Adolescent Risk Behavior Patterns: Effects of Structured Time-Use,Interpersonal Connections,Self-System Characteristics,and Socio-Demographic Influences

The relationships between risk behaviors and factors representing multiple ecological layers are examined among a sample of youth in grades seven through 12 (n = 2,701). Our primary interest is in the relationship between structured time-use as a protective factor and youth risk behavior patterns. Two other layers of protective factors are also examined, those dealing with interpersonal connections and with self-system characteristics. Concomitant demographic factors in the study are age, ethnicity, gender, and socioeconomic status. Stepwise multiple regression analysis reveals that less risk behavior is associated with greater attachment to school, greater school success, closer relationships with parents, and greater participation in structured time-use; significant predictors of more risk behavior are being older, being male, and having one good friend. Implications for professional practice include employing a comprehensive, ecological approach to prevention and intervention, and enacting social support initiatives at multiple levels.     

香港中学生滥用药物:危险因子、保护因子与抗逆力

在探讨香港中学生的滥用药物情况时考虑其与危险因子及保护因子的相互关系,学生的抗逆力,对危险因子及保护因子的相互作用至关重要。实证研究发现,价值观及自我效能均对滥用药物有显著的负相关;家庭、学校及朋辈等支持因子对滥用药物有显著的负相关,尤以学校支持的负相关最为显著;答题者的心身焦虑症状、朋辈影响及学习压力等危险因子均对滥用药物有显着的正相关,尤以朋辈影响的相关性最为显著。整体来说,危险因子与滥用药物在加入价值观和自我效能等变项后,有轻微的正面力量,有助减少中学生滥用药物。     

Risk and protective factors for residential foster care adolescents

Based on Jessor's (1998) Problem Behavior Theory, this study investigated the relationship between risk and protective factors and adolescent psychopathology and adjustment. For this purpose, adolescent girls (n = 69) and boys (n = 71) living in residential foster homes in the city of Tehran, responded to an adapted version of the Adolescent Health and Development Questionnaire, Jessor, 1998) and their foster home caregivers rated the adolescents' internalizing/externalizing problems and prosocial behavior with the Strengths and Difficulties Questionnaire (SDQ, Goodman, 2001). This study identified several influential aspects at the levels of the individual, foster home, peers and community that serve as a direct risk and protective factors, and also documented indirect pathways of gender, individual, foster home, peers and community influence.Three main patterns, protective, protective and enhancing, and protective but reactive seemed to characterize most of the risk by protective factor interactions. The risk and protective factors associated with foster home adolescents' mental health are broadly in line with previous published findings. Based on the present findings, the extension of universal intervention programs designed within the framework of PBT and which address multiple targets seems justified to be used with foster care home adolescents.     

Contextual Predictors of Adolescent Antisocial Behavior: The Developmental Influence of Family,Peer, and Neighborhood Factors

Numerous researchers have investigated risk factors for adolescent antisocial behavior (ASB) using social learning theory. Less attention has been directed to how these factors interact across time and context. Using this framework as well as social contextual theory, we examined 1,196 respondents from the National Longitudinal Study of Adolescent Health to investigate the relations among parenting, peer, and community risk factors of youth ASB. We found that community violence exposure was a strong, direct predictor, and parental monitoring moderated the relation between community violence and ASB. Results suggested that social contextual theory provides a useful framework for predicting ASB.     

Index insurance and climate risk management: Addressing social equity

Fair distribution of benefits from index insurance matters. Lack of attention to social equity can reinforce inequalities and undermine the potential index insurance holds as a tool for climate risk management that is also pro‐poor. The aims of this article are to: (a) examine social equity concerns raised by index insurance in the context of climate risk management, (b) consider how greater attention can be paid to social equity in index insurance initiatives, and (c) reflect on the policy challenges raised by taking social equity into account as a mechanism for climate risk reduction. The article draws on learning from the CGIAR's Research Program on Climate Change, Agriculture and Food Security (CCAFS) and presents the cases of the Index Based Livelihoods Insurance (IBLI) and Agriculture and Climate Risk Enterprise Ltd. (ACRE) in East Africa. It proposes a framework for unpacking social equity related to equitable access, procedures, representation and distribution within index insurance schemes. The framework facilitates identification of opportunities for building outcomes that are more equitable, with greater potential for inclusion and fairer distribution of benefits related to index insurance. The article argues that systematically addressing social equity raises hard policy choices for index insurance initiatives without straightforward solutions. Attention to how benefits and burdens of index insurance are distributed, suggests the unpalatable truth for development policy that the poorest members of rural society can be excluded. Nevertheless, a focus on social equity—facilitated by the framework—opens up opportunities to ensure index insurance is linked to more socially just climate risk management. At the very least, it may prevent index insurance from generating greater inequality. Taking social equity into account, thus, shifts the focus from agricultural systems in transition per se to systems with potential to incorporate societal transformation through distributive justice.     

