The relationship between the community participation of disabled youth and socioeconomic factors: mixed-methods approach in rural Sri Lanka

Mixed methods were applied to examine the association of community participation by disabled youth with socioeconomic factors in rural Sri Lanka. There was a significant association between community participation and socioeconomic factors in the quantitative survey (n = 116): participants living in socioeconomically disadvantaged conditions had lower levels of community participation than those living without these disadvantages. Consistent with the findings of the survey, previous educational experiences, household economic conditions, and perceived resource information were common themes in the qualitative study (n = 26). The dynamics of these factors, including marginalisation of disabled youth within the household, were also observed.     

Cultural,individual, and familial risk and protective factors associated with depressive symptoms in Pacific youth living in New Zealand

ABSTRACT

This article examines cultural, individual, and familial risk and protective factors associated with depressive symptoms in Pacific youth living in New Zealand. At ages 11 (n = 950) and 14 (n = 931), Pacific youth participated in multidisciplinary interviews that included the Children’s Depression Inventory. Across time points, factors significantly associated with higher depressive symptoms were involvement in bullying and gang activities. Positive parenting was significantly associated with lower depressive symptoms, and Tongan youth were significantly less likely to report depressive symptoms than Samoan youth. Time-varying factors were gender, problem behaviour syndromes, and maternal education. Gaining more knowledge about modifiable risk and protective factors that contribute to depression in Pacific youth is an important tool to support new approaches that promote adaptive psychological adjustment during adolescence.     

Caregiver perceptions of empowerment and self-efficacy following youths’ discharge from residential care

ABSTRACT

Residential care is one of the most restrictive out-of-home care settings; however, this is a temporary placement and youth eventually reintegrate into the home and community setting. Reintegration presents many challenges, and aftercare becomes critical for maintaining youth gains and promoting family stability. Aftercare programs and supports should align to individual family needs that entail understanding individual and familial characteristics. Previous studies have explored characteristics related to family functioning, mental health, behavior, and perceptions of need during reintegration; yet little is known regarding how affective characteristics (i.e., self-efficacy, empowerment) factor into reintegration, or the implications this may have for providers. The purpose of this study was to address this gap by exploring empowerment and self-efficacy in caregivers (N = 120) who had a child return home within 1 month of departing residential care. Overall, caregivers reported high levels of empowerment and self-efficacy during the initial transition period. Significant differences for empowerment and self-efficacy were present in characteristics such as race, income, number of children in the home, and free/reduced lunch status.     

Adult youth workers’ conceptions of their work in an under-resourced community in the United States

This study examined adult workers’ conceptions of their work with youth in a large, underserved, urban region in the northeastern United States. Drawing on qualitative interviews with 18 youth workers from various organizations, affiliated with a community coalition focused on substance abuse prevention, we explored how adults viewed their role of working with youth. We were particularly interested in whether these workers saw youth empowerment and collaboration with youth for community change as part of their role. Our data suggested that while workers in this study were very supportive of youth, the support and actions they provided were on behalf of rather than with them and that, in general, partnering with youth for community change was not a part of what they envisioned their work to be. While a few of the adults attempted to work more collaboratively with youth, they were clearly in the minority.     

A Critical Examination of an Urban-Based Youth Empowerment Strategy: The Teen Empowerment Program

ABSTRACT

Youths from marginalized and disenfranchised communities can be empowered to advocate for social justice through civic engagement and sociopolitical action. Examining youth empowerment programs, using critical social theory, builds upon our understanding of sociopolitical systems and oppression and provides a lens to examine mechanisms of change while applying theory to practice. Jennings, Parra-Medina, Messias, and McLoughlin (2006 Jennings, L. B., Parra-Medina, D. M., Messias, D. K. H. and McLoughlin, K. 2006. Toward a critical social theory of youth empowerment. Journal of Community Practice, 14: 31–55. [Taylor & Francis Online] , [Google Scholar]) have identified six dimensions of critical youth empowerment programs, which provide a framework for examining youth empowerment programs. This article presents the Teen Empowerment program, as implemented with high-risk youths in urban communities, and examines it along these six dimensions and provides a model for how to critically examine youth empowerment programs using this framework.     

Promoting Empowerment Among LGBTQ Youth: A Social Justice Youth Development Approach

Lesbian, gay, bisexual, transgender and queer-identified (LGBTQ) youth are a population with a unique set of service needs. Existing research on effective service methods with LGBTQ youth is limited. Youth empowerment holds potential as an approach that can impact well-being among youth who face discrimination. The current study explores the relationship between the social justice youth development framework (Ginwright and James, New Directions Youth Dev 96:27–46, 2002) and youth empowerment in a sample of LGBTQ youth. Multiple regression analysis of data collected through a community-based youth program identified critical consciousness and community engagement as significant predictors of empowerment. Findings suggest that programs that promote these factors among LGBTQ youth using the social justice youth development framework may enhance empowerment thereby increasing other aspects of well-being.     

