{"id":"https://openalex.org/W3087205689","doi":null,"title":"Examining Three Levels of Social Integration and Health in Minorities: A Bioecological Perspective","display_name":"Examining Three Levels of Social Integration and Health in Minorities: A Bioecological Perspective","publication_year":2018,"publication_date":"2018-01-01","ids":{"openalex":"https://openalex.org/W3087205689","mag":"3087205689"},"language":"en","primary_location":{"id":"pmh:oai:repository.arizona.edu:10150/630565","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10150/630565","pdf_url":null,"source":{"id":"https://openalex.org/S4306400271","display_name":"UA Campus Repository (The University of Arizona)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I138006243","host_organization_name":"University of Arizona","host_organization_lineage":["https://openalex.org/I138006243"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Electronic Dissertation"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5042858646","display_name":"Melissa A. Flores","orcid":"https://orcid.org/0000-0002-9436-6665","observed_orcids":["https://orcid.org/0000-0002-9436-6665"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Melissa Flores","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-9436-6665","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5042858646"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10652","display_name":"Racial and Ethnic Identity Research","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13633","display_name":"Public Health and Social Inequalities","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/social-integration","display_name":"social integration","score":0.9990000128746033},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.9089999794960022},{"id":"https://openalex.org/keywords/minority-health","display_name":"minority health","score":0.7609999775886536},{"id":"https://openalex.org/keywords/bioecological-model","display_name":"bioecological model","score":0.9150000214576721},{"id":"https://openalex.org/keywords/social-ecological-systems","display_name":"social-ecological systems","score":0.8009999990463257},{"id":"https://openalex.org/keywords/marital-status","display_name":"marital status","score":0.777999997138977},{"id":"https://openalex.org/keywords/social-support","display_name":"social support","score":0.921999990940094},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.8309999704360962},{"id":"https://openalex.org/keywords/mortality","display_name":"mortality","score":0.8199999928474426},{"id":"https://openalex.org/keywords/hispanic-women","display_name":"Hispanic women","score":0.8550000190734863},{"id":"https://openalex.org/keywords/postmenopausal-women","display_name":"postmenopausal women","score":0.8560000061988831},{"id":"https://openalex.org/keywords/breast-cancer","display_name":"breast cancer","score":0.9440000057220459},{"id":"https://openalex.org/keywords/depressed-mood","display_name":"depressive mood","score":0.7789999842643738},{"id":"https://openalex.org/keywords/coping-styles","display_name":"coping styles","score":0.8889999985694885},{"id":"https://openalex.org/keywords/family-caregiving","display_name":"family caregiving","score":0.3269999921321869},{"id":"https://openalex.org/keywords/caregiver-burden","display_name":"caregiver burden","score":0.42800000309944153}],"concepts":[{"id":"https://openalex.org/C12713177","wikidata":"https://www.wikidata.org/wiki/Q1900281","display_name":"Perspective (graphical)","level":2,"score":0.7910771369934082},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.46038389205932617},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3860536813735962},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.34582531452178955},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.3427259922027588},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.16190844774246216},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:repository.arizona.edu:10150/630565","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10150/630565","pdf_url":null,"source":{"id":"https://openalex.org/S4306400271","display_name":"UA