Risky behaviour: a new framework for understanding why young people take risks

Theories of youth risk taking range from the realist to the sociocultural. Much of this theorising, particularly in the field of epidemiology, has been strongly influenced by the Health Belief Framework. More recently, attention has shifted to understanding how young people perceive risk and what makes some of them resilient to risk taking. In this article we develop a framework that brings together diverse theoretical perspectives on youth risk taking. We draw on lessons from across the social science disciplines to inform a conceptual framework incorporating the broad context and internal processes of young people's decisions to take risks. Our Youth Risk Interpretation Framework (Y-RIF) has been developed from insights gained during an ethnographic study conducted in South Africa (Graham, Lauren, 2012. Understanding risk in the everyday identity-work of young people on the East Rand of Johannesburg. Doctoral Thesis. University of Johannesburg, Johannesburg.). We argue that our framework is useful, as it offers new ways of understanding why some young people take risks while others are more cautious. It could be used to inform youth behaviour surveillance research and interventions. However, it will need to be rigorously tested.     

Beyond Mars and Venus: Understanding gender differences in financial risk tolerance

Research indicates that men are more risk tolerant and make riskier financial decisions than women. To explain this, researchers have favored “essentialist” explanations that attribute differences to core biological mechanisms and have tended to neglect psychological mechanisms that reflect the influence of culture and socialization. To better understand gender differences in risk tolerance, we investigated the relative effects of multiple psychological dimensions of gender, including gender identification (i.e., identifying as one’s biological sex and viewing it as a positive part of the self), gender typicality (i.e., feeling like a typical member of one’s biological sex), and gender-stereotyped personality traits and social roles. We also measured 2D:4D digit ratios as an indicator of prenatal testosterone exposure. Stereotypically masculine or instrumental personality traits (e.g., strong, acts as a leader) were associated with more risk tolerance in both men and women but were relatively more important for understanding men’s risk tolerance. Stereotypically feminine or communal personality traits were associated with less risk tolerance in women. Women who identified more with other women, and men who identified less with other men showed greater risk tolerance. Digit ratio was not associated with risk tolerance. Further research focused on psychological gender and risk tolerance is emphasized.     

Defining and Estimating Risk and Protection: An Illustration from the School Success Profile

This article links a risk and protection conceptual framework with definitions of risk and protection from epidemiology. It describes methods for estimating and modeling risk and protection that yield readily interpretable results using contingency tables and logistic regression. Data from a national sample of adolescents illustrate key concepts, providing implications for research and practice.     

Repositioning Risk and Resilience: Improving the Lives of Children and Adults with Mental Health Problems in Eastern Europe and Central Asia

The repositioning of risk and resilience within the social work and mental health agenda is examined in this paper through a consideration of the social exclusion of vulnerable children and adults living in Eastern Europe and Central Asia (EECA). There is a pressing need in this region for the development of better conceptions and cultural adaptations of risk and resilience models. An important task is spelling out the implications for effective prevention and intervention programs, and for practitioners and service users in terms of an inclusive, person-centred, and emancipatory practice. The societies of the EECA region may be understood as comprising a distinctive form of risk society, distinguished from Western counterparts by their adverse risk levels, and by their emancipatory potential. Strategies based on user inclusion and participatory action require to be fashioned, along with the development of the social work profession, to facilitate the empowerment of users in the EECA region.     

Parenting Success and Challenges for Families of Children with Disabilities: An Ecological Systems Analysis

This article examines factors that are associated with parenting success for caregivers of children with disabilities using Bronfenbrenner's ecological systems framework. Although numerous studies have investigated risk factors for negative parenting among caregivers of children with disabilities, there are relatively few research findings on parenting success. More specifically, we examine factors for parenting success within the context of micro- (parenting practices, parent-child relations), meso- (caregivers' marital relations, religious social support), and macro-systems (cultural variations, racial and ethnic disparities, health care delivery system), which is then followed by implications for social work practice.     

Children at risk: rationales for risk assessments and interventions

In this study, we examine and compare the rationales that social workers and laypersons give for their judgments, assessments and decisions in cases of alleged child abuse and neglect. We have used Toulmin's framework to explore the structure of the arguments/rationales of social workers and laypersons. We analyzed separately basic and complementary level arguments. We used Rosen's work to analyze the content of the backing provided by respondents for their claims.We presented two groups of respondents—52 social workers and 50 laypersons—with a case vignette that was a referral of a child and family made by a family physician. Respondents were asked to read the case, provide their assessment of risk to the child, recommend an intervention, and give written and detailed rationales for their assessment and recommended intervention.The findings indicate that social workers and laypersons differ in the structure and in the content of their rationales. Social workers formulated significantly more complete arguments, both basic and complementary levels of arguments, than laypersons. The content of the backing for the judgments was also significantly different: Social workers used more theory, experience and policy than the laypersons who used more general knowledge and values.In the discussion, we address the training implications of the fact that social workers pay very little attention to rebuttal of arguments, and do not refer to research evidence as a basis for the arguments they make. We recommend that more research focus on arguments and rationales given by professionals in this area.     