Intergenerational Community Action and Youth Empowerment

Abstract

Empowerment theory can provide a useful framework for the design and evaluation of intergenerational community-building programs. Using an intervention research approach that draws heavily on empowerment theory, the author designed, facilitated, and evaluated an innovative model for intergenerational community engagement involving undergraduate students and older adult residents of an assisted living facility. This “Intergenerational Community Action Group” met at the assisted living facility throughout a school year to engage in group-building activities, to discuss and choose an issue of concern to them in the community, and to plan and implement an action project to address the issue. This article discusses the use of empowerment theory in intergenerational community action and similar programs, and reviews the empowerment outcomes for youth participants in the Intergenerational Community Action Group.     

Tailoring Organizational Characteristics for Empowerment

ABSTRACT

Empowerment is an important value orientation and intervention approach in social work and other disciplines. Viewed from an ecological perspective, a good fit between organizational characteristics and the life circumstances of individuals should provide empowerment benefits. By studying interaction effects of material resources and organizational characteristics on empowerment, this research sought to extend understanding of empowerment dynamics in community organizations. Using hierarchical regression analyses to investigate socio-economic status (SES) in a moderator model, findings of the study demonstrated that, among a diverse group of participants in two different faith-based community organizations, perceptions of organizational characteristics were more strongly related to empowerment for participants of lower SES. A substantive implication of the study is that community practitioners should attend to the fit between specific organizational processes and economic circumstances of community based organization participants. Strategies weighted toward attention to relationships among members linked to availability of and participation in a variety of organizational roles may be more salient for empowerment of the disadvantaged. Our findings are consistent with an ecological orientation to empowerment, and they add further support to the importance of ecological specificity in empowerment theory.     

Sariling Gawa Youth Council as a Case Study of Youth Leadership Development in Hawai'i

SUMMARY

This article describes Sariling Gawa Youth Council as a case study of youth leadership development in Hawai'i. Since 1980, thousands of young people-primarily Filipino youth-have participated in Sariling Gawa activities which have developed their leadership skills. Many of them have continued to lead the organization and utilize what they learned with numerous local organizations and state agencies. The authors examine Sariling Gawa's growth, structure, and other factors that contribute to its longevity. The model includes (1) youth empowerment through building their leadership skills, (2) fostering and strengthening peer social support and social networks, (3) promotion of positive ethnic identity, and (4) community capacity building by involving youth in civic and community affairs.     

Psychological Symptoms of Sexually Victimized Children and Adolescents Compared With Other Maltreatment Subtypes

The differential effects of sexual victimization and other forms of maltreatment on psychological functioning are not well understood. A sample of sexually victimized children and adolescents (N = 70; 6.3–17.9 years) and a group of youth with a history of nonsexual maltreatment (N = 108; 6.7–16.9 years) were compared using measures of mental health and psychosocial functioning. Assessments included standardized clinical interviews on individual maltreatment history and current psychopathology as well as questionnaires on behavioral and emotional symptoms, including posttraumatic stress symptoms. The results from this study suggest that the risk of experiencing any current mental disorders was independent of type of maltreatment. The risk of meeting the criteria for a current diagnosis of major depression, however, is greater among youth with a history of maltreatment that includes sexual victimization. The significant impact of sexual victimization on posttraumatic stress symptoms was found to be nonsignificant after controlling for age and gender effects. The results indicate that the outcomes of child maltreatment depend on type of maltreatment, but age and gender must be taken into account.     

Exploring the Experiences of Lesbian,Gay, Bisexual,and Questioning Adolescents in Foster Care

This article is based on the findings from a subset of gender identity and sexual orientation questions from The Casey Field Office Mental Health Study (CFOMH). It aims to contribute the experiences of youth in the care of Casey Family Programs to the increasing body of research on lesbian, gay, bisexual, transgender, or questioning (LGBTQ) youth in foster care, as well as inform future studies in this area. The CFOMH study interviewed 188 adolescents ages 14 to 17 who were receiving foster care services from Casey Family Programs in 2006. The experiences in care of youth who identified as LGBQ (n = 10) are presented in narrative form, along with data from all youth in care (N = 188) regarding their perceptions of the foster care environment for LGBTQ youth. These findings are intended to underscore the need to conduct a larger, more in-depth study of the experiences of LGBTQ youth in foster care and the environment that foster care provides for them.     