Campus Repository (The University of Arizona)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I138006243","host_organization_name":"University of Arizona","host_organization_lineage":["https://openalex.org/I138006243"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Electronic Dissertation"},{"id":"mag:3087205689","doi":null,"is_oa":false,"landing_page_url":"https://repository.arizona.edu/handle/10150/630565","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9391000270843506,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.848800003528595,"id":"https://metadata.un.org/sdg/10"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":47,"referenced_works":["https://openalex.org/W103032944","https://openalex.org/W115717089","https://openalex.org/W1521227887","https://openalex.org/W1561469389","https://openalex.org/W1804627766","https://openalex.org/W1889276387","https://openalex.org/W1982222722","https://openalex.org/W1982564323","https://openalex.org/W1986624631","https://openalex.org/W2002688599","https://openalex.org/W2003490123","https://openalex.org/W2025214196","https://openalex.org/W2026412398","https://openalex.org/W2026515668","https://openalex.org/W2033947464","https://openalex.org/W2041260649","https://openalex.org/W2043254260","https://openalex.org/W2044806364","https://openalex.org/W2053520279","https://openalex.org/W2065461194","https://openalex.org/W2077081258","https://openalex.org/W2077583416","https://openalex.org/W2081681829","https://openalex.org/W2081974370","https://openalex.org/W2082348404","https://openalex.org/W2082992618","https://openalex.org/W2092112120","https://openalex.org/W2092838763","https://openalex.org/W2102138251","https://openalex.org/W2102428340","https://openalex.org/W2108040052","https://openalex.org/W2108839626","https://openalex.org/W2112693270","https://openalex.org/W2116776656","https://openalex.org/W2117450405","https://openalex.org/W2118743528","https://openalex.org/W2118745042","https://openalex.org/W2123203885","https://openalex.org/W2128000797","https://openalex.org/W2149612743","https://openalex.org/W2151808962","https://openalex.org/W2158973647","https://openalex.org/W2167988740","https://openalex.org/W2292573871","https://openalex.org/W2316376271","https://openalex.org/W2346306954","https://openalex.org/W2496601852"],"related_works":["https://openalex.org/W2187799744","https://openalex.org/W2128320560","https://openalex.org/W2772284506","https://openalex.org/W7048135251","https://openalex.org/W2276255978","https://openalex.org/W7096673706","https://openalex.org/W4388366923","https://openalex.org/W2092424260","https://openalex.org/W7096188529","https://openalex.org/W2034232242"],"abstract_inverted_index":{"Background.":[0],"Understanding":[1],"and":[2,21,51,128,133,168,172,183,211,237,239,243,281,291,300,326,337,354,359,400,404,418,428,442,472,474,476,493,501,530,561,566,622,671,679,697,724,810,813,822,841,892],"dismantling":[3],"health":[4,25,127,154,254,295,405,628,670,861,897],"disparities":[5],"remain":[6],"one":[7],"of":[8,18,105,160,165,220,246,249,255,297,314,371,407,452,524,559,591,630,804,816,854,886,890,929],"the":[9,184,187,218,244,253,286,348,380,395,413,450,487,525,545,577,683,691,718,759,763,794,805,817,855,884,887,927],"most":[10],"essential":[11],"imperatives":[12],"for":[13,48,352,438,593,619,668,733,828,906],"our":[14],"nation.":[15],"The":[16,279,439],"complexity":[17,928],"interacting":[19],"sociodemographic":[20],"structural":[22],"factors":[23,81],"affecting":[24],"is":[26,86,114,223],"difficult":[27],"to":[28,224,607,627,895],"quantify.":[29],"Thus,":[30,149],"sophisticated":[31],"approaches":[32],"which":[33,446,921],"take":[34],"into":[35],"account":[36],"not":[37,615,740,778,792,836],"only":[38],"an":[39,91,801],"individual":[40,280],"but":[41,775,791],"their":[42,125,608,654],"dynamic,":[43],"social":[44,102,106,109,118,166,179,226,250,292,342,345,426