang, Jennifer Jing; Roy, Kevin; Family Studies; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Prior literature has focused on studying low income or incarcerated fathers from a deficit perspective. For example, there is ample evidence showing that high risk behaviors are associated with children who have non-custodial fathers and about mothers' perspectives on father absence. However, there is still a lack of literature about how these fathers experience agency to take control and make change in their lives in spite of the barriers they face. I conduct a secondary analysis of life history interviews of 40 fathers in a work release program. The theoretical framework that guides this study is narrative inquiry, using sensitizing concepts from McAdams' (2001) four themes of agency: self mastery, status/victory, achievement/responsibility, and empowerment. Out of McAdams' four themes, self mastery and achievement/responsibility were the most prominent themes of agency. Additional emergent themes of agency are found in fathers' life history narratives.Item Psychosocial Dimensions of Fatherhood Readiness in Low-Income Young Men(2009) Waters, Damian M; Roy, Kevin; Family Studies; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Researchers have a limited understanding of how men become ready for fatherhood, especially among young, low-income men in the transition to fatherhood. The present study draws a diverse sample (n = 53) enrolled in fatherhood programs in Midwestern cities. Life history interviews were conducted with the participants and grounded theory was employed to identify common themes among the narratives. Four cognitive dimensions of fatherhood readiness were identified by the current investigation: presumptive paternity and acknowledged paternity that one is a father, fatherhood vision, maturity, and men's perceptions of their provisional capacity. These contributed to the construction of narratives that describe fatherhood--trial readiness and decided readiness. Implications for social policies and programming are discussed.Item The Reworking of Setbacks and Missteps as a Pathway to Generativity for Low-Income Fathers(2006-12-11) Agboli, Sarah Bong; Roy, Kevin; Family Studies; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)For fathers who have experienced significant setbacks and missteps over their life course, attainment of normative fathering roles can be difficult. The aim of the current study was to provide insight into how men, who had not fulfilled father expectations, reworked father roles in order to be an active and generative presence in their children's lives. A secondary analysis of 28 life history interviews was conducted. The researcher examined how a father's setbacks and missteps influenced his relationship with his children and how he incorporated these events into his narrative identity and translated them into parental generativity. The strategies used to overcome the barriers created by setbacks and missteps were examined. Of particular interest were how the fathers communicated the negative aspects of their identities to their children, the narrative sequencing used, and how they reworked fatherhood roles and mainstream social norms as a means to parental generativity.