The Who Concept of Sexual Health Applied to An Urban Poor Community in Mumbai,India

Objectives: The objectives of this study were to describe a scale that operationalizes the World Health Organization concept of sexual health and to assess factors associated with scale variation. Methods: Qualitative in-depth interviews (N = 39), sexual health interviews (N = 21), and survey data (N = 1,128) for this article are drawn from an Indo-U.S. project to reduce the incidence of HIV and sexually transmitted infections among poor urban married women (aged 18–49 years old) in Mumbai, India. Results: Lower sexual health status was significantly associated with gender inequity, marital violence, poorer marital relationships and physical health, and lower empowerment and social support. Conclusions: This work demonstrates the need to view sexual health in the broader context of community and family.     

Family Functioning and Mental Health of Transgender and Gender-Nonconforming Youth in the Trans Teen and Family Narratives Project

Transgender and gender-nonconforming (TGN) youth are at increased risk for adverse mental health outcomes, but better family functioning may be protective. This study describes TGN youth’s mental health and associations with family functioning in a community-based sample. Participants were from 33 families (96 family members) and included 33 TGN youth, ages 13 to 17 years; 48 cisgender (non-transgender) caregivers; and 15 cisgender siblings. Participants completed a survey with measures of family functioning (family communication, family satisfaction) and mental health of TGN youth (suicidality, self-harm, depression, anxiety, self-esteem, resilience). TGN youth reported a high risk of mental health concerns: suicidality (15% to 30%), self-harm (49%), clinically significant depressive symptoms (61%); and moderate self-esteem (M = 27.55, SD = 7.15) and resiliency (M = 3.67, SD = 0.53). In adjusted models, better family functioning from the TGN youth’s perspective was associated with better mental health outcomes among TGN youth (β ranged from ?0.40 to ?0.65 for self-harm, depressive symptoms, and anxious symptoms, and 0.58 to 0.70 for self-esteem and resiliency). Findings from this study highlight the importance of considering TGN youth’s perspectives on the family to inform interventions to improve family functioning in families with TGN youth.     

Entrepreneurial development for U.S. minority homeless and unstably housed youth: A qualitative inquiry on value,barriers, and impact on health

BackgroundHomeless and unstably housed youth in the U.S. have high rates of unemployment and often rely on survival strategies that negatively impact their economic, emotional, and physical health. While integrated health and entrepreneurial development initiatives targeting the poor have been successfully implemented in developing countries, little is known regarding interests in similar initiatives among vulnerable U.S. youth, particularly racial minorities who are disproportionately impacted by poverty and homelessness. This study examined African-American homeless and unstably housed youth's interests in entrepreneurial development programming to enhance economic self-sufficiency and health-related outcomes.MethodsQualitative methods using nine focus groups and one in-depth interview were conducted from December 2013 to March 2014 with 52 purposively-selected youth, aged 15 to 24, who had experienced homelessness within the prior 18 months in Baltimore, Maryland and Washington, D.C. An emergent, open-ended topic guide was used to examine reasons why youth may want to participate in entrepreneurial development initiatives, what barriers they anticipated in becoming an entrepreneur, and how engaging in entrepreneurial and other economic empowerment activities might impact their physical and emotional well-being. All focus groups and interviews were recorded, transcribed, and analyzed.ResultsThe majority of youth were unemployed in the formal sector, but actively engaged in income generating activities in the informal sector. Four themes related to youth's interest in entrepreneurial development initiatives: the perceived inadequacy of traditional income and educational pathways, wanting to be one's own boss, desires for alternatives to joblessness and illicit income risks, and interests in building on current entrepreneurial activities. Commonly perceived barriers were lack of business mentors and opportunities, not knowing “what was possible”, difficulty in changing prior mindsets, and anticipated negative reactions from peers. Youth envisioned entrepreneurial development activities would inspire a range of health protective behaviors by minimizing poverty-related depression, hopelessness, and anxiety.ConclusionThis study underscores the need to address the intersection of poverty and health outcomes. Integrated health and entrepreneurial development programs should target low-income U.S. minority youth, particularly those with the greatest housing, health, and economic needs. More research is needed in understanding the behavioral dynamics between economic empowerment and health risk reduction among disadvantaged youth.     

Dietary Sodium Intakes and Food Sources of Sodium in Canadian-Born and Asian-Born Individuals of Chinese Ethnicity at a Canadian University Campus

Abstract

Objective: To document the sodium intake and food sources of sodium of Canadian-born Chinese (CBC) and Asian-born Chinese (ABC) individuals at a Canadian university campus. Participants: Healthy adults aged 18–58 years originating from Canada, China, Hong Kong, or Taiwan were recruited from the University of Alberta (n = 40 CBC, n = 41 ABC) between May and December 2010. Methods: Two in-person multipass 24-hour dietary recall interviews were administered for 1 weekday and 1 weekend day. Results: The mean sodium intake was 3,623 ± 1,406 mg/day. The major food sources of sodium were commercially prepared and processed foods for both CBC and ABC (59.9% and 54.7% of sodium, respectively). Condiments contributed substantially to dietary sodium intake of CBC and ABC (27.8% and 35.1% of sodium, respectively). Conclusions: Efforts to reduce dietary sodium among students and other adults of Chinese ethnicity should focus on limiting consumption of commercially processed foods and moderation in discretionary use of salt and soy sauce.     