,554,564,620,677,781,789,839,842,907,912,930],"environments":[45],"are":[46,285,504,749,858],"necessary":[47],"understanding":[49],"resiliency":[50],"strengths":[52],"in":[53,90,302,317,329,515,701,793,847,862,864,872,910],"these":[54,247,419,568],"populations":[55],"(Thornton":[56],"et":[57,387,457],"al.,":[58,388,458],"2016).":[59],"In":[60,373,390,431,460,539,576,625,682,762],"this":[61,269,369,391,461,540,672,848,900],"dissertation,":[62],"I":[63,267,376,393,409,434,463,483,518,542,582,688,714,768,796],"adopted":[64],"a":[65,87,121,157,214,588,814,903],"developmental":[66],"perspective":[67],"(e.g.":[68],"Bioecological":[69],"Theory)":[70],"that":[71,116,584,660,690,717,745,752,827,851,870],"may":[72,97,664,673,753,901],"guide":[73],"scientists":[74,908],"when":[75,605,651],"considering":[76],"several":[77],"interacting,":[78],"sociocultural":[79],"environmental":[80],"at":[82,228,666],"once.":[83],"Social":[84,527,798],"integration":[85,167,227,251],"powerful":[88],"force":[89],"individual's":[92],"life.":[93,408],"Although":[94],"'social":[95],"integration'":[96],"have":[98,189,754],"many":[99],"names":[100],"(perceived":[101],"support,":[103,790],"closeness":[104,558],"ties,":[107,560],"diverse":[108,318],"networks,":[110],"etc.),":[111,920],"broadly,":[112],"it":[113],"accepted":[115],"one's":[117],"life":[119,298],"has":[120],"profound":[122],"impact":[123],"on":[124,153,178,758],"corresponding":[126],"mortality":[129,301,403,592,603],"through":[130,271,676],"various":[131,865],"behavioral":[132],"physiological":[134],"pathways":[135],"(Holt-Lunstad,":[136],"Smith,":[137],"&":[138,142,146,196,201,206,259,263,536],"Layton,":[139],"2010;":[140],"Robles":[141],"Kiecolt-Glaser,":[143],"2003;":[144],"Symister":[145],"Friend,":[147],"2003).":[148],"any":[150],"comprehensive":[151],"study":[152,579,658,685,765],"should":[155],"include":[156],"broader":[158,169],"investigation":[159],"socio-environmental":[161],"variables":[162,556,913],"including":[163],"measures":[164],"community":[170,240,338],"culture":[171],"resources.":[173],"Historically,":[174],"however,":[175,613],"investigations":[176],"focused":[177],"integration,":[180],"physical":[181,637,645],"health,":[182],"association":[185,245,885],"between":[186,288,397,415,489,693,720,807,819],"two":[188,401,494,770],"traditionally":[190],"underrepresented":[191],"minority":[192,256],"individuals":[193,257],"(Heiat,":[194],"Gross,":[195,207],"Krumholz,":[197,205],"2002;":[198],"Hussain-Gambles,":[199],"Atkin,":[200],"Leese,":[202],"2004;":[203],"Murthy,":[204],"2004).":[208],"Research":[209],"Aim":[210],"Questions.":[212],"Adopting":[213],"social-ecological":[215,856,916],"systems":[216],"approach,":[217],"focus":[219],"my":[221,923],"dissertation":[222,849],"examine":[225],"three":[229,647,874],"levels":[230,248,853,917],"(the":[231],"spousal/partner":[232,282],"relationship,":[233,283],"immediate":[234],"family-level":[235,310],"dynamics,":[236,311],"neighborhood":[238],"level":[241,339],"factors)":[242],"with":[252,294,636,639,653,860],"(Bronfenbrenner":[258],"Evans,":[260],"2000;":[261],"Bronfenbrenner":[262],"Morris,":[264],"1998,":[265],"2007).":[266],"addressed":[268],"aim":[270],"three,":[272],"separate":[273],"research":[274],"questions":[275,877],"(RQ)/Chapters:":[276],"RQ1/Chapter":[277],"II)":[278,581],"What":[284],"associations":[287,569],"marital":[289,398,416,585,632],"status":[290,399,417,586,633],"support":[293,346,427,565,621,678,799],"quality":[296,406,629],"(HQoL),":[299],"post-menopausal,":[303],"Hispanic":[304,546,573,595,662,771],"women?":[305],"RQ2/":[306],"Chapter":[307,334,374,432,516],"III)":[308,687],"Immediate":[309],"Does":[312],"synchrony":[313,467,492,696,723,748],"emotional":[315,694,721],"arousal":[316,466,491,695,722,747],"families":[319,702],"facing":[320,703],"breast":[321,330,495,704],"cancer":[322,331,496,705],"predict":[323],"depressive":[324,502,699,811],"mood":[325,700],"coping":[327,725],"style":[328,500,726],"patients?":[332],"RQ3/":[333],"IV)":[335,767],"Neighborhood":[336],"factors,":[340],"Do":[341],"ties":[343,840],"or":[344,423,512,563,881],"mediate":[347],"ethnic":[349,547,772,808,820],"density":[350,548,773,809,821],"effect":[351,549],"Hispanics":[353],"other":[355],"racial-ethnic":[356],"groups?":[357],"Methods":[358],"Data":[360],"Sources.":[361],"Three":[362],"distinct":[363],"data":[364,378,436,520],"sources":[365],"were":[366,421,570,777,786,876],"examined":[367,394,464,485,543],"within":[368],"body":[370],"work.":[372],"II,":[375],"utilized":[377,435],"from":[379,521,914],"Women's":[381],"Health":[382],"Initiative,":[383],"Observational":[384],"Study":[385],"(Anderson,":[386],"1998).":[389],"analysis,":[392,462,541],"relation":[396,692,719,806,818,894],"outcomes:":[402],"also":[410,715],"assessed":[411],"whether":[412,486,544,567],"relations":[414,488],"outcomes":[420,498],"attenuated":[422],"moderated":[424,505,571,707,728],"by":[425,506,552,572,708,729,737,780,788],"language":[429,623,680],"acculturation.":[430,624,681],"III,":[433],"collected":[437],"Family":[440],"Coping":[441],"Breast":[443],"Cancer":[444],"Project":[445,532],"recruited":[447],"patients":[448],"during":[449],"years":[451,648],"1991":[453],"\u2013":[454],"1993":[455],"(Weihs":[456],"2005).":[459],"emotion":[465,490,746],"among":[468],"family":[469,509,709,730,750,760],"members":[470],"(patient":[471],"spouse,":[473],"patient":[475,497,507],"child)":[477],"using":[478],"cross":[479],"recurrence":[480],"quantification":[481],"analysis.":[482],"then":[484],"(coping":[499],"mood)":[503],"perceived":[508],"environment":[510,857],"ratings":[511],"race.":[513],"Lastly,":[514],"IV,":[517],"analyzed":[519],"Wave":[522],"2":[523],"National":[526],"Life,":[528],"Health,":[529],"Aging":[531],"(O\u2019Muircheartaigh,":[533],"English,":[534],"Pedlow,":[535],"Kwok,":[537],"2014).":[538],"was":[550,587,614,634,706,727,739,800],"mediated":[551,779,787],"either":[553],"network":[555,782],"(size,":[557],"diversity)":[562],"ethnicity.":[574],"Results.":[575],"first":[578],"(Chapter":[580,686,766],"found":[583,689,716,769],"significant":[589],"predictor":[590],"older":[594],"women.":[596],"Specifically,":[597],"widowed":[598,640],"women":[599,641,663],"had":[600],"significantly":[601,643],"higher":[602,838],"risk":[604,667],"compared":[606,652],"married":[609,655],"counterparts.":[610,656],"This":[611,657],"relation,":[612],"present":[616],"after":[617,649],"controlling":[618],"regard":[626],"life,":[631],"associated":[635,859],"functioning,":[638],"reporting":[642],"worse":[644],"functioning":[646],"baseline":[650],"suggests":[659],"widowed,":[661],"be":[665,674,902],"poor":[669],"facilitated":[675],"second":[684],"patients'":[698],"environment,":[710,731],"specifically":[711,732],"conflictual":[712],"environments.":[713,931],"cohesiveness":[734],"ratings.":[735],"Moderation":[736],"race":[738],"found.":[741],"These":[742,824],"results":[743,825],"suggest":[744,826,850],"dynamics":[751],"differing":[755],"implications":[756],"depending":[757],"environment.":[761],"third":[764],"effects,":[774],"they":[776,785],"variables.":[783],"However,":[784],"direction":[795],"hypothesized.":[797],"inconsistent":[802],"mediator":[803],"symptoms":[812],"suppressor":[815],"morbidity.":[823],"all":[829,873],"racial/ethnic":[830],"groups,":[831],"ethnically":[832],"dense":[833],"neighborhoods":[834],"do":[835],"beget":[837],"support.":[843],"Conclusions.":[844],"Overall,":[845],"findings":[846],"varying":[852],"minorities":[863],"ways.":[866],"A":[867],"common":[868,904],"phenomenon":[869],"arose":[871],"analyses":[875],"about":[878],"how":[879],"covariates":[880],"mediators":[882],"influenced":[883],"main":[888],"variable":[889],"interest":[891],"its":[893],"different":[896,915],"outcomes.":[898],"Broadly,":[899],"issue":[905],"interested":[909],"utilizing":[911],"(micro-system,":[918],"exosystem,":[919],"corroborates":[922],"previous":[924],"statement":[925],"regarding":[926]},"counts_by_year":[],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2020-09-25T00:00:00"}