Facial emotion identification and sexual assault risk detection among college student sexual assault victims and nonvictims

Objective: High rates of sexual victimization among college students necessitate further study of factors associated with sexual assault risk detection. The present study examined how social information processing relates to sexual assault risk detection as a function of sexual assault victimization history. Participants: 225 undergraduates (M_age = 19.12, SD = 1.44; 66% women). Methods: Participants completed an online questionnaire assessing victimization history, an emotion identification task, and a sexual assault risk detection task between June 2013 and May 2014. Results: Emotion identification moderated the association between victimization history and risk detection such that sexual assault survivors with lower emotion identification accuracy also reported the least risk in a sexual assault vignette. Conclusions: Findings suggest that differences in social information processing, specifically recognition of others' emotions, are associated with sexual assault risk detection. College prevention programs could incorporate emotional awareness strategies, particularly for men and women who are sexual assault survivors.     

Understanding social factors and inequalities in health: 20th century progress and 21st century prospects

The development of social epidemiology and medical sociology over the last half of the 20th century, in which Leo Reeder played a central role, transformed scientific and popular understanding of the nature and causes of physical health and illness. Viewed in the early 1950s as shaped almost entirely by biological processes and medical care, physical health and illness are now understood to be as much or more a function of social, psychological, and behavioral factors. Utilizing a stress and adaptation conceptual framework, social epidemiology has identified a broad range of psychosocial risk factors for health, most notably: (1) social relationships and support; (2) acute or event-based stress; (3) chronic stress in work and life; and (4) psychological dispositions such as anger/hostility, lack of self-efficacy/control, and negative affect/hopelessness/pessimism, with new risk factors continuing to be identified. However, proliferation of risk factors must be balanced by conceptual integration and causal understanding of the relationships among them, their causes, and consequences. One source of such integration and understanding has been the rediscovery of large and persistent socioeconomic and racial-ethnic disparities in health. Socioeconomic position and race/ethnicity shape individuals' exposure to and experience of virtually all known psychosocial, and well as many environmental and biomedical, risk factors, and these risk factors help to explain the size and persistence of social disparities in health. Improving the socioeconomic position of a broad range of disadvantaged socioeconomic and racial-ethnic strata constitutes a major avenue for reducing exposure to and experience of deleterious risk factors for health, and hence for improving the health of these groups and the overall population. This in turn requires better understanding of the macrosocial forces that influence the socioeconomic position of individuals.     

Repositioning Risk in Social Work Education: Reflections Arising from the Threat of SARS to Social Work Students in Hong Kong during their Field Practicum

The social work profession has always been involved in dealing with uncertainty and risk in the life politics of clients. However, it is not easy for young social work students to translate this philosophical disposition into their real life practice with clients. In spring 2003, when the SARS epidemic broke out in Hong Kong, a group of social work students from the Chinese University of Hong Kong were doing their fieldwork practicum. Suddenly confronted by a collective sense of risk in their role as social workers, the students went through a period of unrest, as performing their helping duties brought with it a simultaneous exposure to personal risk. This paper is based on four focus group interviews with these social work students, to understand how they processed their experience of risk during their exposure to the SARS crisis, and how they connected the experience to their social work practice with clients. It is found that the predicament arising from the exposure to personal risk brought about by the SARS crisis during the students' field placement engendered the reflective process that enabled a renewed and personalized meaning of professionalism. The results provide a basis for reflection among social work educators on the role of risk in the training of prospective social workers, and on how social work education can better prepare students for practice in a high‐risk environment.     

Risk and Social Work Practice

Abstract

Risk assessment and risk management have emerged as central organising principles for an increasing number of health and welfare programs. As a consequence, the language, technologies and imperatives of risk have assumed considerable prominence in the practice of many social workers. The present paper addresses three significant and contemporary explanations for the rise of risk in the day-to-day work of many social workers. In the context of these approaches, the paper examines some of the challenges risk presents to professional and ethical social work practice. Four issues with particular meanings and impacts for social work are discussed, namely the priority of risk over need, changing professional roles, relocation of responsibility to individuals, and the culture of blame.     