Effects of testosterone replacement therapy on hypogonadal men with osteopenia or osteoporosis: a subanalysis of a prospective randomized controlled study in Japan (EARTH study)

Objective: We investigated the effects of testosterone replacement therapy (TRT) on bone mineral density (BMD) among hypogonadal men with osteopenia/osteoporosis.

Methods: From our previous EARTH study population, 74 patients with a clinical diagnosis of osteopenia or osteoporosis and hypogonadism were included in this study, as the TRT (n?=?35) and control (n?=?34) groups. The TRT group was administered 250?mg of testosterone enanthate injection every 4 weeks for 12 months. The BMD, waist circumference, body mass index, body fat percentage, and muscle volume were measured at baseline and at 12 months. Blood biochemical data, including total cholesterol, triglycerides, HDL-cholesterol, hemoglobin A1c, and adiponectin values were also evaluated.

Results: At the 12-month visit, BMD significantly increased in both groups. However, comparisons on changes of parameter values from baseline to the 12-month visit between the TRT and control groups were significantly different in BMD (5.0?±?5.0 vs. 3.0?±?3.2; p?=?.0434) and in adiponectin value (?0.90?±?3.33 vs. 0.10?±?2.04; p?=?.0192). There were no significant changes in other parameters.

Conclusions: TRT for 12 months could improve BMD with a decrease in adiponectin levels among hypogonadal men with osteopenia/osteoporosis.     

Individual interviews or focus groups? Interview format and women’s self-disclosure

Individual interviews have traditionally been an important method of data collection in multiple disciplines, including psychology. However, research comparing individual interviews with focus groups has generated mixed results regarding which method is more effective in investigating sensitive topics. The purpose of the present study was to directly compare the two methods with respect to young women’s verbalizations on a sensitive topic, namely their thoughts and feelings related to body image. Female undergraduate students were randomly assigned to an individual interview (n = 32) or focus group (n = 33). Participants in the individual interviews disclosed more personal thoughts and feelings about body image and had more positive perceptions of the interpersonal climate of their sessions than participants in the focus groups. These findings suggest that individual interviews may provide women with a more supportive environment in which to discuss sensitive topics.     

A Streetcar Named “Derousal”? A Psychophysiological Examination of the Desire–Arousal Distinction in Sexually Functional and Dysfunctional Women

Research indicates that desire and arousal problems are highly interrelated in women. Therefore, hypoactive sexual desire disorder (HSDD) and female sexual arousal disorder (FSAD) were removed from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), and a new diagnostic category, female sexual interest/arousal disorder (FSIAD), was created to include both arousal and desire difficulties. However, no research has tried to distinguish these problems based on psychosocial-physiological patterns to identify whether unique profiles exist. This study compared psychosocial-physiological patterns in a community sample of 84 women meeting DSM-IV (American Psychiatric Association, 2000 American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.[Crossref] , [Google Scholar]) criteria for HSDD (n = 22), FSAD (n = 18), both disorders (FSAD/HSDD; n = 25), and healthy controls (n = 19). Women completed self-report measures and watched neutral and erotic films while genital arousal (GA) and subjective arousal (SA) were measured. Results indicated that GA increased equally for all groups during the erotic condition, whereas women with HSDD and FSAD/HSDD reported less SA than controls or FSAD women. Women in the clinical groups also showed lower concordance and greater impairment on psychosocial variables as compared to controls, with women with FSAD/HSDD showing lowest functioning. Results have important implications for the classification and treatment of these difficulties.     

Resilience of Families Living in Poverty

ABSTRACT

The purpose of this paper is to examine the ways that community social workers reflect the established literature on family resilience. This exploratory study involved semistructured group interviews with community social workers from an urban agency that serves families who are poor. The analysis was completed by comparing Walsh's “Key Processes in Family Resilience” with the responses from the participants in the group interviews. Specifically, Walsh (2002 Walsh , F. ( 2002 ). A family resilience framework: Innovative practice approaches . Family Relations , 51 ( 2 ), 130 – 137 .[Web of Science ®] , [Google Scholar]) identifies three domains of resilient families, including belief systems, organizational patterns, and communication processes. These were used as reference points for comparison. The interviews with the community social workers revealed a connection between using positive beliefs, thinking, and taking action steps that define a resilient family. This only becomes possible in the context of supportive internal family relations and external community connections. While the community social workers affirm elements of the established models of family resilience, they also emphasized its dynamic nature as the interplay of positive family beliefs combined with action steps and support from the community.