Contemporary Epidemiology: A Review of Critical Discussions Within the Discipline and A Call for Further Dialogue with Social Theory

The discipline of epidemiology, which holds major influence on public health policy as well as on clinical medical practice, has in recent decades to a large extent been concerned with the identification of factors and markers of risk for disease. Much health information and intervention is thus informed by a wealth of studies on a variety of risk factors, of which the individual is encouraged to keep informed and to be responsible about. Meanwhile, risk factor epidemiology has been subject to intense debate, both within and outside the discipline. The following review offers an overview of critical intradisciplinary debates. It then opens discussion on three partially overlapping areas where social theory has been called upon to contribute to epidemiological inquiry, namely analysis of macro‐social determinants of health and disease, of categories of human difference and of embodiment. The review ends with, and is motivated by, a plea for further integration of and dialogue between epidemiology and social theory.     

Rural/Non-Rural differences in psychosocial risk factors among sexual minorities

The purpose of this study was to examine rural versus non-rural differences in the following risk factors among sexual minority adults: victimization/discrimination, fundamental religiosity, identification and involvement in the lesbian, gay, bisexual, and transgender (LGBT) community, social support, and level of comfort disclosing sexual identity to others. The study recruited sexual minority individuals via online communications to LGBT organizations. Of the total sample (N = 699), 23.3% resided in rural areas and 76.7% resided in non-rural areas. A MANCOVA was conducted to determine if there was a significant overall relation of rural versus non-rural location to the five risk factors of interests, while controlling for age, sex, race, relationship status, and sexual identity. Post hoc ANCOVAs were then conducted to explore the specific directionality of the significant differences. Results revealed rural sexual minorities reported greater identification with fundamental religious beliefs, less comfort in disclosing their sexual identity to others, more experiences of victimization and discrimination, less identification with and involvement in the LGBT community, and less perceived social support when compared to their non-rural counterparts. These findings suggest sexual minorities residing in rural areas may experience increased exposure to negative risk factors. Implications for mental health providers working with rural sexual minorities are discussed.     

A longitudinal examination of risk and protective factors associated with drug use and unsafe sex among young African American females

This study prospectively examined associations among multiple theoretically informed risk (e.g., depression, sexual sensation seeking, and risky peers norms) and protective factors (e.g., social support, STI knowledge, and refusal to have sex self efficacy) on unsafe sex among 715 African American adolescent females aged 15–21 who participated in an STI/HIV prevention intervention. Generalized estimating equation models were used to assess associations between baseline characteristics and sexual risk over a 12-month follow-up period. Overall risk in this population was high: at baseline, nearly a third of women reported sex under the influence of alcohol or substances; ≥ 2 partners for vaginal sex, and casual sex partners in the 60 days prior to baseline, and nearly 75% of those reporting vaginal sex used condoms inconsistently. In multivariable analysis, when risk and protective factors were simultaneously considered, higher levels of sexual sensation seeking were associated with having multiple sex partners and inconsistent condom use. Greater perception of risky peer norms was associated with a higher risk of having sex under the influence of alcohol or drugs. In addition, higher sex refusal self-efficacy was protective against having multiple; casual; and concurrent sex partners. Incorporating these salient factors into prevention programs may be critical to the development of targeted interventions for this population.     

Role of physical activity in the prevention of falls and their consequences in the elderly

This work aims to provide an inventory of the risk factors and consequences of falling in the elderly, namely fractures, and to identify strategies to prevent falls and minimise their effects. Falls in elderly people are a major cause of injuries, leading to a general fear of falling, poorer quality of life and even death. The increase in life expectancy brought by developments in the medical and health sciences has not always brought enhanced quality of life. More elderly people live with reduced functional capacities resulting in a higher prevalence of falls and associated problems for themselves and for society. Risk factors for falling, commonly resulting from normal aging processes, have already been identified through multiple studies. Exercise may play an important role in fall prevention and their consequences. Although, effective strategies are usually multi-disciplinary and focus simultaneously on several risk factors. However, only large-scale prevention programmes can have significant effective social impact. To minimise occurrence and consequences of falls, policies to systematically implement prevention programmes should be established.     

Risk for Preadolescent Suicidal Behavior: An Ecological Model

The relationship between preadolescent suicidality (ideation, threats, attempts) and subsequent adolescent suicidal behavior is well documented. We tested a six domain, ecological suicide risk model in a sample of 69 preadolescent outpatients (ages 5 to 12 years). We correlated items from each domain with Suicidality as measured by the Pfeffer Spectrum of Suicide Potential Scale. Three domains (Child Risk Factors, Childhood Traumas, Family Stressors) had a total of 19 items that were significantly correlated with Suicidality (alpha < .05 level); one item in the fourth dimension, Social Supports, was included (alpha = .06). We show that children who demonstrate anxiety/depression, aggressive and antisocial behavior in a climate of parental hostility are at risk for suicidal